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NUR 2474 PHARMACOLOGY FINAL EXAM
NCLEX STYLE PRACTICE*** (PHARMACOLOGY
FOR PROFESSIONAL NURSING – RASMUSSEN)
QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS |DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
A man asks a nurse why he cannot use digoxin (Lanoxin)
for his heart failure, because both of his parents used it
for HF. The nurse will explain that digoxin is not first-line
therapy for which reason?
a.It causes tachycardia and increases the cardiac
workload.
b.It does not correct the underlying pathology of heart
failure.
c.It has a wide therapeutic range that makes dosing
difficult.
d.It may actually shorten the patient's life expectancy.
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❖b.It does not correct the underlying pathology of
heart failure.
The nurse working on a high-acuity medical-surgical unit
is prioritizing care for four patients who were just
admitted. Which patient should the nurse assess first?
a.The NPO patient with a blood glucose level of 80 mg/dL
who just received 20 units of 70/30 Novolin insulin
b.The patient with a pulse of 58 beats per minute who is
about to receive digoxin (Lanoxin)
c.The patient with a blood pressure of 136/92 mm Hg who
complains of having a headache
d.The patient with an allergy to penicillin who is receiving
an infusion of vancomycin (Vancocin)
❖a.The NPO patient with a blood glucose level of 80
mg/dL who just received 20 units of 70/30 Novolin
insulin
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Based on changes in hepatic function in older adult
patients, which adjustment should the nurse expect for
oral medications that undergo extensive first pass
metabolism?
a.A higher dose should be used with the same time
schedule.
b.The interval between doses should be increased.
c.No change is necessary
metabolism will not be affected.
d.The interval between doses should be reduced.
;
❖b.The interval between doses should be increased.
A nurse is preparing to give medications to four geriatric
patients who are all taking multiple medications. Which
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patient is most likely to have an adverse drug reaction
related to increased drug effects?
a.Obese patient
b.Patient with decreased serum creatinine
c.Patient with chronic diarrhea
d.Thin patient with a chronically low appetite
❖d.Thin patient with a chronically low appetite
A nurse is teaching a group of nursing students about
administering medications to older adult patients. Which
statement by a student indicates a need for further
teaching?
a."Alteration in hepatic function requires more frequent
drug dosing."
b."Changes in GI function in older adult patients lead to
lower serum drug levels."
NUR 2474 PHARMACOLOGY FINAL EXAM
NCLEX STYLE PRACTICE*** (PHARMACOLOGY
FOR PROFESSIONAL NURSING – RASMUSSEN)
QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS |DOWNLOAD AND
PASS | LATEST EXAM UPDATE 2026/2027
A man asks a nurse why he cannot use digoxin (Lanoxin)
for his heart failure, because both of his parents used it
for HF. The nurse will explain that digoxin is not first-line
therapy for which reason?
a.It causes tachycardia and increases the cardiac
workload.
b.It does not correct the underlying pathology of heart
failure.
c.It has a wide therapeutic range that makes dosing
difficult.
d.It may actually shorten the patient's life expectancy.
,Page 2 of 136
❖b.It does not correct the underlying pathology of
heart failure.
The nurse working on a high-acuity medical-surgical unit
is prioritizing care for four patients who were just
admitted. Which patient should the nurse assess first?
a.The NPO patient with a blood glucose level of 80 mg/dL
who just received 20 units of 70/30 Novolin insulin
b.The patient with a pulse of 58 beats per minute who is
about to receive digoxin (Lanoxin)
c.The patient with a blood pressure of 136/92 mm Hg who
complains of having a headache
d.The patient with an allergy to penicillin who is receiving
an infusion of vancomycin (Vancocin)
❖a.The NPO patient with a blood glucose level of 80
mg/dL who just received 20 units of 70/30 Novolin
insulin
,Page 3 of 136
Based on changes in hepatic function in older adult
patients, which adjustment should the nurse expect for
oral medications that undergo extensive first pass
metabolism?
a.A higher dose should be used with the same time
schedule.
b.The interval between doses should be increased.
c.No change is necessary
metabolism will not be affected.
d.The interval between doses should be reduced.
;
❖b.The interval between doses should be increased.
A nurse is preparing to give medications to four geriatric
patients who are all taking multiple medications. Which
, Page 4 of 136
patient is most likely to have an adverse drug reaction
related to increased drug effects?
a.Obese patient
b.Patient with decreased serum creatinine
c.Patient with chronic diarrhea
d.Thin patient with a chronically low appetite
❖d.Thin patient with a chronically low appetite
A nurse is teaching a group of nursing students about
administering medications to older adult patients. Which
statement by a student indicates a need for further
teaching?
a."Alteration in hepatic function requires more frequent
drug dosing."
b."Changes in GI function in older adult patients lead to
lower serum drug levels."
