BSN Nursing Fundamentals, Pharmacology, and Assessment Quiz
(Weeks 33-64) 2026/2027 UPDATE
1. A patient is prescribed Lisinopril for hypertension. Which side effect should
the nurse instruct the patient to report immediately?
A. Occasional mild headache
B. Increased appetite
C. Yellowing of the sclera
D. Persistent dry cough
Answer: D
Rationale: ACE inhibitors like Lisinopril commonly cause a persistent dry cough due to the
accumulation of bradykinin in the lungs.
,2. When assessing a patient with suspected deep vein thrombosis (DVT), which
clinical manifestation is most characteristic?
A. Bilateral pedal edema
B. Pale, cool skin on the affected extremity
C. Unilateral leg warmth and swelling
D. Diminished pedal pulses
Answer: C
Rationale: DVT typically presents unilaterally with redness, warmth, edema, and
tenderness in the affected limb.
3. The nurse is preparing to administer Digoxin. Which vital sign must be
checked prior to administration?
A. Apical Pulse
B. Respiratory Rate
C. Blood Pressure
D. Oxygen Saturation
Answer: A
,Rationale: The apical pulse must be assessed for one full minute. Digoxin should be
withheld if the heart rate is less than 60 bpm in adults.
4. Which electrolyte imbalance is a patient most at risk for when taking a loop
diuretic like Furosemide?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: A
Rationale: Loop diuretics cause the excretion of potassium along with water and sodium,
leading to a risk of hypokalemia.
, 5. A nurse is performing a physical assessment and notes a ‘whooshing’ sound
over the carotid artery. This is documented as:
A. A murmur
B. A thrill
C. A bruit
D. A heave
Answer: C
Rationale: A bruit is a blowing or swishing sound caused by turbulent blood flow in an
artery.
6. In the TNM staging system for cancer, what does the ‘N’ represent?
A. Number of tumors
B. Node involvement
C. Neoplasm type
D. Necrosis level
Answer: B
Rationale: TNM stands for Tumor (size/extent), Node (lymph node involvement), and
Metastasis (spread).
(Weeks 33-64) 2026/2027 UPDATE
1. A patient is prescribed Lisinopril for hypertension. Which side effect should
the nurse instruct the patient to report immediately?
A. Occasional mild headache
B. Increased appetite
C. Yellowing of the sclera
D. Persistent dry cough
Answer: D
Rationale: ACE inhibitors like Lisinopril commonly cause a persistent dry cough due to the
accumulation of bradykinin in the lungs.
,2. When assessing a patient with suspected deep vein thrombosis (DVT), which
clinical manifestation is most characteristic?
A. Bilateral pedal edema
B. Pale, cool skin on the affected extremity
C. Unilateral leg warmth and swelling
D. Diminished pedal pulses
Answer: C
Rationale: DVT typically presents unilaterally with redness, warmth, edema, and
tenderness in the affected limb.
3. The nurse is preparing to administer Digoxin. Which vital sign must be
checked prior to administration?
A. Apical Pulse
B. Respiratory Rate
C. Blood Pressure
D. Oxygen Saturation
Answer: A
,Rationale: The apical pulse must be assessed for one full minute. Digoxin should be
withheld if the heart rate is less than 60 bpm in adults.
4. Which electrolyte imbalance is a patient most at risk for when taking a loop
diuretic like Furosemide?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hyponatremia
Answer: A
Rationale: Loop diuretics cause the excretion of potassium along with water and sodium,
leading to a risk of hypokalemia.
, 5. A nurse is performing a physical assessment and notes a ‘whooshing’ sound
over the carotid artery. This is documented as:
A. A murmur
B. A thrill
C. A bruit
D. A heave
Answer: C
Rationale: A bruit is a blowing or swishing sound caused by turbulent blood flow in an
artery.
6. In the TNM staging system for cancer, what does the ‘N’ represent?
A. Number of tumors
B. Node involvement
C. Neoplasm type
D. Necrosis level
Answer: B
Rationale: TNM stands for Tumor (size/extent), Node (lymph node involvement), and
Metastasis (spread).
