NUR 210 Exam 2: Advanced Pharmacology (Galen) 202… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 210 Exam 2: Advanced Pharmacology (Galen) 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 210 Exam 2: Advanced Pharmacology (Galen) 202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient taking Lisinopril develops a persistent dry cough. Which physiological
mechanism is responsible for this adverse effect?
A. Accumulation of bradykinin in the lungs
B. Inhibition of the sympathetic nervous system
C. Direct irritation of the bronchial mucosa
D. Excessive sodium retention in the pulmonary capillaries
Answer: A
Rationale: ACE inhibitors prevent the breakdown of bradykinin, leading to its accumulation in the
respiratory tract, which triggers a non-productive cough. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
2. When administering Digoxin to a patient with heart failure, which electrolyte imbalance
most significantly increases the risk of toxicity?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyponatremia
Answer: B
Rationale: Low potassium levels increase the susceptibility to digoxin toxicity because digoxin
competes with potassium for binding sites on the Na+/K+ ATPase pump. Clear understanding of this
concept improves both test performance and everyday clinical judgment. Practice applying it to short
case scenarios to lock the idea in place. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Exam 2: Advanced Pharmacology (Galen) 202… 2026/2027 • Verified • Assured Grade A+
3. A patient is being discharged on Warfarin. What specific dietary education is vital for
maintaining a stable INR?
A. Increase intake of spinach and kale to improve clotting
B. Limit protein intake to prevent drug binding
C. Avoid all sources of Vitamin C to prevent bleeding
D. Maintain a consistent intake of Vitamin K-rich foods
Answer: D
Rationale: Consistency is key; sudden increases or decreases in Vitamin K (found in leafy greens) will
fluctuate the INR and interfere with warfarin’s efficacy. Exam questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
4. What is the black box warning associated with the use of Metformin in patients
undergoing imaging with iodinated contrast?
A. Permanent peripheral neuropathy
B. Severe hypoglycemia and hepatic coma
C. Risk of acute renal failure and lactic acidosis
D. Acute myocardial infarction
Answer: C
Rationale: Metformin should be held 48 hours before and after contrast procedures to prevent
contrast-induced nephropathy and subsequent lactic acidosis. Exam questions often test whether you
can pick the most practical and safe choice for the client in real situations. Focus on what the nurse
can actually do right now. This is important because the nurse must choose the action that keeps the
client safest while still meeting their basic needs. Always think about safety first when answering these
questions.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 210 Exam 2: Advanced Pharmacology (Galen) 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 210 Exam 2: Advanced Pharmacology (Galen) 202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient taking Lisinopril develops a persistent dry cough. Which physiological
mechanism is responsible for this adverse effect?
A. Accumulation of bradykinin in the lungs
B. Inhibition of the sympathetic nervous system
C. Direct irritation of the bronchial mucosa
D. Excessive sodium retention in the pulmonary capillaries
Answer: A
Rationale: ACE inhibitors prevent the breakdown of bradykinin, leading to its accumulation in the
respiratory tract, which triggers a non-productive cough. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
2. When administering Digoxin to a patient with heart failure, which electrolyte imbalance
most significantly increases the risk of toxicity?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyponatremia
Answer: B
Rationale: Low potassium levels increase the susceptibility to digoxin toxicity because digoxin
competes with potassium for binding sites on the Na+/K+ ATPase pump. Clear understanding of this
concept improves both test performance and everyday clinical judgment. Practice applying it to short
case scenarios to lock the idea in place. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Exam 2: Advanced Pharmacology (Galen) 202… 2026/2027 • Verified • Assured Grade A+
3. A patient is being discharged on Warfarin. What specific dietary education is vital for
maintaining a stable INR?
A. Increase intake of spinach and kale to improve clotting
B. Limit protein intake to prevent drug binding
C. Avoid all sources of Vitamin C to prevent bleeding
D. Maintain a consistent intake of Vitamin K-rich foods
Answer: D
Rationale: Consistency is key; sudden increases or decreases in Vitamin K (found in leafy greens) will
fluctuate the INR and interfere with warfarin’s efficacy. Exam questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
4. What is the black box warning associated with the use of Metformin in patients
undergoing imaging with iodinated contrast?
A. Permanent peripheral neuropathy
B. Severe hypoglycemia and hepatic coma
C. Risk of acute renal failure and lactic acidosis
D. Acute myocardial infarction
Answer: C
Rationale: Metformin should be held 48 hours before and after contrast procedures to prevent
contrast-induced nephropathy and subsequent lactic acidosis. Exam questions often test whether you
can pick the most practical and safe choice for the client in real situations. Focus on what the nurse
can actually do right now. This is important because the nurse must choose the action that keeps the
client safest while still meeting their basic needs. Always think about safety first when answering these
questions.
Exam (Elaborations) • Detailed Rationales Page 3
