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WorksheetsNSG2311 Week 6 Content Questions
Total questions: 46
Worksheet time: 23mins
A patient with Type 1 diabetes receives regular insulin at 0730. At what time is the nurse most concerned about hypoglycemia?
0800
0930
1100
1400
A patient taking metformin is scheduled for a CT scan with contrast. What is the nurse’s priority?
Give the medication as normal
Hold metformin 24–48 hrs before test
Increase fluid intake only
Give insulin instead
A patient on glyburide reports sweating, tremors, and confusion. What should the nurse do FIRST?
Check BP
Give orange juice
Contact the prescriber
Call rapid response
A diabetic patient who takes insulin begins an exercise program. The nurse teaches:
Exercise without snacks
Avoid checking glucose after exercise
Monitor glucose before and after
Skip insulin before exercise
A patient with hypothyroidism starts levothyroxine. Which statement shows need for teaching?
“I’ll take it on an empty stomach.”
“This medication works right away.”
“I shouldn’t stop taking this suddenly.”
“I’ll take this every morning.”
A patient taking PTU reports fever and sore throat. What is the priority?
Encourage fluids
Continue medication
Notify provider
Give ibuprofen
A patient with hyperthyroidism shows HR 140, fever 102°F, and tremors. What complication is this?
Thyroid storm
Myxedema coma
Hypothyroidism
Thyroid cancer
A patient taking fludrocortisone is at highest risk for:
Hyperkalemia
Hypokalemia
Hypotension
Weight loss
A diabetic patient reports nausea, abdominal cramps, and rapid breathing while taking metformin. What is the concern?
Hypoglycemia
Lactic acidosis
Hyperkalemia
Liver failure
A patient with Addison’s disease taking fludrocortisone should report:
Mild fatigue
Edema
Headache after exercise
Increased appetite
A child with Type 1 diabetes has been vomiting and cannot eat. Which action is correct?
Stop all insulin
Give usual insulin dose
Increase dose
Give double dose at bedtime
Which lab must be closely monitored for a patient on SGLT2 inhibitors?
Platelets
WBC
Urine ketones
BUN/Creatinine
A patient taking methimazole develops a rash. What is the best action?
Stop the drug
Apply lotion
Document finding
Continue drug; rash is common
The nurse prepares to give NPH and regular insulin. Correct action is:
Draw NPH first
Draw regular first
Shake both vials
Give in same syringe without mixing
A patient taking prednisone long-term is at risk for:
Hypoglycemia
Infection
Low blood pressure
Hypocalcemia only
A diabetic patient reports feeling weak, dizzy, and sweating after walking. Their glucose is 54 mg/dL. What is the PRIORITY?
Give glucagon IM
Give 4 oz fruit juice
Call the provider
Administer long-acting insulin
A patient taking exenatide (Byetta) reports persistent abdominal pain and vomiting. What does this suggest?
Constipation
Pancreatitis
Hypoglycemia
Gallbladder disease
A Type 2 diabetic began an exercise program. Which teaching is correct?
Exercise decreases insulin needs
Exercise increases risk of hypoglycemia
Avoid eating carbohydrates before exercise
Never check blood glucose after exercise
A patient taking sitagliptin (Januvia) should report which finding immediately?
Mild nausea
Runny nose
Joint pain
Severe abdominal pain
A patient with hyperthyroidism is prescribed propranolol. Why?
Blocks T3/T4 production
Controls tremors/tachycardia
Treats depression
Prevents weight loss
A patient taking levothyroxine has a heart rate of 118 bpm. Best action?
Hold dose & notify provider
Give dose & document
Give half-dose
Double the next dose
A diabetic patient on prednisone has glucose of 289 mg/dL. Why?
Recent high-carbohydrate meal causes transient spike
Prednisone increases insulin resistance and hepatic glucose production
Prednisone causes hypoglycemia, so glucose rebounds later
Lab error is most likely; repeat in one week
A patient taking methimazole should avoid which foods?
Iodine-rich foods like seafood
Carbohydrates
Leafy vegetables
Milk products
A patient taking fludrocortisone has 2+ pitting edema. What is the BEST action?
Tell patient this is expected
Hold medication & notify provider
Increase sodium intake
Give levothyroxine
A diabetic on regular insulin becomes confused and diaphoretic. FIRST action?
Check blood glucose
Give glucagon
Notify HCP
Start IV fluids
A patient taking metformin experiences respiratory distress and muscle aches. What condition is suspected?
Ketoacidosis
Lactic acidosis
Hyperthyroidism
Cushing’s
The nurse is preparing insulin glargine. What action indicates need for teaching?
Patient shakes the vial
Patient rotates injection sites
Patient takes insulin at bedtime
Patient avoids mixing with other insulin
A patient taking PTU becomes extremely tired and develops yellowing skin. What is suspected?
Hypothyroidism
Hepatotoxicity
Renal failure
Hyperglycemia
A patient taking methimazole for Graves’ disease has tremors, sweating, and HR 152. What complication is this?
Thyroid storm
Hypothyroidism
Myxedema coma
Addisonian crisis
A patient taking sitagliptin (Januvia) should be monitored for which major adverse effect?
Allergies
Pancreatitis
Fluid retention
Weight loss
A patient on prednisone reports black, tarry stools. BEST action?
Document and monitor
Notify provider immediately
Increase fiber intake
Give antacid
A patient taking levothyroxine reports chest pain. What is the priority?
Stop medication and call provider
Give dose with food
Give a beta-blocker
Tell patient this is expected
A diabetic patient taking long-acting insulin becomes NPO for surgery. What is correct?
Hold all insulin
Give half dose of long-acting insulin
Give rapid-acting insulin
Increase insulin drip
A patient with hypothyroidism should avoid which medication?
Opioids
Steroids
Antibiotics
Acetaminophen
A patient taking acarbose has hypoglycemia. Which intervention is correct?
Give sucrose (table sugar)
Give orange juice
Give glucose tablets
Give candy
A diabetic patient is sick and cannot eat. Which instruction is correct?
Stop insulin
Continue insulin & check glucose q3–4h
Double insulin dose
Avoid fluids
A patient taking glucocorticoids long-term must increase dose when?
During sleep
During stress or illness
During exercise
When BP is high
A patient taking prednisone for months wants to stop. The nurse teaches:
“Stop immediately.”
“Taper slowly to prevent adrenal crisis.”
“Stop once symptoms improve.”
“Take a double dose to taper.”
A patient taking fludrocortisone should monitor for:
Dehydration
Edema and weight gain
Muscle weakness only
High potassium
A patient taking rapid-acting insulin should eat:
2 hours after injection
Within 10–15 minutes
Before bedtime
No food needed
A patient taking levothyroxine reports insomnia and weight loss. What is the cause?
Dose too low
Too much thyroid hormone
Patient took with food
Medication expired
Which patient is MOST at risk when taking metformin?
Athlete
Alcoholic with liver disease
Young adult
Pregnant woman
A patient taking methimazole develops swollen lymph nodes. This is associated with:
Hepatotoxicity
Bone marrow suppression
Hypoglycemia
Renal failure
Which finding indicates prednisone is effective?
Decreased inflammation
Decreased appetite
Low blood glucose
Weight loss
A patient on insulin therapy has a fasting glucose of 320 mg/dL. Which is expected?
Increase insulin dose
Hold insulin
Stop metformin
Give glucagon
A patient taking PTU develops joint pain and rash. What’s the best action?
Hold medication & notify provider
Continue medication and monitor
Give an antihistamine only
Schedule the next dose early
