NSG 318 LATEST 2026 EXAM QUESTIONS AND SOLUTIONS
RATED A+
✔✔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? - ✔✔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
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
✔✔A new nurse is unsure what education to provide a patient who recently started
Crestor. What education should be provided to this nurse? - ✔✔Monitor blood lipid
levels and liver enzymes
Take med w/ sufficient water or w/ meals to alleviate GI upset
Annual eye exam and report changes in visual acuity
, Do NOT abruptly stop med as it can cause serious rebound effects leading to acute MI
and possible death
✔✔Which med is in the drug class of Beta1 Blockers?
a. Lopressor
b. Minipress
c. Crestor
d. Lisinopril - ✔✔a. Lopressor (metoprolol)
✔✔A patient with a history of HTN, depression and COPD requests to start taking
Metoprolol as he heard good things about it. What action should the nurse take?
a. Request the medication for the patient
b. Administer a dose
c. Provide education
d. Ignore the patients requests - ✔✔c. Provide education. Depression and COPD is a
contraindication for metoprolol because there is a potential risk of Beta 2 stimulation.
✔✔A patient is starting Lopressor. What education should the nurse provide about the
side effect and adverse reactions? - ✔✔Tinnitus, depression, ED, DM, stroke, AV heart
block and bronchospasms
✔✔Which medication is the drug class of alpha adrenergic blockers?
a. Lopressor
b. Minipress
c. Crestor
d. Lisinopril - ✔✔b. Minipress (prazosin)
✔✔A patient is upset that his prazosin is not being administered post ocular surgery.
The new grad nurse caring for the patient is unsure why this was stopped. What
education should be provided? - ✔✔Ocular surgery is a caution with prazosin because
alpha 1 directly acts on blood vessels whereas Beta 1 works on the kidneys.
✔✔What are the side effects and adverse reactions of minipress? - ✔✔Tinnitus,
depression, ED, pancreatitis, urinary incontinence, and elevated liver enzymes levels
✔✔What are the drug interactions of Minipress? - ✔✔(Increased hypotensive effects)
Other antihypertensive, nitrates, diuretics and alcohol
(Decreased effects) NSAIDs
✔✔A patient is being discharged and was prescribed prazosin. Education was provided
in regards to this medication. Which statement indicates the patient needs further
education? SATA
a. Monitor weekly BP reading and record
b. Decrease salt intake
RATED A+
✔✔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? - ✔✔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
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
✔✔A new nurse is unsure what education to provide a patient who recently started
Crestor. What education should be provided to this nurse? - ✔✔Monitor blood lipid
levels and liver enzymes
Take med w/ sufficient water or w/ meals to alleviate GI upset
Annual eye exam and report changes in visual acuity
, Do NOT abruptly stop med as it can cause serious rebound effects leading to acute MI
and possible death
✔✔Which med is in the drug class of Beta1 Blockers?
a. Lopressor
b. Minipress
c. Crestor
d. Lisinopril - ✔✔a. Lopressor (metoprolol)
✔✔A patient with a history of HTN, depression and COPD requests to start taking
Metoprolol as he heard good things about it. What action should the nurse take?
a. Request the medication for the patient
b. Administer a dose
c. Provide education
d. Ignore the patients requests - ✔✔c. Provide education. Depression and COPD is a
contraindication for metoprolol because there is a potential risk of Beta 2 stimulation.
✔✔A patient is starting Lopressor. What education should the nurse provide about the
side effect and adverse reactions? - ✔✔Tinnitus, depression, ED, DM, stroke, AV heart
block and bronchospasms
✔✔Which medication is the drug class of alpha adrenergic blockers?
a. Lopressor
b. Minipress
c. Crestor
d. Lisinopril - ✔✔b. Minipress (prazosin)
✔✔A patient is upset that his prazosin is not being administered post ocular surgery.
The new grad nurse caring for the patient is unsure why this was stopped. What
education should be provided? - ✔✔Ocular surgery is a caution with prazosin because
alpha 1 directly acts on blood vessels whereas Beta 1 works on the kidneys.
✔✔What are the side effects and adverse reactions of minipress? - ✔✔Tinnitus,
depression, ED, pancreatitis, urinary incontinence, and elevated liver enzymes levels
✔✔What are the drug interactions of Minipress? - ✔✔(Increased hypotensive effects)
Other antihypertensive, nitrates, diuretics and alcohol
(Decreased effects) NSAIDs
✔✔A patient is being discharged and was prescribed prazosin. Education was provided
in regards to this medication. Which statement indicates the patient needs further
education? SATA
a. Monitor weekly BP reading and record
b. Decrease salt intake
