URI NURSING PHARMACOLOGY FINAL EXAM PRACTICE BUNDLE – EXAM PRACTICE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Pharmacokinetics and pharmacodynamics
Medication calculations and dosage safety
Cardiovascular pharmacology
Antimicrobials and anti-infectives
Endocrine pharmacology
Neurological and psychiatric medications
Pain management and analgesics
Adverse drug reactions and toxicity
Nursing legal and ethical responsibilities
Patient education and medication adherence
*INTRODUCTION*
This comprehensive pharmacology practice exam is designed to prepare nursing students
for advanced clinical decision-making and safe medication administration. It evaluates
understanding of drug classifications, mechanisms of action, therapeutic effects, side
,effects, and contraindications. The exam emphasizes real-world clinical scenarios requiring
prioritization, safety awareness, and patient-centered care. Multiple-choice questions are
structured to reflect licensing and final exam standards, integrating both foundational
knowledge and applied nursing judgment. Students are expected to demonstrate
competence in medication safety, dosage calculations, and evidence-based
pharmacological interventions across diverse patient populations and clinical settings.
SECTION ONE: QUESTIONS 1–50
1. A patient is prescribed digoxin. Which assessment finding indicates toxicity?
A. Heart rate 88 bpm
B. Nausea and visual halos
C. Blood pressure 120/80
D. Increased appetite
🟢 Correct Answer: B. Nausea and visual halos
🔴 Explanation: Digoxin toxicity commonly presents with gastrointestinal symptoms and
visual disturbances such as yellow-green halos.
2. What is the primary action of beta-blockers?
A. Increase heart rate
,B. Block calcium channels
C. Decrease heart rate and contractility
D. Increase blood glucose
🟢 Correct Answer: C. Decrease heart rate and contractility
🔴 Explanation: Beta-blockers reduce sympathetic stimulation, lowering heart rate and
myocardial workload.
3. A nurse is administering insulin lispro. When should it be given?
A. 30 minutes before meals
B. At bedtime only
C. Immediately before eating
D. 2 hours after meals
🟢 Correct Answer: C. Immediately before eating
🔴 Explanation: Rapid-acting insulin lispro should be given just before meals to match
glucose absorption.
4. Which lab value indicates effectiveness of warfarin therapy?
A. Platelet count
B. INR level
, C. Blood glucose
D. Serum potassium
🟢 Correct Answer: B. INR level
🔴 Explanation: Warfarin effectiveness is monitored using INR to assess clotting time.
5. What is the antidote for acetaminophen overdose?
A. Naloxone
B. Vitamin K
C. Acetylcysteine
D. Flumazenil
🟢 Correct Answer: C. Acetylcysteine
🔴 Explanation: Acetylcysteine replenishes glutathione to prevent liver damage.
6. A patient taking ACE inhibitors should be monitored for which side effect?
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Pharmacokinetics and pharmacodynamics
Medication calculations and dosage safety
Cardiovascular pharmacology
Antimicrobials and anti-infectives
Endocrine pharmacology
Neurological and psychiatric medications
Pain management and analgesics
Adverse drug reactions and toxicity
Nursing legal and ethical responsibilities
Patient education and medication adherence
*INTRODUCTION*
This comprehensive pharmacology practice exam is designed to prepare nursing students
for advanced clinical decision-making and safe medication administration. It evaluates
understanding of drug classifications, mechanisms of action, therapeutic effects, side
,effects, and contraindications. The exam emphasizes real-world clinical scenarios requiring
prioritization, safety awareness, and patient-centered care. Multiple-choice questions are
structured to reflect licensing and final exam standards, integrating both foundational
knowledge and applied nursing judgment. Students are expected to demonstrate
competence in medication safety, dosage calculations, and evidence-based
pharmacological interventions across diverse patient populations and clinical settings.
SECTION ONE: QUESTIONS 1–50
1. A patient is prescribed digoxin. Which assessment finding indicates toxicity?
A. Heart rate 88 bpm
B. Nausea and visual halos
C. Blood pressure 120/80
D. Increased appetite
🟢 Correct Answer: B. Nausea and visual halos
🔴 Explanation: Digoxin toxicity commonly presents with gastrointestinal symptoms and
visual disturbances such as yellow-green halos.
2. What is the primary action of beta-blockers?
A. Increase heart rate
,B. Block calcium channels
C. Decrease heart rate and contractility
D. Increase blood glucose
🟢 Correct Answer: C. Decrease heart rate and contractility
🔴 Explanation: Beta-blockers reduce sympathetic stimulation, lowering heart rate and
myocardial workload.
3. A nurse is administering insulin lispro. When should it be given?
A. 30 minutes before meals
B. At bedtime only
C. Immediately before eating
D. 2 hours after meals
🟢 Correct Answer: C. Immediately before eating
🔴 Explanation: Rapid-acting insulin lispro should be given just before meals to match
glucose absorption.
4. Which lab value indicates effectiveness of warfarin therapy?
A. Platelet count
B. INR level
, C. Blood glucose
D. Serum potassium
🟢 Correct Answer: B. INR level
🔴 Explanation: Warfarin effectiveness is monitored using INR to assess clotting time.
5. What is the antidote for acetaminophen overdose?
A. Naloxone
B. Vitamin K
C. Acetylcysteine
D. Flumazenil
🟢 Correct Answer: C. Acetylcysteine
🔴 Explanation: Acetylcysteine replenishes glutathione to prevent liver damage.
6. A patient taking ACE inhibitors should be monitored for which side effect?
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
