GALEN NUR 210 INTRODUCTORY
NURSING 2026 STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS GRADED A+
⩥ DMARDS. Answer: •Immunosuppressants
•Increased risk of infection
Immunomodulators
•Antimalarials
•Used for RA
•Severe psoriasis
•Crohn's disease
•UC
•Must assess risk of infection
⩥ Antigout. Answer: •High level of uric acid in blood, causes
inflammation/severe pain
•Increase fluids while taking meds to flush out uric acid
⩥ Colchicine. Answer: Inflammation related to gout, not for other
inflammatory conditions
⩥ Aspirin. Answer: Classification: salicylate, NSAID
,Uses: pain, arthritis, inflammation, anticoagulation
Action: COX 1/2 inhibitor, prostaglandin inhibitor
Side Effects: dizziness, abdominal pain, drowsiness, HA Adverse
Effects: tinnitus, hearing loss, GI distress/ bleeding/ ulceration,
thrombocytopenia, agranulocytosis, hepatotoxicity, Reye syndrome
Contraindications: GI bleeding, sensitivity to NSAIDs, flu or viral
illnesses, pregnancy
Interactions: anticoagulants, hypoglycemics
Eval/Monitor/Teach: monitor for bleeding/ bruising, GI, no alcohol or
warfarin, inform dentist before procedure, stop 7 days before surgery,
watch liver function, do not give to children
⩥ Ibuprofen. Answer: Classification: NSAID, propionic acid derivative
Uses: arthritis pain, inflammation, mild-moderate pain
Action: Inhibits COX 1/2 enzyme, prostaglandin inhibitor
Side Effects: GI upset, peripheral edema, dizziness Adverse Effects:
hearing loss/ tinnitus, GI bleeding/ulcers, petechiae
Contraindications: cross sensitivity to other NSAIDs, hypersensitivity to
aspirin, peptic ulcers
Interactions: anticoagulants, lithium, herbal products
Eval/Monitor/Teach: monitor for GI bleeding (severe stomach pain,
black/tarry stools)
⩥ Celecoxib (Celebrex). Answer: Classification: COX-2 inhibitor,
NSAID
, Action: Inhibits prostaglandin synthesis in COX 2, decreases
inflammation/pain
Uses: osteoarthritis, RA, mild-moderate pain, fever
Side Effects: GI upset, dizziness, diarrhea
Adverse Effects: headaches, peripheral edema, bleeding, HTN, can
cause strokes
Contraindications: cardiac conditions
Interactions: anticoagulants, lithium, herbal products (gingko biloba)
Eval/Monitor/Teach: monitor for GI bleeding (severe stomach pain,
black/tarry stools), monitor VS, caution with hepatic or renal
dysfunction, highly protein bound, dysrhythmias,
⩥ Allopurinol. Answer: Classification: uric acid inhibitor, anti-gout
Action: reduces serum uric acid levels
Uses: gout, chronic gout prophylactic
Side Effects: GI upset, dizziness, pruritus, HA, flushed skin
Adverse Effects: blood dyscrasias, n/v, anemia, metallic taste, pruritus
Contraindications: severe kidney disease
Interactions: cyclosporine, anticoagulants, diuretics Eval/Monitor/Teach:
monitor uric acid, increase fluids, encourage yearly eye exams, take with
food, avoid high purine foods (meats, salmon, legumes, gravy, coffee),
increase fluids, assess renal/liver function
⩥ Acetominophen. Answer: •Analgesic, antipyretic
NURSING 2026 STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS GRADED A+
⩥ DMARDS. Answer: •Immunosuppressants
•Increased risk of infection
Immunomodulators
•Antimalarials
•Used for RA
•Severe psoriasis
•Crohn's disease
•UC
•Must assess risk of infection
⩥ Antigout. Answer: •High level of uric acid in blood, causes
inflammation/severe pain
•Increase fluids while taking meds to flush out uric acid
⩥ Colchicine. Answer: Inflammation related to gout, not for other
inflammatory conditions
⩥ Aspirin. Answer: Classification: salicylate, NSAID
,Uses: pain, arthritis, inflammation, anticoagulation
Action: COX 1/2 inhibitor, prostaglandin inhibitor
Side Effects: dizziness, abdominal pain, drowsiness, HA Adverse
Effects: tinnitus, hearing loss, GI distress/ bleeding/ ulceration,
thrombocytopenia, agranulocytosis, hepatotoxicity, Reye syndrome
Contraindications: GI bleeding, sensitivity to NSAIDs, flu or viral
illnesses, pregnancy
Interactions: anticoagulants, hypoglycemics
Eval/Monitor/Teach: monitor for bleeding/ bruising, GI, no alcohol or
warfarin, inform dentist before procedure, stop 7 days before surgery,
watch liver function, do not give to children
⩥ Ibuprofen. Answer: Classification: NSAID, propionic acid derivative
Uses: arthritis pain, inflammation, mild-moderate pain
Action: Inhibits COX 1/2 enzyme, prostaglandin inhibitor
Side Effects: GI upset, peripheral edema, dizziness Adverse Effects:
hearing loss/ tinnitus, GI bleeding/ulcers, petechiae
Contraindications: cross sensitivity to other NSAIDs, hypersensitivity to
aspirin, peptic ulcers
Interactions: anticoagulants, lithium, herbal products
Eval/Monitor/Teach: monitor for GI bleeding (severe stomach pain,
black/tarry stools)
⩥ Celecoxib (Celebrex). Answer: Classification: COX-2 inhibitor,
NSAID
, Action: Inhibits prostaglandin synthesis in COX 2, decreases
inflammation/pain
Uses: osteoarthritis, RA, mild-moderate pain, fever
Side Effects: GI upset, dizziness, diarrhea
Adverse Effects: headaches, peripheral edema, bleeding, HTN, can
cause strokes
Contraindications: cardiac conditions
Interactions: anticoagulants, lithium, herbal products (gingko biloba)
Eval/Monitor/Teach: monitor for GI bleeding (severe stomach pain,
black/tarry stools), monitor VS, caution with hepatic or renal
dysfunction, highly protein bound, dysrhythmias,
⩥ Allopurinol. Answer: Classification: uric acid inhibitor, anti-gout
Action: reduces serum uric acid levels
Uses: gout, chronic gout prophylactic
Side Effects: GI upset, dizziness, pruritus, HA, flushed skin
Adverse Effects: blood dyscrasias, n/v, anemia, metallic taste, pruritus
Contraindications: severe kidney disease
Interactions: cyclosporine, anticoagulants, diuretics Eval/Monitor/Teach:
monitor uric acid, increase fluids, encourage yearly eye exams, take with
food, avoid high purine foods (meats, salmon, legumes, gravy, coffee),
increase fluids, assess renal/liver function
⩥ Acetominophen. Answer: •Analgesic, antipyretic