INPA Level 4 UPDATED ACTUAL
Questions and CORRECT Answers
Antidysrhythmic / Inotropic
↓HR (*Apical 1 full min*) <60 - CORRECT ANSWER - Digoxin
ACE / Antihypertensive
↓BP (Relaxes blood vessels) - CORRECT ANSWER - Ramipril
K+ wasting (↓NA+, ↓Cl+)
ototoxicity
Monitor f/e balance
Loop diuretic - CORRECT ANSWER - Furosemide
Metabolized in liver
Antipyretic
Non-Opioid-Analgesic (mild -mod.) - CORRECT ANSWER - Tylenol
Monitor for ↓RR & ↓CNS & Constipation
Antipyretic
Opioid-Analgesic (mod.) - CORRECT ANSWER - T3
*contains codeine*
3F's
↓CNS & ↓RR *Don't admin if <12*
Opioid-Analgesic (severe) *narcan* - CORRECT ANSWER - Morphine
,*fluid fruits fiber*
*antidote narcan*
↓BP but ↑O2 to ♥
grapefruit
Ca+ channel blocker
Antihypertensive - CORRECT ANSWER - Amlodipine
Inhibits Vit K+ (antidote)
Slow & no ( pregnancies)
Monitor INR, PTT, APTT
Anticoagulant - CORRECT ANSWER - Warfarin
*slow acting*
Monitor Platelets
Fast & yas (✓pregnancies)
Anticoagulant
Monitor INR, PTT, APTT
Inhibits formation of fibrin clots - CORRECT ANSWER - Heparin
*fast acting*
↑insulin function
↓BG levels
Anti-diabetic - CORRECT ANSWER - Metformin
,*monitor glucose*
Penicillin allergy
Infection - Skin/Resp./UTI
Abx. 1st gen, broad-s. - CORRECT ANSWER - Cefazolin
drowsiness (↓LOC)
Antiemetic & Antihistamine - CORRECT ANSWER - Diphenhydramine
*15* minutes feels like *an hour* during *3 rapid* responses
Onset: 10-15m
Peak: 1-1.5h
Duration 3-5h - CORRECT ANSWER - Rapid
(Lispro / Aspart)
*Short* staffed nurses went from *30* patient *to* *6* patients
Onset: 30m
Peak: 2-3h
Duration: 6.5h - CORRECT ANSWER - Short or Regular
(Humulin R / Novolin R)
Nurses Play Hero *to* *eight* *16* year olds
Onset: 1-2h
Peak: 5-8h
Duration: >18h - CORRECT ANSWER - Intermediate
, (NPH)
The two *long* nursing shifts *never peaked* but lasted *24* hours
Onset: 90m
Peak: None
Duration: >24h - CORRECT ANSWER - Long
(Glargine)
BP↓120/80
CAD, CHF, CVA
↓NA+ intake & ↑exercise - CORRECT ANSWER - Hypotension
✓: Xray / MRI
Tx: immobilization (splints, casts)
infection, compartment syndrome (fasciotomy), Hx. falls, ↓LOC, osteoporosis
Pt.Teach: risks, mobility - CORRECT ANSWER - Fractures
(Group of movement disorders affecting balance, movement, sensation, swallowing, speaking)
genetics, dysphagia/dysphasia, contractors, falls
Interferes w/ transmission of impulse to muscles
Tx: muscle relaxants, PT/OT/SLP - CORRECT ANSWER - Cerebral Palsy
*common early childhood*
*Scenario:* Patient in bed#6 has been transferred to acute care from Emerg. Chief complaint of
hemiparesis, drooling, confusion, and choking on saliva. After ECG, CBC, and CT, diagnostics
Questions and CORRECT Answers
Antidysrhythmic / Inotropic
↓HR (*Apical 1 full min*) <60 - CORRECT ANSWER - Digoxin
ACE / Antihypertensive
↓BP (Relaxes blood vessels) - CORRECT ANSWER - Ramipril
K+ wasting (↓NA+, ↓Cl+)
ototoxicity
Monitor f/e balance
Loop diuretic - CORRECT ANSWER - Furosemide
Metabolized in liver
Antipyretic
Non-Opioid-Analgesic (mild -mod.) - CORRECT ANSWER - Tylenol
Monitor for ↓RR & ↓CNS & Constipation
Antipyretic
Opioid-Analgesic (mod.) - CORRECT ANSWER - T3
*contains codeine*
3F's
↓CNS & ↓RR *Don't admin if <12*
Opioid-Analgesic (severe) *narcan* - CORRECT ANSWER - Morphine
,*fluid fruits fiber*
*antidote narcan*
↓BP but ↑O2 to ♥
grapefruit
Ca+ channel blocker
Antihypertensive - CORRECT ANSWER - Amlodipine
Inhibits Vit K+ (antidote)
Slow & no ( pregnancies)
Monitor INR, PTT, APTT
Anticoagulant - CORRECT ANSWER - Warfarin
*slow acting*
Monitor Platelets
Fast & yas (✓pregnancies)
Anticoagulant
Monitor INR, PTT, APTT
Inhibits formation of fibrin clots - CORRECT ANSWER - Heparin
*fast acting*
↑insulin function
↓BG levels
Anti-diabetic - CORRECT ANSWER - Metformin
,*monitor glucose*
Penicillin allergy
Infection - Skin/Resp./UTI
Abx. 1st gen, broad-s. - CORRECT ANSWER - Cefazolin
drowsiness (↓LOC)
Antiemetic & Antihistamine - CORRECT ANSWER - Diphenhydramine
*15* minutes feels like *an hour* during *3 rapid* responses
Onset: 10-15m
Peak: 1-1.5h
Duration 3-5h - CORRECT ANSWER - Rapid
(Lispro / Aspart)
*Short* staffed nurses went from *30* patient *to* *6* patients
Onset: 30m
Peak: 2-3h
Duration: 6.5h - CORRECT ANSWER - Short or Regular
(Humulin R / Novolin R)
Nurses Play Hero *to* *eight* *16* year olds
Onset: 1-2h
Peak: 5-8h
Duration: >18h - CORRECT ANSWER - Intermediate
, (NPH)
The two *long* nursing shifts *never peaked* but lasted *24* hours
Onset: 90m
Peak: None
Duration: >24h - CORRECT ANSWER - Long
(Glargine)
BP↓120/80
CAD, CHF, CVA
↓NA+ intake & ↑exercise - CORRECT ANSWER - Hypotension
✓: Xray / MRI
Tx: immobilization (splints, casts)
infection, compartment syndrome (fasciotomy), Hx. falls, ↓LOC, osteoporosis
Pt.Teach: risks, mobility - CORRECT ANSWER - Fractures
(Group of movement disorders affecting balance, movement, sensation, swallowing, speaking)
genetics, dysphagia/dysphasia, contractors, falls
Interferes w/ transmission of impulse to muscles
Tx: muscle relaxants, PT/OT/SLP - CORRECT ANSWER - Cerebral Palsy
*common early childhood*
*Scenario:* Patient in bed#6 has been transferred to acute care from Emerg. Chief complaint of
hemiparesis, drooling, confusion, and choking on saliva. After ECG, CBC, and CT, diagnostics
