21. There are different types of laxatives.

Osmotic (saline) laxative is works by:

Response: A. Pulling the water into the colon and increase water in the feces to increase bulk,
which stimulate peristalsis.

Correct answer: A. Pulling the water into the colon and increase water in the feces to increase
bulk, which stimulate peristalsis.

Score: 1 out of 1 Yes

Question 2

8. A nurse is providing information to a client who has a new prescription for

hydrochlorothiazide. Which of the following information should the nurse include?

Response: A. Take the medication with food.

Correct answer: A. Take the medication with food.

Score: 1 out of 1 Yes

Question 3

18. The following nursing interventions are correct when someone has ingested toxic
substances except:

Response: A. Offer ipecac syrup to a semiconscious or unconscious person.

Correct answer: A. Offer ipecac syrup to a semiconscious or unconscious person.

Score: 1 out of 1 Yes

Question 4

28. These are the three rapidly acting insulin analogs, EXCEPT:

Response: A. Degludec

Correct answer: A. Degludec

Score: 1 out of 1 Yes

Question 5

28. These are the three rapidly acting insulin analogs, EXCEPT:

Response: A. Degludec

Correct answer: A. Degludec

Score: 1 out of 1 Yes

Question 6

29. A 29-year-old female has a TSH of 13.5 mIU/L (normal 0.5 to 4.7 mIU/L). Which agent is
most appropriate to treat the TSH abnormality?

Response: A. Levothyroxine
Correct answer: A. Levothyroxine

Score: 1 out of 1 Yes

Question 7

9. Which among the following is a dopamine antagonist?

Response: C. Bromocriptine

Correct answer: C. Bromocriptine

Score: 1 out of 1 Yes

Question 8

25. Patients who are taking antithyroid drugs must be given health teachings by a nurse. Which
of the following is NOT a correct advice to the patient?

Response: D. To abruptly stop taking the medication once he feels better.

Correct answer: D. To abruptly stop taking the medication once he feels better.

Score: 1 out of 1 Yes

Question 9

16. Patient C.C. was rushed to the emergency department due to bilateral lower extremity
weakness. His serum potassium level was 2.9 meq/L . What does the nurse expect to find in the
ECG reading?

Response: C. Presence of U wave

Correct answer: C. Presence of U wave

Score: 1 out of 1 Yes

Question 10

22. All but one are examples of stimulant laxatives:

Response: C. Lactulose

Correct answer: C. Lactulose

Score: 1 out of 1 Yes

Question 11

27. ______ is a hyperglycemic hormone secreted by the alpha cells of the islets of Langerhans in
the pancreas to increase blood sugar level.

Response: B. Glucagon

Correct answer: B. Glucagon

Score: 1 out of 1 Yes

Question 12

11. Which among the following is an example of a rapid acting insulin ?

Response: C. Apidra

Correct answer: C. Apidra

Score: 1 out of 1 Yes

Question 13

17. Emetics are used to induce vomiting when an individual has consumed certain toxic
substances and to expel before absorption occurs. However, vomiting should not be induced if
caustic substances have been ingested. All but one are examples of caustic substances:

Response: D. All of the above

Correct answer: D. All of the above

Score: 1 out of 1 Yes

Question 14

5. The nurse is reviewing their client’s laboratory findings and notes that one of her clients has
a serum calcium level of 7.2 md/dL. They know that of each of the following clients, which ones
are most likely to have this result?
Response: D. The client with hypoparathyroidism

Correct answer: D. The client with hypoparathyroidism

Score: 1 out of 1 Yes

Question 15

12. While teaching the client regarding insulin storage, the nurse knows that the following are to
be considered except:

Response: D. Keep opened vials in a container which mimics normal body temperature.

Correct answer: D. Keep opened vials in a container which mimics normal body temperature.

Score: 1 out of 1 Yes

Question 16

34. Insulin is easily broken down by extreme temperatures, so it must be stored between 2-8
degrees Celsius.

Response: True

Correct answer: True

Score: 1 out of 1 Yes

Question 17

What is Somogyi effect?

Response: B. There is rebound hyperglycemia

Correct answer: B. There is rebound hyperglycemia

Score: 1 out of 1 Yes

Question 18

24. Growth hormone therapy is effective for children whose height is markedly below the
expected norm for their age. When is the best time to administer Growth hormone?

Response: A. Before the epiphyses are fused

Correct answer: A. Before the epiphyses are fused

Score: 1 out of 1 Yes

Question 19

19. Opiates decreases intestinal motility thereby decreasing peristalsis in case of diarrhea.
Which of the following is a common side effect of opium preparations?

