NUR2474 EXAM 2 PHARMACOLOGY FOR
PROFESSIONAL NURSING 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|LATEST UPDATE |GUARANTEED PASS
A client with COPD begins treatment with an inhaled glucocorticoid and an inhaled beta to adrenergic
agonist. Which statement by the client indicates an understanding of teaching regarding this medication
regiment?
The glucocorticoid is used as prophylaxis to prevent exacerbation.
Lovastatin is prescribed for a client for the first time. The nurse should provide the client with which
instructions?
"Take lovastatin with your evening meal."
A client is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment
notes that the clients abdomen is distended and firm with absent bowel sounds and the client has not
had a bowel movement for three days. Which of the following will the nurse expect the provider to
order?
A bulk forming laxative.
A patient is brought to the emergency department with shortness of breath, respiratory rate, 30,
intercostal retractions, and frothy pink sputum. The nurse caring for this patient will expect to
administer which drug?
Furosemide
A patient who is taking digoxin is admitted to the hospital for treatment of CHF. The prescriber has
ordered furosemide. The nurse notes in a regular heart rate of 86, a respiratory rate of 22, and a BP of
130/82. The nurse auscultates crackles in both lungs. Which laboratory valuecauses the nurse the most
concerned?
Potassium 3.5
1|Page
,A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals
crackles bilaterally, and the serum potassium level is 6. Which diuretic agent ordered by the prescriber
for the nurse question?
SPIRONOLACTONE (ALDACTONE)
A nurse is preparing to administer morning medication notes that a patient with a history of
hypertension has been prescribed ACE inhibitor captopril concurrently with spironolactone. Morning
laboratory results revealed a serum sodium level of 144, serum potassium level of 5.1, and a blood
glucose level of 128. Which intervention is appropriate?
Contact the provider to report the lab values. (spironolactone should not be administered with a CE
inhibitors, which can also elevate potassium levels. There is no need to repeat the potassium test that
was done in the morning, requesting an order for furosemide is appropriate only after the provider has
been notified of the lab values.)
A patient with hypertension is taking furosemide for our CHF. The prescriber order is digoxin to help
increase cardiac output. What other medication will the nurse expect to be ordered for this patient?
Spironolactone (spironolactone is used in conjunction with furosemide because of its potassium sparing
effects. Furosemide can contribute to hypokalemia which can increase the risk of fatal arrhythmia,
especially with digoxin administration. The other diuretics listed are all potassium wasting diuretics.)
A patient is taking gentamicin and furosemide. The nurse should cancel this patient to report which
symptom?
Ringing in the ears (gentamicin is ototoxic, Patient should be reporting tinnitus or dizziness or hearing
loss.)
An older adult patient with CHF develops crackles in both lungs and pitting edema of all extremities. The
physician orders hydrochlorothiazide. Before administering this medication, the nurse reviews the
patient's chart. Which lab value causes the nurse the most concern?
Elevated creatinine clearance (hydrochlorothiazide should not be given to patients with severe renal
impairment, therefore an elevated creatinine clearance would cause the most concerned. Diuretics or
potassium wasting drugs, and thus may actually improve the patient's potassium level. Thyroid may
elevate the serum glucose level in diabetic patients. Oxide increase LDL cholesterol, however, this
patient's levels are low.)
A patient with CHF has repeated hospitalizations, in spite of ongoing treatment with hydrochlorothiazide
and digoxin. The prescriber has ordered spironolactone to be added to this patient's drug regimen, and
the nurse provides education about this medication. Which statement by the patient indicates
understanding of the teaching?
"I need to stop taki
Verapamil in combination with a beta block 'lol'?
Increased risk for interaction
Which information should the nurse include in client education regarding a cholesterol-lowering agent?
2|Page
, "You should continue your exercise program to increase your high-density lipoprotein (HLD) serum.
What would the nurse expect has occurred with a client who has taken senna for several days and now
experiencing yellowish-brownish urea?
Expected effect of the medication (Anthraquinone's in laxatives such as senna, change urine to brown,
yellow, or orange.)
Verapamil can elevate?
digoxin levels
Client took too much warfarin normal vitals and no petechiae
Expect DR to order pt INR
Patient on warfarin and levels of INR 4.7
Best action is to hold dose and notify physician
Heparin post op and APTT is 120 BP 90/50
Expect Dr to order protamine sulfate
Post surgery patient is pale and fatigued HR98 RR20 BP 100/50
Expect provider to order hemoglobin and hematocrit
Aspirin prevents
platelet aggregation
Amiodarone
is a positum channel blocker it is given for Aflutter to prevent recurrence. Levels can be increased by
grapefruit juice and toxicity can result. Amiodarone levels can be reduced by cholestyramine.
Propranolol
is a beta adrenergic blocker non selective given for recurrent ventricular tachycardia. Question the order
if patient has asthma as it can cause bronchospasm.
