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Nurs 271 Final Actual Exam Newest 2026-2027
/Nurs 271 Final Practice Exam /Nurs 271 Final
Exam Preparation With 250 Questions And Correct
Answers| Already Graded A+
Action of levodopa-carbidopa? - ANSWER-Levodopa crosses BBB and
is converted to dopamine, and carbidopa decreases the metabolism of
levodopa (see ALG for more details on levodopa); thought to be the
mechanism whereby drug relieves symptoms of Parkinson's
Use of levodopa-carbidopa? - ANSWER-Treatment of Parkinson's and
parkinsonisms
Therapeutic effects of levodopa-carbidopa? - ANSWER-Improvement in
mobility, balance, posture, gait, speech, handwriting, and self-care
ability; elimination of drooling and seborrhea; mood elevation
Contraindications for levodopa-carbidopa? - ANSWER-Narrow-angle
glaucoma; suspicious skin lesions or history of melanoma; 14 days
within MAOI administration
Adverse effects of levodopa-carbidopa? - ANSWER-Headache and
anxiety
Older patients: hallucinations, dementia, drowsiness
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Most severe: depression w/ SI
CV: ectopic beats, anginal pain, hypotension, dyspnea, widened QRS,
tachycardia, palpitations, vasoconstriction, bradycardia, orthostatic
hypotension
Anorexia, bruxism (clenching/grinding of teeth), n/v
Piloerection (goosebumps), azotemia (high levels of nitrogen-containing
compounds), gangrene
QSEN for levodopa-carbidopa? - ANSWER-Admin at correct time is
critical for optimal therapeutic effects
Patient teaching for levodopa-carbidopa? - ANSWER-Avoid alcohol
Don't take vitamin B6 group
Understand adverse effects like drowsiness, dizziness, and orthostatic
hypotension
Take with food, but not high-protein meals
Report fainting, light-headedness, irregular HR, uncontrolled facial
movements, urinary retention, n/v
Notify HCP of static gait, altered mobility, and "pill rolling"
What do isotonic crystalloids do? - ANSWER-Expand circulating IV
fluid (plasma) without causing a fluid shift between compartments for
pts with dehydration and LOW BP
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Used to relieve cellular edema, especially cerebral edema - ANSWER-
Hypertonic
Indicated for patients with hypernatremia and cellular dehydration;
dehydration with normal BP - ANSWER-hypotonic
What class is norepinephrine? - ANSWER-adrenergic drug
What is the action of NE? - ANSWER-predominant alpha-receptor
agonist effects, and results in potent peripheral arterial vasoconstriction -
-> increases BP more than HR, force of contraction, or cardiac output
Use of NE? - ANSWER-Cardiogenic and septic shock; severe
hypotension and shock that persists after adequate fluid volume
replacement (FIRST CHOICE)
Why is NE not good for prolonged use? - ANSWER-Reduced renal
blood flow
What are the therapeutic effects to monitor for with NE? - ANSWER-
Adequate tissue perfusion including:
MAP of at least 65
HR less than 10
Unlabored breathing
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Serum lactate and ABG WDL
Urine output greater than 30 mL/hr
normal mentation
O2 greater than 90
No dyspnea
Warm, dry skin w/ no sign of diminished perfusion
Lab values WDL
Contraindications for NE? - ANSWER-Cardiac dysrhythmias; angina
pectoris; HTN; hyperthyroidism; cerebrovascular disease; narrow-angle
glaucoma; hypersensitivity
Adverse effects of NE? - ANSWER-Diminished renal perfusion and
urine output (vasopressor action)
Decreased perfusion to liver (liver damage)
Irritable cardiac dysrhythmias (beta1 activity)
Increase in myocardial O2 requirement (beta1 activity)
hyerglycemia, hypokalemia, hypophosphatemia (beta1 activity)
