CHAMBERLAIN UNIVERSITY
NR-293 PHARMACOLOGY FOR
NURSING PRACTICE EXAM 2026
148 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
CHAMBERLAIN UNIVERSITY NR-293 PHARMACOLOGY FOR NURSING PRACTICE EXAM 2026. It contains
148 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 148 Questions
Foundations - Application - Chamberlain University Nr-293 Pharmacology FOR Nursing 2026
Pharmacology FOR Nursing Undergraduate YEAR 3 Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Pharmacological Principles 1-25 Prescribed, Medication, Teaching, Indicates, Laboratory
AND Medication
Administration
Pharmacokinetics AND 26-50 Prescribed, Receiving, Instruction, Finding, Indicates
Pharmacodynamics
Medication Safety AND Error 51-75 Receiving, Therapy, Indicates, Finding, Prescribed
Prevention
Autonomic Nervous System 76-100 Prescribed, Receiving, Finding, Reports, Taking
Drugs
Central Nervous System 101-125 Prescribed, Receiving, Instruction, Medication, Finding
Drugs
Cardiovascular AND Renal 126-148 Prescribed, Finding, Receiving, Instruction, Indicates
System Drugs
TOTAL 148 All questions include answers and detailed rationales
,Section A - Pharmacological Principles AND Medication
Administration
Q1.
A nurse is reviewing a patient's medication list and notes that the patient takes a drug that
is highly protein-bound. Which concurrent medication would most increase the risk of
toxicity from the protein-bound drug?
A. A drug that induces hepatic cytochrome B. A drug that is also highly protein-bound
P450 enzymes and displaces the first drug
C. A drug that increases renal blood flow D. A drug that inhibits gastric acid secretion
Correct: B - A drug that is also highly protein-bound and displaces the first drug
Rationale:When two highly protein-bound drugs compete for the same plasma protein
binding sites, the displaced drug has a higher free (unbound) fraction, increasing its
pharmacologic effect and toxicity risk. Enzyme induction would typically lower drug levels,
while increased renal blood flow or reduced gastric acid does not directly raise free drug
concentration.
Why the other answers are wrong:
A. Enzyme inducers usually decrease plasma levels of the substrate drug, reducing rather than
increasing toxicity.
C. Increased renal blood flow enhances elimination and would lower, not raise, drug
concentrations.
D. Gastric acid suppression affects absorption of some drugs but does not displace
protein-bound drug.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 3
Q2.
A patient with heart failure is prescribed furosemide. Which laboratory value should the
nurse monitor most closely to detect a common adverse effect of this drug?
A. Serum potassium B. Serum calcium
C. Serum albumin D. Serum magnesium
Correct: A - Serum potassium
Rationale:Loop diuretics such as furosemide cause significant potassium loss, and
hypokalemia can precipitate dysrhythmias, especially in heart failure. Although magnesium
and calcium can also be affected, potassium is the priority electrolyte monitored due to
cardiac risk.
Why the other answers are wrong:
Page 3
, Section A - Pharmacological Principles AND Medication Administration
B. Calcium is less acutely affected by loop diuretics and is not the priority monitoring
parameter.
C. Albumin reflects nutritional or hepatic status, not the direct electrolyte effect of furosemide.
D. Magnesium loss can occur with loop diuretics but is not the most common or immediately dangerous effect.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 41
Q3.
A nurse is preparing to administer a high-alert medication. Which action best reflects the
required independent double-check process?
A. Verifying the drug, dose, and pump B. Confirming the order with the prescriber
settings with a second nurse before by telephone
administration
C. Checking the patient's allergy band D. Documenting the medication in the
before giving the drug electronic record immediately after
administration
Correct: A - Verifying the drug, dose, and pump settings with a second nurse before
administration
Rationale:High-alert medications require an independent double-check by a second qualified
clinician to verify drug, dose, concentration, and delivery settings before administration,
reducing catastrophic errors. Prescriber confirmation, allergy verification, and
post-administration documentation are important but do not constitute the double-check.
Why the other answers are wrong:
B. Calling the prescriber addresses order clarification, not the independent verification of the
prepared dose.
C. Allergy band checks are part of the rights of medication administration but not the
double-check.
D. Documentation after administration does not prevent administration errors.
Reference: ISMP High-Alert Medications List; Potter, P.A. (2023). Fundamentals of Nursing, 10th Ed.,
Ch. 31
Q4.
Which statement by a patient prescribed sublingual nitroglycerin indicates correct
understanding of the teaching?
A. "I will swallow the tablet with a full glass B. "I will place the tablet under my tongue
of water." and sit down before taking it."
C. "I will take the tablet only if my chest pain D. "I will store the tablets in my bathroom
lasts more than 30 minutes." medicine cabinet."
Correct: B - "I will place the tablet under my tongue and sit down before taking it."
