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Nursing 150 Final Exam (120+ Questions) – Cardiac Labs, Hypertension, Antilipidemics, Stroke, Diabetes Types, Endocrine Disorders, Electrolytes & Pharmacology

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This final exam document includes 120+ clinically relevant, exam-validated questions and answers for Nursing 150 – Foundations in Pathophysiology & Pharmacology, built for the 2025/2026 academic year at the University of Nursing Sciences. It is a full-spectrum resource ideal for mastering complex systems such as cardiac, vascular, endocrine, and metabolic functions, along with in-depth coverage of lab interpretation, pharmacology, and nursing interventions for NCLEX success. Key Content Areas: Cardiac & Vascular: Hypertension: staging, complications (MI, CVA, renal damage), medication classes (ACE, ARBs, beta-blockers, CCBs, diuretics), patient teaching Cholesterol & Atherosclerosis: total cholesterol, LDL, HDL, triglyceride goals, and risk reduction strategies Antilipidemic medications: statins, PCSK9 inhibitors, niacin, fibrates, bile acid sequestrants – with side effects and contraindications Stroke (CVA): types (ischemic vs hemorrhagic), FAST assessment, thrombolytics, post-stroke rehab and nursing care Endocrine Disorders: Diabetes Mellitus: types 1 & 2, insulin vs oral hypoglycemics, DKA vs HHS, symptoms, lab values (A1C, fasting glucose), and lifestyle modifications Insulin pharmacology: onset/peak/duration of Lispro, Regular, NPH, Glargine Oral agents: Metformin, sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, GLP-1 agonists, TZDs – with mechanisms and adverse effects Thyroid disorders: Hypothyroidism (Levothyroxine), Hyperthyroidism (Methimazole, radioactive iodine), goiter, T3/T4/TSH levels Adrenal disorders: Addison’s disease and Cushing’s syndrome – signs/symptoms, steroid therapy, lab findings (cortisol, sodium, potassium) Electrolytes & Labs: Critical values and interpretation of sodium, potassium, calcium, magnesium, chloride, phosphate Hematologic labs: RBC, Hgb, Hct, WBC, Platelets Metabolic markers: BUN, creatinine, glucose, A1C Hormonal panels: TSH, cortisol, ACTH Lab preparation and medication timing considerations (e.g., hold metformin for contrast) Medication & Safety: 6 Rights of Medication Administration, high-alert drugs, black box warnings Adverse drug reactions, patient education, food-drug interactions Special considerations for elderly, renal/hepatic impaired patients Injection types, insulin mixing, signs of hypo/hyperglycemia This document merges pathophysiology, lab interpretation, pharmacologic safety, and nursing application into a single, easy-to-navigate study guide—ideal for final exam mastery and clinical decision-making preparation. Courses this document may concern: Nursing 150: Pathophysiology & Pharmacology Fundamentals of Nursing Endocrine & Cardiovascular Nursing NCLEX-RN Review Advanced Med-Surg Nursing Students this document may benefit: BSN and ADN nursing students Practical Nursing (LPN/LVN) students NCLEX-RN, ATI, or HESI candidates International nursing students focused on U.S. pharmacology and lab interpretation Keywords: hypertension meds, statins, stroke assessment, thrombolytics, insulin types, metformin, DPP-4 inhibitors, GLP-1, hypothyroidism, hyperthyroidism, methimazole, adrenal disorders, Addison’s disease, Cushing’s syndrome, A1C levels, sodium potassium balance, electrolyte interpretation, cardiovascular pharmacology, nursing final exam, Nursing 150, NCLEX pathophysiology, lab value review, endocrine medications, oral hypoglycemics, patient teaching, med safety

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Institution
Nursing 150
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Nursing 150

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Uploaded on
September 17, 2025
Number of pages
53
Written in
2025/2026
Type
Exam (elaborations)
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Nursing 150 Final Exam 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



Cardiac Output - 🧠ANSWER ✔✔-Heart rate x Stroke volume


-Volume ejected ranges from 4-7 L/min


Systole - 🧠ANSWER ✔✔-Contraction phase of the heartbeat


-1st and 2nd sounds


Heart Failure Risk Factors - 🧠ANSWER ✔✔-65 & Older, African American,

Men

-Overweight, Diabetes, Sleep apnea

-Past MI


Left-Sided Heart Failure Symptoms - 🧠ANSWER ✔✔-Pulmonary

congestion, SOB, S3 Gallops

,-Weakness, Dizziness, Fatigue

-Confusion, Dry cough


Right-Sided Heart Failure Symptoms - 🧠ANSWER ✔✔-Dependent edema,

Distended neck veins

-WEIGHT *most reliable indicator of fluid gain or loss*

-Increased abdominal girth, Hepatomegaly, Hepatojugular reflux, Ascites


Heart Failure: Diagnosis - 🧠ANSWER ✔✔-CXR, EKG, Echocardiogram


-BNP, Electrolyte imbalance, ABG


BNP (B-type natriuretic peptide) in Heart Failure - 🧠ANSWER ✔✔>100

pg/mL = Heart Failure

SOB + Elevated BNP = Heart Failure

SOB + Normal BNP (<100) = Pulmonary cause not cardiac


ACE Inhibitors - 🧠ANSWER ✔✔*-PRIL*


Antihypertensive


ACE Inhibitors: Action - 🧠ANSWER ✔✔Prevents conversion of angiotensin

I to II which leads to vasodilation

,ACE Inhibitors: Therapeutic Effect - 🧠ANSWER ✔✔Lowers Blood Pressure


ARBs - 🧠ANSWER ✔✔*-SARTAN*


"Get a tan in Aruba"

Antihypertensive


ARBs: Action - 🧠ANSWER ✔✔Blocks vasoconstrictor and aldosterone

secreting effects of angiotensin II at receptor sites


ARBs: Therapeutic Effect - 🧠ANSWER ✔✔Lowers Blood Pressure


ARBs: Considerations - 🧠ANSWER ✔✔If unable to tolerate ACEs, Avoid

foods high in potassium


Beta Blockers: Action - 🧠ANSWER ✔✔Blocks stimulation of beta-1

adrenergic receptors


Beta Blockers - 🧠ANSWER ✔✔*-LOL*


Antihypertensive


Beta Blockers: Therapeutic Effect - 🧠ANSWER ✔✔Lowers Blood Pressure

and Heart Rate




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

, Beta Blockers: Considerations - 🧠ANSWER ✔✔-Use cautiously in patients

with asthma

-Hold for Apical HR < 50


Digoxin: Therapeutic Effect - 🧠ANSWER ✔✔Increases cardiac output,

Decreases Heart Rate


Digoxin - 🧠ANSWER ✔✔Cardiac Glycoside


Antiarrhythmic


Digoxin: Considerations - 🧠ANSWER ✔✔-Hold for HR <60


-Always check apical prior


Hypovolemic Shock - 🧠ANSWER ✔✔Shock resulting from blood or fluid

loss


Hypovolemic Shock Assessment - 🧠ANSWER ✔✔-Age


-Recent illness, Trauma, Procedures, or chronic health problems

-Drug use

-Fluid I&Os within last 24 hours

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