NUR 2474 PHARMACOLOGY FOR
NURSING PRACTICE COMPREHENSIVE
EXAM (LATEST 2026/ 2027 UPDATE)
QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS| GRADE A+
1. A patient is prescribed Lisinopril for hypertension. Which adverse effect should the nurse
instruct the patient to report immediately?
A. Yellowing of the sclera
B. Increased appetite
C. Persistent dry cough
D. Constipation
Answer: C
Conceptual Explanation: ACE inhibitors like Lisinopril are known to cause a persistent
dry cough due to the accumulation of bradykinin.
,2. Which laboratory value is most critical for a nurse to monitor in a patient receiving
Digoxin?
A. Serum Sodium
B. Blood Urea Nitrogen
C. Serum Calcium
D. Serum Potassium
Answer: D
Conceptual Explanation: Hypokalemia increases the risk of Digoxin toxicity because
potassium competes with digoxin for binding sites on the Na+/K+ ATPase pump.
3. A patient is starting Warfarin therapy. Which vitamin should the nurse instruct the patient
to keep consistent in their diet?
A. Vitamin K
B. Vitamin D
C. Vitamin C
D. Vitamin B12
Answer: A
Conceptual Explanation: Warfarin works by antagonizing Vitamin K; large fluctuations in
Vitamin K intake can cause the INR to fluctuate unpredictably.
, 4. A patient with bipolar disorder is taking Lithium. Which of the following should the nurse
include in the teaching plan?
A. Restrict fluid intake to 1 liter per day
B. Take the medication on an empty stomach
C. Maintain a consistent sodium intake
D. Avoid all exercise to prevent sweating
Answer: C
Conceptual Explanation: Low sodium levels lead to lithium retention by the kidneys,
increasing the risk of lithium toxicity.
5. The nurse is preparing to administer Furosemide. Which assessment finding would cause
the nurse to hold the dose?
A. Blood pressure of 140/90 mmHg
B. Potassium level of 3.2 mEq/L
C. Weight gain of 2 lbs in 24 hours
D. Sodium level of 140 mEq/L
Answer: B
Conceptual Explanation: Furosemide is a loop diuretic that wastes potassium; a level of
3.2 mEq/L indicates hypokalemia and requires intervention before further dosing.
NURSING PRACTICE COMPREHENSIVE
EXAM (LATEST 2026/ 2027 UPDATE)
QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS| GRADE A+
1. A patient is prescribed Lisinopril for hypertension. Which adverse effect should the nurse
instruct the patient to report immediately?
A. Yellowing of the sclera
B. Increased appetite
C. Persistent dry cough
D. Constipation
Answer: C
Conceptual Explanation: ACE inhibitors like Lisinopril are known to cause a persistent
dry cough due to the accumulation of bradykinin.
,2. Which laboratory value is most critical for a nurse to monitor in a patient receiving
Digoxin?
A. Serum Sodium
B. Blood Urea Nitrogen
C. Serum Calcium
D. Serum Potassium
Answer: D
Conceptual Explanation: Hypokalemia increases the risk of Digoxin toxicity because
potassium competes with digoxin for binding sites on the Na+/K+ ATPase pump.
3. A patient is starting Warfarin therapy. Which vitamin should the nurse instruct the patient
to keep consistent in their diet?
A. Vitamin K
B. Vitamin D
C. Vitamin C
D. Vitamin B12
Answer: A
Conceptual Explanation: Warfarin works by antagonizing Vitamin K; large fluctuations in
Vitamin K intake can cause the INR to fluctuate unpredictably.
, 4. A patient with bipolar disorder is taking Lithium. Which of the following should the nurse
include in the teaching plan?
A. Restrict fluid intake to 1 liter per day
B. Take the medication on an empty stomach
C. Maintain a consistent sodium intake
D. Avoid all exercise to prevent sweating
Answer: C
Conceptual Explanation: Low sodium levels lead to lithium retention by the kidneys,
increasing the risk of lithium toxicity.
5. The nurse is preparing to administer Furosemide. Which assessment finding would cause
the nurse to hold the dose?
A. Blood pressure of 140/90 mmHg
B. Potassium level of 3.2 mEq/L
C. Weight gain of 2 lbs in 24 hours
D. Sodium level of 140 mEq/L
Answer: B
Conceptual Explanation: Furosemide is a loop diuretic that wastes potassium; a level of
3.2 mEq/L indicates hypokalemia and requires intervention before further dosing.
