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WorksheetsNSG2311 Exam 3 Crash Review
Total questions: 60
Worksheet time: 30mins
A patient with type 1 diabetes is prescribed insulin lispro. Which instruction should the nurse include?
Take this insulin at bedtime.
Take this insulin 30 minutes before meals.
Take this insulin with the first bite of your meal.
Do not mix this insulin with any other insulin.
The nurse administers regular insulin at 0730. When is the patient MOST at risk for hypoglycemia?
0800
0900
1100
1500
A patient receiving NPH insulin reports feeling shaky and sweaty at 1200. The nurse suspects:
Expected adverse reaction
Mid-morning hypoglycemia
Dawn phenomenon
Somogyi effect
A nurse prepares to mix regular insulin and NPH. Which action indicates correct technique?
Draw up NPH first
Do not mix insulins
Inject air into NPH first
Shake NPH vigorously
Which patient statement indicates correct teaching regarding insulin glargine?
“I can mix this with lispro.”
“I should take it at the same time each day.”
“This insulin peaks two hours after I inject it.”
“I should take it three times per day.”
A type 2 diabetic patient started metformin 2 days ago and reports diarrhea. The nurse should:
Tell the patient to stop the medication
Inform the patient this effect often improves
Give an antidiarrheal medication
Reduce the dose immediately
Before a CT scan with contrast, which action is priority for a patient taking metformin?
Check potassium
Hold metformin for 48 hrs
Increase the dose
Give with extra fluids
A nurse is teaching about glipizide. Which finding indicates effectiveness?
Decreased urine output
Lower fasting blood glucose
Weight loss
Increased appetite
Which finding requires immediate intervention in a patient taking glipizide?
Photosensitivity
Nausea
Rash and fever
Mild GI upset
A patient taking glipizide reports drinking alcohol. The nurse should warn about:
Extreme hyperglycemia
Hypertensive crisis
A patient taking prednisone long-term is at risk for:
Hypoglycemia
Immunosuppression
Weight loss
Hyponatremia
Which finding indicates prednisone needs urgent evaluation?
Increased appetite
Weight gain
Fever
Mild irritability
A patient taking prednisone says, “I stopped taking it yesterday because I felt better.” The nurse should respond:
“That is fine.”
“This medication must be tapered.”
“You can restart anytime.”
“Take it only when ill.”
A patient taking fludrocortisone for Addison’s disease should report:
Mild fatigue
Increased urination
Swelling in legs
Mild headache
Which lab value MOST important for a patient on fludrocortisone?
Hemoglobin
Potassium
Platelets
BUN
Which statement indicates correct teaching about levothyroxine?
“I will take it with breakfast.”
“I should take it at night.”
“I will take it on an empty stomach.”
“I can take it with antacids.”
A patient taking levothyroxine reports palpitations, heat intolerance, and insomnia. The nurse suspects:
Dose too low
Allergic reaction
Overreplacement
Normal side effects
A patient taking methimazole should report immediately:
Mild headache
Insomnia
Fever and sore throat
Constipation
After radioactive iodine therapy, which statement indicates correct teaching?
“I should share utensils with my family.”
“I’ll avoid pregnant women for a few days.”
“I should save my urine for testing.”
“This medication cures hypothyroidism permanently.”
A patient receiving RAI-131 reports dry mouth and sore throat. The nurse should recommend:
High-fat meals
More fluids
Which level requires immediate action for a patient on lithium?
0.8 mEq/L
1.1 mEq/L
1.6 mEq/L
0.6 mEq/L
A patient taking lithium has nausea, vomiting, coarse tremors, and confusion. Priority action:
Give another dose
Restrict fluids
Notify provider
Give potassium
Teaching for a patient on lithium should include:
“Decrease sodium intake.”
“Avoid dehydration.”
“Take NSAIDs for headaches.”
“Stop medication if thirsty.”
Which patient is NOT a good candidate for lithium therapy?
Hypertension
Renal impairment
Anxiety
Tachycardia
A patient taking lamotrigine reports a new rash. The nurse should:
Reassure patient
Continue medication
Report immediately
Apply lotion
A patient taking haloperidol develops neck stiffness and oculogyric crisis. Which is priority?
Reassurance
Apply heat
Administer benztropine
Hold fluids
A patient taking haloperidol presents with high fever, severe rigidity, and altered mental status. This is:
Serotonin syndrome
NMS
EPS
Dystonia
Which finding is a tardive dyskinesia symptom?
