NUR 114 Final Exam Prep Questions and Answers |
Latest Update 2026/2027 | Graded A+ | Assured Pass.
The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac
dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of
over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review
the patient's electrolytes with careful attention to the levels of which electrolytes? ✔✔potassium
and magnesium (potassium is the key)
**(Yes, hydrochlorothiazide does alter sodium and calcium, but it's not the most appropriate
answer for what the question is asking.)
A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX) calls to report developing an
all-over rash. The nurse will instruct the patient to perform which action? ✔✔Stop taking
immediately
A patient who has recently begun taking captopril (Capoten) to treat hypertension calls a clinic to
report a persistent cough. The nurse will perform which action? ✔✔Have the patient stop taking
the medication.
**A cough is a side effect that warrants a change in medication because it will only go away
when an ACEI is stopped.
A child who weighs 10 kg will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The
liquid preparation contains 40 mg of TMP and 200 mg of SMX per 5 mL. The nurse determines
that the child's dose should be 8 mg of TMP and 40 mg of SMX/kg/day divided into two doses.
Which order for this child is correct? ✔✔5mL BID
, The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient
indicates a need for further teaching? ✔✔"I may need extra calcium while taking this drug"
because this medication can cause hypercalcemia.
Sulfa drug allergic reaction ✔✔facial swelling, rash, itchy eyes and breathing problems
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is
5.2. What with the nurse do first? ✔✔Assess the patient for any bleeding
**The very first thing a nurse should do when seeing an elevated INR is to assess the patient.
Remember your prioritization frameworks. This one uses the nursing process—assess first.
A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving
furosemide. The nurse reviews the client's serum potassium level results and discovers the client's
potassium level is 3 mEq/L. Which of the following actions should the nurse take? ✔✔give the
KCL as prescribed because the serum level is low.
**If the serum level was high, then the nurse will hold the dose and notify the provider.**
What is the range of someone with normal blood potassium level? ✔✔3.6 to 5.2 millimoles per
liter (mmol/L).
what type of drug is hydrochlorothiazide?
what is it used to treat? ✔✔is a thiazide diuretic "water pills" used to treat high blood pressure and
fluid retention (edema) by making your body create more urine to get rid of excess salts.
**people with fluid retention typically have heart failure, liver disease, and kidney disease**
Hydrochlorothiazide can cause what? ✔✔hypokalemia (low potassium)
hyponatremia (low sodium) hypercalcemia (high calcium)
Latest Update 2026/2027 | Graded A+ | Assured Pass.
The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac
dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of
over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review
the patient's electrolytes with careful attention to the levels of which electrolytes? ✔✔potassium
and magnesium (potassium is the key)
**(Yes, hydrochlorothiazide does alter sodium and calcium, but it's not the most appropriate
answer for what the question is asking.)
A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX) calls to report developing an
all-over rash. The nurse will instruct the patient to perform which action? ✔✔Stop taking
immediately
A patient who has recently begun taking captopril (Capoten) to treat hypertension calls a clinic to
report a persistent cough. The nurse will perform which action? ✔✔Have the patient stop taking
the medication.
**A cough is a side effect that warrants a change in medication because it will only go away
when an ACEI is stopped.
A child who weighs 10 kg will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The
liquid preparation contains 40 mg of TMP and 200 mg of SMX per 5 mL. The nurse determines
that the child's dose should be 8 mg of TMP and 40 mg of SMX/kg/day divided into two doses.
Which order for this child is correct? ✔✔5mL BID
, The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient
indicates a need for further teaching? ✔✔"I may need extra calcium while taking this drug"
because this medication can cause hypercalcemia.
Sulfa drug allergic reaction ✔✔facial swelling, rash, itchy eyes and breathing problems
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is
5.2. What with the nurse do first? ✔✔Assess the patient for any bleeding
**The very first thing a nurse should do when seeing an elevated INR is to assess the patient.
Remember your prioritization frameworks. This one uses the nursing process—assess first.
A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving
furosemide. The nurse reviews the client's serum potassium level results and discovers the client's
potassium level is 3 mEq/L. Which of the following actions should the nurse take? ✔✔give the
KCL as prescribed because the serum level is low.
**If the serum level was high, then the nurse will hold the dose and notify the provider.**
What is the range of someone with normal blood potassium level? ✔✔3.6 to 5.2 millimoles per
liter (mmol/L).
what type of drug is hydrochlorothiazide?
what is it used to treat? ✔✔is a thiazide diuretic "water pills" used to treat high blood pressure and
fluid retention (edema) by making your body create more urine to get rid of excess salts.
**people with fluid retention typically have heart failure, liver disease, and kidney disease**
Hydrochlorothiazide can cause what? ✔✔hypokalemia (low potassium)
hyponatremia (low sodium) hypercalcemia (high calcium)
