Pharmacology for Adult Health Nursing
Practice Exam | Questions And Answers
With Verified Rationales | 2026/27 Qs & Ans
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1. A nurse is administering furosemide to a patient with heart failure.
Which electrolyte imbalance should the nurse monitor for?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Rationale: Furosemide is a loop diuretic that increases potassium excretion,
placing the patient at risk for hypokalemia.
2. A patient taking digoxin reports nausea and blurred vision with yellow
halos. What is the nurse’s priority action?
A. Administer the next dose
B. Encourage fluid intake
C. Hold the medication and notify the provider
D. Reassure the patient
Rationale: Nausea and yellow halos are classic signs of digoxin toxicity and
require immediate intervention.
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3. Which medication is classified as an ACE inhibitor?
A. Metoprolol
B. Losartan
C. Lisinopril
D. Amlodipine
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor
used to treat hypertension and heart failure.
4. A patient receiving warfarin should be monitored using which
laboratory test?
A. aPTT
B. Platelet count
C. Bleeding time
D. INR
Rationale: International normalized ratio (INR) is used to evaluate the
therapeutic effect of warfarin.
5. Which adverse effect is most commonly associated with opioid
analgesics?
A. Hypertension
B. Tachycardia
C. Respiratory depression
D. Polyuria
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Rationale: Opioids suppress the respiratory center in the brain and can
cause life-threatening respiratory depression.
6. A nurse teaches a patient taking nitroglycerin tablets. Which statement
indicates understanding?
A. “I will swallow the tablet whole.”
B. “I will take it only after meals.”
C. “I will place the tablet under my tongue.”
D. “I will store it in the bathroom.”
Rationale: Sublingual nitroglycerin should be placed under the tongue for
rapid absorption.
7. Which medication is used to reverse opioid overdose?
A. Flumazenil
B. Epinephrine
C. Protamine sulfate
D. Naloxone
Rationale: Naloxone is an opioid antagonist used to reverse respiratory
depression caused by opioids.
8. A patient taking metformin should be monitored for which serious
complication?
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A. Hypocalcemia
B. Lactic acidosis
C. Hypernatremia
D. Leukocytosis
Rationale: Metformin carries a rare but serious risk of lactic acidosis.
9. Which instruction should the nurse provide to a patient taking
tetracycline?
A. Take with milk
B. Crush before taking
C. Avoid direct sunlight exposure
D. Take with antacids
Rationale: Tetracycline can cause photosensitivity reactions.
10. Which medication is a beta blocker?
A. Verapamil
B. Atenolol
C. Hydrochlorothiazide
D. Clonidine
Rationale: Atenolol is a beta-adrenergic blocker used to reduce blood
pressure and heart rate.
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