NUR 1290 PHARMACOLOGY FINAL EXAM 2026
SUMMER GRADED A OAKLAND COMMUNITY
COLLEGE (100 out of 100)
What needs to be ASSESSED when administering adrenergic agonists such as epinephrine?
1) Photosensitivity
2) Nausea and Constipation
3) Urinary Output
What needs to be MONITORED when administering adrenergic agonists?
1) Vital Signs
2) Breath Sounds
3) Watch for IV infiltration
What needs to be MONITORED when administering anticholinergic drugs such as Atropine, Bentyl,
Robinul, Vesicare, or Oxybutynin?
1) Bowel Sounds (can slow or stop GI motility)
2) Urinary Output (can be made difficult to urinate)
3)Oral Care (Secretions can dry up)
4) Heart Rate (can be increased)
5) Patient Safety must be ensured
6) Do not give to glaucoma patients (increases intraocular pressure)
Crazy Pam Drives a Benz means what?
Benzodiazepams are used to treat psychosis and anxiety.
What nursing activities are important to remember when adminstering Benzo's?
1) Taper off gradually
2) Evaluate level of anxiety
3) AVOID ETOH AND OTHER CNS DEPRESSANTS
4) Patient safety must be ensured.
What nursing activities are important to remember when administering MAO Inhibitors?
1) Avoid foods with tyramine
2) Monitor mood/suicidal thoughts
3) Inform about "lag time"
4) Avoid antihistamines
5)Avoid St. John's Wort
, What is the therapeutic level of antiseizure meds?
10-20 mcg/mL
Dilantin mixed with dextrose will create a ___________.
Precipitate. Mix with NS only
With oral antiseizure meds and Lithium, _________can occur so teach to maintain ______________.
Gingival Hyperplasia
Oral Hygiene
With head injury patients, would opioids be advisable to use?
NO! Avoid head injury or patients with increased intercranial pressure
What should be monitored when administering Opioid painkillers?
Respiratory Rate (can slow)
Intensity of pain (should go down)
Blood Pressure (can lower)
Nausea (administer with food or antiemetic if needed)
Bowel Pattern (motility can slow or stop)
Signs of dependence
What should the patient be educated on when giving opioid painkillers?
Disposing for patches properly (Fold and Flush)
Avoid activities requiring mental awareness
Increase fiber and water in diet
What does the nurse need to be aware of when administering opioid painkillers?
The antidote for overdose is NARCAN. (Have on hand if respiratory depression occurs.)
There are multiple routes for adminstration.
Use the equianalgesic chart when using different routes/drugs/doses to find the right dose.
Know immediate release versus extended release forms.
Why is methadone good for detox?
It has a long half life that lasts longer than the action
How to administer bronchodilators:
Give bronchodilator before inhaled steroid. Wait 2-5 minutes between medications. Wait 1-2 minutes
between puffs.
After using an inhaled steroid, what should the patient do?
Rinse their mouth with water to prevent fungal infection.
What is the route of administration of thrombolytic drugs?
SUMMER GRADED A OAKLAND COMMUNITY
COLLEGE (100 out of 100)
What needs to be ASSESSED when administering adrenergic agonists such as epinephrine?
1) Photosensitivity
2) Nausea and Constipation
3) Urinary Output
What needs to be MONITORED when administering adrenergic agonists?
1) Vital Signs
2) Breath Sounds
3) Watch for IV infiltration
What needs to be MONITORED when administering anticholinergic drugs such as Atropine, Bentyl,
Robinul, Vesicare, or Oxybutynin?
1) Bowel Sounds (can slow or stop GI motility)
2) Urinary Output (can be made difficult to urinate)
3)Oral Care (Secretions can dry up)
4) Heart Rate (can be increased)
5) Patient Safety must be ensured
6) Do not give to glaucoma patients (increases intraocular pressure)
Crazy Pam Drives a Benz means what?
Benzodiazepams are used to treat psychosis and anxiety.
What nursing activities are important to remember when adminstering Benzo's?
1) Taper off gradually
2) Evaluate level of anxiety
3) AVOID ETOH AND OTHER CNS DEPRESSANTS
4) Patient safety must be ensured.
What nursing activities are important to remember when administering MAO Inhibitors?
1) Avoid foods with tyramine
2) Monitor mood/suicidal thoughts
3) Inform about "lag time"
4) Avoid antihistamines
5)Avoid St. John's Wort
, What is the therapeutic level of antiseizure meds?
10-20 mcg/mL
Dilantin mixed with dextrose will create a ___________.
Precipitate. Mix with NS only
With oral antiseizure meds and Lithium, _________can occur so teach to maintain ______________.
Gingival Hyperplasia
Oral Hygiene
With head injury patients, would opioids be advisable to use?
NO! Avoid head injury or patients with increased intercranial pressure
What should be monitored when administering Opioid painkillers?
Respiratory Rate (can slow)
Intensity of pain (should go down)
Blood Pressure (can lower)
Nausea (administer with food or antiemetic if needed)
Bowel Pattern (motility can slow or stop)
Signs of dependence
What should the patient be educated on when giving opioid painkillers?
Disposing for patches properly (Fold and Flush)
Avoid activities requiring mental awareness
Increase fiber and water in diet
What does the nurse need to be aware of when administering opioid painkillers?
The antidote for overdose is NARCAN. (Have on hand if respiratory depression occurs.)
There are multiple routes for adminstration.
Use the equianalgesic chart when using different routes/drugs/doses to find the right dose.
Know immediate release versus extended release forms.
Why is methadone good for detox?
It has a long half life that lasts longer than the action
How to administer bronchodilators:
Give bronchodilator before inhaled steroid. Wait 2-5 minutes between medications. Wait 1-2 minutes
between puffs.
After using an inhaled steroid, what should the patient do?
Rinse their mouth with water to prevent fungal infection.
What is the route of administration of thrombolytic drugs?
