NSG 318 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED NEW UPDATE!!
2025-2026
NSG 318 FINAL + WEEK 8
What is the opioid agonist-antagonist medication and why is this combination
medication? - ANSWER>>Nubain (Nalbuphine) this raises the pain threshold and
prevents dependence
What is the side effect of Morphine? What should not be combined with this? What is the
antidote? - ANSWER>>Respiratory depression.
Do not combine with other CNS depressants.
Antidote: Narcan (this is for all opioids)
What medication is taken to treat Gout and prevents future bouts of Gout? -
ANSWER>>Allopurinol
What are the normal ranges for Hb in Male and Females? - ANSWER>>Male: 13.5 -17.5
g/dL
Female: 12.0-15.5 g/dL
How do you administer and teach the patient to take Nitroglycerin? - ANSWER>>This is
taken Sublingually when pt. has symptoms of Angina.
For nitroglycerin patch w/ cream, wipe off old cream, don't rub in, place on chest near
heart
When initiating a Nitroglycerin patch, how would you teach the patient about removal
,and disposal? - ANSWER>>8-12 hours nitrate-free period; dispose of this in a safety
container, not a regular trash
What is the therapeutic level of Digoxin? What would you do if the pt.'s therapeutic level
is too high? - ANSWER>>0.5-1.0ng/mL
Hold dose, notify provider, and anticipate reducing the dose
Before administering Digoxin what must you do? - ANSWER>>Check HR - must be > or
= 60 to administer; teach the pt. about this if self-administering. (taking pulse, verifying
60)
What must you do before administering Beta Blockers? What can these cause in Males?
- ANSWER>>Check HR and BP
Impotence/ ED
Teach the pt. this
When pt. is discharged with prescription of ARB's (Angiotensin Receptor Blocker) what
should you educate them on? - ANSWER>>Teach pt. to take own pulse and BP and
record in a log
What medication works best in treating HTN in African Americans? Which CAM interacts
with this? - ANSWER>>Calcium Channel Blockers - Diltiazem - Parsley
What would you teach the pt. about Anti-Hypertensives? - ANSWER>>These will most
likely be taken for the rest of their life.
Take BP and record weekly.
Don't abruptly stop taking.
Exercise is good but check with provider first.
No extra salt in the diet. (Read food labels)
What is Hydrochlorothiazide? What does it act on/ do? What CAMs cannot be taken with
,this? - ANSWER>>Thiazide Diuretic
Acts on renal distal tubules, promotes water, sodium, and chloride excretion.
Weigh daily.
CAMs - gingko, aloe, licorice, Hawthorne
Name and Class: Furosemide
Most Common Side Effect:
What does it do/ act on? What electrolyte is decreased? What should you be aware of/
teach the pt.? - ANSWER>>Loop Diuretic. Orthostatic Hypotension (Fall Risk Protocol)
Acts on Loop of Henle + Distal Tubules. **decreases K+**
Treats HF, renal dysfunction.
Give slowly, give to people w/ ESRD.
Call HCP if you have Hearing Loss or Tinnitus - toxicity.
What does Spironolactone act on/ do? When should this be taken? What foods should be
avoided? What drug does this interact with? - ANSWER>>Acts on renal distal tubules -
treats PE, circulatory overload, ascites. Take in the AM. Avoid foods high in K+ (causes
hyperkalemia) ACE Inhibitors - Fatal! Report decreased **UOP to doctor**
Difference b/w HDL and LDL - ANSWER>>LDL - low density lipoprotein ("loser
cholesterol") BAD
HDL - high density lipoprotein "healthy"
What is Rosuvastatin (Crestor)? What should you educate your pt. taking this? -
ANSWER>>HMG-CoA reductase inhibitor.
Report muscle pain and weakness - this could be a sign of rhabdomylosis
Difference b/w Heparin vs. Warfarin. Which has a more stable response? Antidote?
Labs? - ANSWER>>Heparin has a short half-life. Warfarin has a longer half-life.
Warfarin is oral, fewer labs required, less risk for hemorrhage w/less doses. Antidote:
, Vit. K
Labs: INR or PT
What medication is commonly used with Clopidogrel (Plavix)? What do you need to teach
a pre-op patient regarding this medication? - ANSWER>>Aspirin (ASA)
Stop taking 3-7 days before surgery
What class of medication is Alteplase? What is important to know about this class of
medications? - ANSWER>>Thrombolytic-it does not prevent future clots
In what patient would it be contraindicated to administer Alteplase? - ANSWER>>A
hemorrhagic stroke patient (must check MRI to determine stroke type. Can only be
administered to Ischemic Stroke pt.), severe trauma, bleeding disorders, or head
injuries.
What CAMs cannot be combined with anti-platelets, anti-coagulants, or thrombolytics? -
ANSWER>>Gingko and Garlic
What CAM increases BP? - ANSWER>>Ephedra (found in OTC nasal decongestants)
Which CAM increases sedation? - ANSWER>>St. John's Wort
Which CAM decreases Potassium and should not be combined with drugs that decrease
Potassium? - ANSWER>>Licorice Root
What CAM cannot be used concurrently with Fluconoazole? - ANSWER>>Green tea
(and any other caffeine)
What makes bacteria resistant? - ANSWER>>Not completing a full course of antibiotic,
repeated use of antibiotics, or when not indicated.
