• NUR 210 FINAL 09/10/2026
EXAM
NUR 210 FINAL EXAM 3 – PRINCIPLES OF
PHARMACOLOGY (NURSING) | 2026/2027 LATEST
UPDATE | 2026/2027 UPDATE EXAM QUESTIONS
100% WITH CORRECT ANSWERS AND RATIOALES
.
A client with congestive heart failure, CHF, is prescribed digoxin (Lanoxin) and furosemide (Lasix). Nursing
interventions will include: (Select all that apply.)
Encourage intake of water and fruit juices.
Restrict intake of green, leafy vegetables.
Checking apical pulse before administering medication.
P 1
, • NUR 210 FINAL 09/10/2026
EXAM
Monitor hemoglobin and hematocrit levels.
Monitor serum electrolytes. –
Correct Answer :Checking apical pulse before administering medication.
Monitor serum electrolytes.
Rationale: Digoxin is a cardiac glycoside. which can slow heart rate, and an apical heart rate is checked prior to
administration. Lasix is a loop diuretic used in treatment of CHF, which promotes not only water loss, but also
loss of electrolytes. A low potassium level increases risk of digoxin toxicity. Fluids are often restricted with CHF. H
and H level do not need to be checked, and green, leafy vegetables would not need to be restricted.
The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of the following statements by the client
indicates the need for further teaching by the nurse?
"I should not get short of breath anymore."
"This drug will help my heart muscle pump less."
"I may notice my heart rate decrease."
"I may feel tired during early treatment." –
Correct Answer :"This drug will help my heart muscle pump less."
Rationale: The ability to increase the strength of contractions is a characteristic of cardiac glycosides. It may
result in a decrease in pulse. Initially the client may experience some fatigue. Symptoms of CHF, such as dyspnea,
should improve.
The nurse reviews lab studies of a client receiving digoxin (Lanoxin). Intervention by the nurse is required if the
results include a
P 2
, • NUR 210 FINAL 09/10/2026
EXAM
Serum sodium level of 140 mEq/L.
Serum digoxin level of 1.2 ng/dL.
Serum potassium level of 3.0 mEq/L.
Hemoglobin 14.4 g/dL. –
Correct Answer :Serum potassium level of 3.0 mEq/L.
Rationale: Normal serum potassium level is 3.5-5.0 mEq/L. Hypokalemia may predispose the client to digitalis
toxicity. The other lab values are WNL.
The client's serum digoxin level is 2.2 ng/dL and the heart rate is 120 and irregular. The nurse expects to
administer which of the following drugs?
Digoxin immune Fab (Digibind)
Furosemide (Lasix) 60 mg I.V.
Digoxin 0.5 mg bolus I.V.
Potassium 40 mEq added to I.V. fluids –
Correct Answer :Digoxin immune Fab (Digibind)
Rationale: Digibind binds and removes digoxin from the body and prevents toxic effects of digoxin overdose. A
serum level of 2.2 is elevated, and the client is exhibiting signs of digoxin toxicity. The question does not indicate
that the potassium level is low. Giving additional digoxin would exacerbate the toxicity. Giving Lasix may reduce
potassium levels and contribute to increased toxicity.
The client is prescribed captopril (Capoten) for treatment of HF. The nurse teaches that the primary action of the
drug is to
Prevent influx of calcium.
Lower peripheral resistance and reduce blood volume.
P 3
, • NUR 210 FINAL 09/10/2026
EXAM
Increase strength of ventricular contractions.
Increase heart rate. –
Correct Answer :Lower peripheral resistance and reduce blood volume.
Rationale: ACE inhibitors decrease peripheral resistance and reduce blood volume by enhancing the excretion of
sodium and water. This results in decreased afterload and increased cardiac output.
A client is being started on lisinopril (Zestril). Nursing interventions during initial therapy with this medication
must include
Monitoring blood pressure.
Monitoring intake and output.
Monitoring EKG.
Monitoring serum levels. –
Correct Answer :Monitoring blood pressure.
Rationale: Lisinopril is an ACE inhibitor, which can cause severe hypotension with initial doses. The nurse should
monitor the client closely for several hours.
The nurse developing a teaching plan for a client receiving thiazide diuretics should include the following.
Teaching the client to take apical pulse.
Decreasing potassium-rich foods in the diet.
Including citrus fruits, melons, and vegetables in the diet.
