NUR1141 Exam 4,5 [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
At the patient's next visit, his A1C level is 6%. How will the nurse interpret this finding? -
CORRECT ANSWER Gone from diabetic to prediabetic, the medication is working
and he is on the right track
-5.7-6.4= prediabetic A1C level ***technically normal
-A1C is an indicator of glycemic control for 3 months
N.B., who has type 2 diabetes, is 26 weeks pregnant and placed on insulin therapy
during pregnancy. She asks about why she is unable to take her oral medication as
usual. What is the nurse's best response? - CORRECT ANSWER Since insulin is
given intravenously, it only affects the mother
-Oral medications enter the GI tract and can affect mother and the baby
N.B. is concerned about how her diabetes can affect her baby. What teaching points
would the nurse provide? - CORRECT ANSWER stillbirth
-preterm labor
-various birth defects (especially at the time of conception)
-formation of the heart, brain, spinal cord, urinary tract, and gastrointestinal system.
-gestational diabetes causes few birth defects because blood glucose levels are usually
normal during the period that the above systems are being developed
-macrosomia- diabetes in the mother can cause larger babies after birth
N.B. asks why her insulin dose continues to increase after 20 weeks of gestation and is
worried something is wrong. What information should be provided to N.B.? - CORRECT
ANSWER Most people with type 2 diabetes need more insulin during pregnancy
because the mother becomes resistant to the insulin as the pregnancy continues
-The placenta hormone, as well as high cortisol levels, causes the resistance
The patient has a cold and is complaining of a "stuffy nose." The healthcare provider
suggests that the patient use an antihistamine. The nurse recognizes which of the
following drugs is an antihistamine. - CORRECT ANSWER Loratidine
, Which of the following is needed for glucose to enter the cells? - CORRECT ANSWER
insulin
When giving dextromethorphan, the nurse understands that this drug suppresses the
cough reflex by which mechanism of action? - CORRECT ANSWER Having direct
action on the cough center
Mom reports that her 8-year-old child has not been growing and she is worried about
her child's height. The child is being treated with somatropin. In follow-up visits, the
nurse will monitor for which expected outcome? - CORRECT ANSWER increased
growth
A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid
hormone replacement drug (Levothyroxine). The nurse assesses for which potential
contraindication to this drug? - CORRECT ANSWER Recent myocardial infarction
A patient is prescribed dextromethorphan and the nurse is explaining that the use of the
drug is - CORRECT ANSWER Antitussive
Before administering dextromethorphan, the nurse should monitor - CORRECT
ANSWER cough
Asthma is characterized by - CORRECT ANSWER inflammation and bronchospasm
Which of the following medications are given for asthma prophylaxis - CORRECT
ANSWER Montelukast
Diphenhydramine is from which drug classification? - CORRECT ANSWER
antihistamine
Beta 2 adrenergic agonist, a sympathomimetic, is an effective drug group to control
asthma. The action of beta 2 adrenergic is to - CORRECT ANSWER enhance
bronchodilation
A common adverse effect of bronchodilators is: - CORRECT ANSWER tachycardia
Which is the most common adverse effect of diphenhydramine - CORRECT ANSWER
drowsiness
A patient with asthma asks which of the prescribed medications should be used in the
event of an acute episode of bronchospasm. The nurse will instruct the patient to use -
CORRECT ANSWER Albuterol, a beta agonist bronchodilator, by inhalation.
When a patient is receiving vasopressin, the nurse will monitor for which therapeutic
response? - CORRECT ANSWER Increased blood pressure
Medication being administered in ICU
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
At the patient's next visit, his A1C level is 6%. How will the nurse interpret this finding? -
CORRECT ANSWER Gone from diabetic to prediabetic, the medication is working
and he is on the right track
-5.7-6.4= prediabetic A1C level ***technically normal
-A1C is an indicator of glycemic control for 3 months
N.B., who has type 2 diabetes, is 26 weeks pregnant and placed on insulin therapy
during pregnancy. She asks about why she is unable to take her oral medication as
usual. What is the nurse's best response? - CORRECT ANSWER Since insulin is
given intravenously, it only affects the mother
-Oral medications enter the GI tract and can affect mother and the baby
N.B. is concerned about how her diabetes can affect her baby. What teaching points
would the nurse provide? - CORRECT ANSWER stillbirth
-preterm labor
-various birth defects (especially at the time of conception)
-formation of the heart, brain, spinal cord, urinary tract, and gastrointestinal system.
-gestational diabetes causes few birth defects because blood glucose levels are usually
normal during the period that the above systems are being developed
-macrosomia- diabetes in the mother can cause larger babies after birth
N.B. asks why her insulin dose continues to increase after 20 weeks of gestation and is
worried something is wrong. What information should be provided to N.B.? - CORRECT
ANSWER Most people with type 2 diabetes need more insulin during pregnancy
because the mother becomes resistant to the insulin as the pregnancy continues
-The placenta hormone, as well as high cortisol levels, causes the resistance
The patient has a cold and is complaining of a "stuffy nose." The healthcare provider
suggests that the patient use an antihistamine. The nurse recognizes which of the
following drugs is an antihistamine. - CORRECT ANSWER Loratidine
, Which of the following is needed for glucose to enter the cells? - CORRECT ANSWER
insulin
When giving dextromethorphan, the nurse understands that this drug suppresses the
cough reflex by which mechanism of action? - CORRECT ANSWER Having direct
action on the cough center
Mom reports that her 8-year-old child has not been growing and she is worried about
her child's height. The child is being treated with somatropin. In follow-up visits, the
nurse will monitor for which expected outcome? - CORRECT ANSWER increased
growth
A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid
hormone replacement drug (Levothyroxine). The nurse assesses for which potential
contraindication to this drug? - CORRECT ANSWER Recent myocardial infarction
A patient is prescribed dextromethorphan and the nurse is explaining that the use of the
drug is - CORRECT ANSWER Antitussive
Before administering dextromethorphan, the nurse should monitor - CORRECT
ANSWER cough
Asthma is characterized by - CORRECT ANSWER inflammation and bronchospasm
Which of the following medications are given for asthma prophylaxis - CORRECT
ANSWER Montelukast
Diphenhydramine is from which drug classification? - CORRECT ANSWER
antihistamine
Beta 2 adrenergic agonist, a sympathomimetic, is an effective drug group to control
asthma. The action of beta 2 adrenergic is to - CORRECT ANSWER enhance
bronchodilation
A common adverse effect of bronchodilators is: - CORRECT ANSWER tachycardia
Which is the most common adverse effect of diphenhydramine - CORRECT ANSWER
drowsiness
A patient with asthma asks which of the prescribed medications should be used in the
event of an acute episode of bronchospasm. The nurse will instruct the patient to use -
CORRECT ANSWER Albuterol, a beta agonist bronchodilator, by inhalation.
When a patient is receiving vasopressin, the nurse will monitor for which therapeutic
response? - CORRECT ANSWER Increased blood pressure
Medication being administered in ICU
