2025-2026 Actual Exam 115 Questions with 100%
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(NSAID) that is a COX-2 inhibitor? - CORRECT ANSWER: celecoxib (Celebrex)
• Protamine sulfate - CORRECT ANSWER: antidote for heparin
-strong alkaline protein that neutralizes effects of heparin
-results immediate last 2 hours or more
uses: for heparin overdose & after post op
• Vitamin K - CORRECT ANSWER: antidote for warfarin (Coumadin)
• Warfarin sodium (Coumadin) - CORRECT ANSWER: Anticoagulant; inhibits vitamin K
synthesis.
PT & INR- check most recent labs
target INR 2-3 or 2.5-3.5 with patients with mechanic heart valve
provide education on food high i vitamin K which is the Antidote
do no use pregnant
adverse: skin, mucous membranes, internal bleeding, urine & stools, menstrual flow,
petiache RASH
A new medication. What is the nurse's priority action? - CORRECT ANSWER: do 3 med
checks, perform pre assessment, collection patients history. check for allergies
ACE inhibitor...adverse effect of this medication? - CORRECT ANSWER: cough
,angioedema (swelling of the face, eyes, lips, and tongue, difficulty breathing)-- on
African amercians
neutropenia
hyperkalemia
nephrotoxicity
may cause fetal harm
may increase blood levels of doxgin & lithium
Action of antihistamines - CORRECT ANSWER: reduce or block histamines, so they
stop allergy symptoms
administering an IM injection using the Z-track method? - CORRECT ANSWER: IM
injection (use ventrogluteal or vastus lateralis, 1-2 inch needle, 20-23 gauge, 90 degree
insertion, holds 0.5-2 mL of solution)1. clean site with alcohol swab and allow to air
dry2. tell patient to relax muscles at injection site3. pull down on the skin and fatty tissue
right by ejection site4. inject needle and keep in place for 10 seconds5. after removing
the needle, release your hold on the skin and tissue6. apply pressure to site and cover
with a bandaid
administration of a parental pain medication will the nurse complete the next pain
assessment to evaluate the effectiveness of the medication? - CORRECT ANSWER:
ask about pain on a scale of 0-10
Adverse effects - CORRECT ANSWER: unintended and usually undesired effects that
may occur with use of the drug
-undesired, unexpected, unintended; have to treat
affective domain - CORRECT ANSWER: Involves feelings, needs, values, and opinion
, Allergic reaction - CORRECT ANSWER: An immunologic hypersensitivity reaction
resulting from the unusual sensitivity of a patient to a particular medication; a type of
adverse drug event.
aloe - CORRECT ANSWER: Topically for pain, inflammation, itching
Ampule - CORRECT ANSWER: A small sealed glass container that holds a single dose
of medication.
antihistamine patient teaching - CORRECT ANSWER: don't take with alcohol
can cause drowsinessdo not take meds within 4 days of skin testing
take with meals to avoid GI upset
use gum or candy for dry mouth
take 30 minutes before traveling
use sunblock and protective clothes
if for insomnia, take 20 minutes before bed
maintain fluid intake to decrease viscosity of secretions
assess lung sounds and character of bronchial secretions
appropriate when administering enteric coated tablets? - CORRECT ANSWER:
Encourage the patient to drink a full glass of water.
-if the patient has a hard time swallowing
assessing a patient who was recently admitted to the emergency department with
dysrhythmias and shortness of breath. nursing assessment should be the priority... -
CORRECT ANSWER: cardiac and respiratory assessments, medication assessment,
look at recent ECG readings
B3 (niacin) - CORRECT ANSWER: low dose for supplementation (25 mg/day)high
doses for high cholesterol (2-3 g/day)high doses can cause flushing/hot flashes in