Maryville University Of St. Louis

This exam prep document contains over 150 detailed, evidence-based questions and answers for NURS 623 at Maryville University, tailored for the 2025/2026 academic year. It thoroughly covers women's health topics with a strong clinical focus, particularly around contraception, high-risk pregnancy, fetal development, and postpartum care. The content is structured in a question-answer format, ideal for test prep, clinical application, and exam simulations. Core subjects include hormonal and n...

This document includes over 100 expertly answered multiple-choice questions specifically designed for Maryville University’s NURS 620 Adult 1 Exam 1 for the 2025/2026 academic year. It comprehensively reviews clinical scenarios and disease management relevant to adult primary care, especially within ENT, ophthalmology, infectious disease, and pharmacology. Topics covered include strep throat and mononucleosis (including co-infection and diagnostic pitfalls), glaucoma (open- and closed-angle...

• Pain Management – • o Know the treatment of acute pain – what medications are firstline? o For non-cancer pain, mild-to-mod pain (aches, muscle pain, mild injuries): NSAIDs, anticonvulsants, tylenol, muscle relaxants What would you prescribe first when treating acute mild musculoskeletal pain? Think of the guidelines and the Shadow Health assignment: ibuprofen • NSAIDS – pain relief, antipyretic, anti-inflammatory effects o Adverse effects – GI: nausea, heartburn, minor HA...

Respiratory Medications Study Guide 1. Bronchodilators A. Beta-2 Agonists • MOA: o Bind to beta-2 receptors on airway smooth muscle → activate cyclic AMP pathway → muscle relaxation → bronchodilation o Inhibit release of hypersensitivity mediators (mast cells) o Some beta-1 receptor activity → possible cardiac side effects Pharmacokinetics: o Absorbed in bronchi → metabolized in liver → excreted in urine Adverse Effects: o Tachycardia, tremors Precautions: o Monitor in ...

What are characteristics of serotonin syndrome? (Ansnausea, diarrhea, sweating, hyperthermia, myoclonic jerking, tremor, agitation, disorientation, HTN, delirium, death What medication is approved for depression with low energy? (Ansvenlafaxine (Effexor) (SNRI) How does Lithium act as a mood stabilizer? (AnsIt replaces sodium during depolarization so it stops the transmission of electrical impulses What is important patient teaching for Lithium? (AnsEat a diet with consistent levels of ...

What are examples of 1st generation antihistamines? (Ans- 1. chlorpheniramine 2. diphenhydramine (Benadryl) 3. hydroxyzine (Atarax) 4. promethazine (Phenergan) 1st generation antihistamines have a GREAT effect on what? (Ans- central nervous system What should antihistamines not be used with? (Ans- ETOH What are adverse effects of 1st generation antihistamines? (AnsHIGH anticholinergic effects: 1. sedation 2. tinnitus 3. coordination problems4. fatigue, HA, irritability, nervousness...

According to the American College of Cardiology and the American Heart Association, what are the guidelines related to prophylactic antibiotics prior to a dental procedure? (AnsProsthetic cardiac valves Prosthetic cardiac material History of infective endocarditis Cardiac transplant Congenital heart disease Unpaired cyanotic congenital heart disease (Palliative shunts and conduits) Any congenital heart defect with residual shunt or valvular regurgitation at site of or adjacent to pros...

What is Exenatide used for and what is an advantage of it? (AnsThis class of drugs is used for treatment of type 2 diabetes. One of their advantages over older insulin secretagogues such as sulfonylureas or meglitinides is that they have a lower risk of causing hypoglycemia. Exenatide and how it works (AnsExenatide is a synthetic version of exendin-4 hormone found in the saliva of the Gila monster. It displays biological properties similar to human glucagon-like peptide or GLP-1, a regula...

Pharmacokinetics (Kinetics means movement): ADME (absorbed, distributed, metabolism, excreted) Factors: Membranes and barriers (phospholipid cell membrane) Passive diffusion (move from higher concentration to lesser gradient) Poor blood flow limits diffusion GI motility (high fat meals can delay gastric emptying and decrease delivery) 1st pass affect- degraded by liver before central circulation Drug binding (proteins). Bound proteins cannot enter cells freely ( must unbind and become fre...

1.Which information should be included in the education for a patient taking an antilipidemic? 1. Other drugs should be taken 1 hour before or 4 hours after the bile-acid sequestrant. 2. Lovastatin should be taken first thing in the morning. 3. Bile-acid sequestrants should be taken after meals. 4. A high-fiber diet may reduce the chance for muscle pain associated with reductase inhibitors. Rationales [Page reference: 326] Option 1: If other drugs are to be taken, administer them 1 hour be...