NR 293 Pharm Exam 3 Practice Tests 2024-
2025 Guide with Verified Answers
1. Osmotic Diuretics mannitol
2. Mannitol Indications reduce ICP, treat cerebral edema, prevent kidney
damage in acute renal failure
3. Mannitol adverse effects convulsions, thrombophlebitis, pulmonary conges-
tion
4. Mannitol contraindications pulmonary edema
5. Mannitol nursing implications inspect bag for crystals (don't administer), use filter
6. Mannitol therapeutic effects increase LOC and decrease ICP
7. Diuretics therapeutic effects increase urine output; decrease BP, edema, ICP
8. Diuretics Adverse effects urinary frequency, dizziness, headache, weakness,
nausea, vomiting, diarrhea
9. Diuretics contraindications severe renal disease/anuria, hypotension
10. Diuretics patient education take in AM, change position slowly, daily weight &
keep log, monitor I&O and electrolytes, report illness
& weight gain
11. Thiazide diuretics example hydrochlorothiazide (HCTZ), PO only (lose K+, Cl-,
Na-, and gain glucose)
12. HCTZ indications 1st line tx for HTN, edematous states,
13. HCTZ adverse effects hypokalemia, hyperglycemia, photosensitivity
14. Loop diuretics MOA potassium wasting (lose K+)
15. Loop Diuretics examples furosemide, torsemide, bumetanide
, NR 293 Pharm Exam 3 Practice Tests 2024-
2025 Guide with Verified Answers
16. Loop diuretics indications pulmonary edema, HTN (caused by HF), edema as-
sociated with various conditions
17. Loop diuretics BBW fluid & electrolyte depletion (hypokalemia & hypona-
tremia)
18. Loop diuretics other adverse effects ototoxic with high doses
19. Loop diuretics contraindications electrolyte depletion, hypovolemia
20. Loop diuretics nursing implications s/s hypokalemia, monitor electrolytes, eat high K+
diet
21. Potassium sparing diuretics exam- spirononlactone
ple
22. Spirononlactone indications HTN, HF, Reverse K+ loss from diuretics
23. Spirononlactone adverse effects hyperkalemia
and contraindications
24. Spirononlactone nursing implica- s/s hyperkalemia, monitor K+, eat low K+ diet
tions
25. Types of antacids aluminum salts, magnesium salts, calcium salts,
sodium bicarb
26. Antacids indications acute relief of symptoms through neutralization
(peptic ulcers, gastritis, gastric hyperactivity, heart-
burn)
27. Aluminum salts adverse effects only antacids ok with renal pts
28. Calcium salts adverse effects causes gas/belching (give simethicone)
, 29. Magnesium salts adverse effects diarrhea
30. Antacids contraindications drug-drug interactions (lowers absorption)
31. Antacids nursing implications don't give within 1-2 hrs of other meds, available OTC
32. H2 receptor antagonists (H2RAs) suppress acid production
MOA
33. H2RAs examples "-tidine" cimetidine, famotidine
34. H2RAs indications treatment of GERD & PUD, prophylaxis of stress ulcers
35. H2RAs adverse effects headaches, precaution: eldery (cause confusion) &
smoking (lower ettectiveness)
36. H2RAs nursing implications best taken with food
37. Proton Pump Inhibitors (PPIs) exam- "-prazole" lansoprazole, omeprazole, pantoprazole
ples
38. PPIs indications 1st line: GERD, erosive esophagitis, active ulcer; pro-
phylaxis for stress & NSAID-induced ulcers; treatment
for H. pylori-induced ulcer
39. PPIs adverse effects GI tract infections (predispostion to C.ditt), osteo-
porosis w/ long term usage
40. PPIs interactions warfarin
41. PPIs nursing implications take 30-60 mins before food
42. Anti-diarrheals adverse effects constipation
43. Anti-diarrheals contraindications
2025 Guide with Verified Answers
1. Osmotic Diuretics mannitol
2. Mannitol Indications reduce ICP, treat cerebral edema, prevent kidney
damage in acute renal failure
3. Mannitol adverse effects convulsions, thrombophlebitis, pulmonary conges-
tion
4. Mannitol contraindications pulmonary edema
5. Mannitol nursing implications inspect bag for crystals (don't administer), use filter
6. Mannitol therapeutic effects increase LOC and decrease ICP
7. Diuretics therapeutic effects increase urine output; decrease BP, edema, ICP
8. Diuretics Adverse effects urinary frequency, dizziness, headache, weakness,
nausea, vomiting, diarrhea
9. Diuretics contraindications severe renal disease/anuria, hypotension
10. Diuretics patient education take in AM, change position slowly, daily weight &
keep log, monitor I&O and electrolytes, report illness
& weight gain
11. Thiazide diuretics example hydrochlorothiazide (HCTZ), PO only (lose K+, Cl-,
Na-, and gain glucose)
12. HCTZ indications 1st line tx for HTN, edematous states,
13. HCTZ adverse effects hypokalemia, hyperglycemia, photosensitivity
14. Loop diuretics MOA potassium wasting (lose K+)
15. Loop Diuretics examples furosemide, torsemide, bumetanide
, NR 293 Pharm Exam 3 Practice Tests 2024-
2025 Guide with Verified Answers
16. Loop diuretics indications pulmonary edema, HTN (caused by HF), edema as-
sociated with various conditions
17. Loop diuretics BBW fluid & electrolyte depletion (hypokalemia & hypona-
tremia)
18. Loop diuretics other adverse effects ototoxic with high doses
19. Loop diuretics contraindications electrolyte depletion, hypovolemia
20. Loop diuretics nursing implications s/s hypokalemia, monitor electrolytes, eat high K+
diet
21. Potassium sparing diuretics exam- spirononlactone
ple
22. Spirononlactone indications HTN, HF, Reverse K+ loss from diuretics
23. Spirononlactone adverse effects hyperkalemia
and contraindications
24. Spirononlactone nursing implica- s/s hyperkalemia, monitor K+, eat low K+ diet
tions
25. Types of antacids aluminum salts, magnesium salts, calcium salts,
sodium bicarb
26. Antacids indications acute relief of symptoms through neutralization
(peptic ulcers, gastritis, gastric hyperactivity, heart-
burn)
27. Aluminum salts adverse effects only antacids ok with renal pts
28. Calcium salts adverse effects causes gas/belching (give simethicone)
, 29. Magnesium salts adverse effects diarrhea
30. Antacids contraindications drug-drug interactions (lowers absorption)
31. Antacids nursing implications don't give within 1-2 hrs of other meds, available OTC
32. H2 receptor antagonists (H2RAs) suppress acid production
MOA
33. H2RAs examples "-tidine" cimetidine, famotidine
34. H2RAs indications treatment of GERD & PUD, prophylaxis of stress ulcers
35. H2RAs adverse effects headaches, precaution: eldery (cause confusion) &
smoking (lower ettectiveness)
36. H2RAs nursing implications best taken with food
37. Proton Pump Inhibitors (PPIs) exam- "-prazole" lansoprazole, omeprazole, pantoprazole
ples
38. PPIs indications 1st line: GERD, erosive esophagitis, active ulcer; pro-
phylaxis for stress & NSAID-induced ulcers; treatment
for H. pylori-induced ulcer
39. PPIs adverse effects GI tract infections (predispostion to C.ditt), osteo-
porosis w/ long term usage
40. PPIs interactions warfarin
41. PPIs nursing implications take 30-60 mins before food
42. Anti-diarrheals adverse effects constipation
43. Anti-diarrheals contraindications