Drooling
Tongue protrusion
Arm rigidity
Muscle spasms
A teaching point for a patient taking chlorpromazine is to:
Avoid sunlight
Eat high-fat foods
Expect diarrhea
Stop medication if constipated
Which lab test is essential for a patient taking clozapine?
Hemoglobin
WBC/ANC
Which food should a patient taking phenelzine avoid?
Apple
Cheddar cheese
Chicken breast
Yogurt
A patient taking phenelzine reports a severe headache and stiff neck. The nurse suspects:
Stroke
Hypertensive crisis
Withdrawal
Serotonin syndrome
A patient on fluoxetine reports agitation, sweating, fever, and tremors. The nurse suspects:
Withdrawal
Hypertensive crisis
Serotonin syndrome
Lithium toxicity
What teaching is appropriate for fluoxetine?
Expect immediate effect
Avoid stopping abruptly
Take with MAOIs
Avoid exercise
Which patient should NOT receive bupropion?
Migraine history
Hypertension
Seizure disorder
Hyperlipidemia
Which statement indicates correct bupropion teaching?
“I’ll take it before bed.”
“This medication may help me quit smoking.”
“This will cause weight gain.”
“This medication is very sedating.”
A patient receives diazepam IV. Which assessment is priority?
Heart sounds
Respiratory rate
Urine output
Temperature
Teaching for a patient taking alprazolam includes:
Take PRN for acute anxiety
Do not take with grapefruit juice
Expect no risk of dependence
Stop abruptly if drowsy
Which patient statement indicates correct teaching about buspirone?
“I can take it only when anxious.”
“It may take weeks to work.”
“It causes major sedation.”
“I should avoid taking it long-term.”
Which interaction is concerning for a patient taking buspirone?
Milk
Grapefruit juice
Apples
Lettuce
A diabetic patient on prednisone may need:
Lower insulin dose
Higher insulin dose
Less glucose monitoring
More NPH mixing
A patient taking methimazole with dark urine likely has:
Renal failure
Liver toxicity
Dehydration
Infection
A patient starting levothyroxine should be monitored for:
Bradycardia
Cold intolerance
Tachycardia
Weight gain
Lithium levels increase with:
Hydration
High sodium
NSAIDs
Diuretics stopped
A patient taking chlorpromazine should report:
Sunburn
Constipation
Yellowing of skin
Mild drowsiness
Which intervention is appropriate for NMS?
Increase antipsychotic dose
Stop the antipsychotic
Administer tyramine
Give insulin
A patient taking glipizide who skips meals risks:
Hyperglycemia
Hypoglycemia
Hypertension
Tachycardia
A patient taking prednisone with gastric irritation should:
Take on empty stomach
Take with food
Stop medication
Add caffeine
A patient after RAI develops hypothyroidism. Expected medication?
Methimazole
Prednisone
Levothyroxine
Lithium
A patient taking fluoxetine says, “I feel more energy but still depressed.” Priority?
Medication is ineffective
Risk for suicide
Too much serotonin
Dose too low
A patient taking NPH asks why insulin is cloudy. The nurse states:
“It has added preservatives.”
“This is normal—roll before use.”
“It means it has expired.”
“It contains regular insulin.”
Sign of hypoglycemia:
Excessive thirst
Sweating and shakiness
Increased urination
Dry skin
Which instruction is correct for lithium?
Maintain high fluid intake
Restrict fluids
Avoid salt
Skip doses when feeling well
Buspirone is preferred for patients with:
Seizure disorders
Chronic pain
Substance use disorder
Tachycardia
Which teaching is correct for MAOIs?
Avoid chocolate
Take PRN
Take with SSRIs
Limit sodium
A patient taking lamotrigine with dizziness should:
Stop abruptly
Report only if rash
Take at bedtime
Increase dose
A patient taking chlorpromazine with low BP on standing is experiencing:
QT prolongation
EPS
Orthostatic hypotension
NMS
A patient taking prednisone is at highest risk for which infection sign?
Tachycardia
Fever
Constipation
Bradycardia
A patient on fluoxetine taking St. John’s Wort risks:
Hypertension
Serotonin syndrome
Increased appetite
Dehydration
Which is an adverse effect of amitriptyline?
Diarrhea
Blurred vision and urinary retention
Hypotension
Increased libido
