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2025 Medical‑Surgical Nursing Comprehensive PDF Study Guide – Diagrams, Chapter Summaries & NCLEX‑Style Questions

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2025 Medical‑Surgical Nursing Comprehensive PDF Study Guide – Diagrams, Chapter Summaries & NCLEX‑Style Questions Power through your Medical‑Surgical Nursing exams with this all‑in‑one 2025 Study Guide PDF. Crafted for busy nursing and pharmacy students, it delivers: In‑Depth Chapter Summaries – Clear, bullet‑point overviews of core topics like cardiovascular, respiratory, renal, endocrine, and gastrointestinal systems. High‑Resolution Diagrams & Tables – Visual aids for anatomy, pathophysiology, and drug mechanisms enhance retention. NCLEX‑Style Practice Questions – Over 150 exam‑format questions with verified answers and detailed rationales to boost test‑taking confidence. Full‑Length Quizzes & Self‑Assessments – Four end‑of‑chapter quizzes simulate real exam conditions and track your progress. Verified Answer Rationales – Understand “why” behind each correct answer to deepen clinical reasoning and critical thinking. Portable PDF Format – Compatible with any device for on‑the‑go review: tablet, laptop, or smartphone. Whether you’re preparing for semester finals or the NCLEX® exam, this 2025 Medical‑Surgical Nursing Study Guide is your roadmap to success—studied, scanned, and proven to elevate your scores. 3. Targeted Tags/Keywords nursing review medical‑surgical nursing 2025 study guide NCLEX prep PDF study guide chapter summaries anatomy diagrams pharmacology questions cardiovascular system respiratory system renal system endocrine nursing gastrointestinal pharmacology high‑resolution illustrations rationales explained exam‑style quizzes self‑assessment nursing student resources critical thinking test‑taking strategies • Arizona State University • University of Texas at Arlington • Johns Hopkins University • University of Florida • Pennsylvania State University – All Campuses • New York University • Liberty University (Online) • Florida International University • Duke University • Yale University • Texas A&M University • Michigan State University • University of Virginia • Georgia Institute of Technology • University of Central Florida • The Ohio State University • Vanderbilt University • University of Southern California • Massachusetts Institute of Technology • University of Houston – Main Campus • University of Maryland – Baltimore • Princeton University • Emory University • University of Illinois – Urbana–Champaign

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Institution
Nursing pharmacology
Course
Nursing pharmacology

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Uploaded on
July 15, 2025
Number of pages
511
Written in
2024/2025
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, Complete Table of Contents



SECTION I: Introduction to Sociocultural Aspects, Law, and Ethics

Chapter 1: Sociocultural Aspects
– Medicine advertising and media influences
– Over-the-counter (OTC) preparations
– Generic vs proprietary medicines
– Medicine use in older individuals
– Cultural and linguistic differences
– Indigenous perspectives on medicine therapy

Chapter 2: Health Professionals and the Law
– Legislative controls on medicines
– Australian and New Zealand medicine controls
– Common law: unclear, telephone, standing orders
– Emergency situations and nurse practitioners
– Midwifery and remote area care

Chapter 3: Ethical Issues in Health Care
– Six principles: veracity, autonomy, non-maleficence, etc.
– Ethical situations in pharmacology
– Professional responsibilities



SECTION II: Medicine Administration and Professional Responsibilities

Chapter 4: Formulations, Storage, Routes
– Formulations and stability
– Routes of administration
– First-pass effect

Chapter 5: Clinical Decision-Making
– Clinical assessment
– Medicine selection
– Patient factors

Chapter 6: Administration and Documentation
– Administration techniques
– Documentation standards
– Responsibilities

Chapter 7: Medication Errors
– Types and causes
– Prevention strategies
– Reporting and management

,SECTION III: General Aspects of Pharmacology

Chapter 8: Drug Nomenclature
– Generic, brand, chemical names
– Classification systems

Chapter 9: Pharmacokinetics
– ADME process
– Bioavailability and half-life

Chapter 10: Pharmacodynamics
– Drug-receptor interactions
– Dose-response, agonists

