COMPREHENSIVE TEST 2026 QUESTIONS
WITH FULL SOLUTION GRADED A+
◉ Medications Affecting the Nervous System: Muscarinic Agonists.
Answer: Bethanechol: Urinary Retention
- C: urinary or GI obstruction, asthma, peptic ulcer disease, bladder
weakness
- AE: abdominal cramps, diarrhea, sweating, tearing, bradycardia,
hypotension
- NC: Monitor I & O's, administer orally 1 hour before or 2 hours
after meals
◉ Medications Affecting the Nervous System: Muscarinic
Antagonists. Answer: Oxybutynin: Urinary incontinence, over active
bladder, pre-anesthesia
- C: glaucoma, myasthenia gravis, GI or GU obstruction
- AE: Anticholinergic effects, blurred vision, confusion, prolonged
QT interval
- NC: Swallow ER tablets whole, transdermal patch administered 2x
per week.
,◉ Eye & Ear Disorders and Med's Affecting Urinary Output: Osmotic
Agents. Answer: Mannitol: glaucoma, prevent renal failure in shock
- C: Pregnancy, renal failure, active intracranial bleeding
- AE: Headache, nausea, vomiting, edema, fluid/electrolyte
imbalance
- NC: Monitor for orthostasis, weight client at the same time each
day
◉ Eye and Ear Disorders: Beta-adrenergic Blockers. Answer:
Timolol: glaucoma
- C: pregancy, myasthenia gravis, bradycardia
- AE: Stinging discomfort, occasional conjunctivitis, blurred vision,
dry eyes, systemic affects of beta blockers
- NC: Avoid touching applicator to eyes, monitor pulse
◉ Eye and Ear Disorders: Alpha-2 Adrenergic Agonists. Answer:
Brimonidine: Glaucoma
- AE: stinging discomfort, dilated pupils, blurred vision, headache,
dry mouth
- NC: Monitor BP, avoid touching applicator to eyes
◉ Eye and Ear Disorders: Prostaglandin Analogs. Answer:
Latanoprost: Glaucoma
, - AE: Bulging of ocular blood vessels, increased pigmentation,
stinging conjunctiva, blurry vision, migraine
- NC: Avoid touching applicator to eyes
◉ Eye and Ear Disorders: Carbonic Anydrase inhibitor. Answer:
Acetazolamide: Glaucoma
- C: Pregnancy/lactation
- AE: Severe allergic reaction, bone-marrow depression, nausea,
diarrhea, malaise, glucose disturbances, nephrolithiasis
- NC: Take oral or IV
◉ Airflow Disorders: Beta-2 Adrenergic Agonists. Answer: Albuterol:
Asthma, bronchospasm
- C: Pregnancy, hypertension, hyperthyroidism, tachydysrhythmias
- AE: Angina, tachycardia, tremors
- NC: Use as a rescue inhaler or prior to physical exercise
◉ Airflow Disorders: Methylxanthines. Answer: Theophylline:
Asthma, COPD
- C: Pregnancy, heart disease, hypertension, diabetes, liver/kidney
issues
- AE: GI upset, restlessness
- NC: Do not chew or crush sustained-release tablets, not a rescue
medication!, do not take with caffiene