Page 1 of 128
NURS 271 FINAL EXAM 2025/2026 BANK COMPLETE
CURRENT TESTING QUESTION AND DETAILED
CORRECT (VERIFIED) ANSWER/GURANTEED
PASS/TOP-RATED A+.
Nurs 271
Ace your Nurs 271 Final Exam with this comprehensive guide,
designed to master essential nursing concepts in health
promotion, acute care, and patient-centered interventions. This
resource delivers integrated practice questions and evidence-
based rationales covering prioritization, pathophysiology, and
therapeutic communication.
What is the class of phenobarbital? ...... ANSWER .......
barbiturate
what is the action of phenobarbital? ...... ANSWER .......
Depresses CNS by inhibiting conduction of impulses in
the ascending RAS --> depressing cerebral cortex and
cerebellar function
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What is the use of phenobarbital? ...... ANSWER .......
Sedative and antiepileptic agent in the treatment of
generalized tonic-clonic and partial seizures ORAL
Controls acute seizures PARENTERAL
Contraindications to phenobarbital? ...... ANSWER .......
Liver failure
Nephritis
Porphyria (seaweed)
Respiratory depression
Pregnancy
Addiction to barbiturates
Adverse effects of phenobarbital? ...... ANSWER .......
CNS depression, possibly cognitive impairment w/
sedation
Somnolence
Agitation
Confusion
Vertigo
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Nightmares
Stevens-Johnson is most severe (hypersensitivity rxn)
Respiratory problems
Status epilepticus If sudden withdrawal
BBW for phenobarbital? ...... ANSWER ....... Suicidal
ideation
Administration guidelines for phenobarbital? ...... ANSWER
....... Oral is given w/out regard to food
Parenteral involves combining with dextrose, LR, and NS
but do NOT administer if a precipitate forms during the
combination
ALWAYS inject into large veins at no faster than 60
mg/min
Inadvertent intra-arterial injection can cause spasm of
artery and gangrene
Use large needle and inject deep into muscle for IM
Patient teaching for phenobarbital? ...... ANSWER .......
Take vitamin D and calcium supplements bc this drug
, Page 4 of 128
increases hepatic metabolism of vitamin D, which
reduces Ca++ absorption
This drug is long-term
Do not stop taking abruptly
Have regular tests to determine serum level
Change positions slowly bc of drowsinessor syncope
Use two forms of contraception
Notify HCP about skin rashes or eruptions
Wear medical alert jewelry
What class is carbamazepine? ...... ANSWER .......
Iminostilbenes
What is the action of carbamazepine? ...... ANSWER .......
Antiepileptic activity may be related to inhibition of
polysynaptic responses that block post-tetanic
potentiation
Blocks Na+ influx into cells, so decreases action
potential within cortical neurons
NURS 271 FINAL EXAM 2025/2026 BANK COMPLETE
CURRENT TESTING QUESTION AND DETAILED
CORRECT (VERIFIED) ANSWER/GURANTEED
PASS/TOP-RATED A+.
Nurs 271
Ace your Nurs 271 Final Exam with this comprehensive guide,
designed to master essential nursing concepts in health
promotion, acute care, and patient-centered interventions. This
resource delivers integrated practice questions and evidence-
based rationales covering prioritization, pathophysiology, and
therapeutic communication.
What is the class of phenobarbital? ...... ANSWER .......
barbiturate
what is the action of phenobarbital? ...... ANSWER .......
Depresses CNS by inhibiting conduction of impulses in
the ascending RAS --> depressing cerebral cortex and
cerebellar function
, Page 2 of 128
What is the use of phenobarbital? ...... ANSWER .......
Sedative and antiepileptic agent in the treatment of
generalized tonic-clonic and partial seizures ORAL
Controls acute seizures PARENTERAL
Contraindications to phenobarbital? ...... ANSWER .......
Liver failure
Nephritis
Porphyria (seaweed)
Respiratory depression
Pregnancy
Addiction to barbiturates
Adverse effects of phenobarbital? ...... ANSWER .......
CNS depression, possibly cognitive impairment w/
sedation
Somnolence
Agitation
Confusion
Vertigo
, Page 3 of 128
Nightmares
Stevens-Johnson is most severe (hypersensitivity rxn)
Respiratory problems
Status epilepticus If sudden withdrawal
BBW for phenobarbital? ...... ANSWER ....... Suicidal
ideation
Administration guidelines for phenobarbital? ...... ANSWER
....... Oral is given w/out regard to food
Parenteral involves combining with dextrose, LR, and NS
but do NOT administer if a precipitate forms during the
combination
ALWAYS inject into large veins at no faster than 60
mg/min
Inadvertent intra-arterial injection can cause spasm of
artery and gangrene
Use large needle and inject deep into muscle for IM
Patient teaching for phenobarbital? ...... ANSWER .......
Take vitamin D and calcium supplements bc this drug
, Page 4 of 128
increases hepatic metabolism of vitamin D, which
reduces Ca++ absorption
This drug is long-term
Do not stop taking abruptly
Have regular tests to determine serum level
Change positions slowly bc of drowsinessor syncope
Use two forms of contraception
Notify HCP about skin rashes or eruptions
Wear medical alert jewelry
What class is carbamazepine? ...... ANSWER .......
Iminostilbenes
What is the action of carbamazepine? ...... ANSWER .......
Antiepileptic activity may be related to inhibition of
polysynaptic responses that block post-tetanic
potentiation
Blocks Na+ influx into cells, so decreases action
potential within cortical neurons
