NUR2474 PHARMACOLOGY FOR
PROFESSIONAL NURSING EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A patient with a history of asthma is prescribed Propranolol for hypertension. What is the
nurse’s priority action?
A. Administer the medication as prescribed.
B. Monitor the patient’s heart rate for bradycardia.
C. Consult the healthcare provider because Propranolol is a non-selective beta-blocker.
D. Instruct the patient to increase fluid intake.
Answer: C
Conceptual Explanation: Non-selective beta-blockers like Propranolol can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making them
contraindicated for patients with asthma.
2. When administering Lisinopril, which electrolyte imbalance should the nurse monitor for?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
,D. Hypocalcemia
Answer: B
Conceptual Explanation: ACE inhibitors like Lisinopril inhibit aldosterone secretion,
which can lead to potassium retention and hyperkalemia.
3. A patient is receiving Vancomycin IV for a severe infection. The nurse notes the patient’s
face and neck are becoming flushed and red. What is the first action?
A. Administer diphenhydramine immediately.
B. Slow the rate of infusion.
C. Stop the infusion and notify the provider.
D. Apply cold compresses to the affected area.
Answer: B
Conceptual Explanation: Red Man Syndrome is a rate-related reaction to Vancomycin.
Slowing the infusion rate is the standard intervention to manage this phenomenon.
4. Which laboratory value is most critical to monitor for a patient taking Warfarin?
A. aPTT
B. Platelet count
C. Serum creatinine
D. INR
, Answer: D
Conceptual Explanation: INR (International Normalized Ratio) is the standard
measurement used to monitor the therapeutic effect of Warfarin.
5. What is the antidote for Heparin overdose?
A. Vitamin K
B. Flumazenil
C. Acetylcysteine
D. Protamine sulfate
Answer: D
Conceptual Explanation: Protamine sulfate is the specific antagonist used to reverse the
anticoagulant effects of Heparin.
6. A nurse is educating a patient starting Levothyroxine. When should the patient be
instructed to take this medication?
A. With the largest meal of the day.
B. Right before bedtime.
C. 30 to 60 minutes before breakfast on an empty stomach.
D. Immediately after waking up with a glass of milk.
Answer: C
PROFESSIONAL NURSING EXAM
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A patient with a history of asthma is prescribed Propranolol for hypertension. What is the
nurse’s priority action?
A. Administer the medication as prescribed.
B. Monitor the patient’s heart rate for bradycardia.
C. Consult the healthcare provider because Propranolol is a non-selective beta-blocker.
D. Instruct the patient to increase fluid intake.
Answer: C
Conceptual Explanation: Non-selective beta-blockers like Propranolol can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making them
contraindicated for patients with asthma.
2. When administering Lisinopril, which electrolyte imbalance should the nurse monitor for?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
,D. Hypocalcemia
Answer: B
Conceptual Explanation: ACE inhibitors like Lisinopril inhibit aldosterone secretion,
which can lead to potassium retention and hyperkalemia.
3. A patient is receiving Vancomycin IV for a severe infection. The nurse notes the patient’s
face and neck are becoming flushed and red. What is the first action?
A. Administer diphenhydramine immediately.
B. Slow the rate of infusion.
C. Stop the infusion and notify the provider.
D. Apply cold compresses to the affected area.
Answer: B
Conceptual Explanation: Red Man Syndrome is a rate-related reaction to Vancomycin.
Slowing the infusion rate is the standard intervention to manage this phenomenon.
4. Which laboratory value is most critical to monitor for a patient taking Warfarin?
A. aPTT
B. Platelet count
C. Serum creatinine
D. INR
, Answer: D
Conceptual Explanation: INR (International Normalized Ratio) is the standard
measurement used to monitor the therapeutic effect of Warfarin.
5. What is the antidote for Heparin overdose?
A. Vitamin K
B. Flumazenil
C. Acetylcysteine
D. Protamine sulfate
Answer: D
Conceptual Explanation: Protamine sulfate is the specific antagonist used to reverse the
anticoagulant effects of Heparin.
6. A nurse is educating a patient starting Levothyroxine. When should the patient be
instructed to take this medication?
A. With the largest meal of the day.
B. Right before bedtime.
C. 30 to 60 minutes before breakfast on an empty stomach.
D. Immediately after waking up with a glass of milk.
Answer: C