S
VERIFIED NEW UPDATE!!
2025-2026
NSG 318 FINAL + WEEK 8
What is the opioid agonist-antagonist medication and why is this combination
medication? - ANSWER>>Nubain (Nalbuphine) this raises the pain threshold and
prevents dependence
What is the side effect of Morphine? What should not be combined with this? What is the
antidote? - ANSWER>>Respiratory depression.
Do not combine with other CNS depressants.
Antidote: Narcan (this is for all opioids)
What medication is taken to treat Gout and prevents future bouts of Gout? -
ANSWER>>Allopurinol
What are the normal ranges for Hb in Male and Females? - ANSWER>>Male: 13.5 -17.5
g/dL
Female: 12.0-15.5 g/dL
How do you administer and teach the patient to take Nitroglycerin? - ANSWER>>This is
taken Sublingually when pt. has symptoms of Angina.
For nitroglycerin patch w/ cream, wipe off old cream, don't rub in, place on chest near
heart
When initiating a Nitroglycerin patch, how would you teach the patient about removal
,and disposal? - ANSWER>>8-12 hours nitrate-free period; dispose of this in a safety
container, not a regular trash
What is the therapeutic level of Digoxin? What would you do if the pt.'s therapeutic level
is too high? - ANSWER>>0.5-1.0ng/mL
Hold dose, notify provider, and anticipate reducing the dose
Before administering Digoxin what must you do? - ANSWER>>Check HR - must be > or
= 60 to administer; teach the pt. about this if self-administering. (taking pulse, verifying
60)
What must you do before administering Beta Blockers? What can these cause in Males?
- ANSWER>>Check HR and BP
Impotence/ ED
Teach the pt. this
When pt. is discharged with prescription of ARB's (Angiotensin Receptor Blocker) what
should you educate them on? - ANSWER>>Teach pt. to take own pulse and BP and
record in a log
What medication works best in treating HTN in African Americans? Which CAM interacts
with this? - ANSWER>>Calcium Channel Blockers - Diltiazem - Parsley
What would you teach the pt. about Anti-Hypertensives? - ANSWER>>These will most
likely be taken for the rest of their life.
Take BP and record weekly.
Don't abruptly stop taking.
Exercise is good but check with provider first.
No extra salt in the diet. (Read food labels)
What is Hydrochlorothiazide? What does it act on/ do? What CAMs cannot be taken with
,this? - ANSWER>>Thiazide Diuretic
Acts on renal distal tubules, promotes water, sodium, and chloride excretion.
Weigh daily.
CAMs - gingko, aloe, licorice, Hawthorne
Name and Class: Furosemide
Most Common Side Effect:
What does it do/ act on? What electrolyte is decreased? What should you be aware of/
teach the pt.? - ANSWER>>Loop Diuretic. Orthostatic Hypotension (Fall Risk Protocol)
Acts on Loop of Henle + Distal Tubules. **decreases K+**
Treats HF, renal dysfunction.
Give slowly, give to people w/ ESRD.
Call HCP if you have Hearing Loss or Tinnitus - toxicity.
What does Spironolactone act on/ do? When should this be taken? What foods should be
avoided? What drug does this interact with? - ANSWER>>Acts on renal distal tubules -
treats PE, circulatory overload, ascites. Take in the AM. Avoid foods high in K+ (causes
hyperkalemia) ACE Inhibitors - Fatal! Report decreased **UOP to doctor**
Difference b/w HDL and LDL - ANSWER>>LDL - low density lipoprotein ("loser
cholesterol") BAD
HDL - high density lipoprotein "healthy"
What is Rosuvastatin (Crestor)? What should you educate your pt. taking this? -
ANSWER>>HMG-CoA reductase inhibitor.
Report muscle pain and weakness - this could be a sign of rhabdomylosis
Difference b/w Heparin vs. Warfarin. Which has a more stable response? Antidote?
Labs? - ANSWER>>Heparin has a short half-life. Warfarin has a longer half-life.
Warfarin is oral, fewer labs required, less risk for hemorrhage w/less doses. Antidote:
, Vit. K
Labs: INR or PT
What medication is commonly used with Clopidogrel (Plavix)? What do you need to teach
a pre-op patient regarding this medication? - ANSWER>>Aspirin (ASA)
Stop taking 3-7 days before surgery
What class of medication is Alteplase? What is important to know about this class of
medications? - ANSWER>>Thrombolytic-it does not prevent future clots
In what patient would it be contraindicated to administer Alteplase? - ANSWER>>A
hemorrhagic stroke patient (must check MRI to determine stroke type. Can only be
administered to Ischemic Stroke pt.), severe trauma, bleeding disorders, or head
injuries.
What CAMs cannot be combined with anti-platelets, anti-coagulants, or thrombolytics? -
ANSWER>>Gingko and Garlic
What CAM increases BP? - ANSWER>>Ephedra (found in OTC nasal decongestants)
Which CAM increases sedation? - ANSWER>>St. John's Wort
Which CAM decreases Potassium and should not be combined with drugs that decrease
Potassium? - ANSWER>>Licorice Root
What CAM cannot be used concurrently with Fluconoazole? - ANSWER>>Green tea
(and any other caffeine)
What makes bacteria resistant? - ANSWER>>Not completing a full course of antibiotic,
repeated use of antibiotics, or when not indicated.
S
