NSG223 | NSG 223 EXAM 1 | MEDICAL-SURGICAL
NURSING II EXAM 1 | 100% CORRECTLY
ANSWERED AND GRADED A+ | 2025/2026 GUIDE |
HERZING
Heart failure drugs
- correct answer –
ace inhibitors
Diuretics
Cardiac glycosides
Beta blockers
Vasodilators
Phosphodiesterase inhibitors
Digoxin
- correct answer - cardiac glycoside used in the treatment of advanced
hf. Works by increasing co.
*apical pulse 1 min prior to administering - hold for < 60bpm, monitor
serum levels - hold for > 2.*
Milrinone
- correct answer - phosphodiesterase inhibitor used in the treatment of
hf. *increased risk of ventricular dysrhythmia - limited use to 2-3 days
with continuous monitoring.*
,Atorvastatin
- correct answer - hmg-coa reductase inhibitor (statin) used in the
treatment of cholesterol imbalances and slowing cad. Works by
increasing removal of ldl cholesterol in the blood.
*adverse effect rhabdomyolysis.*
Administer in the evening.
Cholestyramine
- correct answer - bile acid sequestrant used in the treatment of
cholesterol imbalances. Works by increasing excretion of cholesterol in
the stool. *not first line - usually used in combo with statin's.*
Levothyroxine
- correct answer - thyroid hormone replacement used in the treatment of
hypothyroidism. *taken first thing in the morning every day.* regularly
monitor tsh levels to slowly reach therapeutic dose.
Propylthiouracil (ptu)
- correct answer - antithyroid drug used to treat hyperthyroidism. Works
by preventing t4-t3 conversion in target tissues. *short half life = frequent
dosing throughout the day.*
Radioactive iodine i-131
,- correct answer - radiopharmaceutical used to treat hyperthyroidism.
Works by destroying thyroid producing cells. *causes bone marrow
suppression - monitor cbc.*
*radioactive precautions* 6 feet, 30min/day/person, increase fluid intake
(2-3 l).
Hydrocortisone
- correct answer - glucocorticoid used to treat adrenocortical
insufficiency. *take at the same time every day.* treatment lasting > 2
weeks requires gradual discontinuation.
Fludrocortisone - correct answer - mineralocorticoid used in the
treatment of addison's disease (adrenocortical insufficiency).
*monitor weight, bp, k+, breath sounds, i/o's.*
*contraindicated with infections, recent mi, htn, diabetes.*
Type 1 diabetes - correct answer - autoimmune destruction of pancreatic
beta cells - cannot produce own insulin.
Lispro (humalog) - correct answer - rapid acting insulin
Onset: 15-20 min
Peak: 0.5-2.5 hr
Duration: 3-6 hr
, Regular insulin - correct answer - short acting insulin
Onset: 0.5-1 hr
Peak: 1-5 hr
Duration: 6-10 hr
Nph insulin - correct answer - intermediate acting insulin
Onset: 1-2 hr
Peak: 6-14 hr
Duration: 16-24 hr
Type 2 diabetes - correct answer - progressive disorder in which body
cells become less responsive to insulin - insulin receptor function issue
or beta cell exhaustion/death.
*treatment = first try diet and exercise.*
Glargine (lantus) - correct answer - long acting insulin
Onset: 70 min
Peak: none
Duration: 24 hr
NURSING II EXAM 1 | 100% CORRECTLY
ANSWERED AND GRADED A+ | 2025/2026 GUIDE |
HERZING
Heart failure drugs
- correct answer –
ace inhibitors
Diuretics
Cardiac glycosides
Beta blockers
Vasodilators
Phosphodiesterase inhibitors
Digoxin
- correct answer - cardiac glycoside used in the treatment of advanced
hf. Works by increasing co.
*apical pulse 1 min prior to administering - hold for < 60bpm, monitor
serum levels - hold for > 2.*
Milrinone
- correct answer - phosphodiesterase inhibitor used in the treatment of
hf. *increased risk of ventricular dysrhythmia - limited use to 2-3 days
with continuous monitoring.*
,Atorvastatin
- correct answer - hmg-coa reductase inhibitor (statin) used in the
treatment of cholesterol imbalances and slowing cad. Works by
increasing removal of ldl cholesterol in the blood.
*adverse effect rhabdomyolysis.*
Administer in the evening.
Cholestyramine
- correct answer - bile acid sequestrant used in the treatment of
cholesterol imbalances. Works by increasing excretion of cholesterol in
the stool. *not first line - usually used in combo with statin's.*
Levothyroxine
- correct answer - thyroid hormone replacement used in the treatment of
hypothyroidism. *taken first thing in the morning every day.* regularly
monitor tsh levels to slowly reach therapeutic dose.
Propylthiouracil (ptu)
- correct answer - antithyroid drug used to treat hyperthyroidism. Works
by preventing t4-t3 conversion in target tissues. *short half life = frequent
dosing throughout the day.*
Radioactive iodine i-131
,- correct answer - radiopharmaceutical used to treat hyperthyroidism.
Works by destroying thyroid producing cells. *causes bone marrow
suppression - monitor cbc.*
*radioactive precautions* 6 feet, 30min/day/person, increase fluid intake
(2-3 l).
Hydrocortisone
- correct answer - glucocorticoid used to treat adrenocortical
insufficiency. *take at the same time every day.* treatment lasting > 2
weeks requires gradual discontinuation.
Fludrocortisone - correct answer - mineralocorticoid used in the
treatment of addison's disease (adrenocortical insufficiency).
*monitor weight, bp, k+, breath sounds, i/o's.*
*contraindicated with infections, recent mi, htn, diabetes.*
Type 1 diabetes - correct answer - autoimmune destruction of pancreatic
beta cells - cannot produce own insulin.
Lispro (humalog) - correct answer - rapid acting insulin
Onset: 15-20 min
Peak: 0.5-2.5 hr
Duration: 3-6 hr
, Regular insulin - correct answer - short acting insulin
Onset: 0.5-1 hr
Peak: 1-5 hr
Duration: 6-10 hr
Nph insulin - correct answer - intermediate acting insulin
Onset: 1-2 hr
Peak: 6-14 hr
Duration: 16-24 hr
Type 2 diabetes - correct answer - progressive disorder in which body
cells become less responsive to insulin - insulin receptor function issue
or beta cell exhaustion/death.
*treatment = first try diet and exercise.*
Glargine (lantus) - correct answer - long acting insulin
Onset: 70 min
Peak: none
Duration: 24 hr
