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2026 RN Pharmacology A Relias (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ 2026
RN Pharmacology A – Practice Questions SET
1–10: Cardiovascular Drugs
1. Lisinopril is prescribed for:
A) Hypertension
B) Hyperglycemia
C) Asthma
D) Pain
Answer: A
Rationale: ACE inhibitors reduce blood pressure by inhibiting angiotensin-converting
enzyme.
2. Common side effect of ACE inhibitors:
A) Persistent cough
B) Tachycardia
C) Constipation
D) Hair loss
Answer: A
Rationale: Increased bradykinin can cause a dry cough.
3. A patient taking furosemide should monitor:
A) Potassium levels
B) Blood glucose
C) Heart rate only
D) Respiratory rate only
Answer: A
Rationale: Loop diuretics increase potassium excretion, risking hypokalemia.
4. Spironolactone is:
A) Potassium-sparing diuretic
B) Loop diuretic
C) Beta-blocker
D) ACE inhibitor
Answer: A
Rationale: Retains potassium while excreting sodium and water.
5. Digoxin toxicity may present with:
A) Bradycardia, nausea, visual disturbances
B) Hypertension only
C) Rash
D) Hair loss
2026 2027 GRADED A+
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Answer: A
Rationale: Digoxin has a narrow therapeutic range; monitor for bradycardia and GI or
visual symptoms.
6. Patient teaching for nitroglycerin includes:
A) Avoid alcohol
B) Change positions slowly
C) Store in a cool, dry place
D) All of the above
Answer: D
Rationale: Prevents hypotension and maintains potency.
7. Beta-blockers (e.g., metoprolol) may cause:
A) Bradycardia
B) Bronchospasm
C) Hypotension
D) All of the above
Answer: D
Rationale: Nonselective beta-blockers can affect heart, lungs, and BP.
8. Amlodipine is used for:
A) Hypertension and angina
B) Heart failure only
C) Hyperglycemia
D) Pain relief
Answer: A
Rationale: Calcium channel blocker that relaxes arteries and reduces workload on the
heart.
9. Nursing considerations for diuretics include:
A) Monitor electrolytes
B) Monitor BP
C) Assess weight daily
D) All of the above
Answer: D
Rationale: Prevents dehydration, hypotension, and electrolyte imbalances.
10. Patients on potassium-sparing diuretics should avoid:
A) Bananas and oranges
B) Bread
C) Milk
D) Eggs
Answer: A
Rationale: High-potassium foods may cause hyperkalemia.
11–20: Respiratory Drugs
11. Albuterol is:
A) Short-acting beta-2 agonist
B) Corticosteroid
2026 2027 GRADED A+
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C) Anticholinergic
D) Leukotriene receptor antagonist
Answer: A
Rationale: Rapid relief for bronchospasm.
12. Side effects of albuterol include:
A) Tremors, tachycardia
B) Bradycardia
C) Hypotension
D) Constipation
Answer: A
Rationale: Beta-2 agonists stimulate sympathetic nervous system.
13. Ipratropium is used for:
A) Bronchodilation via anticholinergic effect
B) Anti-inflammatory effect
C) Mucolysis
D) Oxygen delivery
Answer: A
Rationale: Reduces bronchospasm by blocking acetylcholine.
14. Montelukast is used to:
A) Prevent chronic asthma symptoms
B) Treat acute asthma attack
C) Treat bacterial infection
D) Reduce fever
Answer: A
Rationale: Leukotriene inhibitor for prophylaxis.
15. Teaching for inhaled corticosteroids includes:
A) Rinse mouth after use
B) Take with meals only
C) Use before meals
D) Avoid fluids
Answer: A
Rationale: Reduces risk of oral candidiasis.
16. Theophylline requires monitoring of:
A) Serum drug levels
B) BP only
C) Weight only
D) Pulse only
Answer: A
Rationale: Narrow therapeutic range; toxicity can cause tachycardia and CNS symptoms.
17. Oxygen therapy requires monitoring:
A) Pulse oximetry
B) Blood glucose
C) Sodium
D) Temperature
Answer: A
Rationale: Ensures adequate oxygenation.
2026 2027 GRADED A+
, 4|Page
18. Long-term corticosteroid use may cause:
A) Osteoporosis
B) Hyperglycemia
C) Immunosuppression
D) All of the above
Answer: D
Rationale: Systemic effects require monitoring and preventive measures.
19. Patient teaching for inhalers includes:
A) Shake inhaler
B) Hold breath after inhalation
C) Rinse mouth if steroid
D) All of the above
Answer: D
Rationale: Ensures proper delivery and reduces side effects.
20. Short-acting bronchodilators should be used:
A) Before corticosteroid inhalers
B) Only at night
C) With meals
D) Once weekly
Answer: A
Rationale: Opens airways for better steroid delivery.
21–30: Antibiotics
21. Penicillin is used to treat:
A) Bacterial infections
B) Viral infections
C) Fungal infections
D) Hypertension
Answer: A
Rationale: Inhibits bacterial cell wall synthesis.
22. Common adverse effects of antibiotics:
A) Nausea, diarrhea, rash
B) Hypertension only
C) Bradycardia only
D) Hair loss
Answer: A
Rationale: GI upset and hypersensitivity reactions are frequent.
23. Cephalosporins may cross-react in patients allergic to:
A) Penicillin
B) Macrolides
C) Tetracyclines
D) Aminoglycosides
Answer: A
Rationale: Risk of allergic cross-reaction.