Chapter 11: Pharmacogenetics
– Genetic factors
– Pharmacogenomic testing

Chapter 12: Drug Interactions
– Pharmacokinetic & dynamic
– Drug-food interactions

Chapter 13: Pharmacokinetic Modifiers
– Age, disease, environment

Chapter 14: Pediatric & Geriatric Pharmacology
– Developmental and dosing issues



SECTION IV: Toxicology

Chapter 15: Poisoning & Envenomation
Chapter 16: Acute Overdose
Chapter 17: Substances of Abuse
Chapter 18: Medicine Safety



SECTION V: Autonomic Pharmacology

Chapter 19: Neuropharmacology Overview
Chapter 20: Adrenergic Pharmacology
Chapter 21: Cholinergic Pharmacology



SECTION VI: Neuropharmacology

Chapter 22: Antipsychotic Agents
Chapter 23: Anxiolytics & Hypnotics
Chapter 24: Antidepressants & Mood Stabilisers
Chapter 25: Neurodegenerative Disorders
Chapter 26: Antiseizure Agents & Muscle Relaxants
Chapter 27: CNS Stimulants

,SECTION VII: Pain and Anaesthesia

Chapter 28: Analgesics
Chapter 29: Migraine & Headaches
Chapter 30: General Anaesthesia
Chapter 31: Local Anaesthesia



SECTION VIII: Inflammation, Immunity and Cancer

Chapter 32: Anti-inflammatory Agents
Chapter 33: Antigout Medicines
Chapter 34: Antihistamines
Chapter 35: Immunomodulators
Chapter 36: Cancer Chemotherapy



SECTION IX: Cardiovascular and Respiratory Pharmacology

Chapter 37: Dyslipidaemia
Chapter 38: Antihypertensives
Chapter 39: Antianginals
Chapter 40: Anticoagulants and Thrombolytics
Chapter 41: Diuretics & Renal Drugs
Chapter 42: Heart Failure
Chapter 43: Antidysrhythmics
Chapter 44: Fluid & Electrolyte Imbalance
Chapter 45: Anti-anaemic Agents
Chapter 46: Respiratory Medicines (Asthma, COPD)



SECTION X: Modulation of Gastrointestinal Function

Chapter 47: Cold & Allergy Medicines
Chapter 48: Gastrointestinal Drugs
Chapter 49: Antiemetics
Chapter 50: Nutrition (Enteral/Parenteral)



SECTION XI: Endocrine and Metabolic Pharmacology

Chapter 51: Pituitary Conditions
Chapter 52: Thyroid Conditions
Chapter 53: Diabetes Management
Chapter 54: Adrenal Disorders
Chapter 55: Gonadal Hormones
Chapter 56: Bone Disorders
Chapter 57: Obesity Management

,SECTION XII: Antimicrobial Pharmacology

Chapter 58: Intro to Antimicrobials
Chapter 59: Antibacterial Agents
Chapter 60: TB and Leprosy Agents
Chapter 61: Antiseptics & Disinfectants
Chapter 62: Antiparasitic Agents
Chapter 63: Antivirals
Chapter 64: Antifungals



SECTION XIII: Special Topics in Pharmacology

Chapter 65: Skin Conditions
Chapter 66: Ophthalmic Medicines
Chapter 67: Herbal Medicines

, Chapter 1
1. A pharmaceutical company launches a national campaign
showing celebrities using its new cough syrup to highlight
its effectiveness. What sociocultural factor is primarily
being leveraged?
Correct answer: Media influence through celebrity
endorsement
Rationale: Celebrity endorsements in advertising tap into
social trust and popularity, shaping consumer perceptions
and increasing demand by leveraging media influence in a
sociocultural context.
2. An elderly patient prefers an over-the-counter antacid
because it’s familiar and affordable, despite having similar
prescription alternatives. Which sociocultural aspect does
this choice illustrate?
Correct answer: Accessibility and familiarity of OTC
preparations
Rationale: OTC medications are chosen for ease of access,
cost, and familiarity, reflecting cultural norms around
self-care and practical decision-making in older individuals.
3. A community health flyer uses simple, non-technical
language to explain how to take paracetamol. Which
consideration is this addressing?
Correct answer: Linguistic differences in health
communication
Rationale: Adapting health education materials to the

