EXAM 2 NSG 318 WITH 100%
CORRECT ANSWERS 2025/2026
A patient who has asthma is diagnosed with hypertension. Which drug will be safe
to give this patient? - correct answers -Selective Adrenergic Antagonist
*also called selective Beta blocker
The RN administers sc epinephrine to a patient experiencing anaphylaxis. The RN
should monitor for which symptom? - correct answers -decreased urine output
A pt will begin albuterol (Proventil) for asthma. Teaching about this drug, should
include which recommendation? - correct answers -report rapid or irregular heart
rate
A pt will be discharged on beta blockers. Which skill is essential for the nurse to
teach the patient's family? - correct answers -How to monitor heart rate and
blood pressure
The nurse is to administer an indirect-acting cholinergic agonist. The nurse
understands that this drug - correct answers -inhibits cholinesterase
A patient will get bethanechol (urecholine) for urinary retention. Pt has BP 86/60,
HR 98. What should the RN do? - correct answers -Hold the medication and notify
the provider of decreased blood pressure.
,The nurse is teaching a patient about bethanechol (urecholine). Which statement
indicates a need for further teaching? - correct answers -"Excessive sweating is a
normal reaction to the medication."
A pt who has irritable bowel syndrome would most likely receive which type of
drug to treat this condition? - correct answers -An anticholinergic
*slow things down in the GI system
Post op patient recd atropine preop. I & O = 800 mL IV, 350 mL in cath bag. Pt C/O
dry mouth. H/R 82. What will the RN do? - correct answers -palpate the patient's
bladder
*C/O means complains of
*atropine is an anticholinergic
A patient has a seizure disorder. The RN notes reddened gums that bleed with oral
care. The RN knows the finding is - correct answers -an adverse effect of the
phenytoin
A patient takes phenytoin (Dilantin) and appears drowsy. The last serum drug level
was 18 mcg/mL. What is the nurses priority action? - correct answers -Administer
the dose since the patient is not toxic.
* therapeutic range 10-20 mcg/mL for phenytoin (Dilantin)
,A patient recently started phenytoin (Dilantin). The RN notes a reddish-brown
color to the patient's urine. What should the RN do? - correct answers -Reassure
the patient that this is a harmless side effect.
Pt will begin taking phenytoin (Dilantin). Pt is taking oral contraceptives (OCPs).
Which response will the nurse give? - correct answers -"You should use a backup
method of contraception along with OCPs."
A pt is taking venlafaxine (Effexor). The RN does a medication and dietary history.
RN concerned about which substance? - correct answers -St. Johns Wort
A pt diagnosed with depression asks why a monoamine oxidase (MAO) inhibitor
wasn't ordered. What will the RN explain? - correct answers -require strict dietary
restrictions
*know tyramine containing foods.
Pt on fluoxetine (Prozac) for 3 months. Improved mood, less fatigue, increased
concentration, no side effects. What may change? - correct answers -changing to
once-weekly dosing
Med hx pt taking lorazepam (Ativan) for 6 months for anxiety. Pt states it is no
longer working. The RN will - correct answers -understand that the patient has
developed tolerance to this drug.
, Pt in ER: BP 80/55, HR 60, decreased resp, somnolence. Med hx includes
alprazolam (Xanax). What does RN anticipate? - correct answers -Flumazenil
(Romaxicon)
*somnolence= the quality or state of being drowsy : sleepiness.
RN is teaching pt about an anxiolytic for grief-related anxiety. Which statement by
the patient indicates understanding? - correct answers -"I should try
psychotherapy or a support group with the medication."
Student-RN asks about the role of cyclooxygenase-2 (COX-2) and its role in
inflammation. RN will explain that COX-2 - correct answers -converts arachidonic
acid into a chemical mediator for inflammation
Pt asks how non steroidal anti-inflammatory drugs (NSAIDs) work to suppress
inflammation, reduce pain. How will RN explain? - correct answers -inhibit
cyclooxyrgenase that is necessary for prostaglandin synthesis.
*prostaglandins play a role in pain so by inhibiting those it can help relieve the
pain.
