SNLE EXAM REPORTED
QUESTIONS WITH COMPLETE
SOLUTIONS
What is the drug class and top risk of haloperidol? - Answer-Typical antipsychotic;
highest risk = EPS, NMS, and QT prolongation.
What must you assess before giving morphine? - Answer-Respiratory rate — HOLD if
RR < 12/min
When do you give naloxone? - Answer-Opioid overdose with respiratory depression.
What lab do you monitor? What is the antidote? for warfarin - Answer-INR (goal 2-3);
antidote = Vitamin K
What lab and antidote? heparin - Answer-aPTT (goal 60-80 sec); antidote = Protamine
sulfate.
When should insulin regular be given? - Answer-30 minutes before meals (it's short-
acting).
Insulin Lispro onset and nursing action? - Answer-Onset 15 min — give with food close
by
When do you hold digoxin? - Answer-Hold if HR < 60 bpm
Furosemide (Lasix) what electrolyte must be monitored? - Answer-Potassium — risk of
hypokalemia.
Spironolactone what electrolyte imbalance is expected? - Answer-Hyperkalemia
(potassium-sparing diuretic)
ACE inhibitors (lisinopril, enalapril) major side effect that requires stopping the drug? -
Answer-Angioedema and dry cough
Metoprolol / Beta-blockers when do you hold beta-blockers? - Answer-HR < 60 or SBP
< 100.
, Nitroglycerin what is the immediate nursing action if the patient gets a headache? -
Answer-Give acetaminophen; headaches are expected.
when should a patient take levothyroxine? - Answer-Daily in the morning on an empty
stomach
What lab/condition requires stopping metformin? - Answer-Before contrast dye; risk of
lactic acidosis
Vancomycin what two things must be monitored? - Answer-Trough level and kidney
function
Gentamicin (Aminoglycoside) what toxicity is most important? - Answer-Ototoxicity +
nephrotoxicity
Amiodarone what organ must be monitored long-term? - Answer-Thyroid, lungs, and
liver
Prednisone / Steroids what is the essential teaching? - Answer-Do not stop suddenly —
risk of adrenal crisis
Albuterol what side effect is most common? - Answer-Tachycardia + tremors
Epinephrine main use in anaphylaxis? - Answer-Bronchodilation + ↑ BP + stops allergic
reaction
What rhythm does adenosine treat? - Answer-SVT (supraventricular tachycardia)
When is charcoal contraindicated? - Answer-After caustic ingestion or decreased level
of consciousness without airway protection.
Why choose ARBs over ACE inhibitors? - Answer-No cough
Nitroglycerin expected side effect - Answer-Headache — treat with acetaminophen
Ipratropium avoid in what allergy? - Answer-Peanut allergy (older formulations)
Theophylline toxicity symptom? - Answer-Seizures
Penicillin allergy danger? - Answer-Anaphylaxis — check for cross-allergy with
cephalosporins.
Vancomycin what to monitor? - Answer-Trough + kidney function
Gentamicin toxicities? - Answer-Nephrotoxicity + ototoxicity
QUESTIONS WITH COMPLETE
SOLUTIONS
What is the drug class and top risk of haloperidol? - Answer-Typical antipsychotic;
highest risk = EPS, NMS, and QT prolongation.
What must you assess before giving morphine? - Answer-Respiratory rate — HOLD if
RR < 12/min
When do you give naloxone? - Answer-Opioid overdose with respiratory depression.
What lab do you monitor? What is the antidote? for warfarin - Answer-INR (goal 2-3);
antidote = Vitamin K
What lab and antidote? heparin - Answer-aPTT (goal 60-80 sec); antidote = Protamine
sulfate.
When should insulin regular be given? - Answer-30 minutes before meals (it's short-
acting).
Insulin Lispro onset and nursing action? - Answer-Onset 15 min — give with food close
by
When do you hold digoxin? - Answer-Hold if HR < 60 bpm
Furosemide (Lasix) what electrolyte must be monitored? - Answer-Potassium — risk of
hypokalemia.
Spironolactone what electrolyte imbalance is expected? - Answer-Hyperkalemia
(potassium-sparing diuretic)
ACE inhibitors (lisinopril, enalapril) major side effect that requires stopping the drug? -
Answer-Angioedema and dry cough
Metoprolol / Beta-blockers when do you hold beta-blockers? - Answer-HR < 60 or SBP
< 100.
, Nitroglycerin what is the immediate nursing action if the patient gets a headache? -
Answer-Give acetaminophen; headaches are expected.
when should a patient take levothyroxine? - Answer-Daily in the morning on an empty
stomach
What lab/condition requires stopping metformin? - Answer-Before contrast dye; risk of
lactic acidosis
Vancomycin what two things must be monitored? - Answer-Trough level and kidney
function
Gentamicin (Aminoglycoside) what toxicity is most important? - Answer-Ototoxicity +
nephrotoxicity
Amiodarone what organ must be monitored long-term? - Answer-Thyroid, lungs, and
liver
Prednisone / Steroids what is the essential teaching? - Answer-Do not stop suddenly —
risk of adrenal crisis
Albuterol what side effect is most common? - Answer-Tachycardia + tremors
Epinephrine main use in anaphylaxis? - Answer-Bronchodilation + ↑ BP + stops allergic
reaction
What rhythm does adenosine treat? - Answer-SVT (supraventricular tachycardia)
When is charcoal contraindicated? - Answer-After caustic ingestion or decreased level
of consciousness without airway protection.
Why choose ARBs over ACE inhibitors? - Answer-No cough
Nitroglycerin expected side effect - Answer-Headache — treat with acetaminophen
Ipratropium avoid in what allergy? - Answer-Peanut allergy (older formulations)
Theophylline toxicity symptom? - Answer-Seizures
Penicillin allergy danger? - Answer-Anaphylaxis — check for cross-allergy with
cephalosporins.
Vancomycin what to monitor? - Answer-Trough + kidney function
Gentamicin toxicities? - Answer-Nephrotoxicity + ototoxicity