, linguistic abilities of the target population ensures
understanding and safe medicine use across diverse
cultural and language groups.
4. In a rural Indigenous community, traditional healers
collaborate with pharmacists to integrate bush medicines
with prescribed antibiotics. What does this scenario best
represent?
Correct answer: Indigenous perspectives on medicine
therapy
Rationale: Collaborative models respect Indigenous
healing practices and combine them with Western
medicine, acknowledging cultural beliefs in holistic
healthcare.
5. An advertisement claims that the generic version of a
hypertension drug “works just like the brand name.”
Which key concept is being communicated?
Correct answer: Therapeutic equivalence of generic versus
proprietary medicines
Rationale: Generics are bioequivalent to brand-name
drugs, emphasizing cost-effective options without
compromising efficacy, a critical sociocultural factor in
equitable healthcare.
6. A television commercial for a sleeping aid shows happy
families and reassuring imagery to reduce anxiety about
insomnia. What advertising strategy is this?
Correct answer: Emotional appeal in medicine advertising

, Rationale: Emotional appeals use reassuring visuals to
influence patient attitudes toward medication, reflecting
how media shapes sociocultural perceptions of treatment.
7. A patient reads the active ingredient on an OTC product
instead of the brand name to compare prices. Which
concept is this demonstrating?
Correct answer: Consumer empowerment through generic
knowledge
Rationale: Understanding active ingredients enables
informed choices, showing how knowledge of generics can
empower culturally diverse consumers in cost-conscious
decision-making.
8. A community pharmacy organizes multilingual counseling
sessions for new diabetic medications. Which sociocultural
barrier is this approach targeting?
Correct answer: Cultural and linguistic differences in
healthcare access
Rationale: Offering services in multiple languages
addresses language barriers and cultural competence,
improving medicine adherence among diverse
populations.
9. An older adult is prescribed a lower dose of an analgesic
due to age-related changes in drug metabolism. Which
aspect of medicine use is highlighted?
Correct answer: Pharmacokinetic considerations in older
individuals

, Rationale: Age-related physiological changes affect drug
absorption and clearance, necessitating dose adjustments
that respect the unique needs of elderly patients.
10. A TV ad for a new antibiotic emphasizes
“patent-protected formula” and “innovative science.”
What sociocultural factor does this highlight?
Correct answer: Proprietary branding in pharmaceutical
marketing
Rationale: Emphasizing patent protection and innovation
appeals to consumer perceptions of quality and trust,
reflecting how proprietary branding shapes sociocultural
attitudes.
11. A public health campaign encourages community
elders to share traditional medicinal knowledge with
youth. Which sociocultural dimension is being promoted?
Correct answer: Preservation of Indigenous perspectives
on medicine
Rationale: Engaging elders maintains cultural heritage and
respects traditional healing practices, fostering
intergenerational knowledge transfer in health.
12. A grocery store shelf labels display both generic and
brand-name cold remedies at the same price. Which
message is being conveyed?
Correct answer: Cost equality between generic and
proprietary medicines
Rationale: Equal pricing highlights the affordability of

, generics and challenges perceptions that brand-name
products are inherently superior.
13. An online forum for older patients discusses how to
read OTC medicine labels safely. What sociocultural need
does this satisfy?
Correct answer: Health literacy support for older
individuals
Rationale: Promoting label literacy among seniors
addresses age-related cognitive changes and empowers
self-medication practices within their cultural context.
14. A radio ad in a minority language markets a topical
antiseptic widely available OTC. What key marketing
adaptation is illustrated?
Correct answer: Targeting linguistic minorities in medicine
advertising
Rationale: Broadcasting in minority languages enhances
outreach and respects cultural diversity, improving access
to vital OTC therapies.
15. A nurse explains that a generic antidepressant costs
70% less than its brand counterpart but has the same
active molecule. Which point is being emphasized?
Correct answer: Economic benefit of generic medicines
Rationale: Highlighting the cost savings of generics within
the same therapeutic class underscores how economic
factors influence medicine choices in different cultural
groups.
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