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NURS 5334 Final Exam Study Guide – 2025 Updated | 190+ Questions & Correct Answers | Pharmacology, Vaccines, COPD, Pregnancy, Geriatrics, Mental Health.

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Ace your NURS 5334 Final Exam with this comprehensive, up-to-date Q&A study guide. Includes 150+ real exam-style questions and verified correct answers, covering all key nursing pharmacology, disease management, and patient education topics tested in NURS 5334. Topics Covered: Pharmacology & MOA: Hydrocodone, Sumatriptan, Haloperidol, Clozapine, Levodopa/Carbidopa, Second-Generation Antipsychotics, Valbenazine, and more. Opioid Management & Withdrawal: Buprenorphine, Naltrexone, side effects, and contraindications. Vaccine Guidelines: TDap, Proquad, Gardasil, attenuated vaccines, pregnancy precautions. Geriatric Considerations: Drug dosing adjustments, protein binding, lean body mass changes. COPD & Respiratory Care: LABA, LAMA, ICS combinations based on eosinophil count. Pregnancy Safe Medications: Methyldopa, Labetalol, drug contraindications. Mental Health Nursing: EPS, tardive dyskinesia, antipsychotic adverse effects, Parkinson’s symptom management. Nutrition & Supplements: Folic acid dosing, Vitamin A toxicity, Feverfew precautions. Why this guide works: Q&A format for active recall learning Content aligned with current 2025 guidelines Perfect for last-minute review or in-depth study Includes dosages, mechanisms of action, and patient education points Whether you’re preparing for NURS 5334 or refreshing your pharmacology and clinical knowledge, this guide gives you the clear, concise answers you need to pass.

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NURS 5334 Final Exam Study Guide – 2025
Updated | 190+ Questions & Correct Answers
| Pharmacology, Vaccines, COPD, Pregnancy,
Geriatrics, Mental Health.
What are three drugs that can be combined with Hydrocodone? (Pain Management Mod 3)

Aspirin
Acetaminophen
Ibuprofen

Benzodiazepines and CNS depressants can be paired with acetaminophen-hydrocodone,
True or False?

False, this could lead to respiratory depression

Why would you give a patient Buprenorphine for maintenance once they recovered from opioid
abuse?

Partial opioid agonist that activated opioid receptors but produces less degree of euphoria and
physical dependence compared to a full agonist

Why would you give a patient Naltrexone for maintenance once they recovered from opioid
abuse?

Naltrexone is a opioid antagonist that blocks the euphoric and sedative effects of opioids.

What are 3 side effects of Hydrocodone?

Constipation
Respiratory depression
Addition

What's the MOA of Sumatriptan? (-triptan)

Selective agonist for serotonin 5HT receptors on intracranial blood vessels and sensory nerves
of the trigeminal system, causes VASOCONSTRICTION and reduces neurogenic inflammation

What is the supplement Feverfew used for?

Migraine Prophylaxis

,Which types of drugs cannot be combined with Feverfew?

Antiplatlets
Anticoagulants

Increased risk of bleeding in patients taking antiplatelets (Aspirin) and anticoagulants (Wafarin)

How much Folic acid need to be given for a Folic Acid Deficiency?

Give 1-2mg/day PO for a deficiency

How much folic acid should a woman of child bearing age take?

400-800 mcg daily

How much folic acid is recommended for a pregnant women?

400-600 mcg/day

If a patient comes in using Tacrolimus and Pimecrlimus cream, what is this for?

Atopic Dermatitis (Eczema)

Ace inhibitors are contraindicated in pregnancy. While treatment of heart failure during during
pregnancy is best done by a special, which of the following drug classes are considered to be
safe at least in the later parts of pregnancy?

A. Diuretics
B. ARBS
C. Beta blockers
D. Nitrates

C. Beta blockers

What are the names of two medications that are safe for pregnant women?

Methyldopa and Labetalol are the traditional agents of choice for pregnant women

Why can Methyldopa and Labetalol be used in pregnant women?

These drugs have limited effects on uteroplacental and fetal
Hemodynamics and do not adversing effect the fetus or neonate

Anticholinergics such as Trihexyphenidyl and Benztropine can help with drooling in Parkinson's
patients, True or False?

True

, A patient with COPD comes in to the hospital for the second time for moderate exacerbation.
The eosinophils are 312. What medication should this patient be on to manage symptoms?

A. Salmeterol
B. Formoteral + Albuterol
C. Albuterol + Budesonide
D. Salmeterol + aclidinium + Budesonide

D. Salmeterol + aclidinium + Budesonide

If Eosinophils are greater than or equal to 300, then you should consider a LABA+LAMA+ICS

COPD Group A

Broncodilator

COPD Group B

LABA + LAMA

COPD Group E

LABA + LAMA

How does an increase percentage of body at effect the plasma level of lipid soluble drugs in an
elderly individual?

The higher the body fat percentage the more the plasma levels of lipid soluble drugs will be
reduced

A decrease in lean mass causes concentration of water soluble drugs to be (inc/dec) in elderly
patients?

Increased

For elderly patients that are malnourished (low albumin level) free drug levels of protein
binding drugs will (inc/dec)?

Increase

A child is about to get the Proquad Vaccine, which is a mix of the Varicella and MMR vaccine.
What education would you need to give to the parents?

Deposited getting the vaccine there is still a chance your child could get breakthrough
chickenpox

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