NSG 123 Milestone Exam 1 Blueprint: Essential Nursing Skills &
Concepts|2026 Latest Update with Complete Solution-Herzing
Eye drop admin‐teach NSG122.07.03.03
-General: if patient refuses medication, review rationale for use of drug, explain the risk for refusal,
review the information that may be appropriate, and if med will not be taken by the patient document
every attempt/information disclosed and contact care provider.
-Eye drops are used for pupil dilation or constriction, treatment of glaucoma (intraocular pressure). Put
on gloves, offer patient tissues to remove tears that may spill, clean eyelids and eye of drainage with
gauze squares moistened with normal saline as needed. Tilt patient head back slightly if sitting or if lying
support head with pillow. Remove cap from medication bottle, do not touch cap or inner side of the
container, invert container, have patient look up and focus on something on the ceiling, place thumb or
2 fingers near margin of the lower eyelid immediately below the eyelashes, apply pressure downward
over bony prominence of the cheek. The lower conjunctival sac exposed as lower eyelid is pulled down.
Hold dropper close to eye but avoid touching eyelids or eyelash. Squeeze container to allow the
number of drops prescribed to fall into the lower conjunctival sac. DO NOT let medication fall into the
cornea.
This may cause an unpleasant sensation. Release eyelid and have patient close the eye gently. Apply
gentle pressure with gloved finger over inner canthus to prevent the eye drops from flowing into the
tear duct, this minimizes effects from the medication.
-Replace cover, instruct patient not to rub affected eye, remove PPE assist patient to comfortable
position. Document administration date/time/dose/route/site on the eMAR/MAR
Pressure ulcer‐assessment pre‐test item not graded
Shearing force pre‐test item not graded
Allergic reaction NSG124.01.02.04
-Allergy reaction is an immune response, the intensity of an allergic reaction can range from mild itching
to severe rash to anaphylaxis.
-Anaphylaxis is a life threatening response characterized by, bronchospasm, laryngeal edema and a
precipitous drop in blood pressure. Less than 10% of adverse drug reactions are of allergic type.
-Most serious reactions are by penicillin’s, another being NSAIDS (eg.aspirin) and the sulfonamide group
of compounds, includes diuretics, antibiotic, and oral hypoglycemia agents.
Tylenol‐lab check NSG124.03.03.03
-Acetaminophen Pg. 12-14
-Hepatic:
-AST,ALT, bilirubin, creatinine, before therapy if long term therapy is anticipated, may cayse hepatic
toxicity at doses <4g/day with chronic use.
-Renal:
, -BUN, urine creatinine, occult blood, albumin. If patient is on long term therapy; presence of blood
albumin indicates nephritis, I&O ratio; decreasing output may indicate renal failure (long-term).
-Blood:
-CBC, PT if patient is on long term therapy.
-Maximum recommended dose according to FDA is 4000mg/day.
Insulin‐regular peak NSG124.07.01.03
-Humilin R
-Onset: 30-60 min
-Peak: 1-5 hr
-Duration: 6-10 hr
Isoniazid‐tyramine NSG124.06.01.03
-Page 704-705, Isonazid is an anti-tubercular.
-DO NOT TAKE WITH HIGH-TYRAMINE FOODS OR ALCOHOL. Examples of tyramine containing foods are
smoked fish, cheese, fermented foods, or sauerkraut.
-Because INH is a weak monoamine oxidase inhibitor, a mild tyramine reaction is rare but possible, avoid
(Skipjack, tuna, or tropical fish).
Antacids‐renal failure NSG124.04.03.03
-Cimetidine (pg.253) inhibits hepatic drug metabolizing enzymes, hence cause levels of many other
drugs to increase. Drugs of concern are warfarin, phenytoin, theophylline, and lidocaine. All have a
narrow margin of safety and dosages should be reduced. The half-life of Cimetidine is short (2hr) but
increases in those with renal impairment. Dosage needs to be reduced for these patients.
-Antacids that contain magnesium have a laxative effect that may cause diarrhea in the patient with
renal failure and may increase magnesium levels in blood.
-Antacids list from Realizeit
-Aluminum hydroxide
-Calcium hydroxide
-Magnesium hydroxide.
Furosemide NSG124.08.02.02
Furosemide (Lasix) is a loop-diuretic (Pg. 577)
Tetracycline‐teach NSG124.05.04.02
-Demeclocycline, Doxycycline (Pg.405), Minocycline.
