NURS 1141 PHARM FINAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES Q & A 2026|INSTANT DOWNLOAD
PDF
1. Which of the following are common side effects of opioid
analgesics?
A. Constipation
B. Respiratory depression
C. Tachycardia
D. Sedation
Correct Answer: A, B, D
Rationale: Opioids commonly cause constipation, respiratory
depression, and sedation. Tachycardia is less common;
bradycardia may occur instead.
2. Which routes of administration bypass the first-pass effect
in the liver?
A. Oral
B. Sublingual
C. Intravenous
D. Rectal
Correct Answer: B, C, D
Rationale: Sublingual, IV, and rectal routes bypass the liver’s
,first-pass metabolism, increasing bioavailability compared to
oral administration.
3. A patient taking warfarin should avoid which of the
following foods?
A. Leafy green vegetables
B. Bananas
C. Grapefruit
D. Dairy products
Correct Answer: A
Rationale: Leafy greens are high in vitamin K, which can
antagonize warfarin and reduce its anticoagulant effect.
4. Which of the following are common adverse effects of ACE
inhibitors?
A. Cough
B. Hyperkalemia
C. Hypotension
D. Bradycardia
Correct Answer: A, B, C
Rationale: ACE inhibitors can cause a persistent cough, elevate
potassium levels, and lower blood pressure. Bradycardia is not
typical.
,5. Which medications are classified as beta-blockers?
A. Metoprolol
B. Lisinopril
C. Atenolol
D. Losartan
Correct Answer: A, C
Rationale: Metoprolol and Atenolol are beta-blockers. Lisinopril
is an ACE inhibitor; Losartan is an ARB.
6. Which nursing interventions are important for a patient
receiving digoxin?
A. Monitor apical pulse
B. Check potassium levels
C. Administer with high-fat meals
D. Monitor for visual changes
Correct Answer: A, B, D
Rationale: Digoxin toxicity can cause bradycardia and visual
disturbances; potassium imbalance increases risk of toxicity. Fat
intake does not affect digoxin absorption.
7. Which of the following are signs of hypoglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
, Correct Answer: A, B, D
Rationale: Hypoglycemia presents with adrenergic symptoms
like sweating and tremors, and CNS symptoms like confusion.
Polyuria is a hyperglycemia symptom.
8. Which medications are commonly used to treat
hypertension?
A. Furosemide
B. Hydrochlorothiazide
C. Amlodipine
D. Omeprazole
Correct Answer: A, B, C
Rationale: Diuretics and calcium channel blockers are used for
hypertension. Omeprazole is a proton pump inhibitor, not
antihypertensive.
9. Which statements about insulin administration are correct?
A. Insulin should be rotated at injection sites
B. Rapid-acting insulin can be mixed with long-acting insulin in
the same syringe
C. Insulin should be stored in the refrigerator
D. Only one brand of insulin can be used per patient
Correct Answer: A, C
Rationale: Rotating injection sites prevents lipodystrophy;
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES Q & A 2026|INSTANT DOWNLOAD
1. Which of the following are common side effects of opioid
analgesics?
A. Constipation
B. Respiratory depression
C. Tachycardia
D. Sedation
Correct Answer: A, B, D
Rationale: Opioids commonly cause constipation, respiratory
depression, and sedation. Tachycardia is less common;
bradycardia may occur instead.
2. Which routes of administration bypass the first-pass effect
in the liver?
A. Oral
B. Sublingual
C. Intravenous
D. Rectal
Correct Answer: B, C, D
Rationale: Sublingual, IV, and rectal routes bypass the liver’s
,first-pass metabolism, increasing bioavailability compared to
oral administration.
3. A patient taking warfarin should avoid which of the
following foods?
A. Leafy green vegetables
B. Bananas
C. Grapefruit
D. Dairy products
Correct Answer: A
Rationale: Leafy greens are high in vitamin K, which can
antagonize warfarin and reduce its anticoagulant effect.
4. Which of the following are common adverse effects of ACE
inhibitors?
A. Cough
B. Hyperkalemia
C. Hypotension
D. Bradycardia
Correct Answer: A, B, C
Rationale: ACE inhibitors can cause a persistent cough, elevate
potassium levels, and lower blood pressure. Bradycardia is not
typical.
,5. Which medications are classified as beta-blockers?
A. Metoprolol
B. Lisinopril
C. Atenolol
D. Losartan
Correct Answer: A, C
Rationale: Metoprolol and Atenolol are beta-blockers. Lisinopril
is an ACE inhibitor; Losartan is an ARB.
6. Which nursing interventions are important for a patient
receiving digoxin?
A. Monitor apical pulse
B. Check potassium levels
C. Administer with high-fat meals
D. Monitor for visual changes
Correct Answer: A, B, D
Rationale: Digoxin toxicity can cause bradycardia and visual
disturbances; potassium imbalance increases risk of toxicity. Fat
intake does not affect digoxin absorption.
7. Which of the following are signs of hypoglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
, Correct Answer: A, B, D
Rationale: Hypoglycemia presents with adrenergic symptoms
like sweating and tremors, and CNS symptoms like confusion.
Polyuria is a hyperglycemia symptom.
8. Which medications are commonly used to treat
hypertension?
A. Furosemide
B. Hydrochlorothiazide
C. Amlodipine
D. Omeprazole
Correct Answer: A, B, C
Rationale: Diuretics and calcium channel blockers are used for
hypertension. Omeprazole is a proton pump inhibitor, not
antihypertensive.
9. Which statements about insulin administration are correct?
A. Insulin should be rotated at injection sites
B. Rapid-acting insulin can be mixed with long-acting insulin in
the same syringe
C. Insulin should be stored in the refrigerator
D. Only one brand of insulin can be used per patient
Correct Answer: A, C
Rationale: Rotating injection sites prevents lipodystrophy;
