NLN MEDICATION MAIN EXAMINATION TEST 2025/2026
QUESTIONS AND ANSWERS GRADED A++
✔✔Precautions and Room Assignments - ✔✔-Universal (standard) Precations...HIV
initiated
-Wash hands
-Wear Gloves
-Gowns for splashes
-Masks and Eye protection for splashes and droplets
-Dont recap needles
-Mouthpiece or Ambu-bag for resuscitation
-Refrain from giving care if you have skin lesion
Droplet (Respiratory) Precautions (Wear mask)
*Sepsis, Scarlet fever, Strep, Fifth disease (Parvo B19), Pertusis, Pneumonia,
Influenza, Diptheira, Epiglottitis, Rubella, Rubeola, Meningitis, Mycoplasma,
Adenovirus, Rhinovirus.
*RSV (needs contact precautions too)
*TB....Respiratory Isolation
Contact Precautions= Universal + Goggles, Mask and Gown
No infection patients with immunosuppressed patients.
✔✔Rifampin for TB - ✔✔Rusty-orange/red colored urine and body fluids
✔✔Pyridium - ✔✔(Phenazopyridine) Urinary tract analgesic, red/orange/pink urine
✔✔Glascow Coma Scale (GCS) - ✔✔-Neurologic assessment of a patient's best verbal
response, eye opening, and motor function.
-<8 = coma
✔✔Myesthenia Gravis - ✔✔-Myesthenic Crisis = Weakness with change in vitals (give
more meds)
-Cholinergic crisis = Weakness with no change in vitals (reduce meds)
✔✔Diabetic coma vs. Insulin shock - ✔✔Give glucose first - if no help, give insulin
✔✔diabetic ketoacidosis - ✔✔fruity breath
✔✔Acid Base Balance - ✔✔If it comes out of your ass, it's Acidosis
Vomiting = Alkalosis
✔✔Skin tastes salty - ✔✔cystic fibrosis
✔✔Lipitor; statins in PMs only - ✔✔no grapefruit juice
, ✔✔Stroke - ✔✔Tongue points toward side of lesion (paralysis), Uvula deviates away
from the side of lesion (paralysis)
✔✔Hold digoxin if - ✔✔HR < 60
✔✔Stay in bed for 3 hours after first - ✔✔ACE inhibitor dose
✔✔Avoid grapefruit juice with - ✔✔calcium channel blockers
✔✔Anthrax - ✔✔Multi-vector biohazard
✔✔Pulmonary air embolism prevention - ✔✔Trendelenburg (HOB down); place on left
side (to trap air in right side of heart)
✔✔Head trauma and seizures - ✔✔Maintain airway = primary concern
✔✔peptic ulcer - ✔✔feed a duodenal ulcer (pain relieved by food)...starve ulcer
✔✔acute pancreatitis - ✔✔-Fetal position
-bluish discoloration of flanks (Turner's sign)
-bluish discoloration of pericumbelical region (Cullen's sign) ------board like abdomen
with guarding
-self digestion of pancreas by Trypsin
✔✔Hold tube feeding if residual - ✔✔>100ml
✔✔In case of fire - ✔✔RACE (rescue, alarm, contain, extinguish) and PASS (pull pin
breaking the plastic seal, aim at the base of the fire, squeeze the handles together, and
sweep from side to side
✔✔Check restraints every 30 minutes - ✔✔2 fingers room underneath
✔✔Guillain-Barre syndrome - ✔✔Weakness progresses from legs upward - Resp arrest
✔✔Trough draw - ✔✔30 minutes BEFORE the scheduled dose.
✔✔Peak draw - ✔✔30-60 minutes after administration
✔✔When do most suicides occur? - ✔✔After the beginning of improvements with
increase levels of energy
✔✔MAOIs - ✔✔-monoamine oxidase inhibitors
-hypertensive Crisis w/ tyramine foods
QUESTIONS AND ANSWERS GRADED A++
✔✔Precautions and Room Assignments - ✔✔-Universal (standard) Precations...HIV
initiated
-Wash hands
-Wear Gloves
-Gowns for splashes
-Masks and Eye protection for splashes and droplets
-Dont recap needles
-Mouthpiece or Ambu-bag for resuscitation
-Refrain from giving care if you have skin lesion
Droplet (Respiratory) Precautions (Wear mask)
*Sepsis, Scarlet fever, Strep, Fifth disease (Parvo B19), Pertusis, Pneumonia,
Influenza, Diptheira, Epiglottitis, Rubella, Rubeola, Meningitis, Mycoplasma,
Adenovirus, Rhinovirus.
*RSV (needs contact precautions too)
*TB....Respiratory Isolation
Contact Precautions= Universal + Goggles, Mask and Gown
No infection patients with immunosuppressed patients.
✔✔Rifampin for TB - ✔✔Rusty-orange/red colored urine and body fluids
✔✔Pyridium - ✔✔(Phenazopyridine) Urinary tract analgesic, red/orange/pink urine
✔✔Glascow Coma Scale (GCS) - ✔✔-Neurologic assessment of a patient's best verbal
response, eye opening, and motor function.
-<8 = coma
✔✔Myesthenia Gravis - ✔✔-Myesthenic Crisis = Weakness with change in vitals (give
more meds)
-Cholinergic crisis = Weakness with no change in vitals (reduce meds)
✔✔Diabetic coma vs. Insulin shock - ✔✔Give glucose first - if no help, give insulin
✔✔diabetic ketoacidosis - ✔✔fruity breath
✔✔Acid Base Balance - ✔✔If it comes out of your ass, it's Acidosis
Vomiting = Alkalosis
✔✔Skin tastes salty - ✔✔cystic fibrosis
✔✔Lipitor; statins in PMs only - ✔✔no grapefruit juice
, ✔✔Stroke - ✔✔Tongue points toward side of lesion (paralysis), Uvula deviates away
from the side of lesion (paralysis)
✔✔Hold digoxin if - ✔✔HR < 60
✔✔Stay in bed for 3 hours after first - ✔✔ACE inhibitor dose
✔✔Avoid grapefruit juice with - ✔✔calcium channel blockers
✔✔Anthrax - ✔✔Multi-vector biohazard
✔✔Pulmonary air embolism prevention - ✔✔Trendelenburg (HOB down); place on left
side (to trap air in right side of heart)
✔✔Head trauma and seizures - ✔✔Maintain airway = primary concern
✔✔peptic ulcer - ✔✔feed a duodenal ulcer (pain relieved by food)...starve ulcer
✔✔acute pancreatitis - ✔✔-Fetal position
-bluish discoloration of flanks (Turner's sign)
-bluish discoloration of pericumbelical region (Cullen's sign) ------board like abdomen
with guarding
-self digestion of pancreas by Trypsin
✔✔Hold tube feeding if residual - ✔✔>100ml
✔✔In case of fire - ✔✔RACE (rescue, alarm, contain, extinguish) and PASS (pull pin
breaking the plastic seal, aim at the base of the fire, squeeze the handles together, and
sweep from side to side
✔✔Check restraints every 30 minutes - ✔✔2 fingers room underneath
✔✔Guillain-Barre syndrome - ✔✔Weakness progresses from legs upward - Resp arrest
✔✔Trough draw - ✔✔30 minutes BEFORE the scheduled dose.
✔✔Peak draw - ✔✔30-60 minutes after administration
✔✔When do most suicides occur? - ✔✔After the beginning of improvements with
increase levels of energy
✔✔MAOIs - ✔✔-monoamine oxidase inhibitors
-hypertensive Crisis w/ tyramine foods