A pt taking aspirin for arthritis asks the RN why it also causes gastrointestinal (GI)
upset. The RN understands that - correct answers -aspirin inhibits both COX-1 and
COX-2
*COX-1 protects stomach lining
CORRECT ANSWERS 2025/2026
A patient who has asthma is diagnosed with hypertension. Which drug will be safe
to give this patient? - correct answers -Selective Adrenergic Antagonist
*also called selective Beta blocker
The RN administers sc epinephrine to a patient experiencing anaphylaxis. The RN
should monitor for which symptom? - correct answers -decreased urine output
A pt will begin albuterol (Proventil) for asthma. Teaching about this drug, should
include which recommendation? - correct answers -report rapid or irregular heart
rate
A pt will be discharged on beta blockers. Which skill is essential for the nurse to
teach the patient's family? - correct answers -How to monitor heart rate and
blood pressure
The nurse is to administer an indirect-acting cholinergic agonist. The nurse
understands that this drug - correct answers -inhibits cholinesterase
A patient will get bethanechol (urecholine) for urinary retention. Pt has BP 86/60,
HR 98. What should the RN do? - correct answers -Hold the medication and notify
the provider of decreased blood pressure.
,The nurse is teaching a patient about bethanechol (urecholine). Which statement
indicates a need for further teaching? - correct answers -"Excessive sweating is a
normal reaction to the medication."
A pt who has irritable bowel syndrome would most likely receive which type of
drug to treat this condition? - correct answers -An anticholinergic
*slow things down in the GI system
Post op patient recd atropine preop. I & O = 800 mL IV, 350 mL in cath bag. Pt C/O
dry mouth. H/R 82. What will the RN do? - correct answers -palpate the patient's
bladder
*C/O means complains of
*atropine is an anticholinergic
A patient has a seizure disorder. The RN notes reddened gums that bleed with oral
care. The RN knows the finding is - correct answers -an adverse effect of the
phenytoin
A patient takes phenytoin (Dilantin) and appears drowsy. The last serum drug level
was 18 mcg/mL. What is the nurses priority action? - correct answers -Administer
the dose since the patient is not toxic.
* therapeutic range 10-20 mcg/mL for phenytoin (Dilantin)
,A patient recently started phenytoin (Dilantin). The RN notes a reddish-brown
color to the patient's urine. What should the RN do? - correct answers -Reassure
the patient that this is a harmless side effect.
Pt will begin taking phenytoin (Dilantin). Pt is taking oral contraceptives (OCPs).
Which response will the nurse give? - correct answers -"You should use a backup
method of contraception along with OCPs."
A pt is taking venlafaxine (Effexor). The RN does a medication and dietary history.
RN concerned about which substance? - correct answers -St. Johns Wort
A pt diagnosed with depression asks why a monoamine oxidase (MAO) inhibitor
wasn't ordered. What will the RN explain? - correct answers -require strict dietary
restrictions
*know tyramine containing foods.
Pt on fluoxetine (Prozac) for 3 months. Improved mood, less fatigue, increased
concentration, no side effects. What may change? - correct answers -changing to
once-weekly dosing
Med hx pt taking lorazepam (Ativan) for 6 months for anxiety. Pt states it is no
longer working. The RN will - correct answers -understand that the patient has
developed tolerance to this drug.
, Pt in ER: BP 80/55, HR 60, decreased resp, somnolence. Med hx includes
alprazolam (Xanax). What does RN anticipate? - correct answers -Flumazenil
(Romaxicon)
*somnolence= the quality or state of being drowsy : sleepiness.
RN is teaching pt about an anxiolytic for grief-related anxiety. Which statement by
the patient indicates understanding? - correct answers -"I should try
psychotherapy or a support group with the medication."
Student-RN asks about the role of cyclooxygenase-2 (COX-2) and its role in
inflammation. RN will explain that COX-2 - correct answers -converts arachidonic
acid into a chemical mediator for inflammation
Pt asks how non steroidal anti-inflammatory drugs (NSAIDs) work to suppress
inflammation, reduce pain. How will RN explain? - correct answers -inhibit
cyclooxyrgenase that is necessary for prostaglandin synthesis.
*prostaglandins play a role in pain so by inhibiting those it can help relieve the
pain.
A pt taking aspirin for arthritis asks the RN why it also causes gastrointestinal (GI)
upset. The RN understands that - correct answers -aspirin inhibits both COX-1 and
COX-2
*COX-1 protects stomach lining
