NSG 552 — Exam 3 Most Recent exam COMPLETE (2026)
EXAM Questions and Answers (Verified Answers) (Latest Update
2026) Graded A+
1. Which medication is first-line for neuropathic pain?
A. Ibuprofen
B. Duloxetine
C. Morphine
D. Acetaminophen
Rationale: SNRIs like duloxetine are first-line for neuropathic pain.
2. Which insulin has the fastest onset?
A. Regular insulin
B. Insulin lispro
C. NPH
D. Insulin glargine
Rationale: Lispro is rapid-acting with onset in 10–15 minutes.
3. Which antihypertensive is contraindicated in pregnancy?
A. Labetalol
B. Nifedipine
C. ACE inhibitors
D. Methyldopa
Rationale: ACE inhibitors are teratogenic and can cause fetal renal failure.
4. What is the first-line treatment for status epilepticus?
A. Carbamazepine
B. IV lorazepam
C. Lamotrigine
D. Gabapentin
Rationale: Benzodiazepines are the recommended initial therapy.
EXAMPREPMASTER
,5. Which medication requires G6PD testing before use?
A. Vancomycin
B. Azithromycin
C. Dapsone
D. Cefdinir
Rationale: Dapsone can cause hemolysis in G6PD-deficient patients.
6. What is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Naltrexone
D. Protamine
Rationale: Naloxone rapidly reverses opioid-induced respiratory depression.
7. Which drug may cause “red man syndrome”?
A. Ceftriaxone
B. Vancomycin
C. Linezolid
D. Gentamicin
Rationale: Rapid vancomycin infusion triggers histamine release.
8. Which antidepressant is safest in cardiovascular disease?
A. Amitriptyline
B. Citalopram (high dose)
C. Sertraline
D. Venlafaxine
Rationale: Sertraline has minimal QT risk and good cardiac safety.
9. Which statin regimen is considered high-intensity?
A. Simvastatin 20 mg
B. Atorvastatin 80 mg
C. Pravastatin 10 mg
D. Rosuvastatin 5 mg
Rationale: Atorvastatin 40–80 mg is high-intensity.
EXAMPREPMASTER
,10. Which medication provides the fastest relief in asthma?
A. Albuterol
B. Salmeterol
C. Montelukast
D. Tiotropium
Rationale: SABAs provide immediate bronchodilation.
11. Which smoking cessation medication increases seizure risk?
A. Varenicline
B. Bupropion
C. Fluoxetine
D. Buspirone
Rationale: Bupropion lowers seizure threshold.
12. Which anticonvulsant causes gingival hyperplasia?
A. Carbamazepine
B. Phenytoin
C. Topiramate
D. Levetiracetam
Rationale: A classic adverse effect of phenytoin.
13. Which medication is first-line in HFrEF?
A. Digoxin
B. ACE inhibitors
C. Hydralazine
D. Nifedipine
Rationale: ACE inhibitors reduce mortality in heart failure.
14. Which oral antibiotic covers MRSA?
A. Amoxicillin
B. TMP-SMX
C. Penicillin VK
D. Cephalexin
Rationale: TMP-SMX has reliable MRSA activity.
EXAMPREPMASTER
, 15. Which medication class can worsen asthma?
A. Beta-blockers
B. ACE inhibitors
C. ARBs
D. CCBs
Rationale: Nonselective beta-blockers cause bronchoconstriction.
16. What is the therapeutic range for lithium?
A. 1.5–3.0 mmol/L
B. 0.6–1.2 mmol/L
C. 0.2–0.6 mmol/L
D. 2.0–4.0 mmol/L
Rationale: Levels above 1.5 mmol/L are toxic.
17. Which antipsychotic most commonly increases prolactin?
A. Clozapine
B. Risperidone
C. Aripiprazole
D. Quetiapine
Rationale: Risperidone strongly blocks dopamine pathways.
18. Metformin is contraindicated when:
A. A1C is above 10%
B. eGFR is <30 mL/min
C. BMI is >40
D. Mild liver disease
Rationale: Kidney impairment increases lactic acidosis risk.
19. Which medication is a strong CYP450 inducer?
A. Fluconazole
B. Rifampin
C. Amiodarone
D. Verapamil
Rationale: Rifampin significantly lowers levels of many drugs.
