NR 341 Week 1 Edapt- Nursing
Care: Complex Health
SituationsNR341 PHARM TEST
EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS LATEST 2026-2027
GRADE A+
Trauma Unit - CORRECT ANSWER-Young adult with a broken femur and closed head injury
sustained in a motorcycle crash
Intensive care unit (ICU) - CORRECT ANSWER-Middle-Aged adult with recent onset of left-sided
weakness and slurred speech
Orthopedic Unit - CORRECT ANSWER-Older adult requiring traction while awaiting surgical
repair of a hip fracture
Medical-Surgical Unit - CORRECT ANSWER-Middle-Aged adult after an uncomplicated colon
resection surgery
Need to use ISBAR - CORRECT ANSWER-1. Calling the health care provider regarding a change in
the client's status
2. Giving report to the oncoming nurse
3. Explaining the client's status to their family
,4. Discharging a client to a long-term care facility
No need to Use ISBAR - CORRECT ANSWER-1. Documenting Care
2. Scheduling radiologist tests
Which technique can be used to decrease the noise created by the alarms on the technology
used while delivering client care? - CORRECT ANSWER-Change the default alarm settings to
specific settings based on each client's condition.
Atenolol Nursing Implications - CORRECT ANSWER-take apical pulse before administering (if <50
bpm or if arrhythmias occur, withhold drug); IV push over 1 min
Atenolol Patient Teaching - CORRECT ANSWER-take w/meals or directly after eating; abrupt
withdrawal may precipitate life-threatening arrhythmias, hypertension, or MI; advise PT to
change positions slowly to minimize orthostatic hypotension
Atorvastatin - CORRECT ANSWER-Lipitor
Atorvastatin Indications - CORRECT ANSWER-an HMG-CoA reductase inhibitor, an anti-
hyperlipidemic; treats primary hypercholesterolemia, reduces LDL & triglycerides; prevention of
coronary events (primary & secondary), preventative for cardiovascular disease, such as heart
attacks; protection against MI & stroke for clients who have DM type 2; increasing levels of HDL
in PT's who have primary hypercholesterolemia
Atorvastatin Contraindications/Precautions - CORRECT ANSWER-pregnancy X; current liver
disease, jaundice, elevated transaminase, or greatly elevated AST or ALT; renal failure;
rhabdomyolysis or myopathy; MS; children younger than 10yo; homozygous familial
hypercholesterolemia (family HX of high cholesterol); HX of liver disorders; DM; alcohol use
disorder; renal disorders; seizure disorders
,Atorvastatin Adverse Effects - CORRECT ANSWER-myopathy (pain in muscles and joints, which
can progress to rhabdomyolysis [breakdown of muscle protein causing kidney damage]); liver
toxicity; peripheral neuropathy
Atorvastatin Interactions - CORRECT ANSWER-concurrent use of a fibrate or other drug used to
lower cholesterol can increase risk for myopathy or liver toxicity; drugs that inhibit CYP3A4
(such as erythromycin, azole anti-fungal drugs, & HIV protease inhibitors) increase blood levels
of some statins; drinking grapefruit juice can increase risk for adverse effects BC it inhibits
CYP34A; taking warfarin with this drug increases risk for bleeding & increased PT levels
Atorvastatin Nursing Implications - CORRECT ANSWER-monitor for & report myopathy; measure
CPK if muscle pain occurs; monitor liver function tests & report impaired liver function
Atorvastatin Patient Teaching - CORRECT ANSWER-for greatest effectiveness, take in PM with or
without food; without for better absorption; report muscle or joint pain to PCP; report
abdominal pain, jaundice, & fatigue to PCP; comply with periodic liver function tests
Atropine - CORRECT ANSWER-Lomotil
Atropine Indications - CORRECT ANSWER-anti-cholinergic; hemodynamically unstable