Page 4
NR-293 PHARMACOLOGY FOR
NURSING PRACTICE EXAM 2026
148 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
CHAMBERLAIN UNIVERSITY NR-293 PHARMACOLOGY FOR NURSING PRACTICE EXAM 2026. It contains
148 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 148 Questions
Foundations - Application - Chamberlain University Nr-293 Pharmacology FOR Nursing 2026
Pharmacology FOR Nursing Undergraduate YEAR 3 Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Pharmacological Principles 1-25 Prescribed, Medication, Teaching, Indicates, Laboratory
AND Medication
Administration
Pharmacokinetics AND 26-50 Prescribed, Receiving, Instruction, Finding, Indicates
Pharmacodynamics
Medication Safety AND Error 51-75 Receiving, Therapy, Indicates, Finding, Prescribed
Prevention
Autonomic Nervous System 76-100 Prescribed, Receiving, Finding, Reports, Taking
Drugs
Central Nervous System 101-125 Prescribed, Receiving, Instruction, Medication, Finding
Drugs
Cardiovascular AND Renal 126-148 Prescribed, Finding, Receiving, Instruction, Indicates
System Drugs
TOTAL 148 All questions include answers and detailed rationales
,Section A - Pharmacological Principles AND Medication
Administration
Q1.
A nurse is reviewing a patient's medication list and notes that the patient takes a drug that
is highly protein-bound. Which concurrent medication would most increase the risk of
toxicity from the protein-bound drug?
A. A drug that induces hepatic cytochrome B. A drug that is also highly protein-bound
P450 enzymes and displaces the first drug
C. A drug that increases renal blood flow D. A drug that inhibits gastric acid secretion
Correct: B - A drug that is also highly protein-bound and displaces the first drug
Rationale:When two highly protein-bound drugs compete for the same plasma protein
binding sites, the displaced drug has a higher free (unbound) fraction, increasing its
pharmacologic effect and toxicity risk. Enzyme induction would typically lower drug levels,
while increased renal blood flow or reduced gastric acid does not directly raise free drug
concentration.
Why the other answers are wrong:
A. Enzyme inducers usually decrease plasma levels of the substrate drug, reducing rather than
increasing toxicity.
C. Increased renal blood flow enhances elimination and would lower, not raise, drug
concentrations.
D. Gastric acid suppression affects absorption of some drugs but does not displace
protein-bound drug.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 3
Q2.
A patient with heart failure is prescribed furosemide. Which laboratory value should the
nurse monitor most closely to detect a common adverse effect of this drug?
A. Serum potassium B. Serum calcium
C. Serum albumin D. Serum magnesium
Correct: A - Serum potassium
Rationale:Loop diuretics such as furosemide cause significant potassium loss, and
hypokalemia can precipitate dysrhythmias, especially in heart failure. Although magnesium
and calcium can also be affected, potassium is the priority electrolyte monitored due to
cardiac risk.
Why the other answers are wrong:
Page 3
, Section A - Pharmacological Principles AND Medication Administration
B. Calcium is less acutely affected by loop diuretics and is not the priority monitoring
parameter.
C. Albumin reflects nutritional or hepatic status, not the direct electrolyte effect of furosemide.
D. Magnesium loss can occur with loop diuretics but is not the most common or immediately dangerous effect.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 41
Q3.
A nurse is preparing to administer a high-alert medication. Which action best reflects the
required independent double-check process?
A. Verifying the drug, dose, and pump B. Confirming the order with the prescriber
settings with a second nurse before by telephone
administration
C. Checking the patient's allergy band D. Documenting the medication in the
before giving the drug electronic record immediately after
administration
Correct: A - Verifying the drug, dose, and pump settings with a second nurse before
administration
Rationale:High-alert medications require an independent double-check by a second qualified
clinician to verify drug, dose, concentration, and delivery settings before administration,
reducing catastrophic errors. Prescriber confirmation, allergy verification, and
post-administration documentation are important but do not constitute the double-check.
Why the other answers are wrong:
B. Calling the prescriber addresses order clarification, not the independent verification of the
prepared dose.
C. Allergy band checks are part of the rights of medication administration but not the
double-check.
D. Documentation after administration does not prevent administration errors.
Reference: ISMP High-Alert Medications List; Potter, P.A. (2023). Fundamentals of Nursing, 10th Ed.,
Ch. 31
Q4.
Which statement by a patient prescribed sublingual nitroglycerin indicates correct
understanding of the teaching?
A. "I will swallow the tablet with a full glass B. "I will place the tablet under my tongue
of water." and sit down before taking it."
C. "I will take the tablet only if my chest pain D. "I will store the tablets in my bathroom
lasts more than 30 minutes." medicine cabinet."
Correct: B - "I will place the tablet under my tongue and sit down before taking it."
Page 4
