NURS 316 FINAL EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Why would someone be contraindicated from calcium carbonate - ANSWER-Hx of kidney
stones
What do you need to warn a pt about on omeprazole - ANSWER-Aspiration pneumonia
omeprazole adverse effects - ANSWER-osteoporosis and bone fractures (WATCH BMD),
hypomagnesia, aspiration pneumonia, n/v/d
What can put a pt at higher sick of developing digoxin toxicity - ANSWER-Hypokalemia
What drug do you need to monitor for s/sx of DRESS - ANSWER-Rifampin
What should you have available when giving pen g - ANSWER-Epinephrine
If a person is allergic to pen g what are they cross allergic to - ANSWER-Cephalosporin
81 mg aspirin would be for - ANSWER-Prophylactic
Alendronate drug class - ANSWER-Bisphosphonate
Alendronate MOA - ANSWER-bone reabsorption inhibitor; decreases number and action of
osteoclasts
What is alendronate used for? - ANSWER-To treat and help prevent osteoporosis
,when should you take alendronate - ANSWER-first thing in the morning on an empty stomach
with 8oz glass of water; *stay upright for 30 mins*
Alendronate adverse reactions - ANSWER-- GI: esophagitis, n/v, abd pain
- muscle and joint pain
- eye pain/vision changes
- osteonecrosis of jaw
- atypical femur fracture
- a fib
what should you notify your provider about if on alendronate - ANSWER-- difficulty swallowing
- new GERD
- persistent muscle/joint pain
what medication does your dentist need to know about - ANSWER-alendronate; jaw will not heal
from dental work
how long should you wait to take antacids after taking alendronate - ANSWER-2 hours
what should you take along with alendronate - ANSWER-calcium and vitmain D
who is contraindicated from alendronate - ANSWER-- dysphagia
- esophageal disorders
- kidney failure
- hypocalcemia
- pt who cannot sit upright or stand for 30 mins
what is the IV version of alendronate - ANSWER-zoledronic acid; once a year infusion, must see
dentist prior to infusion, flu like symptoms common after first infusion
,calcium carbonate drug class - ANSWER-Antacid/Nutritional calcium supplement
example of calcium carbonate - ANSWER-tums
calcium carbonate MOA - ANSWER-neutralize the gastric acid in the stomach; rapid relief, does
NOT coat an ulcer already formed
calcium carbonate adverse reactions - ANSWER--constipation
-diarrhea
-hypophosphatemia
allopurinol drug class - ANSWER-Xanthine Oxidase Inhibitor; Antigout
allopurinol MOA - ANSWER-inhibit XO enzyme required for uric acid formation; initial use may
cause flare up so give with NSAID or colchicine
allopurinol adverse reactions - ANSWER-- n,v,d
- abd pain
- drowsiness
- headache
- *metallic taste*
- prolonged use can cause cataracts
- bone marrow suppression
- hypersensitivity reaction (rash/fever; STOP if occurs)
how should you take allopurinol - ANSWER-take with food to reduce GI sx
allopurinol interactions - ANSWER-slows the metabolism of warfarin in the liver which places pt
at risk for bleeding; observe for sx of bleeding and monitor INR
, how should IV allopurinol be given - ANSWER-very diluted and over 30-60 mins
anti gout diet - ANSWER-avoid alcohol, foods high in purine (red meat), ensuring adequate
intake of water, exercise, maintain healthy BMI
aspirin drug class - ANSWER-first generation NSAID
aspirin MOA - ANSWER-nonselective inhibitor of cox 1 and 2:
-inhibits prostaglandin synthesis
-decreases platelet aggregation
-reduces pain, inflammation and fever
aspirin adverse reactions - ANSWER-A- asthma
S- salicylates intolerance
P- peptic ulcers
I- intestinal/gastro bleeding
R- reye's syndrome (kids)
I- increased GI discomfort
N- noise (tinnitus at high dose; earliest sign of toxicity)
what is the earliest sign of aspirin toxicity - ANSWER-tinnitus
is aspirin reversible? - ANSWER-no, lasts as long as the platelets life (7-10 days)
who should not take aspirin - ANSWER-- children under 18; can cause reye's syndrome
- peptic ulcer disease; can cause bleeding in stomach
how should you take aspirin - ANSWER-with food or milk
