NURSING PHARMACOLOGY · OBJECTIVE ASSESSMENT
A+ VERIFIED
Exam 2: NU150/ NU 150 (Latest 2026/2027 Update)
Pharmacology Review | Questions & Answers | Grade A |
100% Correct (Verified Solutions) - Galen 2026/2027 — Complete
Official Exam
50 Questions Full Rationales Verified Answers
A+ 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Adrenal and Thyroid Hormones
02 Respiratory System Medications
03 Anti-Infective and Antitubercular Agents
04 Antihistamines, Allergy, and Immune Modulators
05 Cardiovascular, Diuretic, and Supportive Agents
ABOUT THIS ASSESSMENT
Build mastery in nursing pharmacology — from adrenal and thyroid hormone replacement and glucocorticoid therapy to respiratory
agents, antitubercular regimens, antihistamines, and cardiovascular supportive medications. This assessment targets application
and analysis skills required for NU150 Exam 2, with full rationales for every answer to reinforce safe clinical decision-making across
the lifespan.
PASSING SCORE LEVEL FORMAT
80% Undergraduate (Nursing Pharmacology) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: ADRENAL AND THYROID HORMONES
Q1. A 58-year-old client with rheumatoid arthritis has been prescribed prednisone 20 mg daily. During the follow-up visit the
nurse notes new facial rounding, increased blood glucose, and reports of insomnia. Which nursing action takes priority at this
time?
A. Recommend increasing dietary sodium to offset fluid shifts
B. Collaborate with the provider about possible dose tapering or alternative therapy
C. Instruct the client to take the dose at bedtime to reduce insomnia
D. Advise the client to stop the medication immediately to reverse Cushingoid features
Correct Answer: B
Rationale: Long-term glucocorticoid therapy can produce Cushingoid features and hyperglycemia. The priority is to discuss possible dose
adjustment or alternative management with the provider rather than abrupt cessation, which risks adrenal crisis. Timing and sodium advice do
not address the underlying steroid excess.
Q2. A client newly diagnosed with hypothyroidism is started on levothyroxine. The nurse provides teaching about
administration. Which statement by the client indicates correct understanding of the teaching?
A. I will take it at bedtime with a glass of milk to prevent stomach upset
B. I should take it on an empty stomach 30 to 60 minutes before breakfast
C. I will take this medication with my multivitamin at breakfast
D. I can crush the tablet and mix it with calcium-fortified orange juice
Correct Answer: B
Rationale: Levothyroxine absorption is optimized on an empty stomach, ideally 30–60 minutes before breakfast. Calcium, iron, and food can
significantly reduce bioavailability. Taking with milk or vitamins containing minerals interferes with absorption.
Q3. A client receiving long-term glucocorticoid therapy is scheduled for surgery. The nurse anticipates which order related to
the steroid regimen?
A. Discontinue the steroid the morning of surgery to reduce infection risk
B. Administer a stress-dose of glucocorticoid perioperatively
C. Switch from oral to topical steroid only during the hospital stay
D. Hold the steroid for 48 hours before and after the procedure
Correct Answer: B
Rationale: Clients on chronic glucocorticoids have suppressed hypothalamic-pituitary-adrenal axis function and require stress-dose coverage
during surgical stress to prevent acute adrenal insufficiency. Abrupt discontinuation is dangerous.
Q4. A nurse is reviewing laboratory results for a client taking fludrocortisone for Addison disease. Which finding most clearly
indicates the need for dose adjustment?
A. Serum potassium 5.8 mEq/L and blood pressure 88/54 mm Hg
B. Serum sodium 142 mEq/L and weight gain of 1 lb in one week
C. Fasting glucose 110 mg/dL and mild facial edema
D. Serum calcium 9.2 mg/dL and normal ECG
Correct Answer: A
Rationale: Fludrocortisone is a mineralocorticoid that promotes sodium retention and potassium excretion. Hyperkalemia with hypotension
suggests under-replacement and the need for increased dosing. Mild weight gain or glucose elevation is less critical.
