NUR 210 PHARMACOLOGY EXAM 2 -
ADVANCED NURSING CONCEPTS
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Lisinopril for hypertension. Which assessment finding is most critical
for the nurse to report immediately?
A. A persistent dry, non-productive cough
B. A blood pressure reading of 115/75 mmHg
C. A serum potassium level of 4.8 mEq/L
D. Swelling of the tongue and lips
Answer: D
Conceptual Explanation: Angioedema (swelling of the face, tongue, and lips) is a life-
threatening adverse effect of ACE inhibitors that can compromise the airway.
2. Which medication is contraindicated in a patient with a history of severe asthma due to the
risk of bronchospasm?
A. Metoprolol
B. Amlodipine
C. Propranolol
,D. Losartan
Answer: C
Conceptual Explanation: Propranolol is a non-selective beta-blocker that inhibits Beta-2
receptors in the lungs, potentially causing bronchoconstriction in patients with respiratory
issues.
3. A nurse is preparing to administer Digoxin. Which electrolyte imbalance significantly
increases the risk of Digoxin toxicity?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypomagnesemia
Answer: C
Conceptual Explanation: Low potassium levels increase the binding of Digoxin to its
receptor site, leading to toxic levels even if the dosage is within normal range.
4. When educating a patient on Nitroglycerin sublingual tablets, the nurse should include
which instruction?
A. Discard tablets 6 months after the bottle is opened
B. Swallow the tablet with a full glass of water
C. Take up to 5 tablets every 10 minutes
, D. Store the medication in a clear plastic container for visibility
Answer: A
Conceptual Explanation: Nitroglycerin is light-sensitive and loses potency over time; it
should be kept in its original dark glass bottle and replaced roughly every 6 months.
5. A patient receiving a Heparin infusion has an aPTT of 110 seconds (Control: 30 seconds).
Which action should the nurse take first?
A. Continue the infusion at the current rate
B. Increase the infusion rate per protocol
C. Administer Vitamin K intramuscularly
D. Stop the infusion and notify the provider
Answer: D
Conceptual Explanation: The therapeutic range for aPTT is typically 1.5 to 2.5 times the
control. 110 seconds is excessively high, indicating a high risk for bleeding; the infusion
must be stopped.
6. What is the primary mechanism of action of Spironolactone?
A. Inhibition of the Na-K-2Cl symporter in the Loop of Henle
B. Direct inhibition of renin release
C. Antagonism of aldosterone receptors in the distal tubule
D. Blocking of calcium channels in vascular smooth muscle
ADVANCED NURSING CONCEPTS
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Lisinopril for hypertension. Which assessment finding is most critical
for the nurse to report immediately?
A. A persistent dry, non-productive cough
B. A blood pressure reading of 115/75 mmHg
C. A serum potassium level of 4.8 mEq/L
D. Swelling of the tongue and lips
Answer: D
Conceptual Explanation: Angioedema (swelling of the face, tongue, and lips) is a life-
threatening adverse effect of ACE inhibitors that can compromise the airway.
2. Which medication is contraindicated in a patient with a history of severe asthma due to the
risk of bronchospasm?
A. Metoprolol
B. Amlodipine
C. Propranolol
,D. Losartan
Answer: C
Conceptual Explanation: Propranolol is a non-selective beta-blocker that inhibits Beta-2
receptors in the lungs, potentially causing bronchoconstriction in patients with respiratory
issues.
3. A nurse is preparing to administer Digoxin. Which electrolyte imbalance significantly
increases the risk of Digoxin toxicity?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypomagnesemia
Answer: C
Conceptual Explanation: Low potassium levels increase the binding of Digoxin to its
receptor site, leading to toxic levels even if the dosage is within normal range.
4. When educating a patient on Nitroglycerin sublingual tablets, the nurse should include
which instruction?
A. Discard tablets 6 months after the bottle is opened
B. Swallow the tablet with a full glass of water
C. Take up to 5 tablets every 10 minutes
, D. Store the medication in a clear plastic container for visibility
Answer: A
Conceptual Explanation: Nitroglycerin is light-sensitive and loses potency over time; it
should be kept in its original dark glass bottle and replaced roughly every 6 months.
5. A patient receiving a Heparin infusion has an aPTT of 110 seconds (Control: 30 seconds).
Which action should the nurse take first?
A. Continue the infusion at the current rate
B. Increase the infusion rate per protocol
C. Administer Vitamin K intramuscularly
D. Stop the infusion and notify the provider
Answer: D
Conceptual Explanation: The therapeutic range for aPTT is typically 1.5 to 2.5 times the
control. 110 seconds is excessively high, indicating a high risk for bleeding; the infusion
must be stopped.
6. What is the primary mechanism of action of Spironolactone?
A. Inhibition of the Na-K-2Cl symporter in the Loop of Henle
B. Direct inhibition of renin release
C. Antagonism of aldosterone receptors in the distal tubule
D. Blocking of calcium channels in vascular smooth muscle
