NSG 318 FINAL EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
A patient on heparin therapy tells the nurse that she noticed blood in her stool and while
brushing her teeth. What action should the nurse take next?
a. Administer Vitamin K
b. Administer Protamine
c. Administer Aminocaproic acid
d. Administer Calcium Chloride
b. Administer Protamine
What medication is the the drug class of antiplatelet?
a. Heparin
b. Alteplase
c. Plavix
d. Pletal
c. Plavix
A patient is going to start clopidrogel and would like to know what side effects and
adverse effects to look out for. What education should the nurse provide?
Flu-like symptoms, bronchospasms, peptic ulcers, agranulocytes and aplastic anemia
Hint: Triple A
A patient on Plavix asks which meds to avoid. What education should the nurse
provide?
(Increase bleeding) NSAIDs, anticoagulant, omeprazole, azole antifungals, SSRIs and
barbituates
1|Page
,(Interferes with metabolism) phenytoin, warfarin, NSAIDs, CA channel blocker and
morphine
A patient on clopidrogel requests chamomile tea and mentions that she is interested in
using CAMs. Is this CAM a concern?
No. The CAMs the patient should avoid are grapefruit juice, ginger, garlic, ginkgo,
feverfew, and green tea.
Which CAMs can increase bleeding?
Ginger, garlic, ginkgo, feverfew and green tea
Which CAMs increase risk of bleeding when taken with warfarin?
Feverfew, garlic, ginger, green tea, chamomile tea, and ginkgo
Which CAMs may interfere with anticoagulants?
Excessive use of anise
Which CAMs may decrease effects of warfarin?
Ginseng, goldenseal and valerian
Which CAMs decrease the effects of heparin?
Goldenseal
Which CAMs may increase the action of anticoagulants?
Hawthorn
Which medication is in the drug class of thrombolytic?
a. Alteplase
b. Atenolol
c. Valsartan
d. Prazosin
a. Alteplase
What is the action of alteplase?
2|Page
,Promotes conversion of plasminogen and plasmin and initiates fibrinolysis
A new nurse is going to administer alteplase but is unsure of the side effects and
adverse effects. What education should be provided to the nurse?
Bleeding, infection, hypotension
Anaphylactic reaction, laryngeal edema, angioedema, HTN, cerebral edema,
rhabdomyolysis, and stroke
Hint: Causes lots of edema
While on tPA, a patient develops a urinary tract infection and a new grad doctor ordered
Cephalosporin 500 mg. What action should the nurse take?
a. Administer Cephalosporin
b. Prescribe half the dose
c. Question the doctors orders
d. Hold the dose until the next meal
c. Question the doctors orders. Cephalosporin is a drug interaction. Other meds
includes anticoagulants, NSAIDs, SNRIs and SSRIs.
A patient on alteplase therapy developed a pulmonary edema. What action should be
taken next?
a. Administer Vitamin K
b. Administer Protamine
c. Administer Aminocaproic acid
d. Administer Calcium Chloride
c. Administer Aminocaproic acid
What nursing intervention should be implemented for a patient taking tPA?
Monitor VS and report changes
Observe for signs and symptoms of active bleeding and anaphylactic reaction
Examine pt for active bleeding for 24 hr after thrombolytic therapy has been d/c (Q15
mins for 1st hour; Q30 mins until 8th hour; Qhr following)
Avoid venipunctures/arterial sticks
3|Page
, Teach pt to report side effects including lightheadness, dizziness, palpitations, nausea
and pruritis
A new grad doctor remembers learning that Crestor is contraindicated in a certain
population. What education should the nurse provide?
a. Native Americans
b. African Americans
c. Caucasians
d. Asians
d. Asians
What are the side effects of rosuvastatin?
Myalgia, arthralgia, peripheral neuropathy, and photosensitivity
Hint: Algia's
What are the adverse effects of Crestor?
Rhabdomyolysis, myopathy, renal failure, hepatotoxicity, leukopenia, and
thrombocytopenia
Hint: Penia's and Failures
A patient asks the nurse if he can take antacids with his medications. What education
should the nurse provide?
Antacids should not be taken with other medications. It should be taken 30 mins - 2
hours apart.
While reviewing a patient's chart, the nurse sees that the patient is on Crestor and a oral
birth control. What action should be taken by the nurse?
Inform the patient to use 2 forms of birth control if she does not want to become
pregnant as Crestor may effect the efficacy of oral contraceptives.
What are the drug interactions of rosuvastatin?
