N115 Final Study Guide UPDATED
ACTUAL Exam Questions and CORRECT
Answers
1. What do bronchodilators work on? - CORRECT ANSWER - Beta 2 adrenergic
receptors
2. What are effective treatment options for peptic ulcer? - CORRECT ANSWER - H2
blockers, Proton Pump Inhibitors, Sucralfate
3. How do H2 antagonist work against general/gastric ulcers - CORRECT ANSWER -
Reduce gastric acid secretion
4. What is the mechanism of action metformin? - CORRECT ANSWER - Reduces glucose
production in the liver, improves insulin sensitivity in peripheral tissues. It increases muscle and
adipose tissue sensitivity to insulin.
5. What hormone may reduce fetus IQ? If they take it during first trimester that is - CORRECT
ANSWER - Thyroxine
What is Levothyroxine [Synthroid] contained? - CORRECT ANSWER - T4
7. Why do patients that are on long term steroids don't respond well to surgeries or traumas? -
CORRECT ANSWER - Stress/Immune response is suppressed
8. How would you give Ventolin (Albuterol)? - CORRECT ANSWER - Inhaled, Albuterol
9. Before administering Tramadol you would go over what adverse effects? - CORRECT
ANSWER - Sedation, Seizures, Dry mouth, DOES NOT CAUSE DIARRHEA**
, A client receives a new prescription for Exanatide. Which of the following mechanisms of action
do Incretin mimetic have? - CORRECT ANSWER - They slow gastric emptying
10. You have a diabetes patient who has hypoglycemia, the patient is unconscious. What would
you do for this patient? - CORRECT ANSWER - Dextrose (D50) IV
11. Propranolol is a beta blocker, what disease process would be contraindicated to give beta
blockers? - CORRECT ANSWER - Asthma or COPD
12. What would be an adverse effect of Digoxin? - CORRECT ANSWER - Nausea &
anorexia ("I have no appetite")
13. You have a client that has A-Fib, and he is getting Digoxin. What would you do before
administering Digoxin? - CORRECT ANSWER - Assess apical pulse for 1 minute
14. Atenolol, what would prompt you to withhold a beta blocker? - CORRECT
ANSWER - Low HR
15. Your client was put on Heparin bc of thrombophlebitis and he asked you, "How long will it
take to dissolve the clot?" - CORRECT ANSWER - It doesn't; clot will not dissolve
16. You have a client who took over-the-counter calcium carbonate antacid, what
recommendations would you give to someone taking these? - CORRECT ANSWER -
Increase fluid intake. Constipation - Recommend balanced nutrition intake of fiber to avoid
constipation, Increase bulking (fiber) diet to reduce the chance/counter the effects of
constipation.
17. You have a patient on Heparin, transitioning to Warfarin, your doctor ordered Warfarin but
they didn't discontinue the Heparin yet. Why is that? - CORRECT ANSWER - Warfarin
takes longer to take effect. Must keep both of them until a steady state of Warfarin. Then start
titrating Heparin down.
ACTUAL Exam Questions and CORRECT
Answers
1. What do bronchodilators work on? - CORRECT ANSWER - Beta 2 adrenergic
receptors
2. What are effective treatment options for peptic ulcer? - CORRECT ANSWER - H2
blockers, Proton Pump Inhibitors, Sucralfate
3. How do H2 antagonist work against general/gastric ulcers - CORRECT ANSWER -
Reduce gastric acid secretion
4. What is the mechanism of action metformin? - CORRECT ANSWER - Reduces glucose
production in the liver, improves insulin sensitivity in peripheral tissues. It increases muscle and
adipose tissue sensitivity to insulin.
5. What hormone may reduce fetus IQ? If they take it during first trimester that is - CORRECT
ANSWER - Thyroxine
What is Levothyroxine [Synthroid] contained? - CORRECT ANSWER - T4
7. Why do patients that are on long term steroids don't respond well to surgeries or traumas? -
CORRECT ANSWER - Stress/Immune response is suppressed
8. How would you give Ventolin (Albuterol)? - CORRECT ANSWER - Inhaled, Albuterol
9. Before administering Tramadol you would go over what adverse effects? - CORRECT
ANSWER - Sedation, Seizures, Dry mouth, DOES NOT CAUSE DIARRHEA**
, A client receives a new prescription for Exanatide. Which of the following mechanisms of action
do Incretin mimetic have? - CORRECT ANSWER - They slow gastric emptying
10. You have a diabetes patient who has hypoglycemia, the patient is unconscious. What would
you do for this patient? - CORRECT ANSWER - Dextrose (D50) IV
11. Propranolol is a beta blocker, what disease process would be contraindicated to give beta
blockers? - CORRECT ANSWER - Asthma or COPD
12. What would be an adverse effect of Digoxin? - CORRECT ANSWER - Nausea &
anorexia ("I have no appetite")
13. You have a client that has A-Fib, and he is getting Digoxin. What would you do before
administering Digoxin? - CORRECT ANSWER - Assess apical pulse for 1 minute
14. Atenolol, what would prompt you to withhold a beta blocker? - CORRECT
ANSWER - Low HR
15. Your client was put on Heparin bc of thrombophlebitis and he asked you, "How long will it
take to dissolve the clot?" - CORRECT ANSWER - It doesn't; clot will not dissolve
16. You have a client who took over-the-counter calcium carbonate antacid, what
recommendations would you give to someone taking these? - CORRECT ANSWER -
Increase fluid intake. Constipation - Recommend balanced nutrition intake of fiber to avoid
constipation, Increase bulking (fiber) diet to reduce the chance/counter the effects of
constipation.
17. You have a patient on Heparin, transitioning to Warfarin, your doctor ordered Warfarin but
they didn't discontinue the Heparin yet. Why is that? - CORRECT ANSWER - Warfarin
takes longer to take effect. Must keep both of them until a steady state of Warfarin. Then start
titrating Heparin down.
