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NSG-318 STUDY GUIDE 2026 EXAM QUESTIONS WITH VERIFIED ANSWERS

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NSG-318 STUDY GUIDE 2026 EXAM QUESTIONS WITH VERIFIED ANSWERS

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NSG-318
STUDY GUIDE 2026 EXAM
QUESTIONS WITH VERIFIED ANSWERS

what substance is a synthetic catecholamine - ANSWER-dobutamine

what occurrence is an effect of beta-1 adrenergic receptor stimulation - ANSWER-increased
renin secretion

which body parts are regulated by the ANS - ANSWER-smooth muscles and glands

-eyes
-heart

-urinary bladder

-respiratory system

-GI tract

stimulation of what receptor will cause increased heart rate - ANSWER-Beta 1

drugs that stimulate the PNS - ANSWER-cholinergic agonists (by mimicking ACH)

complications of anticholinergic drugs - ANSWER-dry mouth, tachycardia, blurred vision (due
to blockage of cholinergic receptors)

what would a nurse monitor while observing the activation of muscarinic receptors - ANSWER-
increased bronchial secretion

cholinergic drugs that stimulate muscarinic receptors are indicated for: - ANSWER-lowering
intraocular pressure in a pt with glaucoma

antidote for overdose of atropine (flushing, dry skin and mucous membranes, mydriasis, alt
mental status, fever) - ANSWER-physostigmine

Antidote for benzodiazepines - ANSWER-Flumazenil

when should you not give bethanechol - ANSWER-if the pt has low BP (hypotension)

which drug is used for myasthenia gravis - ANSWER-neostigmine (prevents inactivation of ACH
at neuromuscular junction, causing increased nerve transmission and skeletal muscle activation)

Opthalamic disorder caused by paralysis of the ciliary muscles - ANSWER-cycloplegia (loss of
accommodation)

,what drug is a direct-acting cholinergic agonist commonly used to treat glaucoma - ANSWER-
pilocarpine hydrochloride

what NSAID can be administered through IV - ANSWER-Ketorolac (can also be transmitted
orally)

gout - ANSWER-metabolic disorder of uric acid and purines; inflammatory condition of joints
and tendons. caused by accumulation of uric acid and creates tophi, pain in joints

foods containing salicylates - ANSWER-prunes, raisins, licorice, paprika, curry

prostaglandin function - ANSWER--vasodilation

-inc capillary permeability

-inc platelet aggregation (inflammation)

Cardinal signs of inflammation - ANSWER-redness, swelling, heat, pain, loss of function

a pt is at an increased risk for a stroke. The nurse anticipates that the health care provider will
prescribe: - ANSWER-aspirin (low dose)

antiinflammatories inhibit what substance - ANSWER-prostaglandin
which physiological change occurs during the delayed process of inflammation - ANSWER-
infiltration of leukocytes into the site
pathophysiology of pain - ANSWER-chemical mediators sensitize the pain receptors

a pt with migraine headaches who is on SSRI therapy is prescribed sumatriptan. what possible
complication might the nurse see in the pt - ANSWER-serotonin syndrome (manifested by inc
serotonin levels in the blood)

which lab levels should the nurse monitor for a pt receiving acetaminophen therapy - ANSWER-
INC potassium, bilirubin, LDH, dec. WBC. RBC, platelets, albumin, ALP, ALT
which med would a nurse administer to a pt admitted for tx of an opioid addiction - ANSWER-
methadone

which narcotic drug is the drug of choice for pain relief during childbirth - ANSWER-meperidine

what medication is contraindicated for a pt with a head injury - ANSWER-nalbuphine
adjuvant analgesics - ANSWER-used to treat chronic pain with neuropathic nature. used with
opioids and nonopioids, anticonvulsants, antidepressants, corticosteroids, local anesthetics

superficial pain - ANSWER-Pain that originates from the skin or mucous membranes
deep pain - ANSWER-pain that occurs in tissues below skin level

, somatic pain - ANSWER-Pain that originates from skeletal muscles, ligaments, or joints.

visceral pain - ANSWER-pain that originates from organs or smooth muscles

cluster headaches - ANSWER--severe unilateral, nonthrobbing pain

-located around eye
-series of cluster attacks

-more common in males

migraine headaches - ANSWER--unilateral throbbing head pain, accompanied by nausea,
vomiting and photophobia

-triggers: cheese, chocolate, red wine, aspartame, fatigue, stress, monosodium glutamate, missed
meals, odors, light, hormone changes, drugs, weather, sleep

Migraine and Cluster Headaches

Prevention: - ANSWER-Beta-adrenergic Blockers:

-propranolol

-atenolol



Anticonvulsants:
-valproic acid

-gabapentin



Tricyclic antidepressants:
-amitriptyline

-imipramine

function of adrenergics - ANSWER--dilates pupils

-dilate bronchioles
-inc HR

-vasoconstriction

-relax GI
-relax bladder

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