bradycardia; increased exocrine secretions; smooth muscle spasms; organophosphate
poisoning; nerve agent exposure; rapid sequence intubation in pediatrics; beta blocker or
calcium channel blocker overdose; given sometimes before or during surgery to stop saliva
Atropine Contraindications/Precautions - CORRECT ANSWER-tachycardia; hypersensitivity;
unstable cardiovascular status in acute hemorrhage w/ myocardial ischemia; narrow-angle
glaucoma; hypothermic bradycardia
Atropine Adverse Effects - CORRECT ANSWER-drowsiness, confusion, HA; tachycardia,
palpitations, dysrhythmias; N/V; pupil dilation; dry mouth, nose, & skin; blurred vision; urinary
retention; constipation; flushed, hot, dry skin; paradoxical bradycardia when pushed too slowly
or when given at low doses
, Atropine Interactions - CORRECT ANSWER-other CNS depressants increase CNS depression (i.e.,
diphenoxylate & atropine); monoamine oxidase inhibitors (MAOI) increase the risk for
hypertensive crisis (i.e., diphenoxylate & atropine)
Atropine Nursing Implications - CORRECT ANSWER-monitor PT when ambulating BC can cause
sedation, dizziness, lightheadedness, & drowsiness; recommend the lowest effective dose for
the shortest time to prevent sedation; monitor for anti-cholinergic effects (dry mouth & urinary
retention), such as urinary elimination patterns, especially in an older adult
Atropine Patient Teaching - CORRECT ANSWER-don't take prior to driving or activities requiring
mental alertness; sit or lie down if feeling lightheaded; change positions gradually; suck on hard
candy or chew gum; sip on water; urinate Q4H & report any undesirable changes in urinary
elimination; drink clear liquids or a commercial oral electrolyte solution; avoid caffeine BC it
increases GI motility
Carvedilol - CORRECT ANSWER-Coreg
Carvedilol Indications - CORRECT ANSWER-alpha/beta blocker; treats hypertension; treats heart
failure along w/digoxin, angiotensin-converting enzymes (ACE) inhibitors, & diuretics; prolongs
chance of survival following MI
Carvedilol Contraindications/Precautions - CORRECT ANSWER-severe unstable heart failure;
asthma or other chronic respiratory disorders; heart block or severe bradycardia; cardiogenic
shock; lactation; child or adolescent younger than 18yo; DM; renal or liver disorders; peripheral
vascular disease; depressive disorders
Carvedilol Adverse Effects - CORRECT ANSWER-dizziness, hypertension; bradycardia due to
blockade of beta 1 receptors, which may lead to reduced cardiac output
Care: Complex Health
SituationsNR341 PHARM TEST
EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS LATEST 2026-2027
GRADE A+
Trauma Unit - CORRECT ANSWER-Young adult with a broken femur and closed head injury
sustained in a motorcycle crash
Intensive care unit (ICU) - CORRECT ANSWER-Middle-Aged adult with recent onset of left-sided
weakness and slurred speech
Orthopedic Unit - CORRECT ANSWER-Older adult requiring traction while awaiting surgical
repair of a hip fracture
Medical-Surgical Unit - CORRECT ANSWER-Middle-Aged adult after an uncomplicated colon
resection surgery
Need to use ISBAR - CORRECT ANSWER-1. Calling the health care provider regarding a change in
the client's status
2. Giving report to the oncoming nurse
3. Explaining the client's status to their family
,4. Discharging a client to a long-term care facility
No need to Use ISBAR - CORRECT ANSWER-1. Documenting Care
2. Scheduling radiologist tests
Which technique can be used to decrease the noise created by the alarms on the technology
used while delivering client care? - CORRECT ANSWER-Change the default alarm settings to
specific settings based on each client's condition.