Teaching the client to check blood pressure t.i.d. –
P 4
EXAM
NUR 210 FINAL EXAM 3 – PRINCIPLES OF
PHARMACOLOGY (NURSING) | 2026/2027 LATEST
UPDATE | 2026/2027 UPDATE EXAM QUESTIONS
100% WITH CORRECT ANSWERS AND RATIOALES
.
A client with congestive heart failure, CHF, is prescribed digoxin (Lanoxin) and furosemide (Lasix). Nursing
interventions will include: (Select all that apply.)
Encourage intake of water and fruit juices.
Restrict intake of green, leafy vegetables.
Checking apical pulse before administering medication.
P 1
, • NUR 210 FINAL 09/10/2026
EXAM
Monitor hemoglobin and hematocrit levels.
Monitor serum electrolytes. –
Correct Answer :Checking apical pulse before administering medication.
Monitor serum electrolytes.
Rationale: Digoxin is a cardiac glycoside. which can slow heart rate, and an apical heart rate is checked prior to
administration. Lasix is a loop diuretic used in treatment of CHF, which promotes not only water loss, but also
loss of electrolytes. A low potassium level increases risk of digoxin toxicity. Fluids are often restricted with CHF. H
and H level do not need to be checked, and green, leafy vegetables would not need to be restricted.
The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of the following statements by the client
indicates the need for further teaching by the nurse?
"I should not get short of breath anymore."
"This drug will help my heart muscle pump less."
"I may notice my heart rate decrease."
"I may feel tired during early treatment." –
Correct Answer :"This drug will help my heart muscle pump less."
Rationale: The ability to increase the strength of contractions is a characteristic of cardiac glycosides. It may
result in a decrease in pulse. Initially the client may experience some fatigue. Symptoms of CHF, such as dyspnea,
should improve.
The nurse reviews lab studies of a client receiving digoxin (Lanoxin). Intervention by the nurse is required if the
results include a
P 2
, • NUR 210 FINAL 09/10/2026
EXAM
Serum sodium level of 140 mEq/L.
Serum digoxin level of 1.2 ng/dL.
Serum potassium level of 3.0 mEq/L.
Hemoglobin 14.4 g/dL. –
Correct Answer :Serum potassium level of 3.0 mEq/L.
Rationale: Normal serum potassium level is 3.5-5.0 mEq/L. Hypokalemia may predispose the client to digitalis
toxicity. The other lab values are WNL.
The client's serum digoxin level is 2.2 ng/dL and the heart rate is 120 and irregular. The nurse expects to
administer which of the following drugs?
Digoxin immune Fab (Digibind)
Furosemide (Lasix) 60 mg I.V.
Digoxin 0.5 mg bolus I.V.
Potassium 40 mEq added to I.V. fluids –
Correct Answer :Digoxin immune Fab (Digibind)
Rationale: Digibind binds and removes digoxin from the body and prevents toxic effects of digoxin overdose. A
serum level of 2.2 is elevated, and the client is exhibiting signs of digoxin toxicity. The question does not indicate
that the potassium level is low. Giving additional digoxin would exacerbate the toxicity. Giving Lasix may reduce
potassium levels and contribute to increased toxicity.
The client is prescribed captopril (Capoten) for treatment of HF. The nurse teaches that the primary action of the
drug is to
Prevent influx of calcium.
Lower peripheral resistance and reduce blood volume.
P 3
, • NUR 210 FINAL 09/10/2026
EXAM
Increase strength of ventricular contractions.
Increase heart rate. –
Correct Answer :Lower peripheral resistance and reduce blood volume.
Rationale: ACE inhibitors decrease peripheral resistance and reduce blood volume by enhancing the excretion of
sodium and water. This results in decreased afterload and increased cardiac output.
A client is being started on lisinopril (Zestril). Nursing interventions during initial therapy with this medication
must include
Monitoring blood pressure.
Monitoring intake and output.
Monitoring EKG.
Monitoring serum levels. –
Correct Answer :Monitoring blood pressure.
Rationale: Lisinopril is an ACE inhibitor, which can cause severe hypotension with initial doses. The nurse should
monitor the client closely for several hours.
The nurse developing a teaching plan for a client receiving thiazide diuretics should include the following.
Teaching the client to take apical pulse.
Decreasing potassium-rich foods in the diet.
Including citrus fruits, melons, and vegetables in the diet.
Teaching the client to check blood pressure t.i.d. –
P 4
