NRSG 245 Exam 4 Questions With
Correct Answers
A liter of water weights approx. 1 kg. A patient with heart failure who weights
176 lb. has been prescribed a loop diuretic with the goal of loss of 1000 mL of
additional urine output in the next 24 hours. The next morning, if this goal is met,
the nurse would expect the patient weight to be
a. 170lb
b. 172lb
c. 174lb
d. 175lb - ANSWER c
A patient with left sided HF has been prescribed a loop diuretic. Which
assessment most accurately reflects a therapeutic effect of this drug
a. drop in systolic bp of 10mm Hg
b. normal heart sounds
c. clear lung sounds
d. pulse 80 and regular - ANSWER c
A patient who has been diagnosed with HF and type 2 DM has been prescribed
furosemide 20mg PO 1x per day. Based on the effect of furosemide on the
patients type 2 DM, its important to assess patient for which symptoms?
a. irritability, paresthesias, and muscle weakness
b. diaphoresis, shakiness, tachycardia
c. increased thirst, confusion dry/hot skin
d. nausea, vomiting, diarrhea - ANSWER c - sighs of hyperglycemia
The nurse takes orthostatic BP readings before administering diuretics to a
group of patients. It would be a priority to teach orthostatic BP precautions to a
patient with which orthostatic blood pressure readings?
A. 150/90 mm Hg lying; 125/70 mm Hg sitting.
B. 140/82 mm Hg lying; 125/72 mm Hg sitting.
C. 130/90 mm Hg lying; 118/78 mm Hg sitting.
D. 116/70 mm Hg lying; 110/68 mm Hg sitting. - ANSWER a because theres a 20
mmHG drop in systolic bp
A patient is prescribed furosemide. Which symptom is priority for the nurse to
monitor that suggests possible excessive loss of potassium
a. hunger/fatigue
b. 4+ deep tendon reflexes
c. muscle weakness/cramping
d. tall, tented T waves on ECG - ANSWER c - signs of hypokalemia
,The nurse is reviewing the lab values for a patient who's prescribed lithium
carbonate for bipolar disorder and furosemide for HF> which result is
concerning.
a. Cl 100mEq
b. Mg 1.8 mEq
c. K 4.1 mEq
d. Sodium 128 mEq - ANSWER d because low Na can lead to lithium toxicity
Which lab result should be reported if a diabetic patient is prescribed
hydrochlorothiazide 50mg 1x per day and metformin/glyberide 50mg/2.5mg 2x
per day?
a. fasting blood glucose 90
b. A1c 8.2%
c. Potassium 4mEq
d. Sodium 136 mg/dL - ANSWER b
A 20 year old patient ha been prescribed spironolactone for primary polycystic
ovary syndrome. Developmentally, what would be a priority nursing diagnosis?
a. activity intolerance related to loss of Na
b. Altered body image related to hirituism and deepening of voice
c. decisional conflict related to treatment options
d. fluid volume excess related to excessive salt intake - ANSWER b
It is priority for nurse to question a patient about which home feature when
prescribed a diuretic
a. central air
b. forced air furnace
c. water softener
d. well or city water - ANSWER c
Which over the counter med can counter act effects of diuretics
a. acetaminophen
b. IB profin
c. Iron
d. Multiple vitamins - ANSWER b
When caring for a patient taking furosemide (Lasix) you should monitor blood lab
values for:
a.) hypertension
b.) hypernatremia
c.) hypokalemia
d.) hypoglycemia - ANSWER c
You give your patient hydrochlorothiazide at 8am. What time do you predict the
patient will next need to go to the bathroom?
, a.) 30min
b.) 10am
c.) 6pm
d.) 8pm - ANSWER b
Low potassium (K+) is termed:
a.) hyponatremia
b.) hypokalemia
c.) hypernatremia
d.) hyperkalemia - ANSWER b
Inner ear hearing problems are associated with:
a.) Loop diuretics
b.) Thiazide diuretics
c.) Potassium-sparing diuretics
d.) Osmotic diuretics - ANSWER a
Which of the following statements is correct?
a.) Diuretics reduce the volume of urine passed
b.) Diuretics increase blood pressure
c.) Diuretics reduce blood pressure
d.) Diuretics increase the volume of fluid in circulation? - ANSWER c
Spironolactone and Aldoctone are examples of what type of diurectics?
a.) Loop
b.) Thiazides
c.) Potassium Sparing
d.) Osmotic - ANSWER c
Diuretics are used in the management of
a.) hypertension
b.) edema
c.) diabetes
d.) both a & b - ANSWER d
What is the primary site of action of thiazide diuretics in the kidneys?
