National University NSG 304/NSG304 | NSG 304 Final Exam Questions (Answers at every Chapter Quizzes)_ Fall 2025.

NSG 304 Final Exam Questions (Answers at every Chapter Quizzes)_ Fall 2025. Question 1: A patient is prescribed atorvastatin (Lipitor). Which of the following statements made by the patient indicates a need for further teaching? A. "I will take my medication at night because cholesterol production is higher then." B. "I need to avoid drinking grapefruit juice while on this medication." C. "If I experience muscle pain, I should report it to my provider." D. "I will stop taking the medication if my cholesterol level returns to normal." Question 2: The nurse is reviewing lab results for a patient taking simvastatin (Zocor). Which lab value requires immediate intervention? A. AST 80 U/L B. LDL 90 mg/dL C. HDL 60 mg/dL D. Total cholesterol 180 mg/dL Question 3: Select all that apply Which of the following are adverse effects or nursing considerations for statin medications? Myopathy or muscle pain Increased risk of liver toxicity Hypoglycemia Teratogenicity (avoid in pregnancy) Constipation Diuretics Question 4: A patient is receiving furosemide (Lasix) for fluid volume overload. Which finding requires priority action? A. Urine output of 1200 mL over 12 hours B. Serum potassium of 2.9 mEq/L C. Blood pressure of 128/76 mmHg D. Weight loss of 1.5 kg in 24 hours Question 5: Which of the following statements indicates appropriate teaching for a patient taking hydrochlorothiazide? A. "I will take my medication at bedtime so I don’t forget." B. "I will increase my intake of potassium-rich foods like bananas and oranges." C. "I should avoid fluids while taking this medication." D. "I can skip a dose if I feel fine." Question 6: Select all that apply Which are expected side effects or considerations for patients on loop diuretics like furosemide? Hyperkalemia Hypokalemia Ototoxicity at high doses Hypotension Increased intracranial pressure Question 7: Which patient statement indicates a need for further education about spironolactone (Aldactone)? A. "I should avoid potassium supplements while on this medication." B. "I may notice irregular periods while taking this drug." C. "I will increase my intake of bananas and avocados." D. "This medication helps me get rid of excess fluid without losing too much potassium." Statins Question 8: A nurse is caring for a patient starting rosuvastatin (Crestor). Which is the priority baseline assessment? A. Blood glucose level B. Neurologic function C. Liver function tests D. Coagulation profile Question 9: The nurse is providing discharge teaching to a patient prescribed pravastatin. Which instruction should the nurse include? A. "Take the medication with grapefruit juice to increase absorption." B. "Avoid alcohol while taking this medication." C. "You only need to have your cholesterol rechecked once a year." D. "Stop taking the medication if your cholesterol level drops below 200 mg/dL." Question 10: Select all that apply Which nursing interventions apply to a patient taking a statin? Monitor for muscle tenderness or weakness Educate the patient to report dark-colored urine Instruct the patient to avoid operating machinery Schedule periodic liver enzyme tests Encourage taking the medication in the morning Question 11: A 60-year-old patient reports muscle aches while taking atorvastatin. What should the nurse do first? A. Tell the patient to take acetaminophen B. Advise the patient to stop taking the drug immediately C. Notify the healthcare provider and check creatine kinase (CK) levels D. Document the symptom as a normal side effect Diuretics Question 12: A nurse is caring for a patient taking furosemide. Which is the most appropriate nursing intervention? A. Administer at bedtime to avoid dizziness B. Monitor serum sodium and potassium levels C. Encourage a low-sodium diet D. Restrict fluid intake to 500 mL/day Question 13: A patient is prescribed hydrochlorothiazide. The nurse knows to monitor for which adverse effect? A. Bradycardia B. Hypercalcemia C. Hypernatremia D. Hyperkalemia Question 14: Select all that apply What are nursing interventions for a patient on loop diuretics? Daily weight monitoring Monitor for orthostatic hypotension Limit potassium-rich foods Assess for hearing changes Monitor intake and output Question 15: Which dietary instruction is most appropriate for a patient taking spironolactone? A. "Increase your intake of oranges and spinach." B. "Use salt substitutes instead of table salt." C. "Avoid foods high in potassium like bananas and potatoes." D. "You may eat whatever you like—there are no restrictions." Question 16: A patient taking bumetanide complains of leg cramps and weakness. Which lab value is most concerning? A. Sodium 142 mEq/L B. Potassium 2.7 mEq/L C. Chloride 100 mEq/L D. BUN 14 mg/dL Question 17: Select all that apply A nurse is caring for a patient on spironolactone. Which findings would require intervention? Serum potassium 5.6 mEq/L Irregular menstrual cycle Deep tendon reflexes 2+ Serum sodium 134 mEq/L Tall peaked T waves on ECG