N352 PHARMACOLOGY UNIT 2 | COMPREHENSIVE NURSING PHARMACOLOGY
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Which action would the nurse take for a patient taking furosemide who has the following laboratory
results: sodium, 136 mEq/L; potassium, 3.2 mEq/L; chloride, 100 mEq/L; and blood urea nitrogen, 15
mg/dL?
A. begin a 24 hour urine collection
B. administer furosemide as prescribed
C. place the patient on a cardiac monitor
D. hold the furosemide and notify the healthcare provider - ANS ✔✔D. hold the furosemide and notify
the healthcare provider
Which drug prescription in the chart of a patient receiving furosemide would prompt the nurse to assess
the patient's hearing?
A. lithium
B. digoxin
C. gentamicin
D. spirnolactone - ANS ✔✔c. gentamicin
Which assessment finding indicates to the nurse that a therapeutic effect of mannitol has been
achieved?
A. increased calcium
B. decreased potassium
C. increased intraocular pressure (IOP)
C. decreased intracranial pressure (ICP) - ANS ✔✔D. decreased intracranial pressure (ICP)
The healthcare provider prescribes furosemide 20 mg administered intravenously twice daily. The
medication available is furosemide 10 mg/mL. How many milliliters would the nurse administer with
each dose?
A. 1 mL
B. 2 mL
C. 4 mL
D. 0.5 mL - ANS ✔✔B. 2 mL
Which intervention would the nurse taken when a patient taking hydrochlorothizide experiences muscle
weakness, cramping, and leg discomfort?
A. reduce salt in the patient's diet
B. administer calcium supplements
C. assess the serum potassium level
D. give a lower dose of the medication - ANS ✔✔C. assess the serum potassium level
Which information would the nurse provide to a patient who is receiving spirnolactone and furosemide
therapy?
A. "Using two drugs increases the osmolality of plasma and the glomerlar filtration rate."
B. "This combination prevents dehydration and loss of fluid volume."
C. "Moderate doses of two different diuretics are more effective than a large dose of one."
, D. "This combination promotes urine output but decreases the risk of low potassium." - ANS ✔✔D. "This
combination promotes urine output but decreases the risk of low potassium."
The nurse is working in the emergency department when a patient with a head injury develops
increased intracranial pressure. Which drug would the nurse anticipate administering?
A. mannitol
B. metolazone
C. spirnolactone
D. hydrochlorothiazide - ANS ✔✔A. mannitol
Hydrochlorothiazide is used primarily for which condition?
A. edema
B. hypertension
C. diabetes insipidus
D. protection against postmenopausal osteoporosis - ANS ✔✔B. hypertension
A patient is prescribed furosemide to be given via intravenous push. Which intervention would the nurse
perform? Select all that apply.
A. obtain weight
B. assess lung sounds
C. administer slowly over 1 to 2 minutes
D. monitor electrocardiogram continously
E. maintain accurate intake and output record
F. insert an arterial line for continous blood pressure monitoring - ANS ✔✔A. obtain weight
B. assess lung sounds
C. administer slowly over 1 to 2 minutes
E. maintain accurate intake and output record
After the nurse reviews the chart, which findings would cause the nurse to notify the healthcare
provider?
A. hypouricemia and edema
B. digoxin and hypokalemia
C. hypocalcemia and the patient lives alone
D. furosemide and spirnolactone - ANS ✔✔B. digoxin and hypokalemia
The nurse is caring for a patient who has congestive heart failure. The patient's medical history indicates
that the patient has a history of chronic kidney disease with a low glomerular filtration rate. Which drug
would the nurse anticipate being prescribed for the patient?
A. furosemide
B. metolazone
C. methyclothiazide
D. hydrochlorothiazide - ANS ✔✔A. furosemide
Diuretics mostly affect which function of the kidneys?
