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NSG 318 Final Exam Test with Verified Answers – Grand Canyon University Introduction to Pharmacology Complete Study Guide (2025–2027) | Nursing Pharmacology

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Prepare with confidence for the NSG 318 Final Exam at Grand Canyon University (GCU) using this comprehensive study guide and practice test resource. This essential academic resource is specifically designed for nursing students enrolled in the Introduction to Pharmacology course (NSG 318 / NSG318) and covers the key concepts and clinical scenarios tested on the final exam. This study guide features hundreds of exam-style multiple-choice questions with verified correct answers and detailed rationales, based on actual final exam content from the 2025–2027 academic cycles. It is optimized for students aiming to achieve a passing score by reinforcing core pharmacological principles, drug classifications, and nursing interventions. What's Included: 500+ practice questions covering all major pharmacology topics Verified correct answers with detailed rationales explaining both correct and incorrect options Next Generation NCLEX (NGN) questions and case scenarios to prepare for the most challenging question formats Exam-style questions that mirror the format and rigor of the actual GCU NSG 318 final exam Comprehensive coverage across all major pharmacology topics: Cardiac Glycosides – Digoxin uses (heart failure and atrial fibrillation), therapeutic serum levels, and nursing considerations Antibiotics and Antimicrobials – Antibiotic resistance (acquired resistance caused by prior exposure to an antibiotic), amoxicillin, and proper medication administration Respiratory Medications – Beta-blocker education (consult doctor before taking OTC medications), bronchodilators for COPD patients Opioid Management – Discharge instructions (increase fluid and fiber intake to prevent constipation) Gastrointestinal Medications – Aluminum hydroxide precautions and side effects Antivirals – Acyclovir hydration requirements Anticholinergics – Atropine side effects Anticoagulants – Coumadin (warfarin) management

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NSG 318 Final Exam Questions and Answers Latest Updated
2023/24 (100% Verified & A+ Graded)
Acquired resistance - ANSWER type of resistance that is caused by prior exposure to an
antibiotic. this can cause an antibiotic to not be effective as it once was for a certain
bacteria



Acyclovir (Zovarix) - ANSWER antiviral drug used for the treatment of herpes simplex
virus and varicella

important to increase fluids

phlebitis (check site before and throughout therapy), increased bleeding time

nephrotoxic



Amoxicillin - ANSWER penicillin that is commonly used for otitis media, tonsilitis, and
urinary tract infections

broad-spectrum

monitor urinary output (if less than 30mL/hr, decrease the dose)

tongue/tooth discoloration

superinfection - vaginitis



anaphylactic reaction - ANSWER a reaction to a drug that may begin with shortness of
breath and can lead to vascular collapse, laryngeal edema, bronchospasms, and cardiac
arrest.



antacids - ANSWER OTC drugs that should not be taken at the same time as azithromycin
(Zithromax) or levofloxacin (Levaquin)

,Azithromycin (Zithromax) - ANSWER antibiotic that inhibits the steps of protein
synthesis and is used for bacterial conjuctivitis, STIs, and skin infections, NOT UTIs works
well for those who are allergic to penicillin/cephalosporin

1 hr before/2 hr after meals and with water

C diff, tinnitus, photosensitivity



broad spectrum antibiotic - ANSWER effective against gram-positive and gram-negative
bacteria



BUN, CR, liver enzymes - ANSWER labs needed before giving antibiotics to determine the
ability to metabolize and excrete the drug



Ceftriaxone (Rocephin) - ANSWER broad spectrum antibiotic that is used for OM,
meningitis, and surgical infection prophylaxis that have a disulfiram-like reaction



Cephalosporins - ANSWER if a client is allergic to penicillin they can also be allergic to
this classification of drug

disulfiram like reaction

superinfection: stomatitis

hepatotoxic



clostridium difficile - ANSWER superinfection

multiple episodes of watery, diarrhea that may be bloody, abdominal cramping, and a
possible increased temperature



disulfiram-like reaction - ANSWER a reaction that a client may have with metronidazide
(Flagyl) or ceftriaxone and drinking alcohol

, doxycycline - ANSWER antibiotic that is used to treat acne, E. coli, MRSA, STIs and
anthrax that should not be taken with milk, penicillins, and oral contraceptives

teratogenic effects, avoid if <8yrs (permanent discoloration)

photosensitivity



fluconazole (Difulcan) - ANSWER azole antifungal

used for candida infections and prophylactically for those undergoing bone marrow
transplant. drinks w caffeine are contraindicated when taking this drug.



gentamicin sulfate - ANSWER antibiotic that is administered via IM or IV and used for
endocardiits, septicemia, bone/joint infection, and meningitis, NOT OM. may cause
alopecia, photosensitivity, tinnitus (especially with furosemide), nephrotoxic



invermectin (stromectol) - ANSWER an anthelmic medication used to treat clients with
parasitic worms such as roundworm



injection site redness - ANSWER expected side effect of isoniazid and ceftriaxone that the
nurse should monitor but does not require discontinuation of medication



levofloxacin (Levaquin) - ANSWER antibiotic that interferes with enzyme DNA gyrase and
is used to treat cellulitis, impetigo and skin infections. may cause abdominal cramps,
restlessness, depression, photosensitivity, tinnitus and injection site reaction.

obtain specimen and cultures, increase fluids



metronidazide (Flagyl) - ANSWER peptide medication that is used for anaerobic
infections including rosacea

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