Nurs 323 Midterm Exam Questions With
Correct Answers
The nurse knows that TSH levels in patients with primary hypothyroidism who are
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not on thyroid replacement therapy will be - CORRECT ANSWER✔✔-elevated
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The nurse will teach patients on levothyroxine (T4) to take the medication
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________________ when they ask about whether the medication should be | | | | | | | | | |
taken with or without food - CORRECT ANSWER✔✔-without
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The nurse knows that medications from the oral antidiabetic drug family
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sulfonylureas lower blood sugar by doing this - CORRECT ANSWER✔✔-increasing
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insulin release form beta cells of the pancreas
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The nurse known that when a patient is on spironolactone (aldactone) that they
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must be careful about consuming too much of this electrolyte - CORRECT
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ANSWER✔✔-potassium
The nurse knows that the minimum amount of urine output that a patient should
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have per hour is - CORRECT ANSWER✔✔-30 mL/hr
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When caring for a patient on methimazole (tapazole), the nurse should monitor
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for which concerning and serious side affect of tixucuty - CORRECT ANSWER✔✔-
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agranulocytosis
,Which two diuretics cause the most concern for hypokalemia? - CORRECT
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ANSWER✔✔-HCTZ and furosemide (lasix) | | |
Fastest IV potassium can be given is - CORRECT ANSWER✔✔-10 mEq/hr
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The nurse knows that patients on medications like metformin (glucophage) from
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the biguanides family of antidiabetic drugs need to monitor for toxicity of this
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organ - CORRECT ANSWER✔✔-kidney
| | |
The lab value of concern to the nurse when assessing a patient's long term of
| | | | | | | | | | | | | | |
maintenance of blood sugar level is - CORRECT ANSWER✔✔-HGB A1C
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Why could beta blockers be given to a patient with hyperthyroidism? - CORRECT
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ANSWER✔✔-treat symptoms |
When is PTU preferred over tapazole? - CORRECT ANSWER✔✔-first trimester of
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pregnancy and thyroid storm | | |
The nurse knows that the difference between cardio selective and nonselective
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beta blockers is that nonselective beta blockers also block which receptors? what
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does that cause? - CORRECT ANSWER✔✔-beta 2 blocking causes
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bronchoconstriction and inhibits glycogenolysis | | |
This is the best way to treat severe hypoglycemia in patients who are not awake,
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alert, or oriented is by giving what? - CORRECT ANSWER✔✔-IV Dextrose D5O
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, The nurse knows that some insulins can be mixed in one syringe for ease of
| | | | | | | | | | | | | | |
administration, which can not be mixed? - CORRECT ANSWER✔✔-long acting
| | | | | | | | | |
insulins glargine/lantus
|
When reviewing labs for a patient who is being switched from furosemide to
| | | | | | | | | | | | |
HCTZ, the nurse knows that this organ needs to be functioning adequately in
| | | | | | | | | | | | |
order to do this - CORRECT ANSWER✔✔-kidney
| | | | | |
Which drug do we become concerned about a patient taking in the presence of
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hypokalemia related to diuretic use? - CORRECT ANSWER✔✔-digoxin, as K+
| | | | | | | | | |
decreases, digoxin levels increase causing toxicity risk
| | | | | |
What is the prototype drug for nonselective beta blockers? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-propranolol (inderal) |
Alpha 1 agonists will do this to blood vessels - CORRECT ANSWER✔✔-
| | | | | | | | | | |
vasoconstrict
