NUR 210 | Principles of Pharmacology | Exam 3 Practice Set 2026
|Galen College
1. A patient is prescribed Lisinopril for hypertension. Which side effect should
the nurse instruct the patient to report immediately?
A. Yellow-tinged vision
B. Increased appetite
C. Persistent dry cough
D. Occasional headache
Answer: C
Rationale: ACE inhibitors like Lisinopril frequently cause a persistent dry cough due to the
accumulation of bradykinin.
2. Which laboratory value is most critical to monitor for a patient receiving
Furosemide (Lasix)?
A. Serum Calcium
B. White Blood Cell count
C. Serum Potassium
D. Hemoglobin levels
Answer: C
Rationale: Furosemide is a loop diuretic that causes significant potassium loss;
hypokalemia is a major risk.
,3. A patient is suspected of having Digoxin toxicity. Which symptom is a classic
sign of this condition?
A. Extreme thirst
B. Dry, itchy skin
C. Hyperactive bowel sounds
D. Visual disturbances such as seeing yellow halos
Answer: D
Rationale: Digoxin toxicity often manifests as visual disturbances, specifically yellow-
green halos around lights.
4. What is the mechanism of action for Warfarin (Coumadin)?
A. Dissolves existing blood clots
B. Directly inhibits thrombin
C. Prevents platelet aggregation
D. Inhibits the activation of clotting factors via Vitamin K antagonism
Answer: D
Rationale: Warfarin works by interfering with the synthesis of Vitamin K-dependent
clotting factors.
5. The nurse is preparing to administer Heparin. Which laboratory test is used to
monitor its therapeutic effect?
A. aPTT
B. HbA1c
C. PT/INR
D. Serum Creatinine
Answer: A
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor the
effectiveness of Heparin therapy.
, 6. Which medication is considered a rescue inhaler for acute bronchospasm?
A. Salmeterol
B. Fluticasone
C. Tiotropium
D. Albuterol
Answer: D
Rationale: Albuterol is a short-acting beta-2 agonist (SABA) used for the rapid relief of
asthma symptoms.
7. A patient using a Beclomethasone inhaler is advised to rinse their mouth after
use to prevent which condition?
A. Dental caries
B. Oral candidiasis (thrush)
C. Gingivitis
D. Dry mouth syndrome
Answer: B
Rationale: Inhaled corticosteroids like Beclomethasone increase the risk of fungal
infections in the mouth.
8. What is the primary therapeutic goal of Nitroglycerin administration in a
patient with angina?
A. To increase heart rate
B. To cause systemic vasoconstriction
C. To permanently dissolve coronary blockages
D. To decrease myocardial oxygen demand through vasodilation
Answer: D
Rationale: Nitroglycerin dilates veins and arteries, reducing preload and afterload, which
decreases the workload on the heart.
|Galen College
1. A patient is prescribed Lisinopril for hypertension. Which side effect should
the nurse instruct the patient to report immediately?
A. Yellow-tinged vision
B. Increased appetite
C. Persistent dry cough
D. Occasional headache
Answer: C
Rationale: ACE inhibitors like Lisinopril frequently cause a persistent dry cough due to the
accumulation of bradykinin.
2. Which laboratory value is most critical to monitor for a patient receiving
Furosemide (Lasix)?
A. Serum Calcium
B. White Blood Cell count
C. Serum Potassium
D. Hemoglobin levels
Answer: C
Rationale: Furosemide is a loop diuretic that causes significant potassium loss;
hypokalemia is a major risk.
,3. A patient is suspected of having Digoxin toxicity. Which symptom is a classic
sign of this condition?
A. Extreme thirst
B. Dry, itchy skin
C. Hyperactive bowel sounds
D. Visual disturbances such as seeing yellow halos
Answer: D
Rationale: Digoxin toxicity often manifests as visual disturbances, specifically yellow-
green halos around lights.
4. What is the mechanism of action for Warfarin (Coumadin)?
A. Dissolves existing blood clots
B. Directly inhibits thrombin
C. Prevents platelet aggregation
D. Inhibits the activation of clotting factors via Vitamin K antagonism
Answer: D
Rationale: Warfarin works by interfering with the synthesis of Vitamin K-dependent
clotting factors.
5. The nurse is preparing to administer Heparin. Which laboratory test is used to
monitor its therapeutic effect?
A. aPTT
B. HbA1c
C. PT/INR
D. Serum Creatinine
Answer: A
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor the
effectiveness of Heparin therapy.
, 6. Which medication is considered a rescue inhaler for acute bronchospasm?
A. Salmeterol
B. Fluticasone
C. Tiotropium
D. Albuterol
Answer: D
Rationale: Albuterol is a short-acting beta-2 agonist (SABA) used for the rapid relief of
asthma symptoms.
7. A patient using a Beclomethasone inhaler is advised to rinse their mouth after
use to prevent which condition?
A. Dental caries
B. Oral candidiasis (thrush)
C. Gingivitis
D. Dry mouth syndrome
Answer: B
Rationale: Inhaled corticosteroids like Beclomethasone increase the risk of fungal
infections in the mouth.
8. What is the primary therapeutic goal of Nitroglycerin administration in a
patient with angina?
A. To increase heart rate
B. To cause systemic vasoconstriction
C. To permanently dissolve coronary blockages
D. To decrease myocardial oxygen demand through vasodilation
Answer: D
Rationale: Nitroglycerin dilates veins and arteries, reducing preload and afterload, which
decreases the workload on the heart.