Atenolol Nursing Implications - CORRECT ANSWER-take apical pulse before administering (if <50
bpm or if arrhythmias occur, withhold drug); IV push over 1 min
Atenolol Patient Teaching - CORRECT ANSWER-take w/meals or directly after eating; abrupt
withdrawal may precipitate life-threatening arrhythmias, hypertension, or MI; advise PT to
change positions slowly to minimize orthostatic hypotension
Atorvastatin - CORRECT ANSWER-Lipitor
Atorvastatin Indications - CORRECT ANSWER-an HMG-CoA reductase inhibitor, an anti-
hyperlipidemic; treats primary hypercholesterolemia, reduces LDL & triglycerides; prevention of
coronary events (primary & secondary), preventative for cardiovascular disease, such as heart
attacks; protection against MI & stroke for clients who have DM type 2; increasing levels of HDL
in PT's who have primary hypercholesterolemia
Atorvastatin Contraindications/Precautions - CORRECT ANSWER-pregnancy X; current liver
disease, jaundice, elevated transaminase, or greatly elevated AST or ALT; renal failure;
rhabdomyolysis or myopathy; MS; children younger than 10yo; homozygous familial
hypercholesterolemia (family HX of high cholesterol); HX of liver disorders; DM; alcohol use
disorder; renal disorders; seizure disorders
,Atorvastatin Adverse Effects - CORRECT ANSWER-myopathy (pain in muscles and joints, which
can progress to rhabdomyolysis [breakdown of muscle protein causing kidney damage]); liver
toxicity; peripheral neuropathy
Atorvastatin Interactions - CORRECT ANSWER-concurrent use of a fibrate or other drug used to
lower cholesterol can increase risk for myopathy or liver toxicity; drugs that inhibit CYP3A4
(such as erythromycin, azole anti-fungal drugs, & HIV protease inhibitors) increase blood levels
of some statins; drinking grapefruit juice can increase risk for adverse effects BC it inhibits
CYP34A; taking warfarin with this drug increases risk for bleeding & increased PT levels
Atorvastatin Nursing Implications - CORRECT ANSWER-monitor for & report myopathy; measure
CPK if muscle pain occurs; monitor liver function tests & report impaired liver function
Atorvastatin Patient Teaching - CORRECT ANSWER-for greatest effectiveness, take in PM with or
without food; without for better absorption; report muscle or joint pain to PCP; report
abdominal pain, jaundice, & fatigue to PCP; comply with periodic liver function tests
Atropine - CORRECT ANSWER-Lomotil
Atropine Indications - CORRECT ANSWER-anti-cholinergic; hemodynamically unstable
bradycardia; increased exocrine secretions; smooth muscle spasms; organophosphate
poisoning; nerve agent exposure; rapid sequence intubation in pediatrics; beta blocker or
calcium channel blocker overdose; given sometimes before or during surgery to stop saliva
Atropine Contraindications/Precautions - CORRECT ANSWER-tachycardia; hypersensitivity;
unstable cardiovascular status in acute hemorrhage w/ myocardial ischemia; narrow-angle
glaucoma; hypothermic bradycardia
Atropine Adverse Effects - CORRECT ANSWER-drowsiness, confusion, HA; tachycardia,
palpitations, dysrhythmias; N/V; pupil dilation; dry mouth, nose, & skin; blurred vision; urinary
retention; constipation; flushed, hot, dry skin; paradoxical bradycardia when pushed too slowly
or when given at low doses
, Atropine Interactions - CORRECT ANSWER-other CNS depressants increase CNS depression (i.e.,
diphenoxylate & atropine); monoamine oxidase inhibitors (MAOI) increase the risk for
hypertensive crisis (i.e., diphenoxylate & atropine)
Atropine Nursing Implications - CORRECT ANSWER-monitor PT when ambulating BC can cause
sedation, dizziness, lightheadedness, & drowsiness; recommend the lowest effective dose for
the shortest time to prevent sedation; monitor for anti-cholinergic effects (dry mouth & urinary
retention), such as urinary elimination patterns, especially in an older adult
Atropine Patient Teaching - CORRECT ANSWER-don't take prior to driving or activities requiring
mental alertness; sit or lie down if feeling lightheaded; change positions gradually; suck on hard
candy or chew gum; sip on water; urinate Q4H & report any undesirable changes in urinary
elimination; drink clear liquids or a commercial oral electrolyte solution; avoid caffeine BC it
increases GI motility
Carvedilol - CORRECT ANSWER-Coreg
Carvedilol Indications - CORRECT ANSWER-alpha/beta blocker; treats hypertension; treats heart
failure along w/digoxin, angiotensin-converting enzymes (ACE) inhibitors, & diuretics; prolongs
chance of survival following MI
Carvedilol Contraindications/Precautions - CORRECT ANSWER-severe unstable heart failure;
asthma or other chronic respiratory disorders; heart block or severe bradycardia; cardiogenic
shock; lactation; child or adolescent younger than 18yo; DM; renal or liver disorders; peripheral
vascular disease; depressive disorders
Carvedilol Adverse Effects - CORRECT ANSWER-dizziness, hypertension; bradycardia due to
blockade of beta 1 receptors, which may lead to reduced cardiac output
