Page 1 of 88
NUR 2474 PHARM EXAM 2 - PHARMACOLOGY
FOR PROFESSIONAL NURSING EXAM 2 |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
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?
a.Furosemide (Lasix)
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone)
a.Furosemide (Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe signs of
congestive heart failure with respiratory distress and pulmonary
edema and needs immediate mobilization of fluid.
Hydrochlorothiazide and spironolactone are not indicated for
pulmonary edema, because their diuretic effects are less rapid.
Mannitol is indicated for patients with increased intracranial pressure
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and must be discontinued immediately if signs of pulmonary
congestion or heart failure occur.
A nurse is providing teaching to a patient who is admitted to the
hospital for initiation of treatment with amiodarone (Cordarone) for
atrial fibrillation that has been refractory to other medications. Which
statement by the patient indicates a need for further teaching?
a."I may have itching, malaise, and jaundice, but these symptoms will
subside."
b."I need to use sun block to help keep my skin from turning bluish
gray."
c."I should not drink grapefruit juice while taking this medication."
d."I should report shortness of breath and cough and stop taking the
drug immediately."
a."I may have itching, malaise, and jaundice, but these symptoms will
subside."
Amiodarone has many toxic effects. Liver toxicity is rare but serious
and should be reported and the drug discontinued. Dermatologic
toxicity can occur, and sun block helps protect the skin, which, with
prolonged exposure to the sun, can turn bluish gray. Drinking
grapefruit juice can increase amiodarone levels. Pulmonary toxicity is
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the greatest concern, and patients with pulmonary symptoms should
report these to the provider.
A prescriber orders verapamil (Covera HS) for a patient who is taking
digoxin (Lanoxin) and warfarin. The nurse will expect the prescriber to
_____ the dose of _____.
a.lower
digoxin
b.increase; digoxin
c.lower; warfarin
d.increase; warfarin
a.lower; digoxin
Calcium channel blockers, such as verapamil, can increase levels of
digoxin, so patients taking these drugs may need to have their digoxin
dose reduced. Increasing the dose of digoxin can result in digoxin
toxicity. Verapamil does not affect warfarin levels.
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A patient will be taking amiodarone (Cordarone). Which baseline tests
are necessary before this medication is started? (Select all that apply.)
a.Chest radiograph and pulmonary function tests
b.Complete blood count with differential
c.Ophthalmologic examination
d.Renal function tests
e.Thyroid function tests
a.Chest radiograph and pulmonary function tests
c.Ophthalmologic examination
e.Thyroid function tests
Amiodarone has many potential toxic side effects, including
pulmonary toxicity, ophthalmic effects, and thyroid toxicity, so these
systems should be evaluated at baseline and periodically while the
patient is taking the drug. A complete blood count is not indicated.
Renal function tests are not indicated.
A prescriber has ordered rosuvastatin (Crestor) for a patient with non-
alcoholic-related cirrhosis. Which intervention would be most
appropriate for the nurse before administration of this drug?
NUR 2474 PHARM EXAM 2 - PHARMACOLOGY
FOR PROFESSIONAL NURSING EXAM 2 |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
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?
a.Furosemide (Lasix)
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone)
a.Furosemide (Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe signs of
congestive heart failure with respiratory distress and pulmonary
edema and needs immediate mobilization of fluid.
Hydrochlorothiazide and spironolactone are not indicated for
pulmonary edema, because their diuretic effects are less rapid.
Mannitol is indicated for patients with increased intracranial pressure
,Page 2 of 88
and must be discontinued immediately if signs of pulmonary
congestion or heart failure occur.
A nurse is providing teaching to a patient who is admitted to the
hospital for initiation of treatment with amiodarone (Cordarone) for
atrial fibrillation that has been refractory to other medications. Which
statement by the patient indicates a need for further teaching?
a."I may have itching, malaise, and jaundice, but these symptoms will
subside."
b."I need to use sun block to help keep my skin from turning bluish
gray."
c."I should not drink grapefruit juice while taking this medication."
d."I should report shortness of breath and cough and stop taking the
drug immediately."
a."I may have itching, malaise, and jaundice, but these symptoms will
subside."
Amiodarone has many toxic effects. Liver toxicity is rare but serious
and should be reported and the drug discontinued. Dermatologic
toxicity can occur, and sun block helps protect the skin, which, with
prolonged exposure to the sun, can turn bluish gray. Drinking
grapefruit juice can increase amiodarone levels. Pulmonary toxicity is
,Page 3 of 88
the greatest concern, and patients with pulmonary symptoms should
report these to the provider.
A prescriber orders verapamil (Covera HS) for a patient who is taking
digoxin (Lanoxin) and warfarin. The nurse will expect the prescriber to
_____ the dose of _____.
a.lower
digoxin
b.increase; digoxin
c.lower; warfarin
d.increase; warfarin
a.lower; digoxin
Calcium channel blockers, such as verapamil, can increase levels of
digoxin, so patients taking these drugs may need to have their digoxin
dose reduced. Increasing the dose of digoxin can result in digoxin
toxicity. Verapamil does not affect warfarin levels.
, Page 4 of 88
A patient will be taking amiodarone (Cordarone). Which baseline tests
are necessary before this medication is started? (Select all that apply.)
a.Chest radiograph and pulmonary function tests
b.Complete blood count with differential
c.Ophthalmologic examination
d.Renal function tests
e.Thyroid function tests
a.Chest radiograph and pulmonary function tests
c.Ophthalmologic examination
e.Thyroid function tests
Amiodarone has many potential toxic side effects, including
pulmonary toxicity, ophthalmic effects, and thyroid toxicity, so these
systems should be evaluated at baseline and periodically while the
patient is taking the drug. A complete blood count is not indicated.
Renal function tests are not indicated.
A prescriber has ordered rosuvastatin (Crestor) for a patient with non-
alcoholic-related cirrhosis. Which intervention would be most
appropriate for the nurse before administration of this drug?
