NUR210 PHARMACOLOGY EXAM 2 (V1-
V3) GALEN MASTERY QUESTIONS AND
ANSWERS
1. A patient is prescribed Warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to evaluate the effectiveness of this therapy?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. International Normalized Ratio (INR)
D. Serum potassium levels
Answer: C
Conceptual Explanation: INR is the standard laboratory test used to monitor the
therapeutic effect of Warfarin. aPTT is used for Heparin monitoring.
2. A nurse is preparing to administer Lisinopril to a patient. Which adverse effect is most
commonly associated with ACE inhibitors and requires immediate notification to the provider
if it affects the airway?
A. Persistent dry cough
,B. Angioedema
C. Hypokalemia
D. Tachycardia
Answer: B
Conceptual Explanation: Angioedema is a potentially life-threatening side effect of ACE
inhibitors involving swelling of the face, lips, and tongue. While a dry cough is common,
angioedema is a priority concern.
3. A patient with a history of asthma is diagnosed with hypertension. Which beta-blocker
should the nurse clarify with the provider?
A. Metoprolol
B. Atenolol
C. Bisoprolol
D. Propranolol
Answer: D
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making it contraindicated
for patients with asthma.
, 4. The nurse is caring for a patient receiving Digoxin. The patient reports seeing yellow-green
halos around lights. What is the nurse’s priority action?
A. Check the patient’s serum Digoxin level
B. Administer the next dose as scheduled
C. Encourage the patient to increase potassium intake
D. Assess the patient’s apical pulse for 30 seconds
Answer: A
Conceptual Explanation: Visual disturbances such as yellow-green halos are classic signs
of Digoxin toxicity. The nurse must assess the serum level and hold the medication if toxic.
5. A patient is prescribed Furosemide for heart failure. Which electrolyte imbalance is the
patient at greatest risk for developing?
A. Hyperkalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypokalemia
Answer: D
Conceptual Explanation: Furosemide is a loop diuretic that promotes the excretion of
potassium, leading to a risk of hypokalemia.
V3) GALEN MASTERY QUESTIONS AND
ANSWERS
1. A patient is prescribed Warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to evaluate the effectiveness of this therapy?
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. International Normalized Ratio (INR)
D. Serum potassium levels
Answer: C
Conceptual Explanation: INR is the standard laboratory test used to monitor the
therapeutic effect of Warfarin. aPTT is used for Heparin monitoring.
2. A nurse is preparing to administer Lisinopril to a patient. Which adverse effect is most
commonly associated with ACE inhibitors and requires immediate notification to the provider
if it affects the airway?
A. Persistent dry cough
,B. Angioedema
C. Hypokalemia
D. Tachycardia
Answer: B
Conceptual Explanation: Angioedema is a potentially life-threatening side effect of ACE
inhibitors involving swelling of the face, lips, and tongue. While a dry cough is common,
angioedema is a priority concern.
3. A patient with a history of asthma is diagnosed with hypertension. Which beta-blocker
should the nurse clarify with the provider?
A. Metoprolol
B. Atenolol
C. Bisoprolol
D. Propranolol
Answer: D
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making it contraindicated
for patients with asthma.
, 4. The nurse is caring for a patient receiving Digoxin. The patient reports seeing yellow-green
halos around lights. What is the nurse’s priority action?
A. Check the patient’s serum Digoxin level
B. Administer the next dose as scheduled
C. Encourage the patient to increase potassium intake
D. Assess the patient’s apical pulse for 30 seconds
Answer: A
Conceptual Explanation: Visual disturbances such as yellow-green halos are classic signs
of Digoxin toxicity. The nurse must assess the serum level and hold the medication if toxic.
5. A patient is prescribed Furosemide for heart failure. Which electrolyte imbalance is the
patient at greatest risk for developing?
A. Hyperkalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypokalemia
Answer: D
Conceptual Explanation: Furosemide is a loop diuretic that promotes the excretion of
potassium, leading to a risk of hypokalemia.
