NUR 265 – EXAM 3 QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES GRADED A+ LATEST
1.
A patient with chronic kidney disease is prescribed epoetin alfa. Which laboratory
value best indicates the medication is achieving its intended effect?
A. Serum potassium
B. Hemoglobin
C. Blood urea nitrogen
D. Creatinine
Correct Answer: B
Rationale: Epoetin alfa stimulates red blood cell production, leading to an increase
in hemoglobin levels.
2.
A nurse is caring for a patient receiving furosemide. Which finding requires
immediate follow-up?
A. Blood pressure 110/70 mmHg
B. Potassium level 3.1 mEq/L
C. Urine output 45 mL/hr
D. Weight loss of 1 kg in 24 hours
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, which may lead to life-threatening
cardiac dysrhythmias.
,3.
A patient with heart failure reports sudden weight gain and increased shortness of
breath. What is the nurse’s priority action?
A. Encourage fluid intake
B. Administer PRN bronchodilator
C. Assess lung sounds
D. Place the patient supine
Correct Answer: C
Rationale: These symptoms suggest fluid overload; assessing lung sounds helps
identify pulmonary congestion.
4.
Which assessment finding is most consistent with left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in the lungs
D. Ascites
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion, leading to
crackles.
5.
A nurse is teaching a patient with hypertension about lifestyle changes. Which
statement by the patient indicates correct understanding?
A. “I should increase my sodium intake after exercise.”
B. “Weight loss can help reduce my blood pressure.”
C. “I can stop my medication once my pressure is normal.”
D. “Stress does not affect blood pressure.”
,Correct Answer: B
Rationale: Weight reduction is an effective nonpharmacologic method to lower
blood pressure.
6.
A patient receiving IV morphine reports nausea. Which intervention is most
appropriate?
A. Stop the morphine infusion
B. Administer an antiemetic as prescribed
C. Encourage the patient to ambulate
D. Increase the morphine dose
Correct Answer: B
Rationale: Nausea is a common opioid side effect and is managed with
antiemetics.
7.
Which finding suggests a complication of diabetes mellitus?
A. Fasting glucose 90 mg/dL
B. HbA1c 8.9%
C. Blood pressure 118/76 mmHg
D. BMI 22
Correct Answer: B
Rationale: An HbA1c of 8.9% indicates poor long-term glucose control and
increased risk for complications.
, 8.
A nurse is preparing to administer insulin glargine. Which action is correct?
A. Mix with regular insulin
B. Administer IV
C. Give at the same time each day
D. Hold if blood glucose is normal
Correct Answer: C
Rationale: Insulin glargine is long-acting and should be administered at the same
time daily.
9.
Which symptom is most indicative of hypoglycemia?
A. Polyuria
B. Polydipsia
C. Diaphoresis
D. Kussmaul respirations
Correct Answer: C
Rationale: Diaphoresis is a classic sign of hypoglycemia due to sympathetic
nervous system activation.
10.
A patient with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
finding requires intervention?
A. SpO₂ 92%
B. Respiratory rate 14/min
C. Increasing lethargy
D. Barrel-shaped chest
Correct Answer: C
Rationale: Increasing lethargy may indicate CO₂ retention and respiratory
depression.
ANSWERS WITH RATIONALES GRADED A+ LATEST
1.
A patient with chronic kidney disease is prescribed epoetin alfa. Which laboratory
value best indicates the medication is achieving its intended effect?
A. Serum potassium
B. Hemoglobin
C. Blood urea nitrogen
D. Creatinine
Correct Answer: B
Rationale: Epoetin alfa stimulates red blood cell production, leading to an increase
in hemoglobin levels.
2.
A nurse is caring for a patient receiving furosemide. Which finding requires
immediate follow-up?
A. Blood pressure 110/70 mmHg
B. Potassium level 3.1 mEq/L
C. Urine output 45 mL/hr
D. Weight loss of 1 kg in 24 hours
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, which may lead to life-threatening
cardiac dysrhythmias.
,3.
A patient with heart failure reports sudden weight gain and increased shortness of
breath. What is the nurse’s priority action?
A. Encourage fluid intake
B. Administer PRN bronchodilator
C. Assess lung sounds
D. Place the patient supine
Correct Answer: C
Rationale: These symptoms suggest fluid overload; assessing lung sounds helps
identify pulmonary congestion.
4.
Which assessment finding is most consistent with left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in the lungs
D. Ascites
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion, leading to
crackles.
5.
A nurse is teaching a patient with hypertension about lifestyle changes. Which
statement by the patient indicates correct understanding?
A. “I should increase my sodium intake after exercise.”
B. “Weight loss can help reduce my blood pressure.”
C. “I can stop my medication once my pressure is normal.”
D. “Stress does not affect blood pressure.”
,Correct Answer: B
Rationale: Weight reduction is an effective nonpharmacologic method to lower
blood pressure.
6.
A patient receiving IV morphine reports nausea. Which intervention is most
appropriate?
A. Stop the morphine infusion
B. Administer an antiemetic as prescribed
C. Encourage the patient to ambulate
D. Increase the morphine dose
Correct Answer: B
Rationale: Nausea is a common opioid side effect and is managed with
antiemetics.
7.
Which finding suggests a complication of diabetes mellitus?
A. Fasting glucose 90 mg/dL
B. HbA1c 8.9%
C. Blood pressure 118/76 mmHg
D. BMI 22
Correct Answer: B
Rationale: An HbA1c of 8.9% indicates poor long-term glucose control and
increased risk for complications.
, 8.
A nurse is preparing to administer insulin glargine. Which action is correct?
A. Mix with regular insulin
B. Administer IV
C. Give at the same time each day
D. Hold if blood glucose is normal
Correct Answer: C
Rationale: Insulin glargine is long-acting and should be administered at the same
time daily.
9.
Which symptom is most indicative of hypoglycemia?
A. Polyuria
B. Polydipsia
C. Diaphoresis
D. Kussmaul respirations
Correct Answer: C
Rationale: Diaphoresis is a classic sign of hypoglycemia due to sympathetic
nervous system activation.
10.
A patient with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
finding requires intervention?
A. SpO₂ 92%
B. Respiratory rate 14/min
C. Increasing lethargy
D. Barrel-shaped chest
Correct Answer: C
Rationale: Increasing lethargy may indicate CO₂ retention and respiratory
depression.
