PNM300 EXAM PREP
PNM300 EXAM PREP 2025 WITH 200 REAL EXAM 3 PRACTICE
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
CORRECT) PNM 300 EXAM 3 LATEST 2025/26 PREP (NEW!)
2025 TEST BANK WITH RATIONALES |
The nurse is caring for a patient who has systemic lupus erythematosus who has
been taking prednisone for several years. Which change in the patient will the
nurse assess to detect complications from long-term therapy?
a. Hair loss
b. Pale skin
c. Presence of belly fat
d. Sudden increase in height
Presence of belly fat
A nurse is teaching the client with systemic lupus erythematosus about
prednisone. What information is the priority?
a. Might make the client feel jittery or nervous.
b. Can cause sodium and fluid retention.
c. Long-term effects include fat redistribution.
d. Never stop prednisone abruptly.
d - The nurse teaches the client to avoid stopping the drug abruptly as the priority
because this can lead to a life-threatening adrenal crisis. Short-term side effects
do include jitteriness or nervousness, sodium and water retention. One long-term
side effect is fat redistribution resulting in "moon face" and "buffalo hump.
The nurse is teaching a patient who has been prescribed a daily oral dose of
prednisone about the medication regimen. Which instructions will the nurse
provide the patient to ensure safe administration? Select all that apply.
1|Page
, PNM300 EXAM PREP
a. Take aspirin with the prednisone
b. Take each dose with milk or food
c. Take the medication early evening
d. Take the medication early morning
e. Take the medication on an empty stomach
b. Take each dose with milk or food
d. Take the medication early morning
The nurse is caring for a patient who has undergone nasal surgery for the removal
of polyps. Which treatment strategy would the nurse expect to be used to prevent
the recurrence of polyps?
1 Suggesting deep-breathing exercises
2 Administering antibiotics to the patient
3 Administering glucocorticoids to the patient
4 Suggesting avoiding drinking grape and citrus fruit juices
3 Administering glucocorticoids to the patient
Which information would the nurse obtain prior to giving glucocorticoids to a 10-
year-old patient?
a. Visual acuity
b. Bone density
c. Blood glucose
d. Height and weight
d. Height and weight
The nurse is assessing an older adult who has a dermatologic disorder and has
been prescribed methylprednisolone. During the assessment, the nurse learns
that the patient has myasthenia gravis and is taking anticholinesterase
medications. Which adverse effect would the nurse expect if methylprednisolone
2|Page
, PNM300 EXAM PREP
is administered to this patient?
a. hearing impairment
b. inflammation at joints
c. Loss of memory
d. Muscle weakness
d. Muscle weakness
Simultaneous administration of corticosteroids such as methylprednisolone and
anticholinesterase medication in patients with myasthenia gravis would cause
muscle weakness from a drug-drug interaction. This effect is usually caused by
alterations of potassium and acetylcholine concentrations. Loss of memory may
result from depletion of acetylcholine concentration but not a drug-drug
interaction. Unlike aminoglycosides, methylprednisolone and anticholinesterase
medications do not cause ototoxicity. Therefore the patient would not develop a
hearing impairment. Corticosteroids are usually prescribed for the treatment of
osteoarthritis to reduce inflammation and do not cause inflammation at the
joints.
Test-Taking Tip: Because few things in life are absolute without exceptions, avoid
selecting answers that include words such as always, never, all, every, and none.
Answers containing these key words are rarely correct.
When assessing for potential side effects of fludrocortisone, which assessment is a
priority for the nurse to monitor?
1 Hypokalemia
2 Hypovolemia
3 Hyponatremia
4 Hypercalcemia
3|Page
, PNM300 EXAM PREP
1 Hypokalemia
Fludrocortisone has mineralocorticoid properties, resulting in sodium and fluid
retention along with potassium excretion, leading to hypokalemia. The most
common adverse effect of fertility drugs is hypovolemia.
What is the primary function of aldosterone?
1 Fluid and water retention
2 Stimulation of the erythroid cells
3 Production of glycogen in the liver
4 Inhibition of inflammatory and immune responses
1 Fluid and water retention
The main function of aldosterone is fluid and water retention. Through this
retention, aldosterone is responsible for blood pressure maintenance.
After a patient assessment, the nurse concludes that the patient has
undersecretion of adrenocortical hormones. Which finding would cause the nurse
to arrive at this conclusion?
1. Osteoporosis
2. Fluid volume excess
3. Steroid-induced psychosis
4. Unexplained weight loss
Unexplained weight loss
Dehydration and weight loss are caused by the undersecretion of adrenocortical
hormones, which may cause Addison's disease. Osteoporosis, steroid psychosis,
and water retention are caused by excess production of glucocorticoids.
