NUR 210 Pharmacology Exam 4 - Advanced Nursing Ph… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 210 Pharmacology Exam 4 - Advanced Nursing
Pharmacology 2026/2027 UPDATE Galen College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 210 Pharmacology Exam 4 - Advanced Nursing Ph… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is receiving Digoxin for heart failure. Which of the following lab values would
most significantly increase the risk for Digoxin toxicity?
A. Sodium 138 mEq/L
B. Magnesium 2.0 mg/dL
C. Calcium 9.5 mg/dL
D. Potassium 3.2 mEq/L
Answer: D
Rationale: Hypokalemia (low potassium) sensitizes the myocardium to Digoxin, significantly
increasing the risk of toxicity even if the drug level is within the therapeutic range. Knowing the reason
behind the correct answer makes it easier to rule out the wrong options quickly. Look for the choice
that protects the client and matches the priority need. Clear understanding of this concept improves
both test performance and everyday clinical judgment. Practice applying it to short case scenarios to
lock the idea in place.
2. Which medication is the preferred antidote for a patient experiencing a life-threatening
hemorrhage while on Heparin therapy?
A. Vitamin K
B. Aminocaproic acid
C. Protamine sulfate
D. Glucagon
Answer: C
Rationale: Protamine sulfate is the specific antagonist used to neutralize the anticoagulant effects of
Heparin. This is important because the nurse must choose the action that keeps the client safest while
still meeting their basic needs. Always think about safety first when answering these questions. This is
important because the nurse must choose the action that keeps the client safest while still meeting
their basic needs. Always think about safety first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Pharmacology Exam 4 - Advanced Nursing Ph… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer Lisinopril to a patient. Which adverse effect is most
commonly associated with ACE inhibitors and may require switching to an ARB?
A. Persistent dry cough
B. Hypokalemia
C. Peripheral edema
D. Tachycardia
Answer: A
Rationale: ACE inhibitors prevent the breakdown of bradykinin in the lungs, which can lead to a
persistent, non-productive dry cough. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
This knowledge supports safe care and helps the nurse teach the client and family clearly and simply.
Clear teaching improves cooperation and reduces anxiety.
4. When administering Nitroglycerin sublingually for angina, what is the maximum number of
doses that can be given in a 15-minute period?
A. 1 dose
B. 3 doses
C. 2 doses
D. 4 doses
Answer: B
Rationale: The standard protocol for sublingual nitroglycerin is one tablet every 5 minutes for up to 3
doses. If pain persists after the first dose, the patient should seek emergency care. Understanding this
helps the nurse notice early warning signs and act before the problem gets worse. Early action often
prevents bigger complications for the client. Understanding this helps the nurse notice early warning
signs and act before the problem gets worse. Early action often prevents bigger complications for the
client.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 210 Pharmacology Exam 4 - Advanced Nursing
Pharmacology 2026/2027 UPDATE Galen College
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 210 Pharmacology Exam 4 - Advanced Nursing Ph… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient is receiving Digoxin for heart failure. Which of the following lab values would
most significantly increase the risk for Digoxin toxicity?
A. Sodium 138 mEq/L
B. Magnesium 2.0 mg/dL
C. Calcium 9.5 mg/dL
D. Potassium 3.2 mEq/L
Answer: D
Rationale: Hypokalemia (low potassium) sensitizes the myocardium to Digoxin, significantly
increasing the risk of toxicity even if the drug level is within the therapeutic range. Knowing the reason
behind the correct answer makes it easier to rule out the wrong options quickly. Look for the choice
that protects the client and matches the priority need. Clear understanding of this concept improves
both test performance and everyday clinical judgment. Practice applying it to short case scenarios to
lock the idea in place.
2. Which medication is the preferred antidote for a patient experiencing a life-threatening
hemorrhage while on Heparin therapy?
A. Vitamin K
B. Aminocaproic acid
C. Protamine sulfate
D. Glucagon
Answer: C
Rationale: Protamine sulfate is the specific antagonist used to neutralize the anticoagulant effects of
Heparin. This is important because the nurse must choose the action that keeps the client safest while
still meeting their basic needs. Always think about safety first when answering these questions. This is
important because the nurse must choose the action that keeps the client safest while still meeting
their basic needs. Always think about safety first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 210 Pharmacology Exam 4 - Advanced Nursing Ph… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer Lisinopril to a patient. Which adverse effect is most
commonly associated with ACE inhibitors and may require switching to an ARB?
A. Persistent dry cough
B. Hypokalemia
C. Peripheral edema
D. Tachycardia
Answer: A
Rationale: ACE inhibitors prevent the breakdown of bradykinin in the lungs, which can lead to a
persistent, non-productive dry cough. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
This knowledge supports safe care and helps the nurse teach the client and family clearly and simply.
Clear teaching improves cooperation and reduces anxiety.
4. When administering Nitroglycerin sublingually for angina, what is the maximum number of
doses that can be given in a 15-minute period?
A. 1 dose
B. 3 doses
C. 2 doses
D. 4 doses
Answer: B
Rationale: The standard protocol for sublingual nitroglycerin is one tablet every 5 minutes for up to 3
doses. If pain persists after the first dose, the patient should seek emergency care. Understanding this
helps the nurse notice early warning signs and act before the problem gets worse. Early action often
prevents bigger complications for the client. Understanding this helps the nurse notice early warning
signs and act before the problem gets worse. Early action often prevents bigger complications for the
client.
Exam (Elaborations) • Detailed Rationales Page 3
