NRSG 3100 Final Exam Questions With Complete Solutions
1 liter of 5% dextrose contains how many calories Correct
Answer 170 cal
10 rights of medication administration Correct Answer Right
Dose
Right Medication
Right Patient
Right Route
Right Time
Right Patient Education
Right Documentation
Right of the Patient to Refuse
Right Assessment Before Administration
Right Evaluation following Administration
1st generation cephalosporins Correct Answer cefazolin
(Kefzol, Ancef)
3 types of cancer treatment Correct Answer Surgery- local
Chemotherapy- systemic
Radiation Therapy- local or systemic
3rd generation cephalosporins Correct Answer ceftriaxone
(Rocephin)
50-40% of MI are what type Correct Answer Inferior wall
which have a better outcome than anterior wall
,5th generation cephalosporins Correct Answer ceftaroline
(Telfaro)
A wide array of natural modalities, including homeopathy,
herbalism, and acupuncture, as well as diet (nutrition) and
lifestyle counseling. Naturopaths favor a holistic approach with
non-invasive treatment and generally avoid the use of surgery
and drugs. Correct Answer Nurtopathy
About dosing morphine Correct Answer No upper end dose
limit!!!
Patients develop tolerance to all adverse effects except
constipation!!!
Available in extended release form (MS Contin, etc.)
Actions to take if a med error occurs Correct Answer Assess
and stabilize the patient
Notify the physician and pharmacist
Notify the patient and family
Monitor as needed
Acute dystonia: Correct Answer Severe muscle spasms
acute hemolytic reaction Correct Answer Cause: Client's
blood cells are broken down (hemolysis), resulting in severe
symptoms
Usually occurs within 30 minutes
Symptoms: Flushing, tachypnea, tachycardia, chills, low back
pain, bleeding, acute renal failure, shock, cardiac arrest
,Acute MI definition Correct Answer Death of the myocardial
tissue as a result of insufficient oxygen supplied to the tissue.
Adenergic Agonists Correct Answer epinephrine (Adrenalin)
dopamine (Intropin)
dobutamine (Dobutrex)
norepinephrine (Levophed)
phenylephrine (Neo-Synephrine)
AE amopherticin B deoxycholate (Fungizone) Correct Answer
Ototoxicity!!!!
Nephrotoxicity - The most toxic effect - observed in 80% of
patients!!
Electrolyte imbalance - especially hypokalemia &
hypomagnesmia
Hepatotoxic
Anaphylaxis -cardiac arrest reported
Black Box Warning: The nonliposomal form of this drug should
only be used for patients with a progressive and potentially life-
threatening fungal infection. Caution should be exercised to
prevent inadvertent overdosage.
AE for amanatdine (Symmetrel) Correct Answer CNS effects
- insomnia, dizziness, light-headedness, nervousness, loss of
concentration, and mental confusion - in up to 33%
Psychiatric disorders or substance abuse patients - can worsen
mental problems
, Renal impaired patients - drug can build to toxic levels
Resulting in visual or auditory hallucinations, seizures, coma, or
dysrhythmias.
Older adults - higher incidence of adverse effects!!!
AE for carborpost (Hemabate) Correct Answer nausea,
vomiting, diarrhea!!!!! fever, headache, uterine rupture!!
AE for dopamine Correct Answer v-tach with high doses;
severe necrosis may occur with extravasation
AE for fluconazole Correct Answer Nausea, vomiting,
diarrhea with high doses
use cautiously with preexisting renal impairment!!!!
Stevens-Johnson syndrome in immunosuppressed patients
AE for methylergonovine (Methergine) Correct Answer N/V,
uterine cramping, shock, severe HTN!!!!! dysrhythmias
AE for metronidazole (Flagyl) Correct Answer Frequent
during therapy, but most are not serious enough to warrant
discontinuation
Most common are GI related (anorexia, nausea, vomiting,
diarrhea, abdominal pain), dizziness, headache
Dryness of the mouth and TERRIABLE metallic taste!!!
Seizures and peripheral neuropathy!!!