STUVIA ACTUAL EXAM · Page 2
A+ VERIFIED
Exam 2: NU150/ NU 150 (Latest 2026/2027 Update)
Pharmacology Review | Questions & Answers | Grade A |
100% Correct (Verified Solutions) - Galen 2026/2027 — Complete
Official Exam
50 Questions Full Rationales Verified Answers
A+ 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Adrenal and Thyroid Hormones
02 Respiratory System Medications
03 Anti-Infective and Antitubercular Agents
04 Antihistamines, Allergy, and Immune Modulators
05 Cardiovascular, Diuretic, and Supportive Agents
ABOUT THIS ASSESSMENT
Build mastery in nursing pharmacology — from adrenal and thyroid hormone replacement and glucocorticoid therapy to respiratory
agents, antitubercular regimens, antihistamines, and cardiovascular supportive medications. This assessment targets application
and analysis skills required for NU150 Exam 2, with full rationales for every answer to reinforce safe clinical decision-making across
the lifespan.
PASSING SCORE LEVEL FORMAT
80% Undergraduate (Nursing Pharmacology) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: ADRENAL AND THYROID HORMONES
Q1. A 58-year-old client with rheumatoid arthritis has been prescribed prednisone 20 mg daily. During the follow-up visit the
nurse notes new facial rounding, increased blood glucose, and reports of insomnia. Which nursing action takes priority at this
time?
A. Recommend increasing dietary sodium to offset fluid shifts
B. Collaborate with the provider about possible dose tapering or alternative therapy
C. Instruct the client to take the dose at bedtime to reduce insomnia
D. Advise the client to stop the medication immediately to reverse Cushingoid features
Correct Answer: B
Rationale: Long-term glucocorticoid therapy can produce Cushingoid features and hyperglycemia. The priority is to discuss possible dose
adjustment or alternative management with the provider rather than abrupt cessation, which risks adrenal crisis. Timing and sodium advice do
not address the underlying steroid excess.
Q2. A client newly diagnosed with hypothyroidism is started on levothyroxine. The nurse provides teaching about
administration. Which statement by the client indicates correct understanding of the teaching?
A. I will take it at bedtime with a glass of milk to prevent stomach upset
B. I should take it on an empty stomach 30 to 60 minutes before breakfast
C. I will take this medication with my multivitamin at breakfast
D. I can crush the tablet and mix it with calcium-fortified orange juice
Correct Answer: B
Rationale: Levothyroxine absorption is optimized on an empty stomach, ideally 30–60 minutes before breakfast. Calcium, iron, and food can
significantly reduce bioavailability. Taking with milk or vitamins containing minerals interferes with absorption.
Q3. A client receiving long-term glucocorticoid therapy is scheduled for surgery. The nurse anticipates which order related to
the steroid regimen?
A. Discontinue the steroid the morning of surgery to reduce infection risk
B. Administer a stress-dose of glucocorticoid perioperatively
C. Switch from oral to topical steroid only during the hospital stay
D. Hold the steroid for 48 hours before and after the procedure
Correct Answer: B
Rationale: Clients on chronic glucocorticoids have suppressed hypothalamic-pituitary-adrenal axis function and require stress-dose coverage
during surgical stress to prevent acute adrenal insufficiency. Abrupt discontinuation is dangerous.
Q4. A nurse is reviewing laboratory results for a client taking fludrocortisone for Addison disease. Which finding most clearly
indicates the need for dose adjustment?
A. Serum potassium 5.8 mEq/L and blood pressure 88/54 mm Hg
B. Serum sodium 142 mEq/L and weight gain of 1 lb in one week
C. Fasting glucose 110 mg/dL and mild facial edema
D. Serum calcium 9.2 mg/dL and normal ECG
Correct Answer: A
Rationale: Fludrocortisone is a mineralocorticoid that promotes sodium retention and potassium excretion. Hyperkalemia with hypotension
suggests under-replacement and the need for increased dosing. Mild weight gain or glucose elevation is less critical.
STUVIA ACTUAL EXAM · Page 2
