NRSG 2350 Pharm Exam 2 – Ultimate Review & Exam Prep Guide |
Latest 2026 Update | Comprehensive Practice Questions, Accurate
Answers & Detailed Rationales | Master Key Pharmacology Concepts
for Exam Success | Premium Instant PDF Download
1. The nurse is caring for a client with acute deep vein thrombosis who
requires immediate anticoagulation therapy. Which medication
should the nurse anticipate administering via IV to directly inhibit
synthesis of thrombin and clotting factor Xa?
A. Warfarin
B. Coumadin
C. Heparin
D. Aspirin
Correct Answer: C. Heparin
2. The nurse is providing education to a client about medications used
to prevent arterial occlusion. Which medication should the nurse
identify as primarily inhibiting platelet aggregation and platelet-
induced clotting?
A. Warfarin
B. Coumadin
C. Heparin
D. Aspirin
Correct Answer: D. Aspirin
3. The nurse is monitoring a client receiving warfarin therapy and
notes the client is at highest risk for which adverse effect?
A. Constipation
B. Increased bleeding
,C. Tachycardia
D. Hypertension
Correct Answer: B. Increased bleeding
4. The nurse is teaching a client about the mechanism of action of
aspirin. Which statement correctly describes how aspirin works?
A. Directly inhibits synthesis of thrombin and clotting factor Xa
B. Inhibits platelet aggregation by inhibiting the synthesis of
prostaglandins
C. Inhibits platelet aggregation by inhibiting the synthesis of
leukotrienes
D. Inhibits Vitamin K-epoxide reductase from regenerating Vitamin
K
Correct Answer: B. Inhibits platelet aggregation by inhibiting the
synthesis of prostaglandins
5. The nurse is caring for a client prescribed a benzodiazepine for
anxiety and explains to the client that this medication works as
which type of receptor modulator?
A. GABA agonist
B. GABA antagonist
C. Glutamate agonist
D. Glutamate antagonist
Correct Answer: A. GABA agonist
6. The nurse is providing education to a client newly prescribed an
SSRI for depression. Which statement correctly describes how SSRIs
act on the central nervous system?
,A. They prevent reuptake of serotonin from axon terminals and cause
downregulation of serotonin receptors
B. They increase reuptake of serotonin from axon terminals and
cause downregulation
C. They prevent reuptake of serotonin from axon terminals and cause
upregulation of serotonin receptors
D. They increase reuptake of serotonin from axon terminals and cause
upregulation of serotonin receptors
Correct Answer: A. They prevent reuptake of serotonin from axon
terminals and cause downregulation of serotonin receptors
7. The nurse is teaching a client about buspirone for anxiety
management. The nurse should explain that buspirone acts by which
mechanism?
A. Inhibiting GABA receptor stimulation
B. Increasing GABA receptor stimulation
C. Decreasing serotonin receptor stimulation
D. Increasing serotonin receptor stimulation
Correct Answer: D. Increasing serotonin receptor stimulation
8. The nurse is evaluating a client who suddenly discontinued their
anti-anxiety medication and is now experiencing anxiety that exceeds
their pretreatment levels. The nurse should document this as which
condition?
A. Rebound anxiety
B. Dependence-related anxiety
C. Fluctuating anxiety
D. Remission of anxiety
Correct Answer: A. Rebound anxiety
, 9. The nurse is assessing a client taking antipsychotic medication
for motor side effects. Which finding should the nurse recognize as
NOT being associated with antipsychotic drugs?
A. Pseudoparkinsonism
B. Tardive dyskinesia
C. Dystonia
D. Hyporeflexia
Correct Answer: D. Hyporeflexia
10. The nurse is monitoring a client for serotonin syndrome and
notes tachycardia and tremor. Which finding would the nurse NOT
expect to see in serotonin syndrome?
A. Tachycardia
B. Tremor
C. Orthostatic hypotension
D. Dystonia
Correct Answer: C. Orthostatic hypotension
11. The nurse is providing dietary teaching to a client prescribed an
antidepressant. Which medication class requires the client to avoid
fermented cheese and wines to prevent a hypertensive crisis?