Response: D. Nausea and vomiting

Correct answer: A. Constipation

Score: 0 out of 1 No

Question 20

13. Which of the following is a cation?

Response: B. Sodium

Correct answer: B. Sodium

Score: 1 out of 1 Yes

Question 21

23. The anterior pituitary gland secretes various hormones except;

Response: B. Antidiuretic hormone (ADH)

Correct answer: B. Antidiuretic hormone (ADH)

Score: 1 out of 1 Yes

Question 22

38. Which of these elements is needed for synthesis and concentration of Thyroid?

Response: C. Iodine
Correct answer: C. Iodine

Score: 1 out of 1 Yes

Question 23

A nurse is caring for a client who is taking for somatropin to stimulate growth. The nurse
should plan to monitor the client's urine for which of the following?

Response: D. Calcium

Correct answer: D. Calcium

Score: 1 out of 1 Yes

Question 24

During Stress,there is an increased metabolic rate ,Insulin resistance could lead to:

Response: B. Hyperglycemia

Correct answer: B. Hyperglycemia

Score: 1 out of 1 Yes

Question 25

31. This is an oral mineralocorticoid that can be given with a glucocorticoid

Response: Fludrocortisone

Correct answer: Fludrocortisone

Score: 1 out of 1 Yes

Question 26

15. Which among the following solutions will cause cell swelling:

Response: C. 0.45%NSS

Correct answer: C. 0.45%NSS

Score: 1 out of 1 Yes

Question 27

37. ___are the hormones which regulate the level of calcium in the blood:

Response: A. Parathyroid hormone

Correct answer: A. Parathyroid hormone

Score: 1 out of 1 Yes

Question 28

What is Dawn Phenomenon?

Response: A. Normal morning effect that causes increased growth hormones

Correct answer: A. Normal morning effect that causes increased growth hormones

Score: 1 out of 1 Yes

Question 29

. A nurse is providing teaching for a client who has a new prescription for metformin. Which of
the following adverse effects of metformin should the nurse instruct the client to report to the
provider?

Response: A. Somnolence

Correct answer: A. Somnolence

Score: 1 out of 1 Yes

Question 30

. A nurse is caring for an older adult client in a long-term care facility who has hypothyroidism
and a new prescription for levothyroxine. Which of the following dosage schedules should the
nurse expect for this client?

Response: D. The client will start on a low dose, which will be gradually increased.
Correct answer: D. The client will start on a low dose, which will be gradually increased.

Score: 1 out of 1 Yes

Question 31

During insulin administration, blood glucose testing is performed several times a day at
specified intervals (usually before meals).

Response: True

Correct answer: True

Score: 1 out of 1 Yes

Question 32

26. Most medications have adverse effects. Which of the following is a serious adverse
reaction of antithyroid drug?

Response: C. agranulocytosis

Correct answer: C. agranulocytosis

Score: 1 out of 1 Yes

Question 33

. A nurse is assessing a client who takes desmopressin for diabetes insipidus. For which of the
following adverse effects should the nurse monitor?
Response: D.Headache

Correct answer: D.Headache

Score: 1 out of 1 Yes

Question 34

39. It is better to administer the diuretics-

Response: A. In the morning.

Correct answer: A. In the morning.

Score: 1 out of 1 Yes

Question 35

40. Before starting with Aldactone , it is very important to be aware about –

Response: B. Serum K level of the patient.

Correct answer: B. Serum K level of the patient.

Score: 1 out of 1 Yes

Question 36

6. The nurse is caring for a client who has chloride level of 115 mEq/L. Which of the following
maintenance IV fluids do they anticipate the provider will order?

Response: C. Lactated Ringers IVF

Correct answer: C. Lactated Ringers IVF

Score: 1 out of 1 Yes

Question 37

14. Hypocalcemia is manifested by?

Response: B. Chvostek sign

Correct answer: B. Chvostek sign

Score: 1 out of 1 Yes

Question 38

7. A nursing is planning care for a client who is receiving furosemide IV for peripheral edema.
Which of the following interventions should the nurse should not include in the plan of care?

Response: A. Assess for tinnitus.

Correct answer: B. Report urine output 200 mL/hr.

Score: 0 out of 1 No

Question 39

20. Laxatives and cathartics are used to eliminate fecal matter. What is the difference between
the two?

Response: D. Laxatives are used for diarrhea while cathartics are used for constipation.

Correct answer: A. Laxatives promotes a soft stool while cathartics results to soft to watery
stool with cramping.

Score: 0 out of 1 No

Question 40

30. These are the hormones that are secreted on the posterior pituitary gland.

Response: oxytocin and vasopressin

Correct answer: oxytocin and vasopressin

Score: 1 out of 1