Black Box Warning: Carcinogenic in lab animals
1 liter of 5% dextrose contains how many calories Correct
Answer 170 cal
10 rights of medication administration Correct Answer Right
Dose
Right Medication
Right Patient
Right Route
Right Time
Right Patient Education
Right Documentation
Right of the Patient to Refuse
Right Assessment Before Administration
Right Evaluation following Administration
1st generation cephalosporins Correct Answer cefazolin
(Kefzol, Ancef)
3 types of cancer treatment Correct Answer Surgery- local
Chemotherapy- systemic
Radiation Therapy- local or systemic
3rd generation cephalosporins Correct Answer ceftriaxone
(Rocephin)
50-40% of MI are what type Correct Answer Inferior wall
which have a better outcome than anterior wall
,5th generation cephalosporins Correct Answer ceftaroline
(Telfaro)
A wide array of natural modalities, including homeopathy,
herbalism, and acupuncture, as well as diet (nutrition) and
lifestyle counseling. Naturopaths favor a holistic approach with
non-invasive treatment and generally avoid the use of surgery
and drugs. Correct Answer Nurtopathy
About dosing morphine Correct Answer No upper end dose
limit!!!
Patients develop tolerance to all adverse effects except
constipation!!!
Available in extended release form (MS Contin, etc.)
Actions to take if a med error occurs Correct Answer Assess
and stabilize the patient
Notify the physician and pharmacist
Notify the patient and family
Monitor as needed
Acute dystonia: Correct Answer Severe muscle spasms
acute hemolytic reaction Correct Answer Cause: Client's
blood cells are broken down (hemolysis), resulting in severe
symptoms
Usually occurs within 30 minutes
Symptoms: Flushing, tachypnea, tachycardia, chills, low back
pain, bleeding, acute renal failure, shock, cardiac arrest
,Acute MI definition Correct Answer Death of the myocardial
tissue as a result of insufficient oxygen supplied to the tissue.
Adenergic Agonists Correct Answer epinephrine (Adrenalin)
dopamine (Intropin)
dobutamine (Dobutrex)
norepinephrine (Levophed)
phenylephrine (Neo-Synephrine)
AE amopherticin B deoxycholate (Fungizone) Correct Answer
Ototoxicity!!!!
Nephrotoxicity - The most toxic effect - observed in 80% of
patients!!
Electrolyte imbalance - especially hypokalemia &
hypomagnesmia
Hepatotoxic
Anaphylaxis -cardiac arrest reported
Black Box Warning: The nonliposomal form of this drug should
only be used for patients with a progressive and potentially life-
threatening fungal infection. Caution should be exercised to
prevent inadvertent overdosage.
AE for amanatdine (Symmetrel) Correct Answer CNS effects
- insomnia, dizziness, light-headedness, nervousness, loss of
concentration, and mental confusion - in up to 33%
Psychiatric disorders or substance abuse patients - can worsen
mental problems
, Renal impaired patients - drug can build to toxic levels
Resulting in visual or auditory hallucinations, seizures, coma, or
dysrhythmias.
Older adults - higher incidence of adverse effects!!!
AE for carborpost (Hemabate) Correct Answer nausea,
vomiting, diarrhea!!!!! fever, headache, uterine rupture!!
AE for dopamine Correct Answer v-tach with high doses;
severe necrosis may occur with extravasation
AE for fluconazole Correct Answer Nausea, vomiting,
diarrhea with high doses
use cautiously with preexisting renal impairment!!!!
Stevens-Johnson syndrome in immunosuppressed patients
AE for methylergonovine (Methergine) Correct Answer N/V,
uterine cramping, shock, severe HTN!!!!! dysrhythmias
AE for metronidazole (Flagyl) Correct Answer Frequent
during therapy, but most are not serious enough to warrant
discontinuation
Most common are GI related (anorexia, nausea, vomiting,
diarrhea, abdominal pain), dizziness, headache
Dryness of the mouth and TERRIABLE metallic taste!!!
Seizures and peripheral neuropathy!!!
Black Box Warning: Carcinogenic in lab animals
