ASSOCIATION OF REALTORS® (NSAR) / NOVA SCOTIA REAL
ESTATE COMMISSION – 2026/2027 ACADEMIC YEAR – VERIFIED
QUESTIONS AND ANSWERS FOR PROFESSIONAL REAL ESTATE
LICENSING CANDIDATES!!!
Pharmacology & Medication Administration
1. A patient with a history of asthma is prescribed a beta-blocker for
hypertension. Which medication should the nurse question?
A) Metoprolol
B) Atenolol
C) Propranolol
D) Carvedilol
Correct Answer: C
Rationale: Propranolol is a non-selective beta-blocker (blocks B1 and B2
receptors). Blocking B2 receptors in the lungs can cause bronchospasm,
making it contraindicated in asthma patients. Metoprolol and Atenolol are B1-
selective (cardioselective) and are safer, though still used with caution.
2. A nurse is preparing to administer Digoxin. Which finding would indicate a
therapeutic drug level?
A) 0.5 ng/mL
B) 1.2 ng/mL
C) 2.5 ng/mL
D) 3.0 ng/mL
,Correct Answer: B
Rationale: The therapeutic range for Digoxin is 0.8 – 2.0 ng/mL. 1.2 ng/mL
falls safely within this range. Levels below 0.8 may be subtherapeutic, while
levels above 2.0 increase the risk of toxicity.
3. A patient is started on Warfarin. The nurse notes an INR of 1.2. What is the
most appropriate nursing action?
A) Administer the medication as ordered.
B) Hold the medication and notify the provider.
C) Administer Vitamin K.
D) Increase the dose of Warfarin.
Correct Answer: A
Rationale: The therapeutic INR for most indications (e.g., atrial fibrillation) is
2.0-3.0. An INR of 1.2 indicates the patient is not yet therapeutically
anticoagulated. The initial dose should be administered as ordered, and the
provider will adjust the dose based on serial INRs. Vitamin K is the antidote
for overdose.
4. A patient is prescribed Lithium for bipolar disorder. Which instruction is
most important regarding diet?
A) Increase intake of salty foods.
B) Maintain consistent sodium intake.
C) Avoid foods high in tyramine.
D) Increase intake of grapefruit juice.
Correct Answer: B
Rationale: Lithium competes with sodium in the renal tubules. Fluctuations in
sodium intake can alter lithium serum levels. If sodium is low, lithium
reabsorption increases, leading to toxicity. Consistent sodium intake is crucial.
,5. A client taking MAOIs (Monoamine Oxidase Inhibitors) for depression is
admitted. Which food item on the tray should the nurse remove?
A) Broiled chicken
B) Mashed potatoes
C) Cheddar cheese
D) Green beans
Correct Answer: C
Rationale: MAOIs interact with tyramine-rich foods, leading to a hypertensive
crisis. Cheddar cheese is high in tyramine. Chicken, potatoes, and green beans
are considered safe.
6. A nurse is administering intravenous Potassium Chloride (KCl). Which
action is a priority?
A) Administer via rapid IV push for critical values.
B) Ensure the concentration does not exceed 40 mEq/100 mL.
C) Administer only via the intramuscular route.
D) Use a micro-drip chamber for infusion.
Correct Answer: B
Rationale: IV KCl is a high-alert medication. It must never be given via IV push
or IM. The maximum concentration for peripheral IV infusion is typically 40
mEq/100 mL to prevent vein irritation and cardiac arrest.
7. A patient is receiving Heparin subcutaneously. What technique should the
nurse use?
A) Massage the site for 1 minute after injection.
B) Aspirate before injecting.
, C) Administer in the abdomen, pinching the skin.
D) Use a 23-gauge, 1.5-inch needle.
Correct Answer: C
Rationale: Heparin is administered SC in the abdomen (2 inches away from
umbilicus) using a small gauge needle. The skin is pinched to inject into the
subcutaneous tissue. Do not aspirate or massage, as this causes hematoma
formation.
8. A patient on Furosemide (Lasix) is at risk for which electrolyte imbalance?
A) Hyperkalemia
B) Hyponatremia
C) Hypokalemia
D) Hypercalcemia
Correct Answer: C
Rationale: Furosemide is a loop diuretic that inhibits sodium and chloride
reabsorption in the ascending loop of Henle. This leads to increased excretion
of potassium, resulting in hypokalemia.
9. A child is prescribed Amoxicillin for otitis media. The parent asks what to
do if the child vomits right after taking the medicine. What is the best
response?
A) Give another full dose.
B) Wait until the next scheduled dose.
C) Administer half the dose.
D) Call the provider for a new prescription.
Correct Answer: B
Rationale: If vomiting occurs immediately (within 15-20 minutes) after a dose,
it may be acceptable to repeat the dose once if the medication is visibly in the