severe HTN and reflex bradycardia
limb ischemia due to profound vasoconstriction
extravasation
Nurs 271 Final Actual Exam Newest 2026-2027
/Nurs 271 Final Practice Exam /Nurs 271 Final
Exam Preparation With 250 Questions And Correct
Answers| Already Graded A+
Action of levodopa-carbidopa? - ANSWER-Levodopa crosses BBB and
is converted to dopamine, and carbidopa decreases the metabolism of
levodopa (see ALG for more details on levodopa); thought to be the
mechanism whereby drug relieves symptoms of Parkinson's
Use of levodopa-carbidopa? - ANSWER-Treatment of Parkinson's and
parkinsonisms
Therapeutic effects of levodopa-carbidopa? - ANSWER-Improvement in
mobility, balance, posture, gait, speech, handwriting, and self-care
ability; elimination of drooling and seborrhea; mood elevation
Contraindications for levodopa-carbidopa? - ANSWER-Narrow-angle
glaucoma; suspicious skin lesions or history of melanoma; 14 days
within MAOI administration
Adverse effects of levodopa-carbidopa? - ANSWER-Headache and
anxiety
Older patients: hallucinations, dementia, drowsiness
,2|Page
Most severe: depression w/ SI
CV: ectopic beats, anginal pain, hypotension, dyspnea, widened QRS,
tachycardia, palpitations, vasoconstriction, bradycardia, orthostatic
hypotension
Anorexia, bruxism (clenching/grinding of teeth), n/v
Piloerection (goosebumps), azotemia (high levels of nitrogen-containing
compounds), gangrene
QSEN for levodopa-carbidopa? - ANSWER-Admin at correct time is
critical for optimal therapeutic effects
Patient teaching for levodopa-carbidopa? - ANSWER-Avoid alcohol
Don't take vitamin B6 group
Understand adverse effects like drowsiness, dizziness, and orthostatic
hypotension
Take with food, but not high-protein meals
Report fainting, light-headedness, irregular HR, uncontrolled facial
movements, urinary retention, n/v
Notify HCP of static gait, altered mobility, and "pill rolling"
What do isotonic crystalloids do? - ANSWER-Expand circulating IV
fluid (plasma) without causing a fluid shift between compartments for
pts with dehydration and LOW BP
,3|Page
Used to relieve cellular edema, especially cerebral edema - ANSWER-
Hypertonic
Indicated for patients with hypernatremia and cellular dehydration;
dehydration with normal BP - ANSWER-hypotonic
What class is norepinephrine? - ANSWER-adrenergic drug
What is the action of NE? - ANSWER-predominant alpha-receptor
agonist effects, and results in potent peripheral arterial vasoconstriction -
-> increases BP more than HR, force of contraction, or cardiac output
Use of NE? - ANSWER-Cardiogenic and septic shock; severe
hypotension and shock that persists after adequate fluid volume
replacement (FIRST CHOICE)
Why is NE not good for prolonged use? - ANSWER-Reduced renal
blood flow
What are the therapeutic effects to monitor for with NE? - ANSWER-
Adequate tissue perfusion including:
MAP of at least 65
HR less than 10
Unlabored breathing
, 4|Page
Serum lactate and ABG WDL
Urine output greater than 30 mL/hr
normal mentation
O2 greater than 90
No dyspnea
Warm, dry skin w/ no sign of diminished perfusion
Lab values WDL
Contraindications for NE? - ANSWER-Cardiac dysrhythmias; angina
pectoris; HTN; hyperthyroidism; cerebrovascular disease; narrow-angle
glaucoma; hypersensitivity
Adverse effects of NE? - ANSWER-Diminished renal perfusion and
urine output (vasopressor action)
Decreased perfusion to liver (liver damage)
Irritable cardiac dysrhythmias (beta1 activity)
Increase in myocardial O2 requirement (beta1 activity)
hyerglycemia, hypokalemia, hypophosphatemia (beta1 activity)
severe HTN and reflex bradycardia
limb ischemia due to profound vasoconstriction
extravasation
