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NSG 3022 Exam 3 Pharmacology 2026 (NSG-3022) – 200 Questions Practice Q&A on NSAIDs, Opioids, Psych Drugs

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This document contains a comprehensive set of approximately 200 exam-style questions and answers designed for NSG 3022 Exam 3, with a strong focus on pharmacology and clinical medication management. It covers essential topics such as nonsteroidal anti-inflammatory drugs (NSAIDs), opioid analgesics, and mechanisms of inflammation, including COX-2 pathways and prostaglandin synthesis, as outlined on pages 1–3. The material emphasizes medication actions, side effects, contraindications, and patient education, which are critical for safe nursing practice. The document further explores a wide range of pharmacological categories including antidepressants (SSRIs, MAO inhibitors, tricyclics), mood stabilizers (lithium), antipsychotics (typical and atypical), anxiolytics, and medications for substance use disorders. As seen across pages 20–40, it highlights clinical decision-making, drug interactions (e.g., St. John’s wort), adverse effects (e.g., lithium toxicity, opioid respiratory depression), and appropriate nursing interventions. Later sections (pages 45–54) focus on substance abuse, detoxification, and emergency treatments such as naloxone administration and alcohol withdrawal management, making this resource highly valuable for both exam preparation and real-world clinical application. This content aligns closely with standard nursing pharmacology textbooks such as Pharmacology for Nurses: A Pathophysiologic Approach by Adams, Holland & Urban and Lehne’s Pharmacology for Nursing Care, which cover drug mechanisms, therapeutic uses, and nursing considerations in depth. This document is suitable for courses such as Pharmacology for Nursing (NSG-3022), Medical-Surgical Nursing, Mental Health Nursing, and Clinical Therapeutics. It is ideal for students including nursing students, BSN students, pharmacology learners, and healthcare professionals preparing for exams, ATI assessments, or clinical practice. It is also beneficial for those seeking to strengthen their understanding of medication safety, drug interactions, and patient-centered care. Keywords: pharmacology nursing, nsaid drugs, opioids, cox2, prostaglandins, antidepressants, antipsychotics, lithium toxicity, drug interactions, substance abuse, naloxone, medication safety, nursing exam

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Institution
NSG3022
Course
NSG3022

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NSG3022 Exam 3Test Bank
2026 Exam Questions and
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A nursing student asks the nurse to explain the role of cyclooxygenase-2

(COX-2) and its role in inflammation. The nurse will explain that COX-2:

a. converts arachidonic acid into a chemical mediator for inflammation.

b. directly causes vasodilation and increased capillary permeability.

c. irritates the gastric mucosa to cause gastrointestinal upset.

,d. releases prostaglandins, which cause inflammation and pain in tissues -

🧠ANSWER ✔✔a. converts arachidonic acid into a chemical mediator for

inflammation

A nursing student asks how nonsteroidal anti-inflammatory drugs (NSAIDs)

work to suppress inflammation and reduce pain. The nurse will explain that

NSAIDs:

a. exert direct actions to cause relaxation of smooth muscle.

b. inhibit the enzyme cyclooxygenase that is necessary for prostaglandin

synthesis.

c. interfere with neuronal pathways associated with prostaglandin action.

d. suppress prostaglandin activity by blocking tissue receptor sites. -

🧠ANSWER ✔✔b. inhibit the enzyme cyclooxygenase that is necessary for

prostaglandin synthesis.

A patient is taking ibuprofen 400 mg every 4 hours to treat moderate

arthritis pain and reports that it is less effective than before. What action will

the nurse take?

a. Counsel the patient to discuss a change in dose or changing to a

prescription NSAID with the provider.

,b. Recommend adding aspirin to increase the anti-inflammatory effect.

c. Suggest asking the provider about a short course of corticosteroids.

d. Tell the patient to increase the dose to 800 mg every 4 hours. -

🧠ANSWER ✔✔a. Counsel the patient to discuss a change in dose or

changing to a prescription NSAID with the provider.

A patient who is taking aspirin for arthritis pain asks the nurse why it also

causes gastrointestinal

upset. The nurse understands that this is because aspirin:

a. increases gastrointestinal secretions.

b. increases hypersensitivity reactions.

c. inhibits both COX-1 and COX-2.


d. selectively inhibits COX-2. - 🧠ANSWER ✔✔c. inhibits both COX-1 and

COX-2.

5. A patient is taking aspirin for secondary prevention of myocardial

infarction and is experiencing moderate gastrointestinal upset. The nurse

will contact the patient's

provider to discuss changing from aspirin to which of the following?


3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, a. A COX-2 inhibitor

b. Celecoxib (Celebrex)

c. Enteric-coated aspirin


d. Ibuprofen - 🧠ANSWER ✔✔c. Enteric-coated aspirin


The nurse is performing a health history on a patient who has arthritis. The

patient reportstinnitus. Suspecting a drug adverse effect, the nurse will ask

the patient about which medication?

a. . Aspirin (Bayer)

b. Acetaminophen (Tylenol)

c. Anakinra (Kineret)


d. Prednisone (Deltasone) - 🧠ANSWER ✔✔a. . Aspirin (Bayer)


The nurse is teaching a patient about using high-dose aspirin to treat

arthritis. Whatinformation

will the nurse include when teaching this patient?

a. "A normal serum aspirin level is between 30 and 40 mg/dL."

b. "You may need to stop taking this drug a week prior to surgery."

c. "You will need to monitor aspirin levels if you are also taking warfarin."

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