NYU HAP Exam 1 TOP 100 MOST
TESTED AND HIGH YIELD
QUESTIONS WITH ANSWERS AND
EXPLANATIONS | RATED GRADE
A+ | GUARANTEED PASS
1. A nurse is administering Insulin lispro to a client with diabetes mellitus.
When should this medication be administered?
a. 30 minutes before meals
b. Immediately before meals
c. At bedtime only
d. 1 hour after meals
Correct Answer: b. Immediately before meals
Rationale: Insulin lispro is a rapid-acting insulin that begins working within 15
minutes. It should be administered immediately before meals to prevent post-
meal hyperglycemia and reduce risk of hypoglycemia.
DIF: Application
REF: Antidiabetic medications
OBJ: Safe medication administration
TOP: Nursing Process Step: Implementation
2. A nurse is teaching a client about Clarithromycin. Which instruction should
the nurse include?
a. Take the medication until all tablets are finished
b. Stop medication once symptoms improve
c. Double the dose if one is missed
d. Take only when fever occurs
,Correct Answer: a. Take the medication until all tablets are finished
Rationale: Antibiotics must be taken for the full prescribed course to completely
eradicate bacteria and prevent antibiotic resistance.
DIF: Application
REF: Antibiotics
OBJ: Client education
TOP: Nursing Process Step: Implementation
3. A nurse is administering Propranolol. Which adverse effect should the nurse
monitor?
a. Bradycardia
b. Hyperglycemia
c. Constipation
d. Polyuria
Correct Answer: a. Bradycardia
Rationale: Beta-blockers such as propranolol decrease heart rate and cardiac
output. Bradycardia is a significant adverse effect requiring monitoring.
DIF: Application
REF: Beta blockers
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
4. A nurse is caring for a client receiving Gentamicin. Which toxicity is
associated with this medication?
a. Ototoxicity
b. Hepatotoxicity
c. Hyperglycemia
d. Hypotension
Correct Answer: a. Ototoxicity
Rationale: Aminoglycosides like gentamicin can cause ototoxicity and
nephrotoxicity. Hearing loss and balance problems should be monitored.
DIF: Application
REF: Aminoglycoside antibiotics
,OBJ: Monitor adverse effects
TOP: Nursing Process Step: Assessment
5. A nurse is administering Lactulose to a client with liver disease. What is the
purpose of this medication?
a. Reduce ammonia levels
b. Treat infection
c. Lower blood pressure
d. Increase appetite
Correct Answer: a. Reduce ammonia levels
Rationale: Lactulose decreases blood ammonia levels by trapping ammonia in the
colon and promoting its excretion. It is used to treat hepatic encephalopathy.
DIF: Knowledge
REF: Gastrointestinal medications
OBJ: Medication purpose
TOP: Nursing Process Step: Evaluation
6. A nurse is administering Hydralazine. What is the primary therapeutic
effect?
a. Vasodilation
b. Bronchodilation
c. Increased heart rate
d. Reduced blood glucose
Correct Answer: a. Vasodilation
Rationale: Hydralazine is a direct vasodilator that relaxes arterial smooth muscle
to reduce blood pressure.
DIF: Knowledge
REF: Antihypertensives
OBJ: Understand drug action
TOP: Nursing Process Step: Assessment
7. A nurse is administering Ketorolac. Which condition requires caution?
a. Peptic ulcer disease
, b. Asthma
c. Hypothyroidism
d. Anemia
Correct Answer: a. Peptic ulcer disease
Rationale: Ketorolac is an NSAID that increases the risk of gastrointestinal bleeding
and ulceration, especially in clients with a history of ulcers.
DIF: Application
REF: NSAIDs
OBJ: Identify contraindications
TOP: Nursing Process Step: Assessment
8. A nurse is administering Diphenhydramine. What common side effect
should the nurse expect?
a. Drowsiness
b. Hypertension
c. Hyperactivity
d. Tachycardia
Correct Answer: a. Drowsiness
Rationale: Diphenhydramine is a first-generation antihistamine that crosses the
blood-brain barrier and causes sedation and drowsiness.