Stage B Heart failure
Captopril for reduced EF or ejection fraction and symptomatic
Normal GFR
90-120
If GFR is <20
risk of digoxin toxicity is greater
If digoxin level is 2.5 ng/ml
3|Page
PROFESSIONAL NURSING 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|LATEST UPDATE |GUARANTEED PASS
A client with COPD begins treatment with an inhaled glucocorticoid and an inhaled beta to adrenergic
agonist. Which statement by the client indicates an understanding of teaching regarding this medication
regiment?
The glucocorticoid is used as prophylaxis to prevent exacerbation.
Lovastatin is prescribed for a client for the first time. The nurse should provide the client with which
instructions?
"Take lovastatin with your evening meal."
A client is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment
notes that the clients abdomen is distended and firm with absent bowel sounds and the client has not
had a bowel movement for three days. Which of the following will the nurse expect the provider to
order?
A bulk forming laxative.
A patient is brought to the emergency department with shortness of breath, respiratory rate, 30,
intercostal retractions, and frothy pink sputum. The nurse caring for this patient will expect to
administer which drug?
Furosemide
A patient who is taking digoxin is admitted to the hospital for treatment of CHF. The prescriber has
ordered furosemide. The nurse notes in a regular heart rate of 86, a respiratory rate of 22, and a BP of
130/82. The nurse auscultates crackles in both lungs. Which laboratory valuecauses the nurse the most
concerned?
Potassium 3.5
1|Page
,A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals
crackles bilaterally, and the serum potassium level is 6. Which diuretic agent ordered by the prescriber
for the nurse question?
SPIRONOLACTONE (ALDACTONE)
A nurse is preparing to administer morning medication notes that a patient with a history of
hypertension has been prescribed ACE inhibitor captopril concurrently with spironolactone. Morning
laboratory results revealed a serum sodium level of 144, serum potassium level of 5.1, and a blood
glucose level of 128. Which intervention is appropriate?
Contact the provider to report the lab values. (spironolactone should not be administered with a CE
inhibitors, which can also elevate potassium levels. There is no need to repeat the potassium test that
was done in the morning, requesting an order for furosemide is appropriate only after the provider has
been notified of the lab values.)
A patient with hypertension is taking furosemide for our CHF. The prescriber order is digoxin to help
increase cardiac output. What other medication will the nurse expect to be ordered for this patient?
Spironolactone (spironolactone is used in conjunction with furosemide because of its potassium sparing
effects. Furosemide can contribute to hypokalemia which can increase the risk of fatal arrhythmia,
especially with digoxin administration. The other diuretics listed are all potassium wasting diuretics.)
A patient is taking gentamicin and furosemide. The nurse should cancel this patient to report which
symptom?
Ringing in the ears (gentamicin is ototoxic, Patient should be reporting tinnitus or dizziness or hearing
loss.)
An older adult patient with CHF develops crackles in both lungs and pitting edema of all extremities. The
physician orders hydrochlorothiazide. Before administering this medication, the nurse reviews the
patient's chart. Which lab value causes the nurse the most concern?
Elevated creatinine clearance (hydrochlorothiazide should not be given to patients with severe renal
impairment, therefore an elevated creatinine clearance would cause the most concerned. Diuretics or
potassium wasting drugs, and thus may actually improve the patient's potassium level. Thyroid may
elevate the serum glucose level in diabetic patients. Oxide increase LDL cholesterol, however, this
patient's levels are low.)
A patient with CHF has repeated hospitalizations, in spite of ongoing treatment with hydrochlorothiazide
and digoxin. The prescriber has ordered spironolactone to be added to this patient's drug regimen, and
the nurse provides education about this medication. Which statement by the patient indicates
understanding of the teaching?
"I need to stop taki
Verapamil in combination with a beta block 'lol'?
Increased risk for interaction
Which information should the nurse include in client education regarding a cholesterol-lowering agent?
2|Page
, "You should continue your exercise program to increase your high-density lipoprotein (HLD) serum.
What would the nurse expect has occurred with a client who has taken senna for several days and now
experiencing yellowish-brownish urea?
Expected effect of the medication (Anthraquinone's in laxatives such as senna, change urine to brown,
yellow, or orange.)
Verapamil can elevate?
digoxin levels
Client took too much warfarin normal vitals and no petechiae
Expect DR to order pt INR
Patient on warfarin and levels of INR 4.7
Best action is to hold dose and notify physician
Heparin post op and APTT is 120 BP 90/50
Expect Dr to order protamine sulfate
Post surgery patient is pale and fatigued HR98 RR20 BP 100/50
Expect provider to order hemoglobin and hematocrit
Aspirin prevents
platelet aggregation
Amiodarone
is a positum channel blocker it is given for Aflutter to prevent recurrence. Levels can be increased by
grapefruit juice and toxicity can result. Amiodarone levels can be reduced by cholestyramine.
Propranolol
is a beta adrenergic blocker non selective given for recurrent ventricular tachycardia. Question the order
if patient has asthma as it can cause bronchospasm.
Stage B Heart failure
Captopril for reduced EF or ejection fraction and symptomatic
Normal GFR
90-120
If GFR is <20
risk of digoxin toxicity is greater
If digoxin level is 2.5 ng/ml
3|Page
