NUR 2474 Pharm Exam 2 -
Pharmacology for Professional
Nursing Exam 2 | {LATEST
2026/ 2027 UPDATE}
COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND
NEW!
A patient is brought to the emergency department with shortness of
breath, a respiratory rate of 30 breaths per minute, intercostal
retractions, and frothy, pink sputum. The nurse caring for this patient will
expect to administer which drug?
,a.Furosemide (Lasix)
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone) - ANSWER ✔✔a.Furosemide (Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe signs of
congestive heart failure with respiratory distress and pulmonary edema
and needs immediate mobilization of fluid. Hydrochlorothiazide and
spironolactone are not indicated for pulmonary edema, because their
diuretic effects are less rapid. Mannitol is indicated for patients with
increased intracranial pressure and must be discontinued immediately if
signs of pulmonary congestion or heart failure occur.
A patient who is taking digoxin is admitted to the hospital for treatment of
congestive heart failure. The prescriber has ordered furosemide (Lasix).
The nurse notes an irregular heart rate of 86 beats per minute, a
respiratory rate of 22 breaths per minute, and a blood pressure of
130/82 mm Hg. The nurse auscultates crackles in both lungs. Which
laboratory value causes the nurse the most concern?
,a.Blood glucose level of 120 mg/dL
b.Oxygen saturation of 90%
c.Potassium level of 3.5 mEq/L
d.Sodium level of 140 mEq/L - ANSWER ✔✔c.Potassium level of 3.5
mEq/L
This patient has an irregular, rapid heartbeat that might be caused by a
dysrhythmia. This patient's serum potassium level is low, which can
trigger fatal dysrhythmias, especially in patients taking digoxin.
Furosemide contributes to loss of potassium through its effects on the
distal nephron. Potassium-sparing diuretics often are used in conjunction
with furosemide to prevent this complication. This patient's serum
glucose and sodium levels are normal and of no concern at this point,
although they can be affected by furosemide. The oxygen saturation is
somewhat low and needs to be monitored, although it may improve with
diuresis.
A patient has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs reveals crackles bilaterally, and the serum
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, potassium level is 6 mEq/L. Which diuretic agent ordered by the
prescriber should the nurse question?
a.Bumetanide (Bumex)
b.Furosemide (Lasix)
c.Spironolactone (Aldactone)
d.Hydrochlorothiazide (HydroDIURIL) - ANSWER
✔✔c.Spironolactone (Aldactone)
Spironolactone is a non-potassium-wasting diuretic; therefore, if the
patient has a serum potassium level of 6 mEq/L, indicating
hyperkalemia, an order for this drug should be questioned. Bumetanide,
furosemide, and hydrochlorothiazide are potassium-wasting diuretics
and would be appropriate to administer in a patient with hyperkalemia.
A nurse preparing to administer morning medications notes that a patient
with a history of hypertension has been prescribed the angiotensin-
converting enzyme (ACE) inhibitor captopril (Capoten) concurrently with
spironolactone (Aldactone). Morning laboratory results reveal a serum
Pharmacology for Professional
Nursing Exam 2 | {LATEST
2026/ 2027 UPDATE}
COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND
NEW!
A patient is brought to the emergency department with shortness of
breath, a respiratory rate of 30 breaths per minute, intercostal
retractions, and frothy, pink sputum. The nurse caring for this patient will
expect to administer which drug?
,a.Furosemide (Lasix)
b.Hydrochlorothiazide (HydroDIURIL)
c.Mannitol (Osmitrol)
d.Spironolactone (Aldactone) - ANSWER ✔✔a.Furosemide (Lasix)
Furosemide, a potent diuretic, is used when rapid or massive
mobilization of fluids is needed. This patient shows severe signs of
congestive heart failure with respiratory distress and pulmonary edema
and needs immediate mobilization of fluid. Hydrochlorothiazide and
spironolactone are not indicated for pulmonary edema, because their
diuretic effects are less rapid. Mannitol is indicated for patients with
increased intracranial pressure and must be discontinued immediately if
signs of pulmonary congestion or heart failure occur.
A patient who is taking digoxin is admitted to the hospital for treatment of
congestive heart failure. The prescriber has ordered furosemide (Lasix).
The nurse notes an irregular heart rate of 86 beats per minute, a
respiratory rate of 22 breaths per minute, and a blood pressure of
130/82 mm Hg. The nurse auscultates crackles in both lungs. Which
laboratory value causes the nurse the most concern?
,a.Blood glucose level of 120 mg/dL
b.Oxygen saturation of 90%
c.Potassium level of 3.5 mEq/L
d.Sodium level of 140 mEq/L - ANSWER ✔✔c.Potassium level of 3.5
mEq/L
This patient has an irregular, rapid heartbeat that might be caused by a
dysrhythmia. This patient's serum potassium level is low, which can
trigger fatal dysrhythmias, especially in patients taking digoxin.
Furosemide contributes to loss of potassium through its effects on the
distal nephron. Potassium-sparing diuretics often are used in conjunction
with furosemide to prevent this complication. This patient's serum
glucose and sodium levels are normal and of no concern at this point,
although they can be affected by furosemide. The oxygen saturation is
somewhat low and needs to be monitored, although it may improve with
diuresis.
A patient has 2+ pitting edema of the lower extremities bilaterally.
Auscultation of the lungs reveals crackles bilaterally, and the serum
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, potassium level is 6 mEq/L. Which diuretic agent ordered by the
prescriber should the nurse question?
a.Bumetanide (Bumex)
b.Furosemide (Lasix)
c.Spironolactone (Aldactone)
d.Hydrochlorothiazide (HydroDIURIL) - ANSWER
✔✔c.Spironolactone (Aldactone)
Spironolactone is a non-potassium-wasting diuretic; therefore, if the
patient has a serum potassium level of 6 mEq/L, indicating
hyperkalemia, an order for this drug should be questioned. Bumetanide,
furosemide, and hydrochlorothiazide are potassium-wasting diuretics
and would be appropriate to administer in a patient with hyperkalemia.
A nurse preparing to administer morning medications notes that a patient
with a history of hypertension has been prescribed the angiotensin-
converting enzyme (ACE) inhibitor captopril (Capoten) concurrently with
spironolactone (Aldactone). Morning laboratory results reveal a serum