Antacids, phenytoin, digoxin, macrolide antibiotics and antifungals
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
A patient on heparin therapy tells the nurse that she noticed blood in her stool and while
brushing her teeth. What action should the nurse take next?
a. Administer Vitamin K
b. Administer Protamine
c. Administer Aminocaproic acid
d. Administer Calcium Chloride
b. Administer Protamine
What medication is the the drug class of antiplatelet?
a. Heparin
b. Alteplase
c. Plavix
d. Pletal
c. Plavix
A patient is going to start clopidrogel and would like to know what side effects and
adverse effects to look out for. What education should the nurse provide?
Flu-like symptoms, bronchospasms, peptic ulcers, agranulocytes and aplastic anemia
Hint: Triple A
A patient on Plavix asks which meds to avoid. What education should the nurse
provide?
(Increase bleeding) NSAIDs, anticoagulant, omeprazole, azole antifungals, SSRIs and
barbituates
1|Page
,(Interferes with metabolism) phenytoin, warfarin, NSAIDs, CA channel blocker and
morphine
A patient on clopidrogel requests chamomile tea and mentions that she is interested in
using CAMs. Is this CAM a concern?
No. The CAMs the patient should avoid are grapefruit juice, ginger, garlic, ginkgo,
feverfew, and green tea.
Which CAMs can increase bleeding?
Ginger, garlic, ginkgo, feverfew and green tea
Which CAMs increase risk of bleeding when taken with warfarin?
Feverfew, garlic, ginger, green tea, chamomile tea, and ginkgo
Which CAMs may interfere with anticoagulants?
Excessive use of anise
Which CAMs may decrease effects of warfarin?
Ginseng, goldenseal and valerian
Which CAMs decrease the effects of heparin?
Goldenseal
Which CAMs may increase the action of anticoagulants?
Hawthorn
Which medication is in the drug class of thrombolytic?
a. Alteplase
b. Atenolol
c. Valsartan
d. Prazosin
a. Alteplase
What is the action of alteplase?
2|Page
,Promotes conversion of plasminogen and plasmin and initiates fibrinolysis
A new nurse is going to administer alteplase but is unsure of the side effects and
adverse effects. What education should be provided to the nurse?
Bleeding, infection, hypotension
Anaphylactic reaction, laryngeal edema, angioedema, HTN, cerebral edema,
rhabdomyolysis, and stroke
Hint: Causes lots of edema
While on tPA, a patient develops a urinary tract infection and a new grad doctor ordered
Cephalosporin 500 mg. What action should the nurse take?
a. Administer Cephalosporin
b. Prescribe half the dose
c. Question the doctors orders
d. Hold the dose until the next meal
c. Question the doctors orders. Cephalosporin is a drug interaction. Other meds
includes anticoagulants, NSAIDs, SNRIs and SSRIs.
A patient on alteplase therapy developed a pulmonary edema. What action should be
taken next?
a. Administer Vitamin K
b. Administer Protamine
c. Administer Aminocaproic acid
d. Administer Calcium Chloride
c. Administer Aminocaproic acid
What nursing intervention should be implemented for a patient taking tPA?
Monitor VS and report changes
Observe for signs and symptoms of active bleeding and anaphylactic reaction
Examine pt for active bleeding for 24 hr after thrombolytic therapy has been d/c (Q15
mins for 1st hour; Q30 mins until 8th hour; Qhr following)
Avoid venipunctures/arterial sticks
3|Page
, Teach pt to report side effects including lightheadness, dizziness, palpitations, nausea
and pruritis
A new grad doctor remembers learning that Crestor is contraindicated in a certain
population. What education should the nurse provide?
a. Native Americans
b. African Americans
c. Caucasians
d. Asians
d. Asians
What are the side effects of rosuvastatin?
Myalgia, arthralgia, peripheral neuropathy, and photosensitivity
Hint: Algia's
What are the adverse effects of Crestor?
Rhabdomyolysis, myopathy, renal failure, hepatotoxicity, leukopenia, and
thrombocytopenia
Hint: Penia's and Failures
A patient asks the nurse if he can take antacids with his medications. What education
should the nurse provide?
Antacids should not be taken with other medications. It should be taken 30 mins - 2
hours apart.
While reviewing a patient's chart, the nurse sees that the patient is on Crestor and a oral
birth control. What action should be taken by the nurse?
Inform the patient to use 2 forms of birth control if she does not want to become
pregnant as Crestor may effect the efficacy of oral contraceptives.
What are the drug interactions of rosuvastatin?
Antacids, phenytoin, digoxin, macrolide antibiotics and antifungals
4|Page
