2026 NIGHTINGALE COLLEGE Pharmacology Exam
4|ACTUAL 85Qs&As|GRADED A+|NEW FALL-SPRING
Furosemide [Lasix]
A patient is brought to the emergency department with shortness of breath, a
respiratory rate of 30 breaths per minute, intercostal retractions, and frothy,
pink sputum. The nurse caring for this patient will expect to administer which
drug?
Potassium level of 3.5 mEq/L
A patient who is taking digoxin is admitted to the hospital for treatment of
congestive heart failure. The prescriber has ordered furosemide [Lasix]. The
nurse notes an irregular heart rate of 86 beats per minute, a respiratory rate of
22 breaths per minute, and a blood pressure of 130/82 mm Hg. The nurse
auscultates crackles in both lungs. Which laboratory value causes the nurse the
most concern?
Spironolactone [Aldactone]
A patient has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs reveals crackles bilaterally, and the serum potassium
level is 6 mEq/L. Which diuretic agent ordered by the prescriber should the
nurse question?
,Request an order for furosemide [Lasix].
A nurse preparing to administer morning medications notes that a patient with
a history of hypertension has been prescribed spironolactone [Aldactone]. The
nurse assesses the patient and notes dyspnea, bilateral crackles, and pitting
edema in both feet. Which intervention is appropriate?
Spironolactone [Aldactone]
A patient with hypertension is taking furosemide [Lasix] for congestive heart
failure. The prescriber orders digoxin to help increase cardiac output. What
other medication will the nurse expect to be ordered for this patient?
reduce intracranial pressure.
A patient who was in a motor vehicle accident sustained a severe head injury
and is brought into the emergency department. The provider orders
intravenous mannitol [Osmitrol]. The nurse knows that this is given to:
Ringing in the ears
A patient is taking gentamicin [Garamycin] and furosemide [Lasix]. The nurse
should counsel this patient to report which symptom?
, Elevated creatinine clearance
An older adult patient with congestive heart failure develops crackles in both
lungs and pitting edema of all extremities. The physician orders
hydrochlorothiazide [HydroDIURIL]. Before administering this medication, the
nurse reviews the patient's chart. Which laboratory value causes the nurse the
most concern?
"I need to stop taking potassium supplements."
A patient with chronic congestive heart failure has repeated hospitalizations in
spite of ongoing treatment with hydrochlorothiazide [HydroDIURIL] and
digoxin. The prescriber has ordered spironolactone [Aldactone] to be added to
this patient's drug regimen, and the nurse provides education about this
medication. Which statement by the patient indicates
understanding of the teaching?
- Diabetes insipidus
- Hepatic Failure
- Postmenopausal osteoporosis
Besides having diuretic effects for patients with congestive heart failure,
thiazides are also used to treat what?
Hold the IV dose until the infusion rate has been clarified with the provider.
4|ACTUAL 85Qs&As|GRADED A+|NEW FALL-SPRING
Furosemide [Lasix]
A patient is brought to the emergency department with shortness of breath, a
respiratory rate of 30 breaths per minute, intercostal retractions, and frothy,
pink sputum. The nurse caring for this patient will expect to administer which
drug?
Potassium level of 3.5 mEq/L
A patient who is taking digoxin is admitted to the hospital for treatment of
congestive heart failure. The prescriber has ordered furosemide [Lasix]. The
nurse notes an irregular heart rate of 86 beats per minute, a respiratory rate of
22 breaths per minute, and a blood pressure of 130/82 mm Hg. The nurse
auscultates crackles in both lungs. Which laboratory value causes the nurse the
most concern?
Spironolactone [Aldactone]
A patient has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs reveals crackles bilaterally, and the serum potassium
level is 6 mEq/L. Which diuretic agent ordered by the prescriber should the
nurse question?
,Request an order for furosemide [Lasix].
A nurse preparing to administer morning medications notes that a patient with
a history of hypertension has been prescribed spironolactone [Aldactone]. The
nurse assesses the patient and notes dyspnea, bilateral crackles, and pitting
edema in both feet. Which intervention is appropriate?
Spironolactone [Aldactone]
A patient with hypertension is taking furosemide [Lasix] for congestive heart
failure. The prescriber orders digoxin to help increase cardiac output. What
other medication will the nurse expect to be ordered for this patient?
reduce intracranial pressure.
A patient who was in a motor vehicle accident sustained a severe head injury
and is brought into the emergency department. The provider orders
intravenous mannitol [Osmitrol]. The nurse knows that this is given to:
Ringing in the ears
A patient is taking gentamicin [Garamycin] and furosemide [Lasix]. The nurse
should counsel this patient to report which symptom?
, Elevated creatinine clearance
An older adult patient with congestive heart failure develops crackles in both
lungs and pitting edema of all extremities. The physician orders
hydrochlorothiazide [HydroDIURIL]. Before administering this medication, the
nurse reviews the patient's chart. Which laboratory value causes the nurse the
most concern?
"I need to stop taking potassium supplements."
A patient with chronic congestive heart failure has repeated hospitalizations in
spite of ongoing treatment with hydrochlorothiazide [HydroDIURIL] and
digoxin. The prescriber has ordered spironolactone [Aldactone] to be added to
this patient's drug regimen, and the nurse provides education about this
medication. Which statement by the patient indicates
understanding of the teaching?
- Diabetes insipidus
- Hepatic Failure
- Postmenopausal osteoporosis
Besides having diuretic effects for patients with congestive heart failure,
thiazides are also used to treat what?
Hold the IV dose until the infusion rate has been clarified with the provider.
