NUR 210 Principles of Pharmacology - Advanced Exa… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 210 Principles of Pharmacology - Advanced Exam 3
Review 2026/2027 UPDATE Galen
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 Principles of Pharmacology - Advanced Exa… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is prescribed levothyroxine for hypothyroidism. Which physiological finding
indicates the medication is effective?
A. Decreased heart rate
B. Improved cold tolerance
C. Increased TSH levels
D. Weight gain
Answer: B
Rationale: Levothyroxine treats hypothyroidism by replacing T4. Improvement in cold tolerance,
increased energy, and weight loss are signs of therapeutic effect. 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. Remembering this point will help you decide the
best nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level.
2. When administering Lispro insulin, when should the nurse ensure the patient eats?
A. 30 to 60 minutes after administration
B. Within 15 minutes of administration
C. Immediately before bedtime
D. Only when blood glucose is above 200 mg/dL
Answer: B
Rationale: Lispro is a rapid-acting insulin with an onset of 15-30 minutes. To prevent hypoglycemia,
the patient must eat shortly after injection. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Principles of Pharmacology - Advanced Exa… 2026/2027 • Verified • Assured Grade A+
3. A patient taking Metformin is scheduled for a CT scan with IV contrast. What action should
the nurse take?
A. Increase the dose of Metformin the day of the scan
B. Administer the Metformin as scheduled
C. Hold Metformin 48 hours before and after the scan
D. Switch the patient to insulin for the duration of the scan
Answer: C
Rationale: Metformin combined with iodine contrast media can cause acute renal failure and lactic
acidosis. It is typically held 48 hours before and after the procedure. 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. Understanding this helps the nurse notice
early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
4. Which electrolyte imbalance should the nurse monitor for in a patient taking
Fludrocortisone for Addison’s disease?
A. Hyperkalemia
B. Hypokalemia
C. Hyponatremia
D. Hypocalcemia
Answer: B
Rationale: Fludrocortisone is a mineralocorticoid that causes sodium retention and potassium
excretion, potentially leading to hypokalemia. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level. 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 Principles of Pharmacology - Advanced Exam 3
Review 2026/2027 UPDATE Galen
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 Principles of Pharmacology - Advanced Exa… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is prescribed levothyroxine for hypothyroidism. Which physiological finding
indicates the medication is effective?
A. Decreased heart rate
B. Improved cold tolerance
C. Increased TSH levels
D. Weight gain
Answer: B
Rationale: Levothyroxine treats hypothyroidism by replacing T4. Improvement in cold tolerance,
increased energy, and weight loss are signs of therapeutic effect. 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. Remembering this point will help you decide the
best nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level.
2. When administering Lispro insulin, when should the nurse ensure the patient eats?
A. 30 to 60 minutes after administration
B. Within 15 minutes of administration
C. Immediately before bedtime
D. Only when blood glucose is above 200 mg/dL
Answer: B
Rationale: Lispro is a rapid-acting insulin with an onset of 15-30 minutes. To prevent hypoglycemia,
the patient must eat shortly after injection. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Principles of Pharmacology - Advanced Exa… 2026/2027 • Verified • Assured Grade A+
3. A patient taking Metformin is scheduled for a CT scan with IV contrast. What action should
the nurse take?
A. Increase the dose of Metformin the day of the scan
B. Administer the Metformin as scheduled
C. Hold Metformin 48 hours before and after the scan
D. Switch the patient to insulin for the duration of the scan
Answer: C
Rationale: Metformin combined with iodine contrast media can cause acute renal failure and lactic
acidosis. It is typically held 48 hours before and after the procedure. 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. Understanding this helps the nurse notice
early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
4. Which electrolyte imbalance should the nurse monitor for in a patient taking
Fludrocortisone for Addison’s disease?
A. Hyperkalemia
B. Hypokalemia
C. Hyponatremia
D. Hypocalcemia
Answer: B
Rationale: Fludrocortisone is a mineralocorticoid that causes sodium retention and potassium
excretion, potentially leading to hypokalemia. Remembering this point will help you decide the best
nursing action when similar questions appear on the exam. Link the answer to the client’s current
condition and risk level. 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
