NUR 271 FINAL EXAM 2026-2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
Class of dantrolene sodium?
Direct-acting skeletal muscle relaxant
Action of dantrolene sodium?
Interferes w/ release of Ca++ from sarcoplasmic reticulum to relax skeletal muscle
Use of dantrolene sodium?
Controls spasticity caused by upper motor neuron disorders (SCI, CVA, cerebral palsy, MS)
Prevent/manage malignant hyperthermia
Contraindications of dantrolene sodium?
Acute liver disease
Spasticity used to maintain an upright position and balance w/ locomotion
Spasticity from rheumatic disorders
Adverse effects of dantrolene sodium?
Drowsiness
dizziness
diarrhea
fatigue
most serious is potentially fatal hepatitis w/ jaundice (within 1 month of starting therapy)
BBW for dantrolene sodium?
Patient should have liver function tests, and discontinue drug at first sign of hepatic impairment
1|Page
,Administration guidelines of dantrolene sodium?
Monitor injection site for extravasation (DS is alkalie agent irritating to tissues)
Discontinue if diarrhea occurs
Withdrawal should occur over 2-4 days
Discontinue all triggering drugs if malignant hyperthermia
Patient teaching for dantrolene sodium?
Don't alter positions when dizzy
Report GI upset and eat small meals frequently
Avoid alcohol and other CNS depressants
Report severe diarrhea, headache, and anorexia
Class of cyclobenzaprine?
TCA derivative
Action of cyclobenzaprine?
Appears to produce relaxation by acting at the brainstem and spinal cord to depress motor
activity
Use of cyclobenzaprine?
Adjunctive to other measures (like PT) to relieve muscle spasm
Contraindications of cyclobenzaprine?
Acute MI
Dysrhythmia
heart block
conduction disturbances
HF
hyperthyroidism
Adverse effects of cyclobenzaprine?
Drowsiness
dizziness
anticholinergic effects (Dry mouth, constipation, urinary retention, tachycardia)
Administration guidelines of cyclobenzaprine?
Do NOT split the generic 10 mg tables when administering bc of the risk of inconsistent doses
2|Page
,Patient teaching for cyclobenzaprine?
Avoid alcohol and other CNS depressants
What class is donepezil?
Cholinesterase inhibitor: reversible indirect-acting cholinergic
What is the action of donepezil?
Increases ACH in the brain by inhibiting its metabolism, leading to elevated ACH levels in the
cortex --> slows neuronal degradation that occurs in Alzheimer's disease
What are the contraindications of donepezil?
Lung disease or heart disease (sick sinus syndrome)
Adverse effects of donepezil?
Headache
dizziness
depression
vertigo
insomnia
n/v
diarrhea
abdominal muscle cramps
anorexia
GI bleeding
MOST SERIOUS breathing problems, fainting, heart disease
dyspnea
seizure
trouble urinating
QSEN alert for donepezil?
Be careful when administering bc name is similar to brand name for raberprazole (ARICEPT IS
THE ONE FOR DONEPEZIL)
Administration guidelines for donepezil?
Administer at bedtime each day
Ensure med is dissolved on tongue
Patient teaching for donepezil?
3|Page
, Allow to dissolve on tongue, then drink water
Continue taking even if no change noted
Arrange for regular bloo tests
Know that n/v, insomnia, fatigue, and confusion may occur
REPORT severe n/v, changes in stool or urine color, diarrhea, changes in neurologic functioning
yellowing of eyes or skin
Class of memantine?
NMDA
Action of memantine?
Binds go Mg++ sites and blocks the excitatory function by slowing intracellular Ca++
accumulation --> prevents nerve damage, but does not have an effect on glutamate (another
damaging amino acid in Alzheimer's)
Use of memantine?
Slows progression of moderate to severe Alzheimer's disease
Contraindications of memantine?
Renal failure
Adverse effects of memantine?
HTN/hypotension; dizziness, confusion, anxiety, fatigue, hallucinations, diarrhea, constipation,
vomiting, abdominal pain, urinary incontinence, back pain, cough, hypersensitivity
Administration guidelines for memantine?
Without regard to meals
Capsule can be opened and sprinkled on applesauce, and must be consumed immediately
Liquid formation should be squirted into corner of patient's mouth and NOT mixed with any
other liquid
Patient teaching for memantine/
Protect from falls r/t dizziness
Notify HCP if GI symptoms, urinary incontinence, back pain, cough
Educate about s/s of hypersensitivity rxn (skin rash, dyspnea, bronchospasm)
Class of levodopa-carbidopa?
