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NURS 5334 FINAL ACTUAL EXAM NEWEST VERSION -
2025/2026- WITH 100+ QUESTIONS AND VERIFIED ANSWERS
(100% SUCCESS)
What's the MOA of Sumatriptan? (-triptan) Selective agonist for serotonin 5HT receptors on intracranial blood vessels and sensory nerves of the trigeminal system, causes VASOCONSTRICTION and reduces neurogenic inflammation What is the supplement Feverfew used for? Migraine Prophylaxis Why would you give a patient Buprenorphine for maintenance once they recovered from opioid abuse? Partial opioid agonist that activated opioid receptors but produces less degree of euphoria and physical dependence compared to a full agonist Why would you give a patient Naltrexone for maintenance once they recovered from opioid abuse? Naltrexone is a opioid antagonist that blocks the euphoric and sedative effects of opioids.
What are 3 side effects of Hydrocodone? Constipation Respiratory depression Addition Which types of drugs cannot be combined with Feverfew? Antiplatlets Anticoagulants Increased risk of bleeding in patients taking antiplatelets (Aspirin) and anticoagulants (Wafarin) How much Folic acid need to be given for a Folic Acid Deficiency? Give 1-2mg/day PO for a deficiency How much folic acid should a woman of child bearing age take? 400 - 800 mcg daily How much folic acid is recommended for a pregnant women? 400 - 600 mcg/day
Anticholinergics such as Trihexyphenidyl and Benztropine can help with drooling in Parkinson's patients, True or False? True A patient with COPD comes in to the hospital for the second time for moderate exacerbation. The eosinophils are 312. What medication should this patient be on to manage symptoms? A. Salmeterol B. Formoteral + Albuterol C. Albuterol + Budesonide D. Salmeterol + aclidinium + Budesonide D. Salmeterol + aclidinium + Budesonide If Eosinophils are greater than or equal to 300, then you should consider a LABA+LAMA+ICS COPD Group A Broncodilator COPD Group B LABA + LAMA
COPD Group E LABA + LAMA How does an increase percentage of body at effect the plasma level of lipid soluble drugs in an elderly individual? The higher the body fat percentage the more the plasma levels of lipid soluble drugs will be reduced A decrease in lean mass causes concentration of water soluble drugs to be (inc/dec) in elderly patients? Increased For elderly patients that are malnourished (low albumin level) free drug levels of protein binding drugs will (inc/dec)? Increase A child is about to get the Proquad Vaccine, which is a mix of the Varicella and MMR vaccine. What education would you need to give to the parents? Deposited getting the vaccine there is still a chance your child could get breakthrough chickenpox
What is the range in weeks where a pregnant women can receive the TDap vaccine? 29 - 36 weeks (Module 10 Transcripts) What does Gardasil protect against in Females? (4) HPV 6, 11, 16, 18, 31, 33, 45, 52, 58 Cervical Cancer Vaginal Cancer Vulvar Cancer Genital Warts What does Gardasil protect against in Males? (1) HPV 6, 11, 16, 18, 31, 33, 45, 52, 58 Genitals Warts What is the MOA of Haloperidol? Blocking the dopamine D2 receptors in the brain, inhibiting the dopamine receptors help reduce the symptoms of psychosis such as hallucinations
What are the adverse effects of Haloperidol? Extrapyramidal Side Effects What is the MOA of Chlorpromazine? Blocking dopamine D2 receptors in the brain What are extrapyramidal symptoms? Dystonia Tardive dyskinesia Akathisia Pseudoparkinsonism What is the MOA of Second Generation antipsychotics? Dopamine D2 receptor antagonist and Serotonin 5-HT2A Receptor antagonist What are the endings of Atypical Antipsychotics?
