NUR 210 PHARMACOLOGY FINAL
EXAM V1-V3 QUESTIONS AND
ANSWERS
1. A patient is receiving Digoxin 0.25 mg daily. Which of the following findings would most
likely indicate digoxin toxicity?
A. Hyperkalemia and tachycardia
B. Yellow-green halos around lights and nausea
C. Increased urinary output and hypertension
D. Dry mouth and constipation
Answer: B
Conceptual Explanation: Classic signs of digoxin toxicity include visual disturbances such
as yellow-green halos, along with gastrointestinal symptoms like nausea and vomiting.
2. Which laboratory value is most critical for a nurse to monitor in a patient receiving
Enalapril?
A. Blood Glucose
B. Serum Sodium
,C. Platelet count
D. Serum Potassium
Answer: D
Conceptual Explanation: ACE inhibitors like Enalapril can lead to hyperkalemia because
they decrease aldosterone secretion, which results in potassium retention.
3. A patient with a history of asthma is prescribed Propranolol for hypertension. Why should
the nurse clarify this order with the provider?
A. Propranolol causes excessive bronchodilation
B. Propranolol increases the heart rate too rapidly in asthmatics
C. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction
D. Propranolol masks the symptoms of hypoglycemia
Answer: C
Conceptual Explanation: Non-selective beta-blockers block both Beta-1 and Beta-2
receptors. Blocking Beta-2 receptors in the lungs can cause life-threatening bronchospasm
in patients with asthma.
4. Which medication is the drug of choice for treating a patient in status epilepticus?
A. Phenytoin
B. Lorazepam
C. Valproic acid
, D. Ethosuximide
Answer: B
Conceptual Explanation: Benzodiazepines like Lorazepam or Diazepam are the first-line
treatment for status epilepticus due to their rapid onset in stopping seizure activity.
5. A patient is prescribed Furosemide. Which of the following should the nurse encourage the
patient to consume more of?
A. Bananas and orange juice
B. Cranberry juice
C. White bread and pasta
D. Milk and cheese
Answer: A
Conceptual Explanation: Furosemide is a loop diuretic that causes significant potassium
loss. Consuming potassium-rich foods like bananas helps prevent hypokalemia.
6. What is the therapeutic serum range for a patient taking Lithium for bipolar disorder?
A. 0.1 to 0.5 mEq/L
B. 0.6 to 1.2 mEq/L
C. 2.0 to 3.5 mEq/L
D. 5.0 to 10.0 mEq/L
EXAM V1-V3 QUESTIONS AND
ANSWERS
1. A patient is receiving Digoxin 0.25 mg daily. Which of the following findings would most
likely indicate digoxin toxicity?
A. Hyperkalemia and tachycardia
B. Yellow-green halos around lights and nausea
C. Increased urinary output and hypertension
D. Dry mouth and constipation
Answer: B
Conceptual Explanation: Classic signs of digoxin toxicity include visual disturbances such
as yellow-green halos, along with gastrointestinal symptoms like nausea and vomiting.
2. Which laboratory value is most critical for a nurse to monitor in a patient receiving
Enalapril?
A. Blood Glucose
B. Serum Sodium
,C. Platelet count
D. Serum Potassium
Answer: D
Conceptual Explanation: ACE inhibitors like Enalapril can lead to hyperkalemia because
they decrease aldosterone secretion, which results in potassium retention.
3. A patient with a history of asthma is prescribed Propranolol for hypertension. Why should
the nurse clarify this order with the provider?
A. Propranolol causes excessive bronchodilation
B. Propranolol increases the heart rate too rapidly in asthmatics
C. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction
D. Propranolol masks the symptoms of hypoglycemia
Answer: C
Conceptual Explanation: Non-selective beta-blockers block both Beta-1 and Beta-2
receptors. Blocking Beta-2 receptors in the lungs can cause life-threatening bronchospasm
in patients with asthma.
4. Which medication is the drug of choice for treating a patient in status epilepticus?
A. Phenytoin
B. Lorazepam
C. Valproic acid
, D. Ethosuximide
Answer: B
Conceptual Explanation: Benzodiazepines like Lorazepam or Diazepam are the first-line
treatment for status epilepticus due to their rapid onset in stopping seizure activity.
5. A patient is prescribed Furosemide. Which of the following should the nurse encourage the
patient to consume more of?
A. Bananas and orange juice
B. Cranberry juice
C. White bread and pasta
D. Milk and cheese
Answer: A
Conceptual Explanation: Furosemide is a loop diuretic that causes significant potassium
loss. Consuming potassium-rich foods like bananas helps prevent hypokalemia.
6. What is the therapeutic serum range for a patient taking Lithium for bipolar disorder?
A. 0.1 to 0.5 mEq/L
B. 0.6 to 1.2 mEq/L
C. 2.0 to 3.5 mEq/L
D. 5.0 to 10.0 mEq/L
