NUR 2474 ADVANCED
PHARMACOLOGY EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. A patient with chronic kidney disease is prescribed a medication that is primarily excreted
by the kidneys. What adjustment should the nurse anticipate?
A. Increased frequency of dosing
B. Switching to an oral route for faster clearance
C. Decreased dose of the medication
D. Administration of a loading dose only
Answer: C
Conceptual Explanation: Renal impairment leads to decreased drug clearance, which
increases the risk of toxicity. Therefore, doses must be reduced or dosing intervals
lengthened.
2. Which lab value is most critical to monitor for a patient receiving an initial dose of
Spironolactone?
A. Serum Sodium
B. Serum Potassium
,C. Serum Glucose
D. Serum Magnesium
Answer: B
Conceptual Explanation: Spironolactone is a potassium-sparing diuretic that can lead to
hyperkalemia, which is potentially life-threatening.
3. A patient taking Digoxin reports seeing yellow-green halos around lights. What is the
nurse’s priority action?
A. Document the finding as a normal side effect
B. Assess for signs of hypokalemia
C. Obtain a serum digoxin level
D. Administer the next dose immediately
Answer: C
Conceptual Explanation: Visual disturbances such as yellow-green halos are classic signs
of digoxin toxicity, requiring immediate assessment of serum drug levels.
4. What is the mechanism of action for ACE inhibitors in treating heart failure?
A. Increasing peripheral vascular resistance
B. Directly blocking Calcium channels in the heart
C. Stimulating the release of Aldosterone
, D. Preventing the conversion of Angiotensin I to Angiotensin II
Answer: D
Conceptual Explanation: ACE inhibitors block the Angiotensin-Converting Enzyme,
preventing the formation of Angiotensin II, which results in vasodilation and reduced
afterload.
5. Which medication is considered the ‘gold standard’ rescue inhaler for acute
bronchospasm?
A. Salmeterol
B. Tiotropium
C. Albuterol
D. Montelukast
Answer: C
Conceptual Explanation: Albuterol is a short-acting beta-2 agonist (SABA) used for rapid
relief of acute asthma symptoms.
6. A patient is prescribed Warfarin for atrial fibrillation. Which education point regarding diet
is correct?
A. Completely avoid all green leafy vegetables
B. Increase intake of Vitamin K to prevent bleeding
C. Switch to a high-protein diet to assist drug binding
PHARMACOLOGY EXAM QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. A patient with chronic kidney disease is prescribed a medication that is primarily excreted
by the kidneys. What adjustment should the nurse anticipate?
A. Increased frequency of dosing
B. Switching to an oral route for faster clearance
C. Decreased dose of the medication
D. Administration of a loading dose only
Answer: C
Conceptual Explanation: Renal impairment leads to decreased drug clearance, which
increases the risk of toxicity. Therefore, doses must be reduced or dosing intervals
lengthened.
2. Which lab value is most critical to monitor for a patient receiving an initial dose of
Spironolactone?
A. Serum Sodium
B. Serum Potassium
,C. Serum Glucose
D. Serum Magnesium
Answer: B
Conceptual Explanation: Spironolactone is a potassium-sparing diuretic that can lead to
hyperkalemia, which is potentially life-threatening.
3. A patient taking Digoxin reports seeing yellow-green halos around lights. What is the
nurse’s priority action?
A. Document the finding as a normal side effect
B. Assess for signs of hypokalemia
C. Obtain a serum digoxin level
D. Administer the next dose immediately
Answer: C
Conceptual Explanation: Visual disturbances such as yellow-green halos are classic signs
of digoxin toxicity, requiring immediate assessment of serum drug levels.
4. What is the mechanism of action for ACE inhibitors in treating heart failure?
A. Increasing peripheral vascular resistance
B. Directly blocking Calcium channels in the heart
C. Stimulating the release of Aldosterone
, D. Preventing the conversion of Angiotensin I to Angiotensin II
Answer: D
Conceptual Explanation: ACE inhibitors block the Angiotensin-Converting Enzyme,
preventing the formation of Angiotensin II, which results in vasodilation and reduced
afterload.
5. Which medication is considered the ‘gold standard’ rescue inhaler for acute
bronchospasm?
A. Salmeterol
B. Tiotropium
C. Albuterol
D. Montelukast
Answer: C
Conceptual Explanation: Albuterol is a short-acting beta-2 agonist (SABA) used for rapid
relief of acute asthma symptoms.
6. A patient is prescribed Warfarin for atrial fibrillation. Which education point regarding diet
is correct?
A. Completely avoid all green leafy vegetables
B. Increase intake of Vitamin K to prevent bleeding
C. Switch to a high-protein diet to assist drug binding
