NUR 210 | Principles of Pharmacology | Exam 2 Practice 2026 |Galen
College
1. A patient receiving Vancomycin IV develops hypotension and a bright red
rash on the face and neck. Which action should the nurse take first?
A. Administer epinephrine immediately
B. Increase the infusion rate to finish the dose
C. Stop the infusion and notify the provider
D. Apply a cold compress to the affected area
Answer: C
Rationale: The symptoms describe ‘Red Man Syndrome,’ which is related to rapid infusion.
The nurse should stop the infusion and contact the provider.
2. Which assessment finding is most indicative of Digoxin toxicity?
A. Visual disturbances such as yellow-green halos
B. Tachycardia and hypertension
C. Hyperkalemia and increased urine output
D. Increased appetite and diarrhea
Answer: A
Rationale: Digoxin toxicity manifests as visual disturbances (halos), bradycardia, nausea,
and vomiting.
,3. A patient is prescribed Lisinopril for hypertension. What common side effect
should the nurse instruct the patient to report?
A. Increased heart rate
B. Excessive hair growth
C. Persistent dry cough
D. Weight gain
Answer: C
Rationale: ACE inhibitors like Lisinopril are known for causing a persistent dry cough due
to the accumulation of bradykinin.
4. Which medication is the antidote for a Heparin overdose?
A. Vitamin K
B. Glucagon
C. Naloxone
D. Protamine sulfate
Answer: D
Rationale: Protamine sulfate is used to reverse the anticoagulant effects of Heparin.
5. When administering Nitroglycerin sublingually for chest pain, how many
doses can be given before calling 911?
A. Three doses
B. Two doses
C. One dose
D. Four doses
Answer: C
Rationale: Current guidelines suggest that if the pain is not relieved after the first dose, the
patient or caregiver should call 911.
, 6. A patient on Spironolactone should be monitored for which electrolyte
imbalance?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic; therefore, it can lead to high
potassium levels (hyperkalemia).
7. Which antibiotic class is associated with the side effect of tendon rupture?
A. Macrolides
B. Penicillins
C. Fluoroquinolones
D. Sulfonamides
Answer: C
Rationale: Fluoroquinolones, such as Ciprofloxacin, carry a black box warning for
tendonitis and tendon rupture.
8. A patient is prescribed Furosemide. Which food choice indicates the patient
understands the dietary requirements?
A. White bread
B. Bananas
C. Canned soup
D. Processed cheese
Answer: B
Rationale: Furosemide is a loop diuretic that wastes potassium; patients should eat
potassium-rich foods like bananas.
College
1. A patient receiving Vancomycin IV develops hypotension and a bright red
rash on the face and neck. Which action should the nurse take first?
A. Administer epinephrine immediately
B. Increase the infusion rate to finish the dose
C. Stop the infusion and notify the provider
D. Apply a cold compress to the affected area
Answer: C
Rationale: The symptoms describe ‘Red Man Syndrome,’ which is related to rapid infusion.
The nurse should stop the infusion and contact the provider.
2. Which assessment finding is most indicative of Digoxin toxicity?
A. Visual disturbances such as yellow-green halos
B. Tachycardia and hypertension
C. Hyperkalemia and increased urine output
D. Increased appetite and diarrhea
Answer: A
Rationale: Digoxin toxicity manifests as visual disturbances (halos), bradycardia, nausea,
and vomiting.
,3. A patient is prescribed Lisinopril for hypertension. What common side effect
should the nurse instruct the patient to report?
A. Increased heart rate
B. Excessive hair growth
C. Persistent dry cough
D. Weight gain
Answer: C
Rationale: ACE inhibitors like Lisinopril are known for causing a persistent dry cough due
to the accumulation of bradykinin.
4. Which medication is the antidote for a Heparin overdose?
A. Vitamin K
B. Glucagon
C. Naloxone
D. Protamine sulfate
Answer: D
Rationale: Protamine sulfate is used to reverse the anticoagulant effects of Heparin.
5. When administering Nitroglycerin sublingually for chest pain, how many
doses can be given before calling 911?
A. Three doses
B. Two doses
C. One dose
D. Four doses
Answer: C
Rationale: Current guidelines suggest that if the pain is not relieved after the first dose, the
patient or caregiver should call 911.
, 6. A patient on Spironolactone should be monitored for which electrolyte
imbalance?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic; therefore, it can lead to high
potassium levels (hyperkalemia).
7. Which antibiotic class is associated with the side effect of tendon rupture?
A. Macrolides
B. Penicillins
C. Fluoroquinolones
D. Sulfonamides
Answer: C
Rationale: Fluoroquinolones, such as Ciprofloxacin, carry a black box warning for
tendonitis and tendon rupture.
8. A patient is prescribed Furosemide. Which food choice indicates the patient
understands the dietary requirements?
A. White bread
B. Bananas
C. Canned soup
D. Processed cheese
Answer: B
Rationale: Furosemide is a loop diuretic that wastes potassium; patients should eat
potassium-rich foods like bananas.
