NUR 210 FINAL EXAM: ADVANCED
PHARMACOLOGY FOR NURSING
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Rifampin for the treatment of tuberculosis. Which physiological
change should the nurse inform the patient is a common, harmless side effect of this
medication?
A. Peripheral neuropathy and tingling
B. Orange discoloration of urine and tears
C. Persistent non-productive dry cough
D. Severe muscle weakness and cramping
Answer: B
Conceptual Explanation: Rifampin commonly causes a harmless reddish-orange
discoloration of urine, sweat, tears, and other body fluids. Patients should be warned to
avoid wearing soft contact lenses as they may become permanently stained.
2. A nurse is preparing to administer Digoxin to a patient with heart failure. Which clinical
finding would prompt the nurse to withhold the medication and notify the provider
immediately?
A. A heart rate of 52 beats per minute
,B. A blood pressure of 145/90 mmHg
C. A respiratory rate of 18 breaths per minute
D. A potassium level of 4.5 mEq/L
Answer: A
Conceptual Explanation: Digoxin is a cardiac glycoside that can cause bradycardia. It is
standard nursing practice to hold the medication if the apical pulse is less than 60 bpm in
an adult to avoid toxicity and further heart rate depression.
3. A patient taking Warfarin for atrial fibrillation has an International Normalized Ratio (INR)
of 7.0. The nurse observes no visible signs of bleeding. Which medication should the nurse
anticipate administering?
A. Protamine sulfate
B. Vitamin K
C. Naloxone
D. Glucagon
Answer: B
Conceptual Explanation: Vitamin K (Phytonadione) is the specific antidote for Warfarin
overdose or excessively high INR levels. Protamine sulfate is for Heparin, and Naloxone is
for opioids.
, 4. Which education is most critical for a patient newly prescribed Alendronate for
osteoporosis?
A. Take the medication with a full glass of milk at bedtime.
B. Take the medication on an empty stomach with water and remain upright for 30
minutes.
C. Lie down for 30 minutes after taking the medication.
D. Take the medication only when bone pain is present.
Answer: B
Conceptual Explanation: Alendronate can cause severe esophageal erosion. Patients must
take it with plain water on an empty stomach and remain upright to prevent reflux and
esophageal damage.
5. A patient with Type 2 Diabetes is scheduled for a CT scan with intravenous contrast. Which
medication must be held 48 hours before and after the procedure?
A. Metformin
B. Glipizide
C. Lantus (Insulin Glargine)
D. Pioglitazone
Answer: A
PHARMACOLOGY FOR NURSING
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Rifampin for the treatment of tuberculosis. Which physiological
change should the nurse inform the patient is a common, harmless side effect of this
medication?
A. Peripheral neuropathy and tingling
B. Orange discoloration of urine and tears
C. Persistent non-productive dry cough
D. Severe muscle weakness and cramping
Answer: B
Conceptual Explanation: Rifampin commonly causes a harmless reddish-orange
discoloration of urine, sweat, tears, and other body fluids. Patients should be warned to
avoid wearing soft contact lenses as they may become permanently stained.
2. A nurse is preparing to administer Digoxin to a patient with heart failure. Which clinical
finding would prompt the nurse to withhold the medication and notify the provider
immediately?
A. A heart rate of 52 beats per minute
,B. A blood pressure of 145/90 mmHg
C. A respiratory rate of 18 breaths per minute
D. A potassium level of 4.5 mEq/L
Answer: A
Conceptual Explanation: Digoxin is a cardiac glycoside that can cause bradycardia. It is
standard nursing practice to hold the medication if the apical pulse is less than 60 bpm in
an adult to avoid toxicity and further heart rate depression.
3. A patient taking Warfarin for atrial fibrillation has an International Normalized Ratio (INR)
of 7.0. The nurse observes no visible signs of bleeding. Which medication should the nurse
anticipate administering?
A. Protamine sulfate
B. Vitamin K
C. Naloxone
D. Glucagon
Answer: B
Conceptual Explanation: Vitamin K (Phytonadione) is the specific antidote for Warfarin
overdose or excessively high INR levels. Protamine sulfate is for Heparin, and Naloxone is
for opioids.
, 4. Which education is most critical for a patient newly prescribed Alendronate for
osteoporosis?
A. Take the medication with a full glass of milk at bedtime.
B. Take the medication on an empty stomach with water and remain upright for 30
minutes.
C. Lie down for 30 minutes after taking the medication.
D. Take the medication only when bone pain is present.
Answer: B
Conceptual Explanation: Alendronate can cause severe esophageal erosion. Patients must
take it with plain water on an empty stomach and remain upright to prevent reflux and
esophageal damage.
5. A patient with Type 2 Diabetes is scheduled for a CT scan with intravenous contrast. Which
medication must be held 48 hours before and after the procedure?
A. Metformin
B. Glipizide
C. Lantus (Insulin Glargine)
D. Pioglitazone
Answer: A
