NUR 210 FINAL EXAM: ADVANCED
PHARMACOLOGY FOR NURSING
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to determine the therapeutic effectiveness of this medication?
A. International Normalized Ratio (INR)
B. Activated partial thromboplastin time (aPTT)
C. Platelet count
D. Bleeding time
Answer: A
Conceptual Explanation: Warfarin therapy is monitored using the Prothrombin Time (PT)
and the International Normalized Ratio (INR). aPTT is used for Heparin monitoring.
2. A patient receiving intravenous Vancomycin reports sudden onset of flushing, itching, and
a rash on the face and neck. What is the nurse’s priority action?
A. Administer epinephrine subcutaneously immediately
B. Stop the infusion and notify the provider
C. Apply cold compresses to the affected areas
,D. Slow the infusion rate and monitor the patient
Answer: D
Conceptual Explanation: This describes ‘Red Man Syndrome,’ which is a rate-related
infusion reaction. The priority is to slow the infusion rate rather than stopping it, as it is not
a true allergic reaction (anaphylaxis).
3. A patient is taking Digoxin 0.125 mg daily. Which of the following assessment findings
would most likely indicate Digoxin toxicity?
A. Heart rate of 110 beats per minute
B. Visual disturbances, such as yellow-green halos
C. Increased appetite and weight gain
D. Constipation and dry mouth
Answer: B
Conceptual Explanation: Classic signs of Digoxin toxicity include gastrointestinal upset
(nausea/vomiting), bradycardia, and visual changes like yellow-green halos or blurred
vision.
4. A nurse is preparing to administer Lispro (Humalog) insulin to a patient. When should the
nurse instruct the patient to eat?
A. 30 to 60 minutes after the injection
B. Exactly 2 hours after the injection
, C. Immediately before going to sleep
D. Within 15 minutes of the injection
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. To
prevent hypoglycemia, the patient must eat within 15 minutes of administration.
5. Which of the following medications is considered the drug of choice for treating a patient
in status epilepticus?
A. Phenytoin
B. Valproic acid
C. Gabapentin
D. Lorazepam
Answer: D
Conceptual Explanation: Benