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Pharmacology Final Exam Questions Study Guide | Practice Questions & Answers | Nursing Review | Latest Update 2026

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Comprehensive Pharmacology Final Exam study resource featuring practice questions and answers for nursing exam preparation. Review essential pharmacology concepts including medication administration, pharmacokinetics, pharmacodynamics, dosage calculations, therapeutic effects, adverse drug reactions, drug interactions, contraindications, medication safety, patient education, and nursing interventions. Designed to help nursing students strengthen clinical judgment, identify knowledge gaps, and reinforce safe medication-management principles. Ideal for RN and PN students preparing for pharmacology coursework, quizzes, final exams, and NCLEX-style practice. Updated for 2026 with an exam-focused approach to major medication concepts and nursing responsibilities.

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ATI PHARMACOLOGY 2019 PROCTORED EXAM-
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REVISED FULL EXAM 2026 (100%CORRECT& VERIFIED
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ANSWERS) j




1. Whenadministeringthedrugsennatoa patient,ahealthcareprovidermustinformthe
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patient of which of the following
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a. This drugisintendedtolowerbloodpressure andisbest usedincombination with
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other antihypertensivej j




b. This drug is not intended for long term use j j j j j j j j




c. The patientmust limithis/herfiberintake j j j j j j




d. Advisepatienttochangepositionsslowlytolimittheriskoforthostatic j j j j j j j j j j j




hypotension j




2. When giving digoxin (Lanoxin) to a patient, the health care provider notices various signs
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andsymptomsofan overdose.Thehealthcareprovider knowstogive which ofthe following
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to reverse digoxin toxicity
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a. Naloxone
b. VitaminK j j




c. Digibind
d. Fluemanzil

3. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the
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action of the drug is. As a health care provider, you explain that the action of an ACE inhibitor is
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a. To lower blood pressure by blocking the conversion of angiotensin I to
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vasoconstrictor angiotensin II
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b. Toinhibitreabsorptionofsodiumbackintothebody,ultimatelyincreasingurine
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output and lowering blood pressure
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c. TodecreaseheartrateandbloodpressurebycompetingwithBeta1andBeta2
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receptors in the heart and lungs
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d. Tolowerbloodglucosebystimulatingthereleaseofinsulin
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4. Whichof the following types of insulin is “long-acting”?
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a. Lispro(Humalog) j




b. NPH (Humulin N) j j




c. Regularinsulin(HumulinR) j j j




d. Glargine (Lantus) j




1. What is the therapeutic use of metformin?
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A. Lower blood pressure. j j




B. Todiminishseizure activity
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C. The maintenance of a person’s blood glucose.
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D. Increase heart rate and decrease gastrointestinal secretions. j j j j j j

,1. What is the correct definition for absorption of a drug?
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A. Movement of drug from site of administration to various tissues of the body. j j j j j j j j j j j j




B. Describes the absorption, distribution, metabolism & excretion of drugs.
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C. These types of drugs can be taken over the counter.
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D. This addresses how various drugs affect different forms of the body.
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2. What do you assess for in a patient who is on Valproate? Select all that apply.
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A. Suicidal thoughts j




B. Monitor for seizures. j j




C. Bipolar disorder. j




D. Migraines.


3. What is true about food and drug precautions? Select all that apply.
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A. You must limit certain types of food or concurrent administration of certain
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types of drugs j jj j




B. Certain combinations of food and drugs can cause adverse reactions. j j j j j j j j j




C. Precautions may require limiting certain types of food or concurring drugs j j j j j j j j j j




rather than restricting the drug itself.
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D. When one drug changes the way, another drug affects that drug. j j j j j j j j j j




1. ACEInhibitors are used inthe treatment of all EXCEPT:
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a. Hypertension
b. Heart Failure j




c. Hypotension
d. Diabeticnephropathy j




2. Whichof the following isused to treat migraine headaches?
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a. Beta-blockers
b. Cholinesterase Inhibitors j




c. ACE inhibitors j




d. Anti-epilepticdrugs(AEDs) j j




3. WhenadministeringaSerotonin Antagonistitisimportant tomonitorfor
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a. Intakeandoutput j j




b. Mental status changes j j




c. Respiratory rate j




d. Anorexia

4. Which of thefollowingisthe antidoteforHeparin?
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a. Protamine sulfate j

, b. VitaminK j




c. Naloxone
d. Toradol


1. A patient has been taking hydrocodone, and opioid analgesic for their moderate pain, and
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they have taken over their prescribed dose. What should you give as the antidote if they
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experience toxicity?
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A. Naloxone
B. N-acetylcysteine
C. Atropine
D. DigoxinimmuneFab j j




1. Apatientisbeingeducatedontakinglevothyroxine,adrugusedtobalancethyroid
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activity. What should you include in their education?
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A. Don’tbotheryourhealthcare professionalsifyou experienceside effects j j j j j j j j j j




B. Take this at the same time every day j j j j j j j




C. Thyroidtestsare unnecessarywhile takingthisdrug j j j j j j j




D. Itisokay totake thisdrug ifyouhave recentlyhad amyocardial infarction
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1. Apatientstatesheexperiencesanxietyandhaspanicattacksatleastonceaweek.What might
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be helpful for this patient?
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A. Phenytoin(Dilantin) j




B. Lithium
C. Alprazolam (Xanax) j




D. Spironolactone

1. Which of the following is NOT an opioid or NSAID?
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A. Morphine
B. Ibuprofen
C. Hydromorphone
D. Acetaminophen


1) Why is it important to monitor ins and outs with patients usingACE inhibitors?
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A. To assess for renal impairment j j j j




B. You must make sure the patient is receiving adequate fluid intake
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C. To assess the patient forpotential heart failure
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D. Youmust assess for NSAID use j j j j j




E. To assess for decreased blood pressure
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, 2) Which drug goes through extensive first-pass hepatic metabolism?
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A. Heparin
B. Insulin
C. Propranolol j




D. Nitroglycerine
E. Warfarin

3) What nursing interventions should you do when a patient is onAlbuterol (select all that
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apply)
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A. Assess lung sounds, Pulse, and Blood pressure before administering
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B. Monitor for changes in behavior j j j j




C. Observe for paradoxical bronchospasms
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D. Assess for abdominal distention j j j




E. Note sputum color and texture j j j j




4) What patient could potentially take the drug Senna?
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A. Apatient with an eating disorder j j j j j




B. Apatient who has not passed stool in 5 days
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C. Apatient with anal fissures j j j j




D. Apatient with a history of hemorrhoids j j j j j j




E. Apatient who has hypersensitivity j j j j




Question #1 j




What is the category class of Lithium?
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A. Antidiabetics, biguanides j




B. Mood stabilizers j




C. Antiarrhythmics, anticonvulsants j




D. Vascular headache suppressants j j




Question #2 j




What do you need to teach yourpatient if they are taking sennosides? SelectAllThat Apply.
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A. Laxatives should be used for short-term therapy j j j j j j




B. The medication does not cure hypothyroidism
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C. The color of the urine may change to a pink, red, violet, yellow, or brown
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D. Make sure other forms of bowel regulation are being used j j j j j j j j j j




Question #3 j




What is the therapeutic use of Phenytoin?
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A. Replacement in hypothyroidism to restore normal hormonal balance j j j j j j j




B. Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal j j j j j j j j j j




reflux
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C. Diminished seizure activity, termination of ventricular arrhythmias j j j j j j




D. Prevention of thrombus formation, prevention of extension of existing thrombi j j j j j j j j j

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