2026 QUESTIONS AND ANSWERS 100%
CORRECT
◉ Non- Benzodiazepine- zolpidem tartrate . Answer: Uses: Insomnia
S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
◉ Local Anesthetic- Lidocaine . Answer: Uses: Minor procedure
S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
◉ Spinal Anesthesia- Spinal, Epidural . Answer: Uses: Pain, Pregnancy
S/E: Back pain, Shivering
Adverse reactions/ Toxicity: Respiratory depression, Hypotension,
Headache, Nerve damage
Pt teaching: Lay flat, Monitor for headache
◉ NSAID (non-selective)- Ibuprofen . Answer: Uses: Moderate to high
pain, fever, inflammation
S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral
edema
,Adverse Reactions/ Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus,
Kidney damage, kidney damage, nephrotoxicity
Pt teaching: take with full glass of water, take as directed, don't take
more than 10 days/pain and 3 days/fever
Nursing considerations: Pts with asthma, allergy, nasal polyps have high
risk for reactions, assess GI bleed, look 4 renal impairment
Lab values: BUN, CBC, serum creatine, liver function test will be
increased, alcohol increases bleeding
Contraindications: CABG, pregnancy, asthma, contraindicated in
bleeding disorders.
◉ NSAID(COX 2 inhibitor)- Celecoxib . Answer: Uses: Inflammation,
Severe
S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies
Adverse reactions/ Toxicity: Thromboembolism
Contraindications: CABG, Angina, Renal/ Hepatic disfunction
◉ NSAID(Salicylate)- Aspirin . Answer: Uses: Inflammation, anti-
platelet
S/E: GI distress, Nosebleed
Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome,
Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
, ◉ Anti-gout- Allopurinol . Answer: Uses: Lowers uric acid levels
S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
Pt teaching: No alcohol, increase water intake, alkaline diet
Nursing considerations: I &O, monitor kidney function
Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
◉ Non- Opioid Analgesic- Acetaminophen . Answer: Uses: Pain, fever,
NOT NSAID
S/E: GI upset
Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson
syndrome, epidermal necrolysis
Pt teaching: Take exactly as directed, chronic used can lead to
hepatotoxicity, avoid alcohol, consult PCP if fever not relieved in 3 days.
Nursing considerations: Asses for overall alcohol use and health status.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)
◉ Opioid Analgesic- Morphine sulfate . Answer: Uses: MI, Cancer pain,
SOB for dyspnea
S/E: urinary retention, dizziness, pinpoint pupils
Adverse reactions/ Toxicity: Respiratory depression, severe hypotension