N115 Final Exam Practice Questions and Answers

N115 Final Exam Practice Questions and Answers Rescue bronchodilators target what receptor? - Ans:-beta 2 Effective treatment options for peptic ulcers include? - Ans:-H2 blockers, proton pump inhibitors, sucralfate (restore protective lining) How do H2 antagonists work against ulcers? - Ans:-They block acid secretion triggered by histamine; block histamine receptor sites Mechanism of action for metformin? - Ans:-increases muscle and adipose tissue sensitivity to insulin; prevents type II DM What is a first trimester hormone taken that reduces fetuses' IQ? - Ans:-Thyroxine (indigenous thyroid hormone) What hormones does levothyroxine contain? - Ans:-T4 Long term steroids. Why do these patients respond negatively to surgery or traumas? - Ans:-Body's stress response is suppressed by the steroids ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/8 How would you give Ventolin(albuterol)? - Ans:-by inhalation Before administering tramadol go over what adverse effects? - Ans:-Sedation, seizure, dry mouth, NOT Diarrhea You have a diabetes pt in med surg with hypoglycemia. Pt is unconscious. What would you do for them? - Ans:-Give them dextrose D50 IV Propranolol is a beta blocker. What disease process is contraindicated to give this? - Ans:-Asthma and COPD What would be an adverse effect of digoxin? - Ans:-Nausea and anorexia Client has a fib and is getting digoxin. What would you do prior to administering the dose? - Ans:- Take apical pulse for 1 min Atenolol, beta blocker, what would prompt you to withhold this medication? - Ans:-Low heart rate Client was put on heparin and asked you how long it will take to dissolve the clot? - Ans:-It doesn't dissolve the clot just helps prevent more clots from forming You have a client taking over the counter calcium carbonate antacids. What would you recommend for them? - Ans:-Balance nutritional intake by limiting fiber, decreasing bulk to counter constipation and increase bulk to counter diarrhea adverse effects ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/8 Patient on heparin is starting to transition to warfarin? Doctor failed to discontinue heparin after initially ordering warfarin. Why? - Ans:-Warfarin takes a few days to take effect so need it to start working for the pt/reach steady state before discontinuing heparin. Giving a class on antihyperglycemic agents (insulins) and going over the different forms. What ways do the insulins differ? - Ans:-Duration and onsets Capezol. Why would you give it? - Ans:-Hyperthyroidism Glucotrol. What would be an adverse effect? - Ans:-Nausea, vomiting, hypoglycemia Insulin lispro when would the morning dose be given? - Ans:-15-30 minutes before breakfast Theophylline. What adverse effect could you get? - Ans:-Restlessness Beclomethasone instructions? - Ans:-Rinse your mouth after dose You have a pt with asthma taking his albuterol inhaler. How would you advise them to take their metered dose inhaler? - Ans:-Shake it, exhale, press, inhale, hold for 10 seconds, wait at least 1 minute before next dose Client has an artificial heart valve and is on warfarin. What lab values would you monitor? - Ans:-PT What would be a hard contraindication for warfarin? - Ans:-Pregnancy You gave too much heparin. Now what? - Ans:-Protamine sulfate