NURS 6521 ADVANCED
PHARMACOLOGY EXAM 2 PREP
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A patient is prescribed Lisinopril for hypertension. Which biochemical change is the
primary cause of the characteristic ‘ACE cough’?
A. Accumulation of Bradykinin in the upper airways
B. Inhibition of Angiotensin II production
C. Elevation of systemic Prostaglandins
D. Reduction of Nitric Oxide synthesis
Answer: A
Conceptual Explanation: ACE inhibitors prevent the breakdown of bradykinin, leading to
its accumulation in the respiratory tract, which triggers a persistent, dry cough.
2. Which lab value is the most critical to monitor for a patient newly initiated on
Spironolactone?
A. Serum Sodium
B. Blood Urea Nitrogen
C. Serum Calcium
,D. Serum Potassium
Answer: D
Conceptual Explanation: Spironolactone is a potassium-sparing diuretic. Hyperkalemia is
a significant and potentially life-threatening side effect.
3. A patient with Atrial Fibrillation is taking Warfarin. What is the target INR range for most
standard indications?
A. 1.0 to 2.0
B. 0.5 to 1.5
C. 3.5 to 4.5
D. 2.0 to 3.0
Answer: D
Conceptual Explanation: For most conditions like AFib or DVT, the therapeutic INR range
for Warfarin is 2.0 to 3.0.
4. A patient taking Digoxin reports seeing yellow-green halos around lights. What should the
clinician suspect?
A. Normal side effect of the medication
B. Developing cataracts
C. Hypoglycemia
D. Digoxin toxicity
, Answer: D
Conceptual Explanation: Visual disturbances, specifically yellow-green halos, are a classic
sign of Digoxin toxicity, often accompanied by GI distress and bradycardia.
5. Which medication is the treatment of choice for a patient experiencing a thyroid storm?
A. Levothyroxine
B. Liothyronine
C. Propylthiouracil (PTU)
D. Methimazole
Answer: C
Conceptual Explanation: PTU is preferred in thyroid storm because it prevents the
synthesis of thyroid hormone and inhibits the peripheral conversion of T4 to T3.
6. A patient with Type 2 Diabetes is scheduled for a CT scan with IV contrast. Which
medication must be held for 48 hours post-procedure?
A. Glipizide
B. Pioglitazone
C. Sitagliptin
D. Metformin
Answer: D
PHARMACOLOGY EXAM 2 PREP
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A patient is prescribed Lisinopril for hypertension. Which biochemical change is the
primary cause of the characteristic ‘ACE cough’?
A. Accumulation of Bradykinin in the upper airways
B. Inhibition of Angiotensin II production
C. Elevation of systemic Prostaglandins
D. Reduction of Nitric Oxide synthesis
Answer: A
Conceptual Explanation: ACE inhibitors prevent the breakdown of bradykinin, leading to
its accumulation in the respiratory tract, which triggers a persistent, dry cough.
2. Which lab value is the most critical to monitor for a patient newly initiated on
Spironolactone?
A. Serum Sodium
B. Blood Urea Nitrogen
C. Serum Calcium
,D. Serum Potassium
Answer: D
Conceptual Explanation: Spironolactone is a potassium-sparing diuretic. Hyperkalemia is
a significant and potentially life-threatening side effect.
3. A patient with Atrial Fibrillation is taking Warfarin. What is the target INR range for most
standard indications?
A. 1.0 to 2.0
B. 0.5 to 1.5
C. 3.5 to 4.5
D. 2.0 to 3.0
Answer: D
Conceptual Explanation: For most conditions like AFib or DVT, the therapeutic INR range
for Warfarin is 2.0 to 3.0.
4. A patient taking Digoxin reports seeing yellow-green halos around lights. What should the
clinician suspect?
A. Normal side effect of the medication
B. Developing cataracts
C. Hypoglycemia
D. Digoxin toxicity
, Answer: D
Conceptual Explanation: Visual disturbances, specifically yellow-green halos, are a classic
sign of Digoxin toxicity, often accompanied by GI distress and bradycardia.
5. Which medication is the treatment of choice for a patient experiencing a thyroid storm?
A. Levothyroxine
B. Liothyronine
C. Propylthiouracil (PTU)
D. Methimazole
Answer: C
Conceptual Explanation: PTU is preferred in thyroid storm because it prevents the
synthesis of thyroid hormone and inhibits the peripheral conversion of T4 to T3.
6. A patient with Type 2 Diabetes is scheduled for a CT scan with IV contrast. Which
medication must be held for 48 hours post-procedure?
A. Glipizide
B. Pioglitazone
C. Sitagliptin
D. Metformin
Answer: D
