6/17/25, 5:01 AM NUR 239 Final Exam
NURS 239 ACTUAL FINAL EXAM 2025-2026 \ NEWEST VERSION
WITH COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \VERIFIED ANSWERS ALREADY GRADED A+
In evening, with meal (most Should statins be taken with or
cholesterol is made at night)
without food? What food
Avoid alcohol,
grapefruit/juice, should be avoided?
pomegranate
Enzyme in the muscles that What is Creatinine Kinase?
increases with muscle
damage What is the normal range of CK?
Normal Range: 0.7-1.4
tPA (Alteplase) This medication dissolves blood clots and is used for ischemic
strokes
Within 3-4.5 hours of How soon after the onset of symptoms should alteplase be used?
symptoms
Adverse effects for this medication include:
tPA (Alteplase)
- Any type of bleeding, cardiac arrhythmias
Over 1 hour How should IV tPA (Alteplase) be given?
Implications for this medication include:
- Need consent before administering
tPA (Alteplase)
- Stop and notify the provider if any bleeding
- High Alert Med
Aspirin This medication is given at a low dose (81-325mg) to prevent
platelet aggregation
This medication is a short acting (onset of 5-15 minutes)
Albuterol
beta 2 agonist that is the initial drug of choice for
acute bronchospasms
Adverse effects of this medication include:
Albuterol - Muscle tremors, tachycardia, palpitations, etc
- Unusual/bad taste in mouth
If you're still studying, this flashcard grants you a 5
Flip this card
1/22
,6/17/25, 5:01 AM NUR 239 Final Exam
minute break. Congratulations sailor!
2/22
, 6/17/25, 5:01 AM NUR 239 Final Exam
Nursing Implications of this medication include:
- Use short acting inhalers first (albuterol)
- Wait 5 minutes between using inhalers
Albuterol
- Overuse leads to tolerance
- Avoid caffeine
report chest pain/palpitations
This medication is a 2nd line drug for prevention and
Theophylline
acute bronchospasms that works by inhibiting the
release of inflammatory mediators
Adverse effects of this medication include:
Theophylline - N/V, tachycardia, dysrhythmias, palpitation
- Agitations, nervousness, restlessness, insomnia, convulsions
Theophylline Serum Drug Level of this asthma medication should be
monitored
5-15, 20 is toxic What is the normal range of Theophylline?
This asthma/COPD med works to decrease airway
Beclomethasone/Fluticason
e inflammation, decrease exudate and mucus production
and are used chronically for prevention
B: 2 puffs 3- Beclomethasone/Fluticasone Dosages
4x/day F: 2-
4 puffs BID
There are rarely any systemic effects for these medications aside
Beclomethasone/Fluticason from
e - Mouth risk for fungal infection
- HA, pharyngitis, dry mouth, cough, hoarseness, nausea
- Rinse mouth after use How to Reduce risk of fungal infections with corticosteroids
- Correct use of
inhalants, wait 5 min
between use of
inhalers
Nystatin What is the medication used for fungal infections from
corticosteroids?
This is a preventative medication used for exercise-
Montelukast
induced asthma. It works by inhibiting leukotriene
Adverse effects of this medication include:
Montelukast - HA, N/V/D, infection
- BBW neuropsychiatric effects (hallucinations, agitation, suicide,
depression)
3/22
NURS 239 ACTUAL FINAL EXAM 2025-2026 \ NEWEST VERSION
WITH COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \VERIFIED ANSWERS ALREADY GRADED A+
In evening, with meal (most Should statins be taken with or
cholesterol is made at night)
without food? What food
Avoid alcohol,
grapefruit/juice, should be avoided?
pomegranate
Enzyme in the muscles that What is Creatinine Kinase?
increases with muscle
damage What is the normal range of CK?
Normal Range: 0.7-1.4
tPA (Alteplase) This medication dissolves blood clots and is used for ischemic
strokes
Within 3-4.5 hours of How soon after the onset of symptoms should alteplase be used?
symptoms
Adverse effects for this medication include:
tPA (Alteplase)
- Any type of bleeding, cardiac arrhythmias
Over 1 hour How should IV tPA (Alteplase) be given?
Implications for this medication include:
- Need consent before administering
tPA (Alteplase)
- Stop and notify the provider if any bleeding
- High Alert Med
Aspirin This medication is given at a low dose (81-325mg) to prevent
platelet aggregation
This medication is a short acting (onset of 5-15 minutes)
Albuterol
beta 2 agonist that is the initial drug of choice for
acute bronchospasms
Adverse effects of this medication include:
Albuterol - Muscle tremors, tachycardia, palpitations, etc
- Unusual/bad taste in mouth
If you're still studying, this flashcard grants you a 5
Flip this card
1/22
,6/17/25, 5:01 AM NUR 239 Final Exam
minute break. Congratulations sailor!
2/22
, 6/17/25, 5:01 AM NUR 239 Final Exam
Nursing Implications of this medication include:
- Use short acting inhalers first (albuterol)
- Wait 5 minutes between using inhalers
Albuterol
- Overuse leads to tolerance
- Avoid caffeine
report chest pain/palpitations
This medication is a 2nd line drug for prevention and
Theophylline
acute bronchospasms that works by inhibiting the
release of inflammatory mediators
Adverse effects of this medication include:
Theophylline - N/V, tachycardia, dysrhythmias, palpitation
- Agitations, nervousness, restlessness, insomnia, convulsions
Theophylline Serum Drug Level of this asthma medication should be
monitored
5-15, 20 is toxic What is the normal range of Theophylline?
This asthma/COPD med works to decrease airway
Beclomethasone/Fluticason
e inflammation, decrease exudate and mucus production
and are used chronically for prevention
B: 2 puffs 3- Beclomethasone/Fluticasone Dosages
4x/day F: 2-
4 puffs BID
There are rarely any systemic effects for these medications aside
Beclomethasone/Fluticason from
e - Mouth risk for fungal infection
- HA, pharyngitis, dry mouth, cough, hoarseness, nausea
- Rinse mouth after use How to Reduce risk of fungal infections with corticosteroids
- Correct use of
inhalants, wait 5 min
between use of
inhalers
Nystatin What is the medication used for fungal infections from
corticosteroids?
This is a preventative medication used for exercise-
Montelukast
induced asthma. It works by inhibiting leukotriene
Adverse effects of this medication include:
Montelukast - HA, N/V/D, infection
- BBW neuropsychiatric effects (hallucinations, agitation, suicide,
depression)
3/22
