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RN Pharmacology A Relias (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED 2025
RN Pharmacology Questions
Cardiovascular Drugs
1. A patient is prescribed lisinopril. Which lab should the nurse monitor?
A) Sodium
B) Potassium
C) Calcium
D) Magnesium
Answer: B
Rationale: ACE inhibitors can cause hyperkalemia, so potassium levels should be
monitored regularly.
2. Furosemide is prescribed. Which electrolyte imbalance is likely?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypernatremia
Answer: B
Rationale: Loop diuretics increase potassium excretion, risking hypokalemia.
3. Nitroglycerin instructions should include:
A) Take only when resting
B) Take at first sign of chest pain
C) Take with grapefruit juice
D) Avoid position changes
Answer: B
Rationale: Nitroglycerin should be taken at the onset of chest pain for relief.
4. Atorvastatin works by:
A) Increasing cholesterol absorption
B) Inhibiting HMG-CoA reductase
C) Acting as a diuretic
D) Increasing BP
Answer: B
Rationale: Statins inhibit HMG-CoA reductase, reducing cholesterol production.
2026 2027 GRADED A+
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5. Signs of digoxin toxicity include:
A) Bradycardia, visual changes
B) Tachycardia, hyperactivity
C) Hypertension only
D) Nausea, hypokalemia
Answer: A
Rationale: Digoxin toxicity causes bradycardia, nausea, and yellow/green vision
changes.
6. A patient receiving metoprolol should have which vital monitored?
A) Temperature
B) Heart rate
C) Respiratory rate
D) Oxygen saturation
Answer: B
Rationale: Beta-blockers reduce heart rate; bradycardia is a risk.
7. Enalapril may cause:
A) Dry cough
B) Tachycardia
C) Diarrhea
D) Hair loss
Answer: A
Rationale: ACE inhibitors commonly cause a persistent dry cough.
8. Hydrochlorothiazide is prescribed. What is important to monitor?
A) Sodium and potassium
B) Liver enzymes
C) WBC count
D) Glucose only
Answer: A
Rationale: Thiazide diuretics can cause hypokalemia and hyponatremia.
9. Amlodipine is used for:
A) Arrhythmias
B) Hypertension
C) Hyperlipidemia
D) Heart failure
Answer: B
Rationale: Amlodipine is a calcium channel blocker that lowers BP.
10. A patient on warfarin asks about diet. Which statement is correct?
A) Avoid foods high in vitamin K
B) Increase intake of dairy
C) Eat more citrus
D) Avoid all carbohydrates
Answer: A
Rationale: Vitamin K can counteract warfarin’s anticoagulant effect.
2026 2027 GRADED A+
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Central Nervous System Drugs
11. Lorazepam may cause:
A) Hypertension
B) Respiratory depression
C) Tachycardia
D) Insomnia
Answer: B
Rationale: Benzodiazepines depress CNS and respiratory function.
12. Fluoxetine teaching should include:
A) Take with grapefruit juice
B) Expect sexual side effects
C) Avoid all fats
D) Monitor sodium only
Answer: B
Rationale: SSRIs commonly cause sexual dysfunction.
13. Phenytoin side effect:
A) Gingival hyperplasia
B) Cough
C) Weight gain
D) Hypertension
Answer: A
Rationale: Long-term phenytoin therapy can cause gum overgrowth.
14. Phenobarbital therapy requires monitoring:
A) Liver function
B) Renal function
C) Cardiac enzymes
D) Glucose
Answer: A
Rationale: Barbiturates are metabolized in the liver and may cause hepatotoxicity.
15. Levodopa-carbidopa is prescribed for:
A) Parkinson’s disease
B) Alzheimer’s disease
C) Anxiety
D) Epilepsy
Answer: A
Rationale: Levodopa replenishes dopamine to reduce Parkinsonian symptoms.
16. Sumatriptan is used for:
A) Hypertension
B) Migraine
C) Heart failure
D) Seizures
Answer: B
Rationale: Sumatriptan is a serotonin agonist that relieves migraine.
