GALEN NURS 210 EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
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Core Domains
*- Pharmacology Principles and Drug Classes*
*- Cardiac Medications and Cardiovascular Pharmacology*
*- Neurological Medications and CNS Pharmacology*
*- Anticoagulants and Antiplatelet Therapy*
*- Beta Blockers and Adrenergic Agents*
*- Cholinergic and Anticholinergic Medications*
*- Lipid-Lowering Agents and Statins*
*- Cardiac Glycosides and Antianginals*
*- Neurological Disorder Treatments (Parkinson's, Alzheimer's)*
- Drug Monitoring and Safety Parameters
,Introduction
This comprehensive assessment evaluates critical pharmacology knowledge essential for nursing practice.
The exam assesses understanding of drug mechanisms, therapeutic indications, contraindications,
monitoring parameters, and patient safety considerations. Through multiple-choice and scenario-based
questions, candidates demonstrate their ability to apply pharmacological principles to real-world clinical
decision-making. The test emphasizes medication safety, appropriate drug selection, recognition of adverse
effects, and professional responsibility in medication administration. Success requires mastery of cardiac
pharmacology, neurological medications, anticoagulation therapy, and fundamental pharmacology
principles that directly impact patient outcomes in clinical practice.
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Section One: Questions 1–100
Question 1
A patient is prescribed atenolol for hypertension. Which mechanism of action describes how this medication
works?
A. Blocks calcium channels in vascular smooth muscle
B. Blocks beta-1 adrenergic receptors in the heart
C. Stimulates alpha-1 adrenergic receptors
D. Inhibits angiotensin-converting enzyme
🟢 Correct answer: B
,🔴 RATIONALE: Atenolol is a beta-1 selective adrenergic blocker that reduces heart rate and cardiac output by
blocking beta-1 receptors in the heart, thereby lowering blood pressure.
Question 2
A patient receiving warfarin therapy has a PT of 40 seconds. What is the appropriate nursing action?
A. Administer the next dose as scheduled
B. Hold the dose and notify the provider
C. Give vitamin K immediately
D. Increase the next dose by 1mg
🟢 Correct answer: B
🔴 RATIONALE: Normal PT is 11-13.5 seconds; a PT of 40 seconds indicates excessive anticoagulation. The
dose should be held and the provider notified to prevent bleeding complications.
Question 3
Which medication is contraindicated in a patient with bradycardia?
A. Atropine
B. Atenolol
C. Epinephrine
D. Pilocarpine
🟢 Correct answer: B
, 🔴 RATIONALE: Beta blockers like atenolol decrease heart rate and would worsen bradycardia. Atropine and
epinephrine increase heart rate, making them appropriate for bradycardia.
Question 4
A patient on digoxin reports nausea and visual changes. What lab value should the nurse check first?
A. Serum sodium
B. Serum digoxin level
C. Urine output
D. Blood glucose
🟢 Correct answer: B
🔴 RATIONALE: Nausea and visual changes (especially yellow-green vision) are classic signs of digoxin
toxicity. Checking the serum digoxin level confirms toxicity, which requires immediate intervention.
Question 5
Which anticoagulant requires regular monitoring of INR?
A. Heparin
B. Enoxaparin
C. Warfarin
D. Apixaban
🟢 Correct answer: C
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
<center>
Core Domains
*- Pharmacology Principles and Drug Classes*
*- Cardiac Medications and Cardiovascular Pharmacology*
*- Neurological Medications and CNS Pharmacology*
*- Anticoagulants and Antiplatelet Therapy*
*- Beta Blockers and Adrenergic Agents*
*- Cholinergic and Anticholinergic Medications*
*- Lipid-Lowering Agents and Statins*
*- Cardiac Glycosides and Antianginals*
*- Neurological Disorder Treatments (Parkinson's, Alzheimer's)*
- Drug Monitoring and Safety Parameters
,Introduction
This comprehensive assessment evaluates critical pharmacology knowledge essential for nursing practice.
The exam assesses understanding of drug mechanisms, therapeutic indications, contraindications,
monitoring parameters, and patient safety considerations. Through multiple-choice and scenario-based
questions, candidates demonstrate their ability to apply pharmacological principles to real-world clinical
decision-making. The test emphasizes medication safety, appropriate drug selection, recognition of adverse
effects, and professional responsibility in medication administration. Success requires mastery of cardiac
pharmacology, neurological medications, anticoagulation therapy, and fundamental pharmacology
principles that directly impact patient outcomes in clinical practice.
</center>
Section One: Questions 1–100
Question 1
A patient is prescribed atenolol for hypertension. Which mechanism of action describes how this medication
works?
A. Blocks calcium channels in vascular smooth muscle
B. Blocks beta-1 adrenergic receptors in the heart
C. Stimulates alpha-1 adrenergic receptors
D. Inhibits angiotensin-converting enzyme
🟢 Correct answer: B
,🔴 RATIONALE: Atenolol is a beta-1 selective adrenergic blocker that reduces heart rate and cardiac output by
blocking beta-1 receptors in the heart, thereby lowering blood pressure.
Question 2
A patient receiving warfarin therapy has a PT of 40 seconds. What is the appropriate nursing action?
A. Administer the next dose as scheduled
B. Hold the dose and notify the provider
C. Give vitamin K immediately
D. Increase the next dose by 1mg
🟢 Correct answer: B
🔴 RATIONALE: Normal PT is 11-13.5 seconds; a PT of 40 seconds indicates excessive anticoagulation. The
dose should be held and the provider notified to prevent bleeding complications.
Question 3
Which medication is contraindicated in a patient with bradycardia?
A. Atropine
B. Atenolol
C. Epinephrine
D. Pilocarpine
🟢 Correct answer: B
, 🔴 RATIONALE: Beta blockers like atenolol decrease heart rate and would worsen bradycardia. Atropine and
epinephrine increase heart rate, making them appropriate for bradycardia.
Question 4
A patient on digoxin reports nausea and visual changes. What lab value should the nurse check first?
A. Serum sodium
B. Serum digoxin level
C. Urine output
D. Blood glucose
🟢 Correct answer: B
🔴 RATIONALE: Nausea and visual changes (especially yellow-green vision) are classic signs of digoxin
toxicity. Checking the serum digoxin level confirms toxicity, which requires immediate intervention.
Question 5
Which anticoagulant requires regular monitoring of INR?
A. Heparin
B. Enoxaparin
C. Warfarin
D. Apixaban
🟢 Correct answer: C