What are two signs of Vitamin A Toxicity? Liver injury Bone related disorders Which antidepressant has the least amount of sexual side effects? Bupropion Nonpharmalogical Management of Gout Low Purine diet Joint rest Weight Reduction Fluid intake of 3Liters What is the first-line treatment for Gout? (Urage Lowering Therapy) Allopurinol NSAIDS can be given to a patient with Rheumatoid Arthritis for pain and inflammation, True or False? True
Patients with Rheumatoid Arthritis should also be put on a DMARD to reduce joint destruction, True or False? True Which one of these medications are considered First-line treatment for Rheumatoid Arthritis for Moderate to Severe disease? A. Hydroxychloroquine B. Tramadol C. Acetaminophen D. Methotrexate D. Methotrexate Methotrexate is first line treatment of rheumatoid arthritis for moderate to severe disease Which one of these medications are considered First-line treatment for Rheumatoid Arthritis for Mild disease? A. Hydroxychloroquine B. Tramadol C. Acetaminophen D. Methotrexate
"FIBRATES For triGLycerdes " Fibrates have little effect on LDLs, True or False? True What two Statins are best for Hyperlipidemia? Rosuvastatin Atorvastatin What is needed for children with rickets for recovery? Vitamin D What Foods would be suitable for chicken with Rickets for Vitamin D replacement therapy? Fortified Foods Cereals Milk Yogurt Margarine Cheese
Orange Juice What is the therapeutic use of Feverfew? Migraine Prophylaxis What drugs are not able to be mixed with Feverfew? Patient has an increased risk of bleeding in patients taking Anticoagulants and Antiplatelets Antiplatelets (Aspirin) Anticoagulants (Warfarin) What is the therapeutic use of Coenzyme Q-10? (3)
- Treat Heart Failure
- Muscle Injury caused by HMG-CoA reductase inhibitors (Statins)
- Mitochondrial Encephalopathies (muscle and nervous system injury) What is a side effect of CoQ-10? GI Disturbances
Which is the following Diabetes medication is optimal for weight loss? A. Metformin B. Liraglutide C. Pramlintide D. Pioglitazone B. Liraglutide Liraglutide is a GLP-1 agonist that is approved for chronic weight management in adults. It acts by slowing gastric emptying, which increases a feeling of fullness, leading to decrease weight loss What are three drugs that can be combined with Hydrocodone? (Pain Management Mod 3) Aspirin Acetaminophen Ibuprofen Benzodiazepines and CNS depressants can be paired with acetaminophen- hydrocodone, True or False? False, this could lead to respiratory depression What is the therapeutic use for Buprenorphine?
Maintenance therapy for opioid dependence. This is can stimulate opioid receptors and decrease withdrawal symptoms. It given with a full agonist would decrease effects What is the MOA of Buprenorphine? Partial mu agonist, kappa antagonist. This produces a lesser degree of euphoria and physical dependence What is the therapeutic use for Naltrexone? Naltrexone is an opioid antagonist. This is maintenance therapy for opioid dependence and to prevent relapse. An an opioid is taken while a patient is on Naltrexone the opioid will still have a euphoric effect, True or False? False, if an opioid is taken while a patient is on naltrexone, it will prevent a euphoric effect What is the correct way to apply Topical Glucocorticoids? Topical Glucocorticoids should be applied in a thin film and gently rubbed into the skin.
Name the adverse effects of Bisphosphonates? (8) Atrial Fibrillation Atypical Femur Fractures Esophageal Ulcers Osteonecrosis of the Jaw Ocular inflammation Hyperparathyroidism Renal Impairment What is the most common disease in menopausal women? Osteoporosis What is the First-line treatment for GERD? Diet and Lifestyle modifications with an Antacid If diet and lifestyle modifications with an Antacid do not help with GERD, what is the second step in medication intervention? Add H2 receptor blocker
If diet and lifestyle modifications with an Antacid, PLUS adding an H2 receptor blockers does not help with GERD, what is the third step in medication intervention? Add an Proton Pump inhibitor What is an example of a H2 receptor blocker Famotidine Cimetidine Nizatidine Capsules Ranitidine What are some examples of Proton Pump Inhibitors? Omeprazole Esomeprazole Rabeprazole Pyridoxine (Vitamin B6) accelerates the systemic metabolism of levodopa thereby decreasing availability of the amino acid to the brain parenchyma, True or False? True, Pyridoxine stimulates decarboxylase activity of Pyridoxine and can decrease the amount of levodopa available to the CNS
