GALEN PHARM EXAM 3 2026 ACTUAL EXAM
PAPER WITH COMPLETE SOLUTIONS
◉ Spironolactone (Potassium Sparing) Answer: CI: Edema
SE:Headache, muscle cramps, weakness, dizziness, GI discomfort
AR:Pulmonary Edema,
Hypertension, HF, ascites
NC:Monitor serum potassium, teach patient s/s of hyperkalemia.
Contraindicated in patients with liver disease and renal dysfunction
◉ Hydrochlorothiazide ( Thiazide Diruetic) Answer: CI:
Hypertension
SE:Dizziness, headache, weakness, photosensitivity, muscle cramps
AR:Orthostatic hypotension, severe hypokalemia, hyponatremia
NC:Monitor serum potassium level, Monitor liver and renal function.
Contraindicated for patients with DM, and hx of hypotension
,◉ Mannitol (osmotic diuretic) Answer: CI: Cerebral Edema and ICP
SE:Headache, blurred vision, dry mouth electrolyte imbalance
AR:Pulmonary edema, blood pressure,
Renal failure
NC:Use extreme caution in HF patients. Monitor I & O for therapeutic
response, Monitor vital signs for therapeutic response
◉ Prazosin (Alpha Adrenergic Blocker) Answer: CI: Hypertension
SE: Dizziness, blurred vision, headache, weakness, tinnitus
AR:Orthostatic hypotension
Palpitations, elevated liver enzymes
NC:Teach patient to change positions slowly, monitor liver enzymes,
monitor I & O and edema in lower extremities. Teach patient
importance of checking BP at home and daily weights
, ◉ Amlodipine (Calcium Channel Blocker) Answer: CI: Hypertension
SE:Dizziness, headache, weakness, flushing and peripheral edema
AR:Severe hypotension, MI Death, reflex tachycardia
NC:Monitor vital signs, instruct patient to change positions slowly.
◉ Metropolol (Cardiac Selective Beta Blocker) Answer: CI:
Hypertension
SE:Fatigue, weakness, dizziness, headache, blurred vision
AR:Bradycardia, hypotension, stroke, thrombocytopenia, DM
NC:Contraindicated in Heart block, hypotension, Acute HF and
bradycardia.
African American benefit from dual therapy with a diuretic and beta
blocker combined.
◉ Propanolol ( Nonselective Beta Blocker) Answer: CI: Hypertension
PAPER WITH COMPLETE SOLUTIONS
◉ Spironolactone (Potassium Sparing) Answer: CI: Edema
SE:Headache, muscle cramps, weakness, dizziness, GI discomfort
AR:Pulmonary Edema,
Hypertension, HF, ascites
NC:Monitor serum potassium, teach patient s/s of hyperkalemia.
Contraindicated in patients with liver disease and renal dysfunction
◉ Hydrochlorothiazide ( Thiazide Diruetic) Answer: CI:
Hypertension
SE:Dizziness, headache, weakness, photosensitivity, muscle cramps
AR:Orthostatic hypotension, severe hypokalemia, hyponatremia
NC:Monitor serum potassium level, Monitor liver and renal function.
Contraindicated for patients with DM, and hx of hypotension
,◉ Mannitol (osmotic diuretic) Answer: CI: Cerebral Edema and ICP
SE:Headache, blurred vision, dry mouth electrolyte imbalance
AR:Pulmonary edema, blood pressure,
Renal failure
NC:Use extreme caution in HF patients. Monitor I & O for therapeutic
response, Monitor vital signs for therapeutic response
◉ Prazosin (Alpha Adrenergic Blocker) Answer: CI: Hypertension
SE: Dizziness, blurred vision, headache, weakness, tinnitus
AR:Orthostatic hypotension
Palpitations, elevated liver enzymes
NC:Teach patient to change positions slowly, monitor liver enzymes,
monitor I & O and edema in lower extremities. Teach patient
importance of checking BP at home and daily weights
, ◉ Amlodipine (Calcium Channel Blocker) Answer: CI: Hypertension
SE:Dizziness, headache, weakness, flushing and peripheral edema
AR:Severe hypotension, MI Death, reflex tachycardia
NC:Monitor vital signs, instruct patient to change positions slowly.
◉ Metropolol (Cardiac Selective Beta Blocker) Answer: CI:
Hypertension
SE:Fatigue, weakness, dizziness, headache, blurred vision
AR:Bradycardia, hypotension, stroke, thrombocytopenia, DM
NC:Contraindicated in Heart block, hypotension, Acute HF and
bradycardia.
African American benefit from dual therapy with a diuretic and beta
blocker combined.
◉ Propanolol ( Nonselective Beta Blocker) Answer: CI: Hypertension
