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# ARIZONA COLLEGE OF NURSING NUR 354 PHARMACOLOGY II EXAM 1 EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
Prepare for the **Arizona College of Nursing NUR 354 Pharmacology II Exam 1** with a comprehensive study resource focused on advanced medication concepts, pharmacologic mechanisms, therapeutic effects, adverse reactions, nursing implications, and safe medication administration. Arizona College identifies NUR 354 as the second course in its pharmacology sequence, emphasizing pharmacotherapy for commonly occurring health problems, clinical judgment, evidence-based decision-making, and safe and effective medication administration and monitoring.
The guide emphasizes **exam-style questions with correct answers and detailed rationales**, helping nursing students connect medication mechanisms with patient assessment, laboratory findings, contraindications, adverse effects, interactions, and appropriate nursing interventions.
Preparation covers **autonomic nervous system pharmacology**, including the central and peripheral nervous systems, sympathetic and parasympathetic divisions, adrenergic and cholinergic receptors, receptor responses, agonists and antagonists, and common clinical effects associated with autonomic medications. Current 2026 Exam 1 study materials specifically emphasize these foundational concepts.
A major focus is **cardiovascular pharmacology**, including antihypertensive medications, ACE inhibitors, angiotensin receptor blockers, beta blockers, calcium-channel blockers, alpha-acting medications, diuretics, and medications used in heart failure. Questions reinforce mechanisms of action, blood-pressure monitoring, electrolyte abnormalities, renal considerations, orthostatic effects, and clinically significant adverse reactions.
The resource addresses **cardiac glycosides and medication safety**, including digoxin therapy, therapeutic monitoring, toxicity recognition, electrolyte considerations, pulse assessment, and important drug interactions. Scenario-based questions require learners to recognize findings that warrant withholding a medication or notifying the healthcare provider. Current Exam 1 materials specifically include digoxin and potassium-related toxicity considerations.
Preparation also reinforces **adrenergic and cholinergic medications**, including their effects on heart rate, vascular tone, respiratory function, gastrointestinal activity, urinary function, and pupil size. Questions require students to distinguish expected therapeutic effects from potentially dangerous adverse reactions.
The guide further covers **neurologic pharmacology**, including medications used to control seizure activity, mechanisms of anticonvulsant therapy, therapeutic monitoring, adverse effects, drug interactions, patient education, and safety precautions. Current practice materials associated with NUR 354 Exam 1 include seizure-management medications such as benzodiazepines and phenytoin.
Additional preparation addresses **central nervous system medications and emergency pharmacology**, including recognition of serious medication reactions, appropriate monitoring, administration considerations, and the relationship between drug effects and patient safety.
The material reinforces **pharmacokinetics and pharmacodynamics**, including absorption, distribution, metabolism, excretion, receptor interactions, therapeutic response, half-life, drug accumulation, and factors that can alter medication effects. Questions connect these concepts to renal and hepatic function, age-related changes, polypharmacy, and individual patient characteristics.
Preparation also emphasizes **adverse drug reactions, contraindications, drug interactions, and high-risk medications**, requiring students to identify clinically significant findings and prioritize appropriate nursing actions. Questions incorporate laboratory monitoring, vital signs, medication histories, allergies, and assessment findings before and after administration.
The guide incorporates **safe medication administration and patient education**, including medication reconciliation, dosage and administration considerations, adherence, monitoring for therapeutic response, recognition of toxicity, prevention of medication errors, and communication with patients and the interprofessional healthcare team.
Scenario-based questions require learners to integrate **pharmacologic mechanisms, patient assessment, laboratory results, medication histories, contraindications, adverse effects, and clinical priorities** when determining the safest nursing intervention.
This resource is designed to support preparation for the **Arizona College of Nursing NUR 354 Pharmacology II Exam 1** and is intended as a study and practice resource rather than a reproduction of the actual examination. Although third-party listings may describe their materials as “actual” or “verified” exam questions, those claims are not treated as evidence of access to a confidential examination. This resource does not claim to contain leaked, confidential, copyrighted, or identical live-exam questions, and it is not an official Arizona College of Nursing answer key.
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Arizona College of Nursing NUR 354 Pharmacology II Exam 1
EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
Arizona College of Nursing NUR 354 Pharmacology II Exam 1
Exam Coverage
1. Autonomic nervous system and neurotransmitters
2. Cholinergic and anticholinergic medications
3. Adrenergic and adrenergic-blocking medications
4. Seizure medications and GABA-related pharmacology
5. Parkinson’s, Alzheimer’s, and multiple sclerosis medications
6. Centrally acting and direct-acting skeletal muscle relaxants
7. Depolarizing and nondepolarizing neuromuscular blockers
8. Shock, fluid replacement, vasopressors, and inotropes
9. Anaphylaxis and emergency epinephrine therapy
10. Clinical judgment, medication safety, monitoring, contraindications, interactions, and
patient education
250 Multiple-Choice Questions
1. A nursing student is reviewing autonomic pharmacology and asks which neurotransmitter
primarily mediates parasympathetic postganglionic activity throughout the body. Which answer
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is correct?
A. Dopamine
B. Acetylcholine
C. Norepinephrine
D. Serotonin
Answer: B
Rationale: Acetylcholine is the primary neurotransmitter released by parasympathetic
postganglionic neurons.
2. A patient experiences increased heart rate, bronchodilation, and pupil dilation during an
acute stressful situation. Which autonomic division produces these effects?
A. Parasympathetic nervous system
B. Somatic nervous system
C. Sympathetic nervous system
D. Enteric nervous system
Answer: C
Rationale: Sympathetic activation produces the classic fight-or-flight response, including
increased heart rate and bronchodilation.
3. A nurse explains autonomic nervous-system physiology to a patient beginning medication
therapy affecting autonomic receptors. Which response characterizes parasympathetic
activation?
A. Increased heart rate
B. Bronchodilation
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C. Increased gastrointestinal activity
D. Pupil dilation
Answer: C
Rationale: Parasympathetic stimulation promotes rest-and-digest functions, including
gastrointestinal activity.
4. Which receptor stimulation is most directly associated with increased cardiac rate and
contractility during sympathetic nervous-system activation?
A. Beta-1 receptors
B. Beta-2 receptors
C. Alpha-1 receptors
D. Muscarinic receptors
Answer: A
Rationale: Beta-1 receptor stimulation increases heart rate and myocardial contractility.
5. A medication stimulates beta-2 receptors in bronchial smooth muscle. Which therapeutic
response should the nurse expect after administration?
A. Bronchoconstriction
B. Bronchodilation
C. Increased intestinal motility
D. Pupillary constriction
Answer: B
Rationale: Beta-2 stimulation relaxes bronchial smooth muscle and produces bronchodilation.
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6. A patient receives a medication that stimulates alpha-1 receptors in peripheral blood vessels.
Which hemodynamic effect should the nurse anticipate?
A. Vasodilation
B. Decreased systemic vascular resistance
C. Vasoconstriction
D. Decreased venous return
Answer: C
Rationale: Alpha-1 stimulation causes vascular smooth-muscle contraction and peripheral
vasoconstriction.
7. A nurse administers a medication that blocks muscarinic acetylcholine receptors. Which
physiologic response is most likely after therapeutic administration?
A. Increased salivation
B. Increased intestinal motility
C. Decreased secretions
D. Increased bladder contraction
Answer: C
Rationale: Muscarinic blockade decreases parasympathetic effects, including salivation and
gastrointestinal activity.
8. Which assessment finding would the nurse most expect after administration of an
anticholinergic medication to a patient?
A. Excessive salivation
B. Bradycardia with diarrhea