SNLE EXAM STUDY GUIDE | 100%
CORRECT ANSWERS
What is the drug class and top risk of haloperidol? - Answer- Typical antipsychotic;
highest risk = EPS, NMS, and QT prolongation.
What must you assess before giving morphine? - Answer- Respiratory rate — HOLD if
RR < 12/min
When do you give naloxone? - Answer- Opioid overdose with respiratory depression.
What lab do you monitor? What is the antidote? for warfarin - Answer- INR (goal 2-3);
antidote = Vitamin K
What lab and antidote? heparin - Answer- aPTT (goal 60-80 sec); antidote = Protamine
sulfate.
When should insulin regular be given? - Answer- 30 minutes before meals (it's short-
acting).
Insulin Lispro onset and nursing action? - Answer- Onset 15 min — give with food close
by
When do you hold digoxin? - Answer- Hold if HR < 60 bpm
Furosemide (Lasix) what electrolyte must be monitored? - Answer- Potassium — risk of
hypokalemia.
Spironolactone what electrolyte imbalance is expected? - Answer- Hyperkalemia
(potassium-sparing diuretic)
ACE inhibitors (lisinopril, enalapril) major side effect that requires stopping the drug? -
Answer- Angioedema and dry cough
Metoprolol / Beta-blockers when do you hold beta-blockers? - Answer- HR < 60 or SBP
< 100.
Nitroglycerin what is the immediate nursing action if the patient gets a headache? -
Answer- Give acetaminophen; headaches are expected.
when should a patient take levothyroxine? - Answer- Daily in the morning on an empty
stomach
, What lab/condition requires stopping metformin? - Answer- Before contrast dye; risk of
lactic acidosis
Vancomycin what two things must be monitored? - Answer- Trough level and kidney
function
Gentamicin (Aminoglycoside) what toxicity is most important? - Answer- Ototoxicity +
nephrotoxicity
Amiodarone what organ must be monitored long-term? - Answer- Thyroid, lungs, and
liver
Prednisone / Steroids what is the essential teaching? - Answer- Do not stop suddenly —
risk of adrenal crisis
Albuterol what side effect is most common? - Answer- Tachycardia + tremors
Epinephrine main use in anaphylaxis? - Answer- Bronchodilation + ↑ BP + stops allergic
reaction
What rhythm does adenosine treat? - Answer- SVT (supraventricular tachycardia)
When is charcoal contraindicated? - Answer- After caustic ingestion or decreased level
of consciousness without airway protection.
Why choose ARBs over ACE inhibitors? - Answer- No cough
Nitroglycerin expected side effect - Answer- Headache — treat with acetaminophen
Ipratropium avoid in what allergy? - Answer- Peanut allergy (older formulations)
Theophylline toxicity symptom? - Answer- Seizures
Penicillin allergy danger? - Answer- Anaphylaxis — check for cross-allergy with
cephalosporins.
Vancomycin what to monitor? - Answer- Trough + kidney function
Gentamicin toxicities? - Answer- Nephrotoxicity + ototoxicity
Metronidazole teaching point? - Answer- NO alcohol → causes severe reaction.
Risperidone what hormone increases? - Answer- Prolactin → galactorrhea &
gynecomastia.
CORRECT ANSWERS
What is the drug class and top risk of haloperidol? - Answer- Typical antipsychotic;
highest risk = EPS, NMS, and QT prolongation.
What must you assess before giving morphine? - Answer- Respiratory rate — HOLD if
RR < 12/min
When do you give naloxone? - Answer- Opioid overdose with respiratory depression.
What lab do you monitor? What is the antidote? for warfarin - Answer- INR (goal 2-3);
antidote = Vitamin K
What lab and antidote? heparin - Answer- aPTT (goal 60-80 sec); antidote = Protamine
sulfate.
When should insulin regular be given? - Answer- 30 minutes before meals (it's short-
acting).
Insulin Lispro onset and nursing action? - Answer- Onset 15 min — give with food close
by
When do you hold digoxin? - Answer- Hold if HR < 60 bpm
Furosemide (Lasix) what electrolyte must be monitored? - Answer- Potassium — risk of
hypokalemia.
Spironolactone what electrolyte imbalance is expected? - Answer- Hyperkalemia
(potassium-sparing diuretic)
ACE inhibitors (lisinopril, enalapril) major side effect that requires stopping the drug? -
Answer- Angioedema and dry cough
Metoprolol / Beta-blockers when do you hold beta-blockers? - Answer- HR < 60 or SBP
< 100.
Nitroglycerin what is the immediate nursing action if the patient gets a headache? -
Answer- Give acetaminophen; headaches are expected.
when should a patient take levothyroxine? - Answer- Daily in the morning on an empty
stomach
, What lab/condition requires stopping metformin? - Answer- Before contrast dye; risk of
lactic acidosis
Vancomycin what two things must be monitored? - Answer- Trough level and kidney
function
Gentamicin (Aminoglycoside) what toxicity is most important? - Answer- Ototoxicity +
nephrotoxicity
Amiodarone what organ must be monitored long-term? - Answer- Thyroid, lungs, and
liver
Prednisone / Steroids what is the essential teaching? - Answer- Do not stop suddenly —
risk of adrenal crisis
Albuterol what side effect is most common? - Answer- Tachycardia + tremors
Epinephrine main use in anaphylaxis? - Answer- Bronchodilation + ↑ BP + stops allergic
reaction
What rhythm does adenosine treat? - Answer- SVT (supraventricular tachycardia)
When is charcoal contraindicated? - Answer- After caustic ingestion or decreased level
of consciousness without airway protection.
Why choose ARBs over ACE inhibitors? - Answer- No cough
Nitroglycerin expected side effect - Answer- Headache — treat with acetaminophen
Ipratropium avoid in what allergy? - Answer- Peanut allergy (older formulations)
Theophylline toxicity symptom? - Answer- Seizures
Penicillin allergy danger? - Answer- Anaphylaxis — check for cross-allergy with
cephalosporins.
Vancomycin what to monitor? - Answer- Trough + kidney function
Gentamicin toxicities? - Answer- Nephrotoxicity + ototoxicity
Metronidazole teaching point? - Answer- NO alcohol → causes severe reaction.
Risperidone what hormone increases? - Answer- Prolactin → galactorrhea &
gynecomastia.
