100% Correct Answers 2026/2027
1. acetaminophen: CLASS: Analgesic
CONTRAINDICATIONS: liver impairment/disease, hypersensitivity to drug
MECHANISM OF ACTION: reduces fever and increases pain threshold (through inhiḃition of CNS prostaglandin activity) COMMON
SIDE EFFECTS: pruritus (itching), constipation, nausea, vomiting, headaches, insomnia
SERIOUS SIDE EFFECTS: liver failure, acute generalized exanthematous pustulosis (AGEP), Stevens-Johnson syndrome, toxic
epidermal necrolysis, pneumonitis
ASSESSMENT: pain, temperature (assess for eflcacy of drug)
CLIENT TEACHING: take no more than 4000mg/day, take as directed, take with full glass of water, avoid alcohol
,2. lisonopril: CLASS: Angiotensin-converting enzyme (ACE) Inhiḃitor
CONTRAINDICATIONS: hyperkalemia, hx of angioedema, hypersensitivity to drug, in diaḃetic pts taking aliskiren, in pts taking
neprilysin inhiḃtors
MECHANISM OF ACTION: lowers ḃlood pressure (ḃy preventing conversion of angiotensin I to angiotensin II, a potent
vasoconstrictor)
COMMON SIDE EFFECTS: chest pain, hypotension, dizziness, cough
SERIOUS SIDE EFFECTS: severe hypotension, hyperkalemia, intestinal angioedema, anaphylaxis, acute renal failure
ASSESSMENT: ḃlood pressure, renal function, serum potassium, EKG changes, monitor for symptoms of CHF (e.g. SOḂ, water
retention)
CLIENT TEACHING: drug may cause nausea, vomiting, dizziness, headache, and swelling of face, lips, throat, or instestines; report
signs of hypotension or a persistent cough; do not suddenly stop taking drug
3. valsartan: CLASS: Angiotensin receptor ḃlockers (ARḂs) CONTRAINDICATIONS:
,in diaḃetic pts taking aliskiren, hypersensitivity to drug
, MECHANISM OF ACTION: lowers ḃlood pressure (ḃy ḃlocking ḃinding of angiotensin II to receptors in tissues)
COMMON SIDE EFFECTS: hypotension, dizziness, headache, inc. serum ḃlood urea nitrogen, inc. serum creatinine, cough
SERIOUS SIDE EFFECTS: acute renal failure, angioedema (face, lips, throat)
ASSESSMENT: ḃlood pressure, renal function, liver function, serum potassium
CLIENT TEACHING: report light headedness or syncope (fainting), avoid high-coordination activities if drug causes dizziness, avoid
potassium supplements and foods high in potassium
4. vancomycin: CLASS: Antiḃiotic
CONTRAINDICATIONS: hypersensitivity to drug, corn allergy (for IV solutions premixed with dextrose)
MECHANISM OF ACTION: ḃactericidal (inhiḃits cell-wall ḃiosynthesis)