A. excretion of metabolic waste
B. elimination of foreign substances
C. maintenance of acid-base balance
D. maintenance of extracellular fluid volume - ANS ✔✔D. maintenance of extracellular fluid volume
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Which action would the nurse take for a patient taking furosemide who has the following laboratory
results: sodium, 136 mEq/L; potassium, 3.2 mEq/L; chloride, 100 mEq/L; and blood urea nitrogen, 15
mg/dL?
A. begin a 24 hour urine collection
B. administer furosemide as prescribed
C. place the patient on a cardiac monitor
D. hold the furosemide and notify the healthcare provider - ANS ✔✔D. hold the furosemide and notify
the healthcare provider
Which drug prescription in the chart of a patient receiving furosemide would prompt the nurse to assess
the patient's hearing?
A. lithium
B. digoxin
C. gentamicin
D. spirnolactone - ANS ✔✔c. gentamicin
Which assessment finding indicates to the nurse that a therapeutic effect of mannitol has been
achieved?
A. increased calcium
B. decreased potassium
C. increased intraocular pressure (IOP)
C. decreased intracranial pressure (ICP) - ANS ✔✔D. decreased intracranial pressure (ICP)
The healthcare provider prescribes furosemide 20 mg administered intravenously twice daily. The
medication available is furosemide 10 mg/mL. How many milliliters would the nurse administer with
each dose?
A. 1 mL
B. 2 mL
C. 4 mL
D. 0.5 mL - ANS ✔✔B. 2 mL
Which intervention would the nurse taken when a patient taking hydrochlorothizide experiences muscle
weakness, cramping, and leg discomfort?
A. reduce salt in the patient's diet
B. administer calcium supplements
C. assess the serum potassium level
D. give a lower dose of the medication - ANS ✔✔C. assess the serum potassium level
Which information would the nurse provide to a patient who is receiving spirnolactone and furosemide
therapy?
A. "Using two drugs increases the osmolality of plasma and the glomerlar filtration rate."
B. "This combination prevents dehydration and loss of fluid volume."
C. "Moderate doses of two different diuretics are more effective than a large dose of one."
, D. "This combination promotes urine output but decreases the risk of low potassium." - ANS ✔✔D. "This
combination promotes urine output but decreases the risk of low potassium."
The nurse is working in the emergency department when a patient with a head injury develops
increased intracranial pressure. Which drug would the nurse anticipate administering?
A. mannitol
B. metolazone
C. spirnolactone
D. hydrochlorothiazide - ANS ✔✔A. mannitol
Hydrochlorothiazide is used primarily for which condition?
A. edema
B. hypertension
C. diabetes insipidus
D. protection against postmenopausal osteoporosis - ANS ✔✔B. hypertension
A patient is prescribed furosemide to be given via intravenous push. Which intervention would the nurse
perform? Select all that apply.
A. obtain weight
B. assess lung sounds
C. administer slowly over 1 to 2 minutes
D. monitor electrocardiogram continously
E. maintain accurate intake and output record
F. insert an arterial line for continous blood pressure monitoring - ANS ✔✔A. obtain weight
B. assess lung sounds
C. administer slowly over 1 to 2 minutes
E. maintain accurate intake and output record
After the nurse reviews the chart, which findings would cause the nurse to notify the healthcare
provider?
A. hypouricemia and edema
B. digoxin and hypokalemia
C. hypocalcemia and the patient lives alone
D. furosemide and spirnolactone - ANS ✔✔B. digoxin and hypokalemia
The nurse is caring for a patient who has congestive heart failure. The patient's medical history indicates
that the patient has a history of chronic kidney disease with a low glomerular filtration rate. Which drug
would the nurse anticipate being prescribed for the patient?
A. furosemide
B. metolazone
C. methyclothiazide
D. hydrochlorothiazide - ANS ✔✔A. furosemide
Diuretics mostly affect which function of the kidneys?
A. excretion of metabolic waste
B. elimination of foreign substances
C. maintenance of acid-base balance
D. maintenance of extracellular fluid volume - ANS ✔✔D. maintenance of extracellular fluid volume
