Practice Test 4 (Final)
1. A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which drug would
assist in relieving symptoms?
A. Tolterodine (Detrol)
B. Nitrofurantoin (Furadantin)
C. Phenazopyridine hydrochloride (Pyridium)
D. Oxybutynin chloride (Ditropan)
2. After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine
hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse
include in the discharge teaching?
A.Urine will have a foul smell while taking this medication.
B. Diarrhea and abdominal cramping are expected adverse effects.
C.The sclera of the eye is yellow while on therapy.
D. Urine will appear reddish orange.
3. Which medication is used to treat hyperthyroidism/Graves disease?
A. Levothyroxine (Synthroid)
B. Liotrix (Thyrolar)
C. Propylthiouracil (Propacil)
D. Liothyronine (Cytomel)
4. A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug interaction
with glycosides and thyroid replacement therapy will most likely require which change in therapy?
A. Decrease in the daily digoxin dosage
B. Gradual increase in the daily glycoside dosage
C. Inability to begin thyroid replacement therapy because of the underlying heart condition
D. Increased thyroid replacement dosage
5. Which medication is used in the treatment of hypothyroidism?
A. Levothyroxine (Synthroid)
B. Radioactive iodine
C. Propylthiouracil (Propacil)
, D. Methimazole (Tapazole)
6. It is 2:00 PM and a patient who has been NPO since 12 AM for a bronchoscopy is complaining of a
headache and shakiness, and is extremely irritable. Vital signs are within normal limits, and a one touch
glucose reads 50 mg/dL. Which action is most important for the nurse to take?
A. Have the patient eat a snack and drink milk.
B. Administer glucagon subcutaneously.
C. Call the bronchoscopy room to follow up with the delay.
D. Obtain an A1c test.
7. Which instruction by the nurse is accurate to include when providing teaching to a patient recently
diagnosed with diabetes who has been prescribed insulin?
A. Beta blockers can mask symptoms of hypoglycemia.
B. Lipodystrophy increases the absorption of insulin.
C. Infection will decrease the need for insulin.
D. Excessive exercise will increase the need for insulin.
8. Which instruction by the nurse will assist in the patient’s understanding of lactulose, an osmotic
laxative?
A. “This medication draws water into the intestine and stimulates defecation.”
B. “There is increased irritability directly on the intestinal wall.”
C. “There is lubrication of the intestinal wall that softens the stool.”
D. “There is an effect on the nerves to increase the peristalsis of the intestinal smooth muscle.”
9. What is the purpose for the nurse administering metoclopramide (Reglan) IV postoperatively?
A. Prolong the effects of anesthesia.
B. Decrease the potential for thrombus formation.
, C. Prevent postoperative nausea and vomiting.
D. Decrease postoperative pain.
10.What is albuterol (Proventil) used to treat?
A. Acute bronchospasm
B. Acute allergies
C. Nasal congestion
D. Dyspnea on exertion
11. An adult patient is admitted for an asthma attack. Which assessment obtained by the nurse would
support that albuterol (Proventil) was effective?
A. Decrease in wheezing present on auscultation
B. Less dyspnea while positioned in a high Fowler’s position
C. Sputum production is clear and watery
D. Respiratory rate decreased to 38 breaths/min
12. Which medication is a potassium sparing diuretic?
A. Acetazolamide (Diamox)
B. Spironolactone (Aldactone)
C. Furosemide (Lasix)
D. Bumetanide (Bumex)
13. The nurse is assessing a patient who has been admitted to the emergency department for a possible
opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?
A. Dilated pupils
B. Restlessness
1. A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which drug would
assist in relieving symptoms?
A. Tolterodine (Detrol)
B. Nitrofurantoin (Furadantin)
C. Phenazopyridine hydrochloride (Pyridium)
D. Oxybutynin chloride (Ditropan)
2. After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine
hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse
include in the discharge teaching?
A.Urine will have a foul smell while taking this medication.
B. Diarrhea and abdominal cramping are expected adverse effects.
C.The sclera of the eye is yellow while on therapy.
D. Urine will appear reddish orange.
3. Which medication is used to treat hyperthyroidism/Graves disease?
A. Levothyroxine (Synthroid)
B. Liotrix (Thyrolar)
C. Propylthiouracil (Propacil)
D. Liothyronine (Cytomel)
4. A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug interaction
with glycosides and thyroid replacement therapy will most likely require which change in therapy?
A. Decrease in the daily digoxin dosage
B. Gradual increase in the daily glycoside dosage
C. Inability to begin thyroid replacement therapy because of the underlying heart condition
D. Increased thyroid replacement dosage
5. Which medication is used in the treatment of hypothyroidism?
A. Levothyroxine (Synthroid)
B. Radioactive iodine
C. Propylthiouracil (Propacil)
, D. Methimazole (Tapazole)
6. It is 2:00 PM and a patient who has been NPO since 12 AM for a bronchoscopy is complaining of a
headache and shakiness, and is extremely irritable. Vital signs are within normal limits, and a one touch
glucose reads 50 mg/dL. Which action is most important for the nurse to take?
A. Have the patient eat a snack and drink milk.
B. Administer glucagon subcutaneously.
C. Call the bronchoscopy room to follow up with the delay.
D. Obtain an A1c test.
7. Which instruction by the nurse is accurate to include when providing teaching to a patient recently
diagnosed with diabetes who has been prescribed insulin?
A. Beta blockers can mask symptoms of hypoglycemia.
B. Lipodystrophy increases the absorption of insulin.
C. Infection will decrease the need for insulin.
D. Excessive exercise will increase the need for insulin.
8. Which instruction by the nurse will assist in the patient’s understanding of lactulose, an osmotic
laxative?
A. “This medication draws water into the intestine and stimulates defecation.”
B. “There is increased irritability directly on the intestinal wall.”
C. “There is lubrication of the intestinal wall that softens the stool.”
D. “There is an effect on the nerves to increase the peristalsis of the intestinal smooth muscle.”
9. What is the purpose for the nurse administering metoclopramide (Reglan) IV postoperatively?
A. Prolong the effects of anesthesia.
B. Decrease the potential for thrombus formation.
, C. Prevent postoperative nausea and vomiting.
D. Decrease postoperative pain.
10.What is albuterol (Proventil) used to treat?
A. Acute bronchospasm
B. Acute allergies
C. Nasal congestion
D. Dyspnea on exertion
11. An adult patient is admitted for an asthma attack. Which assessment obtained by the nurse would
support that albuterol (Proventil) was effective?
A. Decrease in wheezing present on auscultation
B. Less dyspnea while positioned in a high Fowler’s position
C. Sputum production is clear and watery
D. Respiratory rate decreased to 38 breaths/min
12. Which medication is a potassium sparing diuretic?
A. Acetazolamide (Diamox)
B. Spironolactone (Aldactone)
C. Furosemide (Lasix)
D. Bumetanide (Bumex)
13. The nurse is assessing a patient who has been admitted to the emergency department for a possible
opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?
A. Dilated pupils
B. Restlessness