a.) proximal convoluted tubule
b.) Loop of Henle
c.) early distal convoluted tubule
d.) collecting duct - ANSWER c
The most common known cause of peptic ulcer disease is:
A.) Heartburn
B.) NSAID overuse
C.) Gastric Tumors
D.) H. pylori - ANSWER d
Correct Answers
A liter of water weights approx. 1 kg. A patient with heart failure who weights
176 lb. has been prescribed a loop diuretic with the goal of loss of 1000 mL of
additional urine output in the next 24 hours. The next morning, if this goal is met,
the nurse would expect the patient weight to be
a. 170lb
b. 172lb
c. 174lb
d. 175lb - ANSWER c
A patient with left sided HF has been prescribed a loop diuretic. Which
assessment most accurately reflects a therapeutic effect of this drug
a. drop in systolic bp of 10mm Hg
b. normal heart sounds
c. clear lung sounds
d. pulse 80 and regular - ANSWER c
A patient who has been diagnosed with HF and type 2 DM has been prescribed
furosemide 20mg PO 1x per day. Based on the effect of furosemide on the
patients type 2 DM, its important to assess patient for which symptoms?
a. irritability, paresthesias, and muscle weakness
b. diaphoresis, shakiness, tachycardia
c. increased thirst, confusion dry/hot skin
d. nausea, vomiting, diarrhea - ANSWER c - sighs of hyperglycemia
The nurse takes orthostatic BP readings before administering diuretics to a
group of patients. It would be a priority to teach orthostatic BP precautions to a
patient with which orthostatic blood pressure readings?
A. 150/90 mm Hg lying; 125/70 mm Hg sitting.
B. 140/82 mm Hg lying; 125/72 mm Hg sitting.
C. 130/90 mm Hg lying; 118/78 mm Hg sitting.
D. 116/70 mm Hg lying; 110/68 mm Hg sitting. - ANSWER a because theres a 20
mmHG drop in systolic bp
A patient is prescribed furosemide. Which symptom is priority for the nurse to
monitor that suggests possible excessive loss of potassium
a. hunger/fatigue
b. 4+ deep tendon reflexes
c. muscle weakness/cramping
d. tall, tented T waves on ECG - ANSWER c - signs of hypokalemia
,The nurse is reviewing the lab values for a patient who's prescribed lithium
carbonate for bipolar disorder and furosemide for HF> which result is
concerning.
a. Cl 100mEq
b. Mg 1.8 mEq
c. K 4.1 mEq
d. Sodium 128 mEq - ANSWER d because low Na can lead to lithium toxicity
Which lab result should be reported if a diabetic patient is prescribed
hydrochlorothiazide 50mg 1x per day and metformin/glyberide 50mg/2.5mg 2x
per day?
a. fasting blood glucose 90
b. A1c 8.2%
c. Potassium 4mEq
d. Sodium 136 mg/dL - ANSWER b
A 20 year old patient ha been prescribed spironolactone for primary polycystic
ovary syndrome. Developmentally, what would be a priority nursing diagnosis?
a. activity intolerance related to loss of Na
b. Altered body image related to hirituism and deepening of voice
c. decisional conflict related to treatment options
d. fluid volume excess related to excessive salt intake - ANSWER b
It is priority for nurse to question a patient about which home feature when
prescribed a diuretic
a. central air
b. forced air furnace
c. water softener
d. well or city water - ANSWER c
Which over the counter med can counter act effects of diuretics
a. acetaminophen
b. IB profin
c. Iron
d. Multiple vitamins - ANSWER b
When caring for a patient taking furosemide (Lasix) you should monitor blood lab
values for:
a.) hypertension
b.) hypernatremia
c.) hypokalemia
d.) hypoglycemia - ANSWER c
You give your patient hydrochlorothiazide at 8am. What time do you predict the
patient will next need to go to the bathroom?
, a.) 30min
b.) 10am
c.) 6pm
d.) 8pm - ANSWER b
Low potassium (K+) is termed:
a.) hyponatremia
b.) hypokalemia
c.) hypernatremia
d.) hyperkalemia - ANSWER b
Inner ear hearing problems are associated with:
a.) Loop diuretics
b.) Thiazide diuretics
c.) Potassium-sparing diuretics
d.) Osmotic diuretics - ANSWER a
Which of the following statements is correct?
a.) Diuretics reduce the volume of urine passed
b.) Diuretics increase blood pressure
c.) Diuretics reduce blood pressure
d.) Diuretics increase the volume of fluid in circulation? - ANSWER c
Spironolactone and Aldoctone are examples of what type of diurectics?
a.) Loop
b.) Thiazides
c.) Potassium Sparing
d.) Osmotic - ANSWER c
Diuretics are used in the management of
a.) hypertension
b.) edema
c.) diabetes
d.) both a & b - ANSWER d
What is the primary site of action of thiazide diuretics in the kidneys?
a.) proximal convoluted tubule
b.) Loop of Henle
c.) early distal convoluted tubule
d.) collecting duct - ANSWER c
The most common known cause of peptic ulcer disease is:
A.) Heartburn
B.) NSAID overuse
C.) Gastric Tumors
D.) H. pylori - ANSWER d
