PHARM 180 MAIN EXAM TEST 2025/2026 QUESTIONS
WITH ANSWERS GRADED A+
✔✔Metoclopramide (Dopamine Antagonist) - ✔✔Prokinetic
Indications: Constipation, Emesis
CI: GI obstruction, w/seizure history
RN: Monitor for involuntary movement's
DO NOT GIVE TO PARKINSON PTS
✔✔Diphenoxylate + Atropine - ✔✔Anti-Diarrheal
Atropine added so patient don't take high doses
Interactions: ETOH & Other CNS depressants
RN: Monitor Dehydration
AVOID: ETOH, Caffeine, Water
✔✔Loperamide - ✔✔Anti-Diarrheal
CI: UC, bloody stools, Diarrhea w/high fever
*used with pts w/ileostomy to reduce stool
✔✔Dimenhydrinate - ✔✔H1 Antihistamine
ANTIEMETIC
TX: motion sickness
give 30-60 mins prior to activity
✔✔Scopolamine - ✔✔Antiemetic
not for BPH /Glaucoma pts
✔✔Ondansetron (Zofran) - ✔✔Antiemetic
AE: prolonged QT interval, headache, dizziness
✔✔Banana Bag - ✔✔TX: ETOH, malnutrition
✔✔TPN Bag - ✔✔AE: Infection
RN: Given through a filter, start infusion slowly
-Don't stop abruptly can cause fatal hypoglycemia
-****If empty or no bag available hang D10%W
-Change tubing Q 24 Hrs
-Change tubing Q 12 Hrs. for lipids
✔✔Insulin - ✔✔2 nurse witness
TX: Increase Glucose and Potassium into cells
AE: Hypoglycemia, Hypokalemia, Lipodystrophy
✔✔Hypoglycemia S/S - ✔✔Tachycardia & Diaphoresis
, ✔✔Hyperglycemia - ✔✔-Polyuria
-Polyphagia
-Polydipsia
✔✔Hypokalemia - ✔✔Low Potassium
Muscle weakness and Fatal heart arrythmias
✔✔Insulin Storage - ✔✔Unopened: In fridge until expiration date
Opened: Room temp for 1 month
✔✔Metformin - ✔✔1st Line for type 2 DM
AE: ***Lactic Acidosis
CI: ETOH, ***Renal Impairment
CT scan with contrast: Stop before test and hold for 48 Hours & until normal BUN and
Creatinine
✔✔Glipizide, Glyburide, Glimepiride - ✔✔2nd line for type 2 DM
Oral Sulfonylureas
RN: No ETOH
✔✔Acarbose - ✔✔Delays glucose breakdown
RN: PO med that doesn't need insulin/pancreas to function
✔✔Paralytics - ✔✔Safety Equipment in the room:
1. Crash Cart
2. BVM "Ambubag"
3. Oxygen
4. Suction
5. Heart Monitor & Constant SpO2
✔✔Sugammadex - ✔✔NMB's Reversal Medication
✔✔Paralytics - ✔✔Might all cause drop in BP (below 90)
-Administer sedative and analgesic
✔✔Atracurium, Cisatracurium, Rocuronium, Vecuronium, Pancuronium - ✔✔"I Use
More meds"
NMB's/Paralytics
✔✔Succinylycholine - ✔✔NMB's
AE: Malignant Hyperthermia
S/S: Muscle Rigidity and increase Temp
TX: Dantrolene
✔✔Dantrolene - ✔✔Tx for malignant hyperthermia
WITH ANSWERS GRADED A+
✔✔Metoclopramide (Dopamine Antagonist) - ✔✔Prokinetic
Indications: Constipation, Emesis
CI: GI obstruction, w/seizure history
RN: Monitor for involuntary movement's
DO NOT GIVE TO PARKINSON PTS
✔✔Diphenoxylate + Atropine - ✔✔Anti-Diarrheal
Atropine added so patient don't take high doses
Interactions: ETOH & Other CNS depressants
RN: Monitor Dehydration
AVOID: ETOH, Caffeine, Water
✔✔Loperamide - ✔✔Anti-Diarrheal
CI: UC, bloody stools, Diarrhea w/high fever
*used with pts w/ileostomy to reduce stool
✔✔Dimenhydrinate - ✔✔H1 Antihistamine
ANTIEMETIC
TX: motion sickness
give 30-60 mins prior to activity
✔✔Scopolamine - ✔✔Antiemetic
not for BPH /Glaucoma pts
✔✔Ondansetron (Zofran) - ✔✔Antiemetic
AE: prolonged QT interval, headache, dizziness
✔✔Banana Bag - ✔✔TX: ETOH, malnutrition
✔✔TPN Bag - ✔✔AE: Infection
RN: Given through a filter, start infusion slowly
-Don't stop abruptly can cause fatal hypoglycemia
-****If empty or no bag available hang D10%W
-Change tubing Q 24 Hrs
-Change tubing Q 12 Hrs. for lipids
✔✔Insulin - ✔✔2 nurse witness
TX: Increase Glucose and Potassium into cells
AE: Hypoglycemia, Hypokalemia, Lipodystrophy
✔✔Hypoglycemia S/S - ✔✔Tachycardia & Diaphoresis
, ✔✔Hyperglycemia - ✔✔-Polyuria
-Polyphagia
-Polydipsia
✔✔Hypokalemia - ✔✔Low Potassium
Muscle weakness and Fatal heart arrythmias
✔✔Insulin Storage - ✔✔Unopened: In fridge until expiration date
Opened: Room temp for 1 month
✔✔Metformin - ✔✔1st Line for type 2 DM
AE: ***Lactic Acidosis
CI: ETOH, ***Renal Impairment
CT scan with contrast: Stop before test and hold for 48 Hours & until normal BUN and
Creatinine
✔✔Glipizide, Glyburide, Glimepiride - ✔✔2nd line for type 2 DM
Oral Sulfonylureas
RN: No ETOH
✔✔Acarbose - ✔✔Delays glucose breakdown
RN: PO med that doesn't need insulin/pancreas to function
✔✔Paralytics - ✔✔Safety Equipment in the room:
1. Crash Cart
2. BVM "Ambubag"
3. Oxygen
4. Suction
5. Heart Monitor & Constant SpO2
✔✔Sugammadex - ✔✔NMB's Reversal Medication
✔✔Paralytics - ✔✔Might all cause drop in BP (below 90)
-Administer sedative and analgesic
✔✔Atracurium, Cisatracurium, Rocuronium, Vecuronium, Pancuronium - ✔✔"I Use
More meds"
NMB's/Paralytics
✔✔Succinylycholine - ✔✔NMB's
AE: Malignant Hyperthermia
S/S: Muscle Rigidity and increase Temp
TX: Dantrolene
✔✔Dantrolene - ✔✔Tx for malignant hyperthermia