Concepts|2026 Latest Update with Complete Solution-Herzing
Eye drop admin‐teach NSG122.07.03.03
-General: if patient refuses medication, review rationale for use of drug, explain the risk for refusal,
review the information that may be appropriate, and if med will not be taken by the patient document
every attempt/information disclosed and contact care provider.
-Eye drops are used for pupil dilation or constriction, treatment of glaucoma (intraocular pressure). Put
on gloves, offer patient tissues to remove tears that may spill, clean eyelids and eye of drainage with
gauze squares moistened with normal saline as needed. Tilt patient head back slightly if sitting or if lying
support head with pillow. Remove cap from medication bottle, do not touch cap or inner side of the
container, invert container, have patient look up and focus on something on the ceiling, place thumb or
2 fingers near margin of the lower eyelid immediately below the eyelashes, apply pressure downward
over bony prominence of the cheek. The lower conjunctival sac exposed as lower eyelid is pulled down.
Hold dropper close to eye but avoid touching eyelids or eyelash. Squeeze container to allow the
number of drops prescribed to fall into the lower conjunctival sac. DO NOT let medication fall into the
cornea.
This may cause an unpleasant sensation. Release eyelid and have patient close the eye gently. Apply
gentle pressure with gloved finger over inner canthus to prevent the eye drops from flowing into the
tear duct, this minimizes effects from the medication.
-Replace cover, instruct patient not to rub affected eye, remove PPE assist patient to comfortable
position. Document administration date/time/dose/route/site on the eMAR/MAR
Pressure ulcer‐assessment pre‐test item not graded
Shearing force pre‐test item not graded
Allergic reaction NSG124.01.02.04
-Allergy reaction is an immune response, the intensity of an allergic reaction can range from mild itching
to severe rash to anaphylaxis.
-Anaphylaxis is a life threatening response characterized by, bronchospasm, laryngeal edema and a
precipitous drop in blood pressure. Less than 10% of adverse drug reactions are of allergic type.
-Most serious reactions are by penicillin’s, another being NSAIDS (eg.aspirin) and the sulfonamide group
of compounds, includes diuretics, antibiotic, and oral hypoglycemia agents.
Tylenol‐lab check NSG124.03.03.03
-Acetaminophen Pg. 12-14
-Hepatic:
-AST,ALT, bilirubin, creatinine, before therapy if long term therapy is anticipated, may cayse hepatic
toxicity at doses <4g/day with chronic use.
-Renal:
, -BUN, urine creatinine, occult blood, albumin. If patient is on long term therapy; presence of blood
albumin indicates nephritis, I&O ratio; decreasing output may indicate renal failure (long-term).
-Blood:
-CBC, PT if patient is on long term therapy.
-Maximum recommended dose according to FDA is 4000mg/day.
Insulin‐regular peak NSG124.07.01.03
-Humilin R
-Onset: 30-60 min
-Peak: 1-5 hr
-Duration: 6-10 hr
Isoniazid‐tyramine NSG124.06.01.03
-Page 704-705, Isonazid is an anti-tubercular.
-DO NOT TAKE WITH HIGH-TYRAMINE FOODS OR ALCOHOL. Examples of tyramine containing foods are
smoked fish, cheese, fermented foods, or sauerkraut.
-Because INH is a weak monoamine oxidase inhibitor, a mild tyramine reaction is rare but possible, avoid
(Skipjack, tuna, or tropical fish).
Antacids‐renal failure NSG124.04.03.03
-Cimetidine (pg.253) inhibits hepatic drug metabolizing enzymes, hence cause levels of many other
drugs to increase. Drugs of concern are warfarin, phenytoin, theophylline, and lidocaine. All have a
narrow margin of safety and dosages should be reduced. The half-life of Cimetidine is short (2hr) but
increases in those with renal impairment. Dosage needs to be reduced for these patients.
-Antacids that contain magnesium have a laxative effect that may cause diarrhea in the patient with
renal failure and may increase magnesium levels in blood.
-Antacids list from Realizeit
-Aluminum hydroxide
-Calcium hydroxide
-Magnesium hydroxide.
Furosemide NSG124.08.02.02
Furosemide (Lasix) is a loop-diuretic (Pg. 577)
Tetracycline‐teach NSG124.05.04.02
-Demeclocycline, Doxycycline (Pg.405), Minocycline.
