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HONDROS NUR 163 FINAL EXAM REVIEW: 100 QUESTIONS & ANSWERS
Pharmacology and Medication Administration
1. The nurse is preparing to administer insulin. Which type of insulin is clear in appearance
and has a rapid onset?
A. NPH (Humulin N)
B. Lispro (Humalog) ✓
C. Glargine (Lantus)
D. Detemir (Levemir)
2. Before administering Digoxin, the nurse must assess which vital sign most critically?
A. Blood Pressure
B. Respiratory Rate
C. Apical Pulse ✓
D. Temperature
3. A patient is started on Furosemide (Lasix). The nurse should monitor for which common
electrolyte imbalance?
A. Hypernatremia
B. Hypokalemia ✓
C. Hypercalcemia
D. Hypomagnesemia
4. Which instruction is most important for a nurse to give a patient taking an MAOI like
Phenelzine?
A. "Avoid foods containing tyramine." ✓
B. "Take this medication on an empty stomach."
C. "Limit your fluid intake to 1 liter per day."
D. "A rash is a common, harmless side effect."
,5. The "rights" of medication administration include all of the following EXCEPT:
A. Right patient
B. Right medication
C. Right time
D. Right brand name ✓
6. A patient receiving a blood transfusion develops chills, fever, and low back pain. The
nurse's first priority is to:
A. Administer an antihistamine
B. Slow the infusion rate
C. Stop the transfusion ✓
D. Notify the physician
7. Which lab value must be closely monitored for a patient receiving Heparin?
A. Hemoglobin & Hematocrit
B. aPTT (Activated Partial Thromboplastin Time) ✓
C. Serum Creatinine
D. Blood Urea Nitrogen (BUN)
8. A patient is prescribed Metformin for Type 2 Diabetes. The nurse should teach the patient
to watch for which serious adverse effect?
A. Tachycardia
B. Lactic Acidosis ✓
C. Hypertension
D. Hypoglycemia
9. When administering ear drops to an adult, the nurse should pull the pinna:
A. Up and back ✓
B. Down and back
C. Up and forward
D. Down and forward
10. A patient is on a high-dose, long-term corticosteroid like Prednisone. The nurse should
advise the patient to:
A. Stop the medication abruptly if side effects occur.
B. Avoid live vaccines. ✓
C. Take the medication on an empty stomach.
D. Increase sodium intake.
Fundamentals & Nursing Process
,11. The first step of the nursing process is:
A. Planning
B. Assessment ✓
C. Diagnosis
D. Implementation
12. During a bed bath, the nurse observes redness that does not blanch over the client's
sacrum. This should be documented as:
A. Stage I Pressure Injury ✓
B. Stage II Pressure Injury
C. Stage III Pressure Injury
D. A normal reaction
13. The primary purpose of a nursing diagnosis is to:
A. Identify a medical disease.
B. Describe a problem that nursing interventions can treat. ✓
C. Prescribe medication.
D. Replace the physician's diagnosis.
14. When moving a patient up in bed, the best method to prevent nurse injury is to:
A. Use a draw sheet and get help. ✓
B. Lift with the strength of your back.
C. Have the patient hold onto the overhead trapeze.
D. Roll the patient first.
15. A patient with dysphagia is at highest risk for:
A. Constipation
B. Aspiration ✓
C. Diarrhea
D. Urinary Retention
16. The correct sequence for donning PPE (Personal Protective Equipment) is:
A. Gown, Mask, Gloves, Goggles
B. Gown, Goggles, Mask, Gloves ✓
C. Gloves, Gown, Mask, Goggles
D. Mask, Goggles, Gown, Gloves
17. A patient has a new order for "NPO after midnight." The nurse understands this means:
A. Nothing by mouth ✓
B. Clear liquids only
, C. No solid foods
D. A regular diet
18. When documenting in a patient's chart, the nurse should:
A. Use erasers or white-out to correct errors.
B. Chart for a colleague to save time.
C. Use objective, factual data. ✓
D. Record personal opinions about the patient's behavior.
19. The best way to confirm the correct placement of a nasogastric (NG) tube is by:
A. Auscultating over the stomach while injecting air.
B. Checking the pH of the aspirated fluid. ✓
C. Placing the end of the tube in water to check for bubbling.
D. Asking the patient if they feel the tube in their stomach.
20. A patient on bed rest is encouraged to perform deep breathing and coughing exercises
primarily to prevent:
A. Pressure Injuries
B. Atelectasis and Pneumonia ✓
C. Constipation
D. Deep Vein Thrombosis
Medical-Surgical Nursing
21. A patient with Heart Failure is experiencing shortness of breath and crackles in the lungs.
The nurse recognizes this as:
A. Right-sided heart failure
B. Left-sided heart failure ✓
C. Cardiogenic shock
D. Pericarditis
22. A key teaching point for a patient with COPD is:
A. "Drink 1-2 glasses of fluid per day to reduce secretions."
B. "Use your incentive spirometer every 2 hours while awake."
C. "Practice pursed-lip breathing to manage dyspnea." ✓
D. "Engage in high-intensity exercise daily."
23. A patient with a peptic ulcer tests positive for H. pylori. The nurse anticipates the patient
will be treated with:
A. Antibiotics and a Proton Pump Inhibitor ✓
B. Antacids only