pharmacology for Nurses: A
Pathophysiologic Approach, 7th
Edition — Chapters 31–40 Practice
Examination with Answer
Rationales
100 Questions • Answers • Detailed Rationales
Prepared Study Material
This comprehensive practice examination has been prepared as an original study and exam-
preparation resource covering major pharmacology concepts from Chapters 31–40.
What’s Covered
• Section 1: Cardiovascular Pharmacology — Questions 1–10
• Section 2: Respiratory Pharmacology — Questions 11–20
• Section 3: Endocrine Pharmacology — Questions 21–30
• Section 4: Gastrointestinal Pharmacology — Questions 31–40
• Section 5: Neurologic & Psychiatric Pharmacology — Questions 41–50
• Section 6: Antimicrobial Pharmacology — Questions 51–60
• Section 7: Pain & Inflammatory Pharmacology — Questions 61–70
• Section 8: Hematologic Pharmacology — Questions 71–80
• Section 9: Renal & Electrolyte Pharmacology — Questions 81–90
• Section 10: Comprehensive Nursing Pharmacology & Clinical Judgment —
Questions 91–100
IMPORTANT:
This is an original practice examination created for study purposes. It is not the
publisher's actual test bank and does not reproduce copyrighted test-bank questions or
answers.
PHARMACOLOGY • NURSING • CLINICAL JUDGMENT
,Section 1 — Cardiovascular Pharmacology
Questions 1–10
1. A patient taking an ACE inhibitor develops swelling of the lips and
tongue. What is the nurse's priority action?
A. Give the next dose with food
B. Hold the medication and assess the airway
C. Administer potassium
D. Place the patient in Trendelenburg position
Answer: B
Rationale: Angioedema is a potentially life-threatening adverse
effect of ACE inhibitors. The priority is to discontinue/hold the
medication and assess and protect the airway.
2. Which assessment finding is most concerning in a patient receiving
digoxin?
A. Heart rate of 52/min
B. Blood pressure of 128/76 mmHg
C. Respiratory rate of 18/min
D. Temperature of 37°C
Answer: A
Rationale: Digoxin can cause bradycardia and various dysrhythmias.
A markedly decreased heart rate requires assessment before
administration.
3. Which electrolyte imbalance increases the risk of digoxin toxicity?
A. Hypernatremia
B. Hypokalemia
C. Hyperchloremia
D. Hypermagnesemia
Answer: B
Rationale: Low potassium increases myocardial sensitivity to digoxin
and increases the risk of toxicity.
4. A patient taking furosemide should be monitored particularly
closely for:
A. Hyperkalemia
B. Hypokalemia
, C. Hypercalcemia
D. Hypernatremia
Answer: B
Rationale: Furosemide is a loop diuretic that promotes potassium
loss. Hypokalemia can produce weakness and potentially serious
dysrhythmias.
5. Which statement by a patient taking nitroglycerin requires further
teaching?
A. "I may develop a headache."
B. "I should sit down before taking the medication."
C. "I can take sildenafil at the same time."
D. "I should follow the prescribed dosing instructions."
Answer: C
Rationale: Nitrates combined with phosphodiesterase-5 inhibitors
such as sildenafil can cause profound hypotension and are
contraindicated.
6. Which medication is commonly used to decrease platelet
aggregation?
A. Clopidogrel
B. Furosemide
C. Digoxin
D. Atorvastatin
Answer: A
Rationale: Clopidogrel inhibits platelet aggregation and is used to
reduce thrombotic cardiovascular events.
7. A patient taking warfarin should be taught to maintain a consistent
intake of foods containing:
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B12
Answer: C
Rationale: Vitamin K affects warfarin activity. Patients do not
necessarily need to eliminate vitamin-K-containing foods, but intake
should remain consistent.
Pathophysiologic Approach, 7th
Edition — Chapters 31–40 Practice
Examination with Answer
Rationales
100 Questions • Answers • Detailed Rationales
Prepared Study Material
This comprehensive practice examination has been prepared as an original study and exam-
preparation resource covering major pharmacology concepts from Chapters 31–40.
What’s Covered
• Section 1: Cardiovascular Pharmacology — Questions 1–10
• Section 2: Respiratory Pharmacology — Questions 11–20
• Section 3: Endocrine Pharmacology — Questions 21–30
• Section 4: Gastrointestinal Pharmacology — Questions 31–40
• Section 5: Neurologic & Psychiatric Pharmacology — Questions 41–50
• Section 6: Antimicrobial Pharmacology — Questions 51–60
• Section 7: Pain & Inflammatory Pharmacology — Questions 61–70
• Section 8: Hematologic Pharmacology — Questions 71–80
• Section 9: Renal & Electrolyte Pharmacology — Questions 81–90
• Section 10: Comprehensive Nursing Pharmacology & Clinical Judgment —
Questions 91–100
IMPORTANT:
This is an original practice examination created for study purposes. It is not the
publisher's actual test bank and does not reproduce copyrighted test-bank questions or
answers.
PHARMACOLOGY • NURSING • CLINICAL JUDGMENT
,Section 1 — Cardiovascular Pharmacology
Questions 1–10
1. A patient taking an ACE inhibitor develops swelling of the lips and
tongue. What is the nurse's priority action?
A. Give the next dose with food
B. Hold the medication and assess the airway
C. Administer potassium
D. Place the patient in Trendelenburg position
Answer: B
Rationale: Angioedema is a potentially life-threatening adverse
effect of ACE inhibitors. The priority is to discontinue/hold the
medication and assess and protect the airway.
2. Which assessment finding is most concerning in a patient receiving
digoxin?
A. Heart rate of 52/min
B. Blood pressure of 128/76 mmHg
C. Respiratory rate of 18/min
D. Temperature of 37°C
Answer: A
Rationale: Digoxin can cause bradycardia and various dysrhythmias.
A markedly decreased heart rate requires assessment before
administration.
3. Which electrolyte imbalance increases the risk of digoxin toxicity?
A. Hypernatremia
B. Hypokalemia
C. Hyperchloremia
D. Hypermagnesemia
Answer: B
Rationale: Low potassium increases myocardial sensitivity to digoxin
and increases the risk of toxicity.
4. A patient taking furosemide should be monitored particularly
closely for:
A. Hyperkalemia
B. Hypokalemia
, C. Hypercalcemia
D. Hypernatremia
Answer: B
Rationale: Furosemide is a loop diuretic that promotes potassium
loss. Hypokalemia can produce weakness and potentially serious
dysrhythmias.
5. Which statement by a patient taking nitroglycerin requires further
teaching?
A. "I may develop a headache."
B. "I should sit down before taking the medication."
C. "I can take sildenafil at the same time."
D. "I should follow the prescribed dosing instructions."
Answer: C
Rationale: Nitrates combined with phosphodiesterase-5 inhibitors
such as sildenafil can cause profound hypotension and are
contraindicated.
6. Which medication is commonly used to decrease platelet
aggregation?
A. Clopidogrel
B. Furosemide
C. Digoxin
D. Atorvastatin
Answer: A
Rationale: Clopidogrel inhibits platelet aggregation and is used to
reduce thrombotic cardiovascular events.
7. A patient taking warfarin should be taught to maintain a consistent
intake of foods containing:
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B12
Answer: C
Rationale: Vitamin K affects warfarin activity. Patients do not
necessarily need to eliminate vitamin-K-containing foods, but intake
should remain consistent.