EXAMPREPMASTER
EXAM Questions and Answers (Verified Answers) (Latest Update
2026) Graded A+
1. Which medication is first-line for neuropathic pain?
A. Ibuprofen
B. Duloxetine
C. Morphine
D. Acetaminophen
Rationale: SNRIs like duloxetine are first-line for neuropathic pain.
2. Which insulin has the fastest onset?
A. Regular insulin
B. Insulin lispro
C. NPH
D. Insulin glargine
Rationale: Lispro is rapid-acting with onset in 10–15 minutes.
3. Which antihypertensive is contraindicated in pregnancy?
A. Labetalol
B. Nifedipine
C. ACE inhibitors
D. Methyldopa
Rationale: ACE inhibitors are teratogenic and can cause fetal renal failure.
4. What is the first-line treatment for status epilepticus?
A. Carbamazepine
B. IV lorazepam
C. Lamotrigine
D. Gabapentin
Rationale: Benzodiazepines are the recommended initial therapy.
EXAMPREPMASTER
,5. Which medication requires G6PD testing before use?
A. Vancomycin
B. Azithromycin
C. Dapsone
D. Cefdinir
Rationale: Dapsone can cause hemolysis in G6PD-deficient patients.
6. What is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Naltrexone
D. Protamine
Rationale: Naloxone rapidly reverses opioid-induced respiratory depression.
7. Which drug may cause “red man syndrome”?
A. Ceftriaxone
B. Vancomycin
C. Linezolid
D. Gentamicin
Rationale: Rapid vancomycin infusion triggers histamine release.
8. Which antidepressant is safest in cardiovascular disease?
A. Amitriptyline
B. Citalopram (high dose)
C. Sertraline
D. Venlafaxine
Rationale: Sertraline has minimal QT risk and good cardiac safety.
9. Which statin regimen is considered high-intensity?
A. Simvastatin 20 mg
B. Atorvastatin 80 mg
C. Pravastatin 10 mg
D. Rosuvastatin 5 mg
Rationale: Atorvastatin 40–80 mg is high-intensity.
EXAMPREPMASTER
,10. Which medication provides the fastest relief in asthma?
A. Albuterol
B. Salmeterol
C. Montelukast
D. Tiotropium
Rationale: SABAs provide immediate bronchodilation.
11. Which smoking cessation medication increases seizure risk?
A. Varenicline
B. Bupropion
C. Fluoxetine
D. Buspirone
Rationale: Bupropion lowers seizure threshold.
12. Which anticonvulsant causes gingival hyperplasia?
A. Carbamazepine
B. Phenytoin
C. Topiramate
D. Levetiracetam
Rationale: A classic adverse effect of phenytoin.
13. Which medication is first-line in HFrEF?
A. Digoxin
B. ACE inhibitors
C. Hydralazine
D. Nifedipine
Rationale: ACE inhibitors reduce mortality in heart failure.
14. Which oral antibiotic covers MRSA?
A. Amoxicillin
B. TMP-SMX
C. Penicillin VK
D. Cephalexin
Rationale: TMP-SMX has reliable MRSA activity.
EXAMPREPMASTER
, 15. Which medication class can worsen asthma?
A. Beta-blockers
B. ACE inhibitors
C. ARBs
D. CCBs
Rationale: Nonselective beta-blockers cause bronchoconstriction.
16. What is the therapeutic range for lithium?
A. 1.5–3.0 mmol/L
B. 0.6–1.2 mmol/L
C. 0.2–0.6 mmol/L
D. 2.0–4.0 mmol/L
Rationale: Levels above 1.5 mmol/L are toxic.
17. Which antipsychotic most commonly increases prolactin?
A. Clozapine
B. Risperidone
C. Aripiprazole
D. Quetiapine
Rationale: Risperidone strongly blocks dopamine pathways.
18. Metformin is contraindicated when:
A. A1C is above 10%
B. eGFR is <30 mL/min
C. BMI is >40
D. Mild liver disease
Rationale: Kidney impairment increases lactic acidosis risk.
19. Which medication is a strong CYP450 inducer?
A. Fluconazole
B. Rifampin
C. Amiodarone
D. Verapamil
Rationale: Rifampin significantly lowers levels of many drugs.
EXAMPREPMASTER