Dopamine receptor agonist
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
Class of dantrolene sodium?
Direct-acting skeletal muscle relaxant
Action of dantrolene sodium?
Interferes w/ release of Ca++ from sarcoplasmic reticulum to relax skeletal muscle
Use of dantrolene sodium?
Controls spasticity caused by upper motor neuron disorders (SCI, CVA, cerebral palsy, MS)
Prevent/manage malignant hyperthermia
Contraindications of dantrolene sodium?
Acute liver disease
Spasticity used to maintain an upright position and balance w/ locomotion
Spasticity from rheumatic disorders
Adverse effects of dantrolene sodium?
Drowsiness
dizziness
diarrhea
fatigue
most serious is potentially fatal hepatitis w/ jaundice (within 1 month of starting therapy)
BBW for dantrolene sodium?
Patient should have liver function tests, and discontinue drug at first sign of hepatic impairment
1|Page
,Administration guidelines of dantrolene sodium?
Monitor injection site for extravasation (DS is alkalie agent irritating to tissues)
Discontinue if diarrhea occurs
Withdrawal should occur over 2-4 days
Discontinue all triggering drugs if malignant hyperthermia
Patient teaching for dantrolene sodium?
Don't alter positions when dizzy
Report GI upset and eat small meals frequently
Avoid alcohol and other CNS depressants
Report severe diarrhea, headache, and anorexia
Class of cyclobenzaprine?
TCA derivative
Action of cyclobenzaprine?
Appears to produce relaxation by acting at the brainstem and spinal cord to depress motor
activity
Use of cyclobenzaprine?
Adjunctive to other measures (like PT) to relieve muscle spasm
Contraindications of cyclobenzaprine?
Acute MI
Dysrhythmia
heart block
conduction disturbances
HF
hyperthyroidism
Adverse effects of cyclobenzaprine?
Drowsiness
dizziness
anticholinergic effects (Dry mouth, constipation, urinary retention, tachycardia)
Administration guidelines of cyclobenzaprine?
Do NOT split the generic 10 mg tables when administering bc of the risk of inconsistent doses
2|Page
,Patient teaching for cyclobenzaprine?
Avoid alcohol and other CNS depressants
What class is donepezil?
Cholinesterase inhibitor: reversible indirect-acting cholinergic
What is the action of donepezil?
Increases ACH in the brain by inhibiting its metabolism, leading to elevated ACH levels in the
cortex --> slows neuronal degradation that occurs in Alzheimer's disease
What are the contraindications of donepezil?
Lung disease or heart disease (sick sinus syndrome)
Adverse effects of donepezil?
Headache
dizziness
depression
vertigo
insomnia
n/v
diarrhea
abdominal muscle cramps
anorexia
GI bleeding
MOST SERIOUS breathing problems, fainting, heart disease
dyspnea
seizure
trouble urinating
QSEN alert for donepezil?
Be careful when administering bc name is similar to brand name for raberprazole (ARICEPT IS
THE ONE FOR DONEPEZIL)
Administration guidelines for donepezil?
Administer at bedtime each day
Ensure med is dissolved on tongue
Patient teaching for donepezil?
3|Page
, Allow to dissolve on tongue, then drink water
Continue taking even if no change noted
Arrange for regular bloo tests
Know that n/v, insomnia, fatigue, and confusion may occur
REPORT severe n/v, changes in stool or urine color, diarrhea, changes in neurologic functioning
yellowing of eyes or skin
Class of memantine?
NMDA
Action of memantine?
Binds go Mg++ sites and blocks the excitatory function by slowing intracellular Ca++
accumulation --> prevents nerve damage, but does not have an effect on glutamate (another
damaging amino acid in Alzheimer's)
Use of memantine?
Slows progression of moderate to severe Alzheimer's disease
Contraindications of memantine?
Renal failure
Adverse effects of memantine?
HTN/hypotension; dizziness, confusion, anxiety, fatigue, hallucinations, diarrhea, constipation,
vomiting, abdominal pain, urinary incontinence, back pain, cough, hypersensitivity
Administration guidelines for memantine?
Without regard to meals
Capsule can be opened and sprinkled on applesauce, and must be consumed immediately
Liquid formation should be squirted into corner of patient's mouth and NOT mixed with any
other liquid
Patient teaching for memantine/
Protect from falls r/t dizziness
Notify HCP if GI symptoms, urinary incontinence, back pain, cough
Educate about s/s of hypersensitivity rxn (skin rash, dyspnea, bronchospasm)
Class of levodopa-carbidopa?
Dopamine receptor agonist
4|Page