2026 2027 GRADED A+
2026 RN Pharmacology A Relias (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ 2026
RN Pharmacology A – Practice Questions SET
1–10: Cardiovascular Drugs
1. Lisinopril is prescribed for:
A) Hypertension
B) Hyperglycemia
C) Asthma
D) Pain
Answer: A
Rationale: ACE inhibitors reduce blood pressure by inhibiting angiotensin-converting
enzyme.
2. Common side effect of ACE inhibitors:
A) Persistent cough
B) Tachycardia
C) Constipation
D) Hair loss
Answer: A
Rationale: Increased bradykinin can cause a dry cough.
3. A patient taking furosemide should monitor:
A) Potassium levels
B) Blood glucose
C) Heart rate only
D) Respiratory rate only
Answer: A
Rationale: Loop diuretics increase potassium excretion, risking hypokalemia.
4. Spironolactone is:
A) Potassium-sparing diuretic
B) Loop diuretic
C) Beta-blocker
D) ACE inhibitor
Answer: A
Rationale: Retains potassium while excreting sodium and water.
5. Digoxin toxicity may present with:
A) Bradycardia, nausea, visual disturbances
B) Hypertension only
C) Rash
D) Hair loss
2026 2027 GRADED A+
,2|Page
Answer: A
Rationale: Digoxin has a narrow therapeutic range; monitor for bradycardia and GI or
visual symptoms.
6. Patient teaching for nitroglycerin includes:
A) Avoid alcohol
B) Change positions slowly
C) Store in a cool, dry place
D) All of the above
Answer: D
Rationale: Prevents hypotension and maintains potency.
7. Beta-blockers (e.g., metoprolol) may cause:
A) Bradycardia
B) Bronchospasm
C) Hypotension
D) All of the above
Answer: D
Rationale: Nonselective beta-blockers can affect heart, lungs, and BP.
8. Amlodipine is used for:
A) Hypertension and angina
B) Heart failure only
C) Hyperglycemia
D) Pain relief
Answer: A
Rationale: Calcium channel blocker that relaxes arteries and reduces workload on the
heart.
9. Nursing considerations for diuretics include:
A) Monitor electrolytes
B) Monitor BP
C) Assess weight daily
D) All of the above
Answer: D
Rationale: Prevents dehydration, hypotension, and electrolyte imbalances.
10. Patients on potassium-sparing diuretics should avoid:
A) Bananas and oranges
B) Bread
C) Milk
D) Eggs
Answer: A
Rationale: High-potassium foods may cause hyperkalemia.
11–20: Respiratory Drugs
11. Albuterol is:
A) Short-acting beta-2 agonist
B) Corticosteroid
2026 2027 GRADED A+
,3|Page
C) Anticholinergic
D) Leukotriene receptor antagonist
Answer: A
Rationale: Rapid relief for bronchospasm.
12. Side effects of albuterol include:
A) Tremors, tachycardia
B) Bradycardia
C) Hypotension
D) Constipation
Answer: A
Rationale: Beta-2 agonists stimulate sympathetic nervous system.
13. Ipratropium is used for:
A) Bronchodilation via anticholinergic effect
B) Anti-inflammatory effect
C) Mucolysis
D) Oxygen delivery
Answer: A
Rationale: Reduces bronchospasm by blocking acetylcholine.
14. Montelukast is used to:
A) Prevent chronic asthma symptoms
B) Treat acute asthma attack
C) Treat bacterial infection
D) Reduce fever
Answer: A
Rationale: Leukotriene inhibitor for prophylaxis.
15. Teaching for inhaled corticosteroids includes:
A) Rinse mouth after use
B) Take with meals only
C) Use before meals
D) Avoid fluids
Answer: A
Rationale: Reduces risk of oral candidiasis.
16. Theophylline requires monitoring of:
A) Serum drug levels
B) BP only
C) Weight only
D) Pulse only
Answer: A
Rationale: Narrow therapeutic range; toxicity can cause tachycardia and CNS symptoms.
17. Oxygen therapy requires monitoring:
A) Pulse oximetry
B) Blood glucose
C) Sodium
D) Temperature
Answer: A
Rationale: Ensures adequate oxygenation.
2026 2027 GRADED A+
, 4|Page
18. Long-term corticosteroid use may cause:
A) Osteoporosis
B) Hyperglycemia
C) Immunosuppression
D) All of the above
Answer: D
Rationale: Systemic effects require monitoring and preventive measures.
19. Patient teaching for inhalers includes:
A) Shake inhaler
B) Hold breath after inhalation
C) Rinse mouth if steroid
D) All of the above
Answer: D
Rationale: Ensures proper delivery and reduces side effects.
20. Short-acting bronchodilators should be used:
A) Before corticosteroid inhalers
B) Only at night
C) With meals
D) Once weekly
Answer: A
Rationale: Opens airways for better steroid delivery.
21–30: Antibiotics
21. Penicillin is used to treat:
A) Bacterial infections
B) Viral infections
C) Fungal infections
D) Hypertension
Answer: A
Rationale: Inhibits bacterial cell wall synthesis.
22. Common adverse effects of antibiotics:
A) Nausea, diarrhea, rash
B) Hypertension only
C) Bradycardia only
D) Hair loss
Answer: A
Rationale: GI upset and hypersensitivity reactions are frequent.
23. Cephalosporins may cross-react in patients allergic to:
A) Penicillin
B) Macrolides
C) Tetracyclines
D) Aminoglycosides
Answer: A
Rationale: Risk of allergic cross-reaction.
2026 2027 GRADED A+
