NURS 1150
FINAL PRACTICE EXAM (2026/2027)
Nursing Pharmacology Review
76 ORIGINAL PRACTICE QUESTIONS
How to Use This Guide
Answer each question before reading the rationale. Use the explanations to review medication
action, nursing assessment, safety risks, adverse effects, interactions, and patient education.
These are original educational practice questions—not official, leaked, or guaranteed exam
items.
NURS 1150 course coverage varies by institution and instructor. Compare this cumulative
review with your syllabus, lecture notes, assigned readings, and course medication list.
Final Review Topic Map
• Pharmacokinetics, pharmacodynamics, routes, therapeutic index, and dose calculations
• Medication orders, medication reconciliation, high-alert medication safety, and
administration technique
• Cardiovascular medications, anticoagulants, diuretics, and electrolyte monitoring
• Diabetes medications, insulin, hypoglycemia, metformin, and newer glucose-lowering
therapies
• Respiratory, endocrine, corticosteroid, and thyroid medications
• Analgesics, opioids, NSAIDs, aspirin, acetaminophen, and iron
• Antidepressants, lithium, antiseizure medications, antipsychotics, and sedatives
• Antibiotic safety, allergic reactions, interactions, laboratory monitoring, and patient
education
NURS 1150 Final Practice Exam | Original educational material
, NURS 1150 • FINAL PHARMACOLOGY REVIEW • 2026/2027
Practice Questions
Question 1. A nurse reviews a medication order that lacks a route. What is the
safest action?
A. Choose the usual route
B. Clarify the incomplete order before administration
C. Ask the client to select a route
D. Give it by the fastest route
Correct Answer: B
Detailed Rationale: An incomplete medication order must be clarified with an authorized
prescriber before administration; guessing creates avoidable risk.
Why the Other Options Are Incorrect
A. A: Common practice does not authorize guessing.
C. C: The client cannot complete a prescription order.
D. D: Route selection depends on the medication and order.
Key Pharmacology Concept: Order verification
Question 2. Which statement best describes pharmacokinetics?
A. What the drug does to the body
B. How the body absorbs, distributes, metabolizes, and excretes a drug
C. The cost of a medication
D. Only the drug's intended effect
Correct Answer: B
Detailed Rationale: Pharmacokinetics describes ADME: absorption, distribution,
metabolism, and excretion.
Why the Other Options Are Incorrect
A. A: This describes pharmacodynamics.
C. C: Cost is not pharmacokinetics.
NURS 1150 Final Practice Exam | Original educational material
, NURS 1150 • FINAL PHARMACOLOGY REVIEW • 2026/2027
D. D: Therapeutic effect alone is not ADME.
Key Pharmacology Concept: ADME
Question 3. A drug that binds to a receptor and blocks activation without
activating it is a(n):
A. Agonist
B. Antagonist
C. Enzyme inducer
D. Metabolite
Correct Answer: B
Detailed Rationale: An antagonist binds a receptor and blocks or reduces activation by an
agonist.
Why the Other Options Are Incorrect
A. A: An agonist activates a receptor.
C. C: An enzyme inducer alters enzyme activity, not receptor classification.
D. D: A metabolite is produced as a drug is processed.
Key Pharmacology Concept: Receptor action
Question 4. Which route generally provides 100% bioavailability?
A. Oral
B. Subcutaneous
C. Intravenous
D. Topical
Correct Answer: C
Detailed Rationale: An IV dose enters systemic circulation directly, so bioavailability is
100%.
Why the Other Options Are Incorrect
NURS 1150 Final Practice Exam | Original educational material
, NURS 1150 • FINAL PHARMACOLOGY REVIEW • 2026/2027
A. A: Oral absorption and first-pass metabolism can reduce bioavailability.
B. B: Subcutaneous absorption is not instantaneous or complete in every circumstance.
D. D: Topical absorption varies by product and skin.
Key Pharmacology Concept: Bioavailability
Question 5. The order is 750 mg. Tablets available are 250 mg each. How many
tablets should be administered?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: C
Detailed Rationale: Dose calculation: 750 mg ÷ 250 mg/tablet = 3 tablets. Confirm the order,
product, and safe dose before administration.
Why the Other Options Are Incorrect
A. A: One tablet provides 250 mg.
B. B: Two tablets provide 500 mg.
D. D: Four tablets provide 1,000 mg.
Key Pharmacology Concept: Dose calculation
Question 6. An order is for 300 mg orally. Available liquid is 150 mg/5 mL. How
many mL are needed?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
NURS 1150 Final Practice Exam | Original educational material