Practice Questions

107. A patient is prescribed spironolactone for ascites. The nurse understands that this diuretic helps by:

A. Increasing glomerular filtration rate
B. Directly blocking aldosterone receptors
C. Inhibiting sodium-potassium-chloride cotransporter
D. Promoting calcium excretion
nmdcat.online BS Nursing
Jun 6, 2026

106. A nurse is caring for a patient with heart failure who is prescribed both an ACE inhibitor and an ARB (Angiotensin Receptor Blocker). The nurse should question this combination due to an increased risk of:

A. Hypotension and hyperkalemia
B. Hypertension and hypokalemia
C. Bradycardia and fluid retention
D. Tachycardia and hypocalcemia
nmdcat.online BS Nursing
Jun 6, 2026

102. A nurse is preparing to administer medication via intravenous piggyback (IVPB). After preparing the medication, what is the next step to ensure proper administration?

A. Hang the main IV fluid bag lower than the IVPB.
B. Spike the IVPB bag directly into the patient's primary IV.
C. Hang the IVPB bag higher than the main IV fluid bag.
D. Infuse the medication rapidly.
nmdcat.online BS Nursing
Jun 6, 2026

101. A patient is prescribed cimetidine (Tagamet) for peptic ulcer disease. The nurse understands this H2 receptor antagonist works by:

A. Blocking proton pumps
B. Neutralizing stomach acid
C. Inhibiting histamine's action on gastric parietal cells
D. Coating the ulcer crater
nmdcat.online BS Nursing
Jun 6, 2026

99. A patient is prescribed a long-acting insulin, insulin glargine. The nurse should instruct the patient that this insulin is typically administered:

A. Before each meal
B. Once daily at bedtime or in the morning, at the same time each day
C. Only when blood glucose is very high
D. As a sliding scale for rapid corrections
nmdcat.online BS Nursing
Jun 6, 2026
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