DIF: Knowledge
REF: Antihistamines
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
9. A nurse is caring for a client prescribed Allopurinol. What condition does
this medication treat?
a. Gout
b. Hypertension
c. Diabetes
d. Asthma
TESTED AND HIGH YIELD
QUESTIONS WITH ANSWERS AND
EXPLANATIONS | RATED GRADE
A+ | GUARANTEED PASS
1. A nurse is administering Insulin lispro to a client with diabetes mellitus.
When should this medication be administered?
a. 30 minutes before meals
b. Immediately before meals
c. At bedtime only
d. 1 hour after meals
Correct Answer: b. Immediately before meals
Rationale: Insulin lispro is a rapid-acting insulin that begins working within 15
minutes. It should be administered immediately before meals to prevent post-
meal hyperglycemia and reduce risk of hypoglycemia.
DIF: Application
REF: Antidiabetic medications
OBJ: Safe medication administration
TOP: Nursing Process Step: Implementation
2. A nurse is teaching a client about Clarithromycin. Which instruction should
the nurse include?
a. Take the medication until all tablets are finished
b. Stop medication once symptoms improve
c. Double the dose if one is missed
d. Take only when fever occurs
,Correct Answer: a. Take the medication until all tablets are finished
Rationale: Antibiotics must be taken for the full prescribed course to completely
eradicate bacteria and prevent antibiotic resistance.
DIF: Application
REF: Antibiotics
OBJ: Client education
TOP: Nursing Process Step: Implementation
3. A nurse is administering Propranolol. Which adverse effect should the nurse
monitor?
a. Bradycardia
b. Hyperglycemia
c. Constipation
d. Polyuria
Correct Answer: a. Bradycardia
Rationale: Beta-blockers such as propranolol decrease heart rate and cardiac
output. Bradycardia is a significant adverse effect requiring monitoring.
DIF: Application
REF: Beta blockers
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
4. A nurse is caring for a client receiving Gentamicin. Which toxicity is
associated with this medication?
a. Ototoxicity
b. Hepatotoxicity
c. Hyperglycemia
d. Hypotension
Correct Answer: a. Ototoxicity
Rationale: Aminoglycosides like gentamicin can cause ototoxicity and
nephrotoxicity. Hearing loss and balance problems should be monitored.
DIF: Application
REF: Aminoglycoside antibiotics
,OBJ: Monitor adverse effects
TOP: Nursing Process Step: Assessment
5. A nurse is administering Lactulose to a client with liver disease. What is the
purpose of this medication?
a. Reduce ammonia levels
b. Treat infection
c. Lower blood pressure
d. Increase appetite
Correct Answer: a. Reduce ammonia levels
Rationale: Lactulose decreases blood ammonia levels by trapping ammonia in the
colon and promoting its excretion. It is used to treat hepatic encephalopathy.
DIF: Knowledge
REF: Gastrointestinal medications
OBJ: Medication purpose
TOP: Nursing Process Step: Evaluation
6. A nurse is administering Hydralazine. What is the primary therapeutic
effect?
a. Vasodilation
b. Bronchodilation
c. Increased heart rate
d. Reduced blood glucose
Correct Answer: a. Vasodilation
Rationale: Hydralazine is a direct vasodilator that relaxes arterial smooth muscle
to reduce blood pressure.
DIF: Knowledge
REF: Antihypertensives
OBJ: Understand drug action
TOP: Nursing Process Step: Assessment
7. A nurse is administering Ketorolac. Which condition requires caution?
a. Peptic ulcer disease
, b. Asthma
c. Hypothyroidism
d. Anemia
Correct Answer: a. Peptic ulcer disease
Rationale: Ketorolac is an NSAID that increases the risk of gastrointestinal bleeding
and ulceration, especially in clients with a history of ulcers.
DIF: Application
REF: NSAIDs
OBJ: Identify contraindications
TOP: Nursing Process Step: Assessment
8. A nurse is administering Diphenhydramine. What common side effect
should the nurse expect?
a. Drowsiness
b. Hypertension
c. Hyperactivity
d. Tachycardia
Correct Answer: a. Drowsiness
Rationale: Diphenhydramine is a first-generation antihistamine that crosses the
blood-brain barrier and causes sedation and drowsiness.
DIF: Knowledge
REF: Antihistamines
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
9. A nurse is caring for a client prescribed Allopurinol. What condition does
this medication treat?
a. Gout
b. Hypertension
c. Diabetes
d. Asthma
