Maryville NR 360 Pharmacology Final
Exam With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
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1. A nurse is administering digoxin to a client. Which finding indicates digoxin toxicity?
a. Bradycardia and visual disturbances
b. Hypertension and dry mouth
c. Increased urine output
d. Tremors and sweating
a. Bradycardia and visual disturbances
Rationale: Digoxin toxicity commonly presents with bradycardia, nausea, vomiting,
and yellow/green halos around vision.
2. A patient prescribed warfarin should avoid excessive intake of which food?
a. Apples
b. Broccoli
c. Bananas
d. Potatoes
b. Broccoli
Rationale: Foods high in vitamin K (like broccoli, spinach) reduce the effectiveness
of warfarin.
3. Which lab value must be monitored closely with heparin therapy?
a. Hemoglobin
b. INR
c. aPTT
d. Platelets only
c. aPTT
, Rationale: aPTT is used to monitor heparin therapy effectiveness and risk of
bleeding.
4. A client taking lithium should be taught to:
a. Avoid sodium-rich foods
b. Maintain consistent sodium intake
c. Restrict fluids to prevent toxicity
d. Double dose if one is missed
b. Maintain consistent sodium intake
Rationale: Fluctuating sodium levels can affect lithium excretion and cause toxicity.
5. The nurse should question an order for beta-blockers in a patient with:
a. Hypertension
b. Asthma
c. Migraine
d. Angina
b. Asthma
Rationale: Beta-blockers can cause bronchoconstriction, worsening asthma.
6. Which antibiotic is contraindicated in children under 8 due to teeth discoloration?
a. Penicillin
b. Tetracycline
c. Cephalosporin
d. Erythromycin
b. Tetracycline
Rationale: Tetracycline can cause permanent teeth discoloration and inhibit bone
growth.
7. A client on ACE inhibitors may experience which side effect?
a. Productive cough
b. Dry persistent cough
c. Constipation
d. Polyuria
b. Dry persistent cough
Rationale: ACE inhibitors commonly cause dry cough due to bradykinin
accumulation.
8. A nurse is preparing to give insulin lispro. The best action is to:
a. Administer at bedtime
b. Give 30 minutes before meals
c. Give immediately before meals
d. Hold if blood sugar is >200
, c. Give immediately before meals
Rationale: Lispro is rapid-acting and should be given just before eating.
9. Which drug requires monitoring for ototoxicity?
a. Furosemide
b. Vancomycin
c. Gentamicin
d. All of the above
d. All of the above
Rationale: Loop diuretics and aminoglycosides can cause hearing loss and tinnitus.
10. Which medication is used as an antidote for opioid overdose?
a. Flumazenil
b. Protamine sulfate
c. Naloxone
d. Vitamin K
c. Naloxone
Rationale: Naloxone is the opioid antagonist used to reverse respiratory
depression.
11. Which side effect is associated with prolonged corticosteroid use?
a. Hypoglycemia
b. Weight loss
c. Immunosuppression
d. Bradycardia
c. Immunosuppression
Rationale: Corticosteroids suppress the immune system, increasing infection risk.
12. Which adverse effect is most concerning with clozapine?
a. Insomnia
b. Agranulocytosis
c. Dry mouth
d. Weight gain
b. Agranulocytosis
Rationale: Clozapine can cause severe leukopenia, requiring CBC monitoring.
13. Which lab value is most important before giving spironolactone?
a. Sodium
b. Calcium
c. Potassium
d. Hemoglobin
Exam With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is administering digoxin to a client. Which finding indicates digoxin toxicity?
a. Bradycardia and visual disturbances
b. Hypertension and dry mouth
c. Increased urine output
d. Tremors and sweating
a. Bradycardia and visual disturbances
Rationale: Digoxin toxicity commonly presents with bradycardia, nausea, vomiting,
and yellow/green halos around vision.
2. A patient prescribed warfarin should avoid excessive intake of which food?
a. Apples
b. Broccoli
c. Bananas
d. Potatoes
b. Broccoli
Rationale: Foods high in vitamin K (like broccoli, spinach) reduce the effectiveness
of warfarin.
3. Which lab value must be monitored closely with heparin therapy?
a. Hemoglobin
b. INR
c. aPTT
d. Platelets only
c. aPTT
, Rationale: aPTT is used to monitor heparin therapy effectiveness and risk of
bleeding.
4. A client taking lithium should be taught to:
a. Avoid sodium-rich foods
b. Maintain consistent sodium intake
c. Restrict fluids to prevent toxicity
d. Double dose if one is missed
b. Maintain consistent sodium intake
Rationale: Fluctuating sodium levels can affect lithium excretion and cause toxicity.
5. The nurse should question an order for beta-blockers in a patient with:
a. Hypertension
b. Asthma
c. Migraine
d. Angina
b. Asthma
Rationale: Beta-blockers can cause bronchoconstriction, worsening asthma.
6. Which antibiotic is contraindicated in children under 8 due to teeth discoloration?
a. Penicillin
b. Tetracycline
c. Cephalosporin
d. Erythromycin
b. Tetracycline
Rationale: Tetracycline can cause permanent teeth discoloration and inhibit bone
growth.
7. A client on ACE inhibitors may experience which side effect?
a. Productive cough
b. Dry persistent cough
c. Constipation
d. Polyuria
b. Dry persistent cough
Rationale: ACE inhibitors commonly cause dry cough due to bradykinin
accumulation.
8. A nurse is preparing to give insulin lispro. The best action is to:
a. Administer at bedtime
b. Give 30 minutes before meals
c. Give immediately before meals
d. Hold if blood sugar is >200
, c. Give immediately before meals
Rationale: Lispro is rapid-acting and should be given just before eating.
9. Which drug requires monitoring for ototoxicity?
a. Furosemide
b. Vancomycin
c. Gentamicin
d. All of the above
d. All of the above
Rationale: Loop diuretics and aminoglycosides can cause hearing loss and tinnitus.
10. Which medication is used as an antidote for opioid overdose?
a. Flumazenil
b. Protamine sulfate
c. Naloxone
d. Vitamin K
c. Naloxone
Rationale: Naloxone is the opioid antagonist used to reverse respiratory
depression.
11. Which side effect is associated with prolonged corticosteroid use?
a. Hypoglycemia
b. Weight loss
c. Immunosuppression
d. Bradycardia
c. Immunosuppression
Rationale: Corticosteroids suppress the immune system, increasing infection risk.
12. Which adverse effect is most concerning with clozapine?
a. Insomnia
b. Agranulocytosis
c. Dry mouth
d. Weight gain
b. Agranulocytosis
Rationale: Clozapine can cause severe leukopenia, requiring CBC monitoring.
13. Which lab value is most important before giving spironolactone?
a. Sodium
b. Calcium
c. Potassium
d. Hemoglobin
