NCLEX CRUSADE ACADEMY TEST - 2 DIURETICS CLASSIFICATION & NURSING IMPLICATIONS

1. Which class of diuretics is considered the 'heavy lifters' for severe edema?. Thiazide diuretics. Loop diuretics. Potassium sparing diuretics. Osmotic diuretics.

2. Which prototype drug represents loop diuretics?. Mannitol. Hydrochlorothiazide. Furosemide. Spironolactone.

3. What is a major electrolyte effect of loop diuretics?. Potassium retention. Potassium loss. Calcium retention. Sodium retention.

4. Which serious adverse effect is associated with loop diuretics?. Ototoxicity. Hyperglycemia. Hypercalcemia. Constipation.

5. Which condition is commonly treated with loop diuretics?. Mild dehydration. Severe edema. Hypokalemia. Diabetes insipidus.

6. What mnemonic describes the duration of Lasix action?. Lasix lasts six hours. Lasix lasts ten hours. Lasix acts instantly. Lasix lasts one hour.

7. What is the onset of IV furosemide?. 25 minutes. 3060 minutes. 2 hours. 6 hours.

8. What is the onset for oral furosemide?. 5 minutes. 3060 minutes. 3 hours. 6 hours.

9. Which electrolyte imbalance increases digoxin toxicity when using loop diuretics?. Hyperkalemia. Hypernatremia. Hypokalemia. Hypercalcemia.

10. Which medication class increases risk of ototoxicity with loop diuretics?. Beta blockers. Aminoglycosides. ACE inhibitors. Calcium channel blockers.

11. Which diuretic is classified as an osmotic diuretic?. Mannitol. Furosemide. HCTZ. Spironolactone.

12. Mannitol is primarily used to decrease which pressures?. Blood pressure and venous pressure. Intracranial and intraocular pressure. Pulmonary and cardiac pressure. Renal and hepatic pressure.

13. Which condition is an absolute contraindication for mannitol?. Diabetes mellitus. Narrow angle glaucoma. Hypertension. Asthma.

14. What is a major risk of mannitol therapy?. Pulmonary edema. Liver failure. Stroke. Seizures.

15. What nursing assessment is critical with mannitol therapy?. Hearing test. Respiratory assessment. Vision screening. Skin inspection.

16. Which diuretic class is commonly used for long term hypertension management?. Loop diuretics. Thiazide diuretics. Osmotic diuretics. Potassium sparing diuretics.

17. Which prototype drug represents thiazide diuretics?. Hydrochlorothiazide. Mannitol. Spironolactone. Furosemide.

18. What electrolyte effect is unique to thiazides?. Increased calcium retention. Potassium retention. Sodium retention. Magnesium retention.

19. Which metabolic effect may occur with thiazides?. Hypoglycemia. Hyperglycemia. Hypoglycemia. Insulin resistance.

20. Thiazide diuretics may trigger which condition?. Asthma. Gout. Kidney stones. Stroke.

21. Which electrolyte imbalance is associated with thiazides?. Hyperkalemia. Hypokalemia. Hypermagnesemia. Hypercalcemia only.

22. Which diuretic class conserves potassium?. Loop diuretics. Osmotic diuretics. Potassium sparing diuretics. Thiazides.

23. Which drug is a potassium sparing diuretic?. Mannitol. Spironolactone. Hydrochlorothiazide. Furosemide.

24. What electrolyte imbalance is the primary risk of potassium sparing diuretics?. Hypokalemia. Hyperkalemia. Hyponatremia. Hypocalcemia.

25. Severe hyperkalemia can cause which complication?. Stroke. Cardiac arrhythmias. Seizures. Kidney stones.

26. Which symptom may indicate hyperkalemia?. Muscle cramps. Fever. Rash. Hematuria.

27. What universal nursing assessment is essential for patients on diuretics?. Skin biopsy. Strict intake and output. Vision exam. Neurologic reflex testing.

28. What is the most accurate indicator of fluid retention or loss?. Blood pressure. Daily weight. Heart rate. Respiratory rate.

29. Which vital sign must be monitored due to orthostatic hypotension risk?. Temperature. Blood pressure. Oxygen saturation. Respiratory rate.

30. Which diuretic is most associated with aggressive fluid removal?. Loop diuretics. Thiazides. Potassium sparing. Carbonic anhydrase inhibitors.