NURS 5663 BUNDLE ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ TCA antidote.
Answer: sodium bicarbonate
◍ benzodiazepine antidote.
Answer: Flumazenil (Romazicon)- I FLU fast in my mercedes-BENZ
◍ the Gs drug interactions.
Answer: anticoagulants (warfarin), antiplatelets
◍ SSRI therapeutic uses.
Answer: - first line durg for depression/anxiety- OCD- eating disorders
◍ warfarin patient education.
Answer: diet modification: educate patient to be onsistent with their vitamin
K intake- do not increase, decrease, or be inconsistent with the intake of
foods rich in vitamin K- vitamin K foods: liver, green leafy vegetables
(broccoli, spinach, brussels sprouts, cabbage)
◍ antiplatelet uses.
Answer: - long term prevention of clots- CVD- risk for clot development-
history of CV surgery, MI
◍ fluoroquinolones patient education.
Answer: - wear sunscreen, avoid direct sun exposure, and protect skin/eyes
to prevent sunburns- increase fluids
◍ nitrates side effects.
Answer: - headache (blood is rushing through the body and to the head)-
hot, flushed face (blood is rushing through the body and to the head)-
, hypotension (opening the blood vessels = decreased BP)
◍ digoxin therapeutic level.
Answer: 0.5-2
◍ alpha2 adrenergic agonists.
Answer: clonidine, methyldopa, guanfacine
◍ contraindication.
Answer: Health-related reason for not giving a specific drug to a patient or a
group of patients.
◍ loop diuretics nursing considerations.
Answer: - monitor potassium levels- watch out for hypokalemia- administer
furosemide slowly (rapid administration can cause ototoxicity)
◍ PPIs.
Answer: - PRAZOLEdexlansoprazole, esomeprazole, lansoprazole,
omeprazole, pantoprazole
◍ biphosphonates/calcium metabolism modifier side effects.
Answer: - GI upset (nausea, vomiting, dyspepsia, acid reflux, abd. pain)-
intranasal route (nasal irritation and nasal dryness)
◍ antithyroid MOA.
Answer: - inhibits the production of thyroid hormones- does not affect
existing thyroid hormones circulating in the blood or stored in the thyroid
gland
◍ sulfonamides.
Answer: - sulfa drugs, antibiotics- SULFA- sulfadiazine,
trmethoprim/sulfamethoxazole, sulfasalazine
◍ anticholinergic patient education.
Answer: - increase oral fluids- increase fiber intake- avoid high temp
environments- do not operate heavy machinery or drive- seek medical
attention for acute change in mental status, severe lower abd. pain or
pressure, inability to void, vomiting, inability to move bowels, feeling of
, overheating or lack of sweat
◍ beta blockers.
Answer: - OLOLacebutolol, metoprolol, propranolol, nadolol, atenolol,
carvediolol
◍ LABA.
Answer: - long acting beta2 agonists-TEROLsalmeterol, aformoterol,
budesonide/formoterol/glycopyrrolate, olodaterol
◍ beta blockers nursing considerations.
Answer: certain medications are known to cause bronchospasms in clients
with asthma. We want to BAN these emdications from asthma patients -
Beta blockers, Aspirin, NSAIDS
◍ cyanide antidote.
Answer: Hydroxocobalamin (Cyanokit - vitaminB12)
◍ cephlasporins therapeutic uses.
Answer: otitis media, respiratory infections, bone ifnections, UTIs,
prophylactic measure to prevent infection during surgery
◍ nitrates.
Answer: - NITRATE, NITRO-nitroglycerin, isosorbide mononitrate
◍ penicillin patient education.
Answer: - use additional contraceptions as penicillin may decrease the
effectiveness of oral contraceptives- Penicillin bumps the Pill
◍ bile acid resins side effects.
Answer: constipation, increased risk for bleeding (due to vitamin K
malabsorption), vitamin A&D deficiencies
◍ SNRI therapeutic uses.
Answer: - depression and depressive episodes- fibromyalgia and related
pain- anxiety disorders- neuropathic pain- bupropion may be used for
smoking cessation- can treat PAIN and MOOD
◍ intermediate acting insulin.
, Answer: - NPH- onset: 1-2 hours- peak: 4-12 hours- duration: 18-24 hours-
never give IV
◍ the Gs and saw palmetto side effects.
Answer: increased risk for bleeding
◍ heparin MOA.
Answer: prevents thrombin activation, which inhibits the conversion of
fibrinogen to fibrin
◍ vancomycin nursing considerations.
Answer: - monitor peak (20-40) and trough (5-15)- infuse over 60min- stop
the infusion if any symptoms of vancomycin flushing syndrome occur
◍ assessment.
Answer: The first step of the nursing process; involves gathering
information about the patient that will be used in planning care.
◍ heparin antidote.
Answer: protamine sulfate- you will need HElP from a PRO to stop bleeding
out
◍ early lithium toxicity.
Answer: GI symptoms (nausea, vomiting, diarrhea)
◍ warfarin.
Answer: - given orally- not safe during pregnancy- onset: slow (24-72 hours,
warfarin you have to wait)- long term therapy- monitored with PT/INR
◍ NSAIDs side effects.
Answer: - gastroesophageal upset, nausea, diarrhea, vomiting, abdominal
discomfort, acid reflux, possible GI bleed- impaired renal function
(nephrotoxicity): blocking prostaglandins causes vasoconstriction, which
impaired renal blood flow- hypertension- clot formation
(non-aspirin-containing NSAIDS): increases risk for strokes and MI
◍ therapeutic effect.
Answer: The intended action of the drug, also known as a drug's beneficial
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ TCA antidote.
Answer: sodium bicarbonate
◍ benzodiazepine antidote.
Answer: Flumazenil (Romazicon)- I FLU fast in my mercedes-BENZ
◍ the Gs drug interactions.
Answer: anticoagulants (warfarin), antiplatelets
◍ SSRI therapeutic uses.
Answer: - first line durg for depression/anxiety- OCD- eating disorders
◍ warfarin patient education.
Answer: diet modification: educate patient to be onsistent with their vitamin
K intake- do not increase, decrease, or be inconsistent with the intake of
foods rich in vitamin K- vitamin K foods: liver, green leafy vegetables
(broccoli, spinach, brussels sprouts, cabbage)
◍ antiplatelet uses.
Answer: - long term prevention of clots- CVD- risk for clot development-
history of CV surgery, MI
◍ fluoroquinolones patient education.
Answer: - wear sunscreen, avoid direct sun exposure, and protect skin/eyes
to prevent sunburns- increase fluids
◍ nitrates side effects.
Answer: - headache (blood is rushing through the body and to the head)-
hot, flushed face (blood is rushing through the body and to the head)-
, hypotension (opening the blood vessels = decreased BP)
◍ digoxin therapeutic level.
Answer: 0.5-2
◍ alpha2 adrenergic agonists.
Answer: clonidine, methyldopa, guanfacine
◍ contraindication.
Answer: Health-related reason for not giving a specific drug to a patient or a
group of patients.
◍ loop diuretics nursing considerations.
Answer: - monitor potassium levels- watch out for hypokalemia- administer
furosemide slowly (rapid administration can cause ototoxicity)
◍ PPIs.
Answer: - PRAZOLEdexlansoprazole, esomeprazole, lansoprazole,
omeprazole, pantoprazole
◍ biphosphonates/calcium metabolism modifier side effects.
Answer: - GI upset (nausea, vomiting, dyspepsia, acid reflux, abd. pain)-
intranasal route (nasal irritation and nasal dryness)
◍ antithyroid MOA.
Answer: - inhibits the production of thyroid hormones- does not affect
existing thyroid hormones circulating in the blood or stored in the thyroid
gland
◍ sulfonamides.
Answer: - sulfa drugs, antibiotics- SULFA- sulfadiazine,
trmethoprim/sulfamethoxazole, sulfasalazine
◍ anticholinergic patient education.
Answer: - increase oral fluids- increase fiber intake- avoid high temp
environments- do not operate heavy machinery or drive- seek medical
attention for acute change in mental status, severe lower abd. pain or
pressure, inability to void, vomiting, inability to move bowels, feeling of
, overheating or lack of sweat
◍ beta blockers.
Answer: - OLOLacebutolol, metoprolol, propranolol, nadolol, atenolol,
carvediolol
◍ LABA.
Answer: - long acting beta2 agonists-TEROLsalmeterol, aformoterol,
budesonide/formoterol/glycopyrrolate, olodaterol
◍ beta blockers nursing considerations.
Answer: certain medications are known to cause bronchospasms in clients
with asthma. We want to BAN these emdications from asthma patients -
Beta blockers, Aspirin, NSAIDS
◍ cyanide antidote.
Answer: Hydroxocobalamin (Cyanokit - vitaminB12)
◍ cephlasporins therapeutic uses.
Answer: otitis media, respiratory infections, bone ifnections, UTIs,
prophylactic measure to prevent infection during surgery
◍ nitrates.
Answer: - NITRATE, NITRO-nitroglycerin, isosorbide mononitrate
◍ penicillin patient education.
Answer: - use additional contraceptions as penicillin may decrease the
effectiveness of oral contraceptives- Penicillin bumps the Pill
◍ bile acid resins side effects.
Answer: constipation, increased risk for bleeding (due to vitamin K
malabsorption), vitamin A&D deficiencies
◍ SNRI therapeutic uses.
Answer: - depression and depressive episodes- fibromyalgia and related
pain- anxiety disorders- neuropathic pain- bupropion may be used for
smoking cessation- can treat PAIN and MOOD
◍ intermediate acting insulin.
, Answer: - NPH- onset: 1-2 hours- peak: 4-12 hours- duration: 18-24 hours-
never give IV
◍ the Gs and saw palmetto side effects.
Answer: increased risk for bleeding
◍ heparin MOA.
Answer: prevents thrombin activation, which inhibits the conversion of
fibrinogen to fibrin
◍ vancomycin nursing considerations.
Answer: - monitor peak (20-40) and trough (5-15)- infuse over 60min- stop
the infusion if any symptoms of vancomycin flushing syndrome occur
◍ assessment.
Answer: The first step of the nursing process; involves gathering
information about the patient that will be used in planning care.
◍ heparin antidote.
Answer: protamine sulfate- you will need HElP from a PRO to stop bleeding
out
◍ early lithium toxicity.
Answer: GI symptoms (nausea, vomiting, diarrhea)
◍ warfarin.
Answer: - given orally- not safe during pregnancy- onset: slow (24-72 hours,
warfarin you have to wait)- long term therapy- monitored with PT/INR
◍ NSAIDs side effects.
Answer: - gastroesophageal upset, nausea, diarrhea, vomiting, abdominal
discomfort, acid reflux, possible GI bleed- impaired renal function
(nephrotoxicity): blocking prostaglandins causes vasoconstriction, which
impaired renal blood flow- hypertension- clot formation
(non-aspirin-containing NSAIDS): increases risk for strokes and MI
◍ therapeutic effect.
Answer: The intended action of the drug, also known as a drug's beneficial