Prolonged therapy with adrenal drugs may exacerbate musculoskeletal system
problems and precipitate osteoporosis. The adverse effects of corticosteroid
4|Page
PNM300 EXAM PREP 2025 WITH 200 REAL EXAM 3 PRACTICE
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
CORRECT) PNM 300 EXAM 3 LATEST 2025/26 PREP (NEW!)
2025 TEST BANK WITH RATIONALES |
The nurse is caring for a patient who has systemic lupus erythematosus who has
been taking prednisone for several years. Which change in the patient will the
nurse assess to detect complications from long-term therapy?
a. Hair loss
b. Pale skin
c. Presence of belly fat
d. Sudden increase in height
Presence of belly fat
A nurse is teaching the client with systemic lupus erythematosus about
prednisone. What information is the priority?
a. Might make the client feel jittery or nervous.
b. Can cause sodium and fluid retention.
c. Long-term effects include fat redistribution.
d. Never stop prednisone abruptly.
d - The nurse teaches the client to avoid stopping the drug abruptly as the priority
because this can lead to a life-threatening adrenal crisis. Short-term side effects
do include jitteriness or nervousness, sodium and water retention. One long-term
side effect is fat redistribution resulting in "moon face" and "buffalo hump.
The nurse is teaching a patient who has been prescribed a daily oral dose of
prednisone about the medication regimen. Which instructions will the nurse
provide the patient to ensure safe administration? Select all that apply.
1|Page
, PNM300 EXAM PREP
a. Take aspirin with the prednisone
b. Take each dose with milk or food
c. Take the medication early evening
d. Take the medication early morning
e. Take the medication on an empty stomach
b. Take each dose with milk or food
d. Take the medication early morning
The nurse is caring for a patient who has undergone nasal surgery for the removal
of polyps. Which treatment strategy would the nurse expect to be used to prevent
the recurrence of polyps?
1 Suggesting deep-breathing exercises
2 Administering antibiotics to the patient
3 Administering glucocorticoids to the patient
4 Suggesting avoiding drinking grape and citrus fruit juices
3 Administering glucocorticoids to the patient
Which information would the nurse obtain prior to giving glucocorticoids to a 10-
year-old patient?
a. Visual acuity
b. Bone density
c. Blood glucose
d. Height and weight
d. Height and weight
The nurse is assessing an older adult who has a dermatologic disorder and has
been prescribed methylprednisolone. During the assessment, the nurse learns
that the patient has myasthenia gravis and is taking anticholinesterase
medications. Which adverse effect would the nurse expect if methylprednisolone
2|Page
, PNM300 EXAM PREP
is administered to this patient?
a. hearing impairment
b. inflammation at joints
c. Loss of memory
d. Muscle weakness
d. Muscle weakness
Simultaneous administration of corticosteroids such as methylprednisolone and
anticholinesterase medication in patients with myasthenia gravis would cause
muscle weakness from a drug-drug interaction. This effect is usually caused by
alterations of potassium and acetylcholine concentrations. Loss of memory may
result from depletion of acetylcholine concentration but not a drug-drug
interaction. Unlike aminoglycosides, methylprednisolone and anticholinesterase
medications do not cause ototoxicity. Therefore the patient would not develop a
hearing impairment. Corticosteroids are usually prescribed for the treatment of
osteoarthritis to reduce inflammation and do not cause inflammation at the
joints.
Test-Taking Tip: Because few things in life are absolute without exceptions, avoid
selecting answers that include words such as always, never, all, every, and none.
Answers containing these key words are rarely correct.
When assessing for potential side effects of fludrocortisone, which assessment is a
priority for the nurse to monitor?
1 Hypokalemia
2 Hypovolemia
3 Hyponatremia
4 Hypercalcemia
3|Page
, PNM300 EXAM PREP
1 Hypokalemia
Fludrocortisone has mineralocorticoid properties, resulting in sodium and fluid
retention along with potassium excretion, leading to hypokalemia. The most
common adverse effect of fertility drugs is hypovolemia.
What is the primary function of aldosterone?
1 Fluid and water retention
2 Stimulation of the erythroid cells
3 Production of glycogen in the liver
4 Inhibition of inflammatory and immune responses
1 Fluid and water retention
The main function of aldosterone is fluid and water retention. Through this
retention, aldosterone is responsible for blood pressure maintenance.
After a patient assessment, the nurse concludes that the patient has
undersecretion of adrenocortical hormones. Which finding would cause the nurse
to arrive at this conclusion?
1. Osteoporosis
2. Fluid volume excess
3. Steroid-induced psychosis
4. Unexplained weight loss
Unexplained weight loss
Dehydration and weight loss are caused by the undersecretion of adrenocortical
hormones, which may cause Addison's disease. Osteoporosis, steroid psychosis,
and water retention are caused by excess production of glucocorticoids.
Prolonged therapy with adrenal drugs may exacerbate musculoskeletal system
problems and precipitate osteoporosis. The adverse effects of corticosteroid
4|Page