AND CORRECTLY WELL DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Why would someone be contraindicated from calcium carbonate - ANSWER-Hx of kidney
stones
What do you need to warn a pt about on omeprazole - ANSWER-Aspiration pneumonia
omeprazole adverse effects - ANSWER-osteoporosis and bone fractures (WATCH BMD),
hypomagnesia, aspiration pneumonia, n/v/d
What can put a pt at higher sick of developing digoxin toxicity - ANSWER-Hypokalemia
What drug do you need to monitor for s/sx of DRESS - ANSWER-Rifampin
What should you have available when giving pen g - ANSWER-Epinephrine
If a person is allergic to pen g what are they cross allergic to - ANSWER-Cephalosporin
81 mg aspirin would be for - ANSWER-Prophylactic
Alendronate drug class - ANSWER-Bisphosphonate
Alendronate MOA - ANSWER-bone reabsorption inhibitor; decreases number and action of
osteoclasts
What is alendronate used for? - ANSWER-To treat and help prevent osteoporosis
,when should you take alendronate - ANSWER-first thing in the morning on an empty stomach
with 8oz glass of water; *stay upright for 30 mins*
Alendronate adverse reactions - ANSWER-- GI: esophagitis, n/v, abd pain
- muscle and joint pain
- eye pain/vision changes
- osteonecrosis of jaw
- atypical femur fracture
- a fib
what should you notify your provider about if on alendronate - ANSWER-- difficulty swallowing
- new GERD
- persistent muscle/joint pain
what medication does your dentist need to know about - ANSWER-alendronate; jaw will not heal
from dental work
how long should you wait to take antacids after taking alendronate - ANSWER-2 hours
what should you take along with alendronate - ANSWER-calcium and vitmain D
who is contraindicated from alendronate - ANSWER-- dysphagia
- esophageal disorders
- kidney failure
- hypocalcemia
- pt who cannot sit upright or stand for 30 mins
what is the IV version of alendronate - ANSWER-zoledronic acid; once a year infusion, must see
dentist prior to infusion, flu like symptoms common after first infusion
,calcium carbonate drug class - ANSWER-Antacid/Nutritional calcium supplement
example of calcium carbonate - ANSWER-tums
calcium carbonate MOA - ANSWER-neutralize the gastric acid in the stomach; rapid relief, does
NOT coat an ulcer already formed
calcium carbonate adverse reactions - ANSWER--constipation
-diarrhea
-hypophosphatemia
allopurinol drug class - ANSWER-Xanthine Oxidase Inhibitor; Antigout
allopurinol MOA - ANSWER-inhibit XO enzyme required for uric acid formation; initial use may
cause flare up so give with NSAID or colchicine
allopurinol adverse reactions - ANSWER-- n,v,d
- abd pain
- drowsiness
- headache
- *metallic taste*
- prolonged use can cause cataracts
- bone marrow suppression
- hypersensitivity reaction (rash/fever; STOP if occurs)
how should you take allopurinol - ANSWER-take with food to reduce GI sx
allopurinol interactions - ANSWER-slows the metabolism of warfarin in the liver which places pt
at risk for bleeding; observe for sx of bleeding and monitor INR
, how should IV allopurinol be given - ANSWER-very diluted and over 30-60 mins
anti gout diet - ANSWER-avoid alcohol, foods high in purine (red meat), ensuring adequate
intake of water, exercise, maintain healthy BMI
aspirin drug class - ANSWER-first generation NSAID
aspirin MOA - ANSWER-nonselective inhibitor of cox 1 and 2:
-inhibits prostaglandin synthesis
-decreases platelet aggregation
-reduces pain, inflammation and fever
aspirin adverse reactions - ANSWER-A- asthma
S- salicylates intolerance
P- peptic ulcers
I- intestinal/gastro bleeding
R- reye's syndrome (kids)
I- increased GI discomfort
N- noise (tinnitus at high dose; earliest sign of toxicity)
what is the earliest sign of aspirin toxicity - ANSWER-tinnitus
is aspirin reversible? - ANSWER-no, lasts as long as the platelets life (7-10 days)
who should not take aspirin - ANSWER-- children under 18; can cause reye's syndrome
- peptic ulcer disease; can cause bleeding in stomach
how should you take aspirin - ANSWER-with food or milk
