Test bank for Relias RN Pharmacology
Exam (2026/2027) – Registered Nurse
Pharmacology Competency Assessment |
Actual Exam Questions with Correct
Answers |
1. Which organ is primarily responsible for drug metabolism?
A. Kidneys
B. Lungs
C. Liver
D. Heart
✅ Answer: C — Liver
Rationale: Most drugs are metabolized by hepatic enzymes (CYP450).
2. Which route of medication administration bypasses first-pass
metabolism?
A. Oral
B. Rectal
C. Sublingual
D. Enteral
✅ Answer: C — Sublingual
3. A drug with a narrow therapeutic index requires:
A. Less frequent monitoring
B. High dosing
C. Close serum level monitoring
D. No adverse effects
,✅ Answer: C
4. Which electrolyte imbalance is most associated with loop diuretics?
A. Hypernatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypercalcemia
✅ Answer: C
5. Before administering digoxin, the nurse should assess:
A. Blood pressure
B. Respiratory rate
C. Apical pulse
D. Temperature
✅ Answer: C
6. Which medication class ends in “-pril”?
A. Beta-blockers
B. ACE inhibitors
C. Calcium channel blockers
D. Diuretics
✅ Answer: B
7. A patient taking warfarin should be monitored using:
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin only
✅ Answer: B
, 8. Which insulin has the fastest onset?
A. Glargine
B. NPH
C. Regular
D. Lispro
✅ Answer: D
9. What is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Vitamin K
D. Protamine sulfate
✅ Answer: B
10. A common side effect of opioid analgesics is:
A. Diarrhea
B. Hypertension
C. Constipation
D. Tachycardia
✅ Answer: C
11. Which antibiotic class is associated with ototoxicity?
A. Penicillins
B. Aminoglycosides
C. Macrolides
D. Tetracyclines
✅ Answer: B
Exam (2026/2027) – Registered Nurse
Pharmacology Competency Assessment |
Actual Exam Questions with Correct
Answers |
1. Which organ is primarily responsible for drug metabolism?
A. Kidneys
B. Lungs
C. Liver
D. Heart
✅ Answer: C — Liver
Rationale: Most drugs are metabolized by hepatic enzymes (CYP450).
2. Which route of medication administration bypasses first-pass
metabolism?
A. Oral
B. Rectal
C. Sublingual
D. Enteral
✅ Answer: C — Sublingual
3. A drug with a narrow therapeutic index requires:
A. Less frequent monitoring
B. High dosing
C. Close serum level monitoring
D. No adverse effects
,✅ Answer: C
4. Which electrolyte imbalance is most associated with loop diuretics?
A. Hypernatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypercalcemia
✅ Answer: C
5. Before administering digoxin, the nurse should assess:
A. Blood pressure
B. Respiratory rate
C. Apical pulse
D. Temperature
✅ Answer: C
6. Which medication class ends in “-pril”?
A. Beta-blockers
B. ACE inhibitors
C. Calcium channel blockers
D. Diuretics
✅ Answer: B
7. A patient taking warfarin should be monitored using:
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin only
✅ Answer: B
, 8. Which insulin has the fastest onset?
A. Glargine
B. NPH
C. Regular
D. Lispro
✅ Answer: D
9. What is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Vitamin K
D. Protamine sulfate
✅ Answer: B
10. A common side effect of opioid analgesics is:
A. Diarrhea
B. Hypertension
C. Constipation
D. Tachycardia
✅ Answer: C
11. Which antibiotic class is associated with ototoxicity?
A. Penicillins
B. Aminoglycosides
C. Macrolides
D. Tetracyclines
✅ Answer: B
