MARYVILLE NUR 615 ALL COMPREHENSIVE 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔Where dose loperamide work? - ✔✔MU receptors in intestinal walls slowing gastric
motility
✔✔What are adverse reactions of bismuth subsalicylate? - ✔✔Can cause aspirin
toxicity and black tongue
✔✔Bismuth subsalicylate should be avoided in what populations? - ✔✔Children or
teenagers with flu or chickenpox and this with aspirin hypersensitivity
✔✔What labs should be monitored long term use of PPI? - ✔✔Iron, B12, calcium, and
magnesium
✔✔Step-down approach: - ✔✔Standard 8 week therapy then doubled for 4-8 weeks
and then 4 weeks lower dose. If no relief in 3 months, refer to GI specialist
✔✔Step-up approach: - ✔✔lifestyle modifications and OTC antacids. Then H2 and PPI
✔✔Best tx for nausea and vomiting: - ✔✔B6, unisom, ginger
✔✔Long term use of stimulant laxatives can lead to: - ✔✔Laxative dependency
✔✔What is the MOA of phenothiazine anti-emetics? - ✔✔Block dopamine receptors in
the chemoreceptor trigger zone. They also bind to and block cholinergic, alpha 1
adrenergic, and histamine 1 receptors.
✔✔How does ondansetron (zofran) work? - ✔✔block seratonin peripherally on the vagal
nerve and centrally on chemoreceptor trigger zones.
✔✔What population is contraindicated to use misoprostol? - ✔✔pregnant women as it
can lead to abortion
✔✔ Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - ✔✔serum potssium
✔✔Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is
asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct
answer is: - ✔✔This can help in some patients
✔✔Along with an antibiotic prescription, lifestyle education for a non-pregnant adult
female who has had a UTI includes: - ✔✔Voiding 10-15 minutes after intercourse
, ✔✔Monitoring for a pregnant woman who has a UTI is: - ✔✔follow-up urine culture Q2
weeks until delivery
✔✔Monitoring for a child with a UTI is: - ✔✔follow-up urine culture at completion of
therapy
✔✔Monitoring for a healthy, non-pregnant adult being treated for a UTI is: -
✔✔resolution of symptoms in 48 hours
✔✔Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - ✔✔ceftriaxone
✔✔Which of the following patients may be treated with a 3-day course of therapy for
thier UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - ✔✔24 year old female
✔✔Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed
with a lower UTI. She is healthy with no drug allergies. Appropriate first line therapy for
her UTI is: - ✔✔amoxicilin
✔✔Laurel is a 24 year old female with a UTI. She is healthy, afebrie, and only drug
allergy is to sulfa, which gives her a rash. An appropriate first line of therapy is: -
✔✔ciprofloxacin
✔✔Janis is a 16 year old female with a UTI. She is healthy, afebile, and no use of abx in
the previous 6 months. She has no allergies. An appropriate first line anibiotic choice
would be: - ✔✔trimethoprim/sulfamethoxazole
✔✔The treatment goals when treating a UTI include: - ✔✔eradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
✔✔After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy
is: - ✔✔PPI for 8-12 weeks until healing is complete
✔✔If a patient with H Pylori positive PUD fails first line therapy, the second-line
treatment is: - ✔✔PPI BID, metronidazole + tetracycline + bismuth subsalicylate x 14
days
QUESTIONS AND SOLUTIONS RATED A+
✔✔Where dose loperamide work? - ✔✔MU receptors in intestinal walls slowing gastric
motility
✔✔What are adverse reactions of bismuth subsalicylate? - ✔✔Can cause aspirin
toxicity and black tongue
✔✔Bismuth subsalicylate should be avoided in what populations? - ✔✔Children or
teenagers with flu or chickenpox and this with aspirin hypersensitivity
✔✔What labs should be monitored long term use of PPI? - ✔✔Iron, B12, calcium, and
magnesium
✔✔Step-down approach: - ✔✔Standard 8 week therapy then doubled for 4-8 weeks
and then 4 weeks lower dose. If no relief in 3 months, refer to GI specialist
✔✔Step-up approach: - ✔✔lifestyle modifications and OTC antacids. Then H2 and PPI
✔✔Best tx for nausea and vomiting: - ✔✔B6, unisom, ginger
✔✔Long term use of stimulant laxatives can lead to: - ✔✔Laxative dependency
✔✔What is the MOA of phenothiazine anti-emetics? - ✔✔Block dopamine receptors in
the chemoreceptor trigger zone. They also bind to and block cholinergic, alpha 1
adrenergic, and histamine 1 receptors.
✔✔How does ondansetron (zofran) work? - ✔✔block seratonin peripherally on the vagal
nerve and centrally on chemoreceptor trigger zones.
✔✔What population is contraindicated to use misoprostol? - ✔✔pregnant women as it
can lead to abortion
✔✔ Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - ✔✔serum potssium
✔✔Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is
asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct
answer is: - ✔✔This can help in some patients
✔✔Along with an antibiotic prescription, lifestyle education for a non-pregnant adult
female who has had a UTI includes: - ✔✔Voiding 10-15 minutes after intercourse
, ✔✔Monitoring for a pregnant woman who has a UTI is: - ✔✔follow-up urine culture Q2
weeks until delivery
✔✔Monitoring for a child with a UTI is: - ✔✔follow-up urine culture at completion of
therapy
✔✔Monitoring for a healthy, non-pregnant adult being treated for a UTI is: -
✔✔resolution of symptoms in 48 hours
✔✔Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - ✔✔ceftriaxone
✔✔Which of the following patients may be treated with a 3-day course of therapy for
thier UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - ✔✔24 year old female
✔✔Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed
with a lower UTI. She is healthy with no drug allergies. Appropriate first line therapy for
her UTI is: - ✔✔amoxicilin
✔✔Laurel is a 24 year old female with a UTI. She is healthy, afebrie, and only drug
allergy is to sulfa, which gives her a rash. An appropriate first line of therapy is: -
✔✔ciprofloxacin
✔✔Janis is a 16 year old female with a UTI. She is healthy, afebile, and no use of abx in
the previous 6 months. She has no allergies. An appropriate first line anibiotic choice
would be: - ✔✔trimethoprim/sulfamethoxazole
✔✔The treatment goals when treating a UTI include: - ✔✔eradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
✔✔After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy
is: - ✔✔PPI for 8-12 weeks until healing is complete
✔✔If a patient with H Pylori positive PUD fails first line therapy, the second-line
treatment is: - ✔✔PPI BID, metronidazole + tetracycline + bismuth subsalicylate x 14
days