What is the prototype drug for cardio selective beta blockers? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-metoprolol
Nonselective beta blockers are problematic in diabetic patients because they can
| | | | | | | | | | |
cause this side effect related to blood sugar - CORRECT ANSWER✔✔-
| | | | | | | | | |
hypoglycemia
epinephrine - CORRECT ANSWER✔✔-stimulated all alpha and beta receptors -
| | | | | | | | | |
nonselective
Correct Answers
The nurse knows that TSH levels in patients with primary hypothyroidism who are
| | | | | | | | | | | |
not on thyroid replacement therapy will be - CORRECT ANSWER✔✔-elevated
| | | | | | | | | |
The nurse will teach patients on levothyroxine (T4) to take the medication
| | | | | | | | | | | |
________________ when they ask about whether the medication should be | | | | | | | | | |
taken with or without food - CORRECT ANSWER✔✔-without
| | | | | | |
The nurse knows that medications from the oral antidiabetic drug family
| | | | | | | | | | |
sulfonylureas lower blood sugar by doing this - CORRECT ANSWER✔✔-increasing
| | | | | | | | | |
insulin release form beta cells of the pancreas
| | | | | | |
The nurse known that when a patient is on spironolactone (aldactone) that they
| | | | | | | | | | | | |
must be careful about consuming too much of this electrolyte - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-potassium
The nurse knows that the minimum amount of urine output that a patient should
| | | | | | | | | | | | |
have per hour is - CORRECT ANSWER✔✔-30 mL/hr
| | | | | | | |
When caring for a patient on methimazole (tapazole), the nurse should monitor
| | | | | | | | | | | |
for which concerning and serious side affect of tixucuty - CORRECT ANSWER✔✔-
| | | | | | | | | | |
agranulocytosis
,Which two diuretics cause the most concern for hypokalemia? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-HCTZ and furosemide (lasix) | | |
Fastest IV potassium can be given is - CORRECT ANSWER✔✔-10 mEq/hr
| | | | | | | | | |
The nurse knows that patients on medications like metformin (glucophage) from
| | | | | | | | | | |
the biguanides family of antidiabetic drugs need to monitor for toxicity of this
| | | | | | | | | | | | |
organ - CORRECT ANSWER✔✔-kidney
| | |
The lab value of concern to the nurse when assessing a patient's long term of
| | | | | | | | | | | | | | |
maintenance of blood sugar level is - CORRECT ANSWER✔✔-HGB A1C
| | | | | | | | |
Why could beta blockers be given to a patient with hyperthyroidism? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-treat symptoms |
When is PTU preferred over tapazole? - CORRECT ANSWER✔✔-first trimester of
| | | | | | | | | | |
pregnancy and thyroid storm | | |
The nurse knows that the difference between cardio selective and nonselective
| | | | | | | | | | |
beta blockers is that nonselective beta blockers also block which receptors? what
| | | | | | | | | | | |
does that cause? - CORRECT ANSWER✔✔-beta 2 blocking causes
| | | | | | | | |
bronchoconstriction and inhibits glycogenolysis | | |
This is the best way to treat severe hypoglycemia in patients who are not awake,
| | | | | | | | | | | | | | |
alert, or oriented is by giving what? - CORRECT ANSWER✔✔-IV Dextrose D5O
| | | | | | | | | | |
, The nurse knows that some insulins can be mixed in one syringe for ease of
| | | | | | | | | | | | | | |
administration, which can not be mixed? - CORRECT ANSWER✔✔-long acting
| | | | | | | | | |
insulins glargine/lantus
|
When reviewing labs for a patient who is being switched from furosemide to
| | | | | | | | | | | | |
HCTZ, the nurse knows that this organ needs to be functioning adequately in
| | | | | | | | | | | | |
order to do this - CORRECT ANSWER✔✔-kidney
| | | | | |
Which drug do we become concerned about a patient taking in the presence of
| | | | | | | | | | | | | |
hypokalemia related to diuretic use? - CORRECT ANSWER✔✔-digoxin, as K+
| | | | | | | | | |
decreases, digoxin levels increase causing toxicity risk
| | | | | |
What is the prototype drug for nonselective beta blockers? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-propranolol (inderal) |
Alpha 1 agonists will do this to blood vessels - CORRECT ANSWER✔✔-
| | | | | | | | | | |
vasoconstrict
What is the prototype drug for cardio selective beta blockers? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-metoprolol
Nonselective beta blockers are problematic in diabetic patients because they can
| | | | | | | | | | |
cause this side effect related to blood sugar - CORRECT ANSWER✔✔-
| | | | | | | | | |
hypoglycemia
epinephrine - CORRECT ANSWER✔✔-stimulated all alpha and beta receptors -
| | | | | | | | | |
nonselective