A. Tricyclics
B. MAO inhibitors
C. SSRIs
D. SNRIs
Correct Answer: B. MAO inhibitors
Latest 2026 Update | Comprehensive Practice Questions, Accurate
Answers & Detailed Rationales | Master Key Pharmacology Concepts
for Exam Success | Premium Instant PDF Download
1. The nurse is caring for a client with acute deep vein thrombosis who
requires immediate anticoagulation therapy. Which medication
should the nurse anticipate administering via IV to directly inhibit
synthesis of thrombin and clotting factor Xa?
A. Warfarin
B. Coumadin
C. Heparin
D. Aspirin
Correct Answer: C. Heparin
2. The nurse is providing education to a client about medications used
to prevent arterial occlusion. Which medication should the nurse
identify as primarily inhibiting platelet aggregation and platelet-
induced clotting?
A. Warfarin
B. Coumadin
C. Heparin
D. Aspirin
Correct Answer: D. Aspirin
3. The nurse is monitoring a client receiving warfarin therapy and
notes the client is at highest risk for which adverse effect?
A. Constipation
B. Increased bleeding
,C. Tachycardia
D. Hypertension
Correct Answer: B. Increased bleeding
4. The nurse is teaching a client about the mechanism of action of
aspirin. Which statement correctly describes how aspirin works?
A. Directly inhibits synthesis of thrombin and clotting factor Xa
B. Inhibits platelet aggregation by inhibiting the synthesis of
prostaglandins
C. Inhibits platelet aggregation by inhibiting the synthesis of
leukotrienes
D. Inhibits Vitamin K-epoxide reductase from regenerating Vitamin
K
Correct Answer: B. Inhibits platelet aggregation by inhibiting the
synthesis of prostaglandins
5. The nurse is caring for a client prescribed a benzodiazepine for
anxiety and explains to the client that this medication works as
which type of receptor modulator?
A. GABA agonist
B. GABA antagonist
C. Glutamate agonist
D. Glutamate antagonist
Correct Answer: A. GABA agonist
6. The nurse is providing education to a client newly prescribed an
SSRI for depression. Which statement correctly describes how SSRIs
act on the central nervous system?
,A. They prevent reuptake of serotonin from axon terminals and cause
downregulation of serotonin receptors
B. They increase reuptake of serotonin from axon terminals and
cause downregulation
C. They prevent reuptake of serotonin from axon terminals and cause
upregulation of serotonin receptors
D. They increase reuptake of serotonin from axon terminals and cause
upregulation of serotonin receptors
Correct Answer: A. They prevent reuptake of serotonin from axon
terminals and cause downregulation of serotonin receptors
7. The nurse is teaching a client about buspirone for anxiety
management. The nurse should explain that buspirone acts by which
mechanism?
A. Inhibiting GABA receptor stimulation
B. Increasing GABA receptor stimulation
C. Decreasing serotonin receptor stimulation
D. Increasing serotonin receptor stimulation
Correct Answer: D. Increasing serotonin receptor stimulation
8. The nurse is evaluating a client who suddenly discontinued their
anti-anxiety medication and is now experiencing anxiety that exceeds
their pretreatment levels. The nurse should document this as which
condition?
A. Rebound anxiety
B. Dependence-related anxiety
C. Fluctuating anxiety
D. Remission of anxiety
Correct Answer: A. Rebound anxiety
, 9. The nurse is assessing a client taking antipsychotic medication
for motor side effects. Which finding should the nurse recognize as
NOT being associated with antipsychotic drugs?
A. Pseudoparkinsonism
B. Tardive dyskinesia
C. Dystonia
D. Hyporeflexia
Correct Answer: D. Hyporeflexia
10. The nurse is monitoring a client for serotonin syndrome and
notes tachycardia and tremor. Which finding would the nurse NOT
expect to see in serotonin syndrome?
A. Tachycardia
B. Tremor
C. Orthostatic hypotension
D. Dystonia
Correct Answer: C. Orthostatic hypotension
11. The nurse is providing dietary teaching to a client prescribed an
antidepressant. Which medication class requires the client to avoid
fermented cheese and wines to prevent a hypertensive crisis?
A. Tricyclics
B. MAO inhibitors
C. SSRIs
D. SNRIs
Correct Answer: B. MAO inhibitors
