GUIDE – FINAL | SAN ANTONIO COLLEGE
RNSG 1538 | 2026 UPDATE WITH PRACTICE
QUESTIONS, ANSWERS, AND RATIONALES|
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Updated 2026 Questions and Answers
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Rationales
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,A health care professional is talking to a patient about the A) premedicate with acetaminophen (Tylenol).
adverse effects of interferon beta-1a (Avonex). To help
minimize these effects, she should tell the patient to
A) premedicate with acetaminophen (Tylenol).
B) take the drug with food.
C) increase his fluid intake.
D) take the drug in the morning.
A health care professional is caring for a patient who is B) Respiratory depression
receiving thiopental (Pentothal). For which of the
following should the health care professional monitor?
A) Cardiac excitability
B) Respiratory depression
C) Hyperthermia
D) Hypotension
An anesthetist is about to administer lidocaine B) Hypotension
(Xylocaine) as part of the protocol for spinal anesthesia
for a patient who is undergoing a surgical procedure. The
health care professional should be aware that the patient
could develop which of the following potentially serious
effects?
A) Tachycardia
B) Hypotension
C) Hyperthermia
D) Hemoptysis
A health care professional is talking to a patient and her C) Increased focus
family about how methylphenidate (Ritalin) will help
manage attention-deficit hyperactivity disorder (ADHD).
Which of the following therapeutic effects should they
expect?
A) Reduced panic
B) Improved mood
C) Increased focus
D) Decreased anxiety
A health care professional is caring for a patient who is B) memory impairment.
taking zolpidem (Ambien). The patient has a history of
benzodiazepine abuse and reports insomnia. The health
care professional should caution the patient that the drug
can cause
A) hearing loss.
B) memory impairment.
C) joint pain.
D) constipation.
,A health care professional is caring for a patient who is B) Liver function
about to begin taking dantrolene (Dantrium) for skeletal
muscle spasms. The health care professional should
recognize that which of the following laboratory tests
requires monitoring?
A) Serum potassium
B) Liver function
C) Serum sodium
D) Thyroid function
While talking with a patient and his family about taking D) Notify the health care professional before taking over-the-counter antacids.
memantine (Namenda) for Alzheimer's disease, the health
care professional should include which of the following
instructions?
A) Increase fluids to improve renal excretion.
B) Report memory loss or confusion.
C) Watch for signs of liver impairment, such as jaundice
and abdominal pain.
D) Notify the health care professional before taking over-
the-counter antacids.
A health care professional is talking to a patient who is D) Increases available dopamine in the brain
newly diagnosed with Parkinson's disease about how
levodopa/carbidopa (Sinemet) will help control her
symptoms. With which of the following mechanisms is the
drug effective in treating the disorder?
A) Increases available acetylcholine in the brain
B) Inhibits norepinephrine metabolism in the brain
C) Inhibits serotonin metabolism in the brain
D) Increases available dopamine in the brain
A health care professional is caring for a patient who is B) Creatine phosphokinase (CPK)
about to begin taking pramipexole (Mirapex) to treat
Parkinson's disease. The health care professional should
recognize that which of the following laboratory tests
require monitoring?
A) C-reactive protein
B) Creatine phosphokinase (CPK)
C) Thyroid function
D) CBC
, A health care professional should include which of the A) Change position slowly to prevent orthostatic hypotension.
following instructions when talking with a patient about
taking levodopa/carbidopa (Sinemet) to treat Parkinson's
disease?
A) Change position slowly to prevent orthostatic
hypotension.
B) Eat a protein snack to increase absorption.
C) Take the drug at bedtime to avoid daytime drowsiness.
D) Expect eye twitching to develop with long-term
therapy.
A health care professional is talking to a patient about A) Chest pain
beginning sumatriptan (Imitrex) therapy to treat migraine
headaches. The health care professional should advise
the patient to watch for which of the following adverse
effects?
A) Chest pain
B) Polyuria
C) Joint pain
D) Insomnia
A health care professional is talking with a patient who is C) Jaundice
to begin taking valproic acid (Depakote) to treat a seizure
disorder. He should advise the patient to monitor for
which of the following adverse effects?
A) Hirsutism
B) Depression
C) Jaundice
D) Gum irritation
A health care professional is caring for a patient who is C) Diarrhea
about to begin taking dantrolene (Dantrium) for skeletal
muscle spasms. The health care professional should tell
the patient to report which of the following adverse
effects?
A) Slow pulse rate
B) Cough
C) Diarrhea
D) Hearing loss
When talking with a patient about taking temazepam B) Avoid alcohol and other depressants.
(Restoril), which of the following instructions should the D) Take the drug 30 min before bedtime.
health care professional include? (Select all that apply.) E) Taper the drug slowly to prevent withdrawal symptoms.
A) Wear sunscreen and protective clothing.
B) Avoid alcohol and other depressants.
C) Increase fiber and fluid intake.
D) Take the drug 30 min before bedtime.
E) Taper the drug slowly to prevent withdrawal symptoms.