17. Carbamazepine teaching includes:
A) Avoid grapefruit juice
2026 2027 GRADED A+
RN Pharmacology A Relias (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED 2025
RN Pharmacology Questions
Cardiovascular Drugs
1. A patient is prescribed lisinopril. Which lab should the nurse monitor?
A) Sodium
B) Potassium
C) Calcium
D) Magnesium
Answer: B
Rationale: ACE inhibitors can cause hyperkalemia, so potassium levels should be
monitored regularly.
2. Furosemide is prescribed. Which electrolyte imbalance is likely?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypernatremia
Answer: B
Rationale: Loop diuretics increase potassium excretion, risking hypokalemia.
3. Nitroglycerin instructions should include:
A) Take only when resting
B) Take at first sign of chest pain
C) Take with grapefruit juice
D) Avoid position changes
Answer: B
Rationale: Nitroglycerin should be taken at the onset of chest pain for relief.
4. Atorvastatin works by:
A) Increasing cholesterol absorption
B) Inhibiting HMG-CoA reductase
C) Acting as a diuretic
D) Increasing BP
Answer: B
Rationale: Statins inhibit HMG-CoA reductase, reducing cholesterol production.
2026 2027 GRADED A+
,2|Page
5. Signs of digoxin toxicity include:
A) Bradycardia, visual changes
B) Tachycardia, hyperactivity
C) Hypertension only
D) Nausea, hypokalemia
Answer: A
Rationale: Digoxin toxicity causes bradycardia, nausea, and yellow/green vision
changes.
6. A patient receiving metoprolol should have which vital monitored?
A) Temperature
B) Heart rate
C) Respiratory rate
D) Oxygen saturation
Answer: B
Rationale: Beta-blockers reduce heart rate; bradycardia is a risk.
7. Enalapril may cause:
A) Dry cough
B) Tachycardia
C) Diarrhea
D) Hair loss
Answer: A
Rationale: ACE inhibitors commonly cause a persistent dry cough.
8. Hydrochlorothiazide is prescribed. What is important to monitor?
A) Sodium and potassium
B) Liver enzymes
C) WBC count
D) Glucose only
Answer: A
Rationale: Thiazide diuretics can cause hypokalemia and hyponatremia.
9. Amlodipine is used for:
A) Arrhythmias
B) Hypertension
C) Hyperlipidemia
D) Heart failure
Answer: B
Rationale: Amlodipine is a calcium channel blocker that lowers BP.
10. A patient on warfarin asks about diet. Which statement is correct?
A) Avoid foods high in vitamin K
B) Increase intake of dairy
C) Eat more citrus
D) Avoid all carbohydrates
Answer: A
Rationale: Vitamin K can counteract warfarin’s anticoagulant effect.
2026 2027 GRADED A+
, 3|Page
Central Nervous System Drugs
11. Lorazepam may cause:
A) Hypertension
B) Respiratory depression
C) Tachycardia
D) Insomnia
Answer: B
Rationale: Benzodiazepines depress CNS and respiratory function.
12. Fluoxetine teaching should include:
A) Take with grapefruit juice
B) Expect sexual side effects
C) Avoid all fats
D) Monitor sodium only
Answer: B
Rationale: SSRIs commonly cause sexual dysfunction.
13. Phenytoin side effect:
A) Gingival hyperplasia
B) Cough
C) Weight gain
D) Hypertension
Answer: A
Rationale: Long-term phenytoin therapy can cause gum overgrowth.
14. Phenobarbital therapy requires monitoring:
A) Liver function
B) Renal function
C) Cardiac enzymes
D) Glucose
Answer: A
Rationale: Barbiturates are metabolized in the liver and may cause hepatotoxicity.
15. Levodopa-carbidopa is prescribed for:
A) Parkinson’s disease
B) Alzheimer’s disease
C) Anxiety
D) Epilepsy
Answer: A
Rationale: Levodopa replenishes dopamine to reduce Parkinsonian symptoms.
16. Sumatriptan is used for:
A) Hypertension
B) Migraine
C) Heart failure
D) Seizures
Answer: B
Rationale: Sumatriptan is a serotonin agonist that relieves migraine.
17. Carbamazepine teaching includes:
A) Avoid grapefruit juice
2026 2027 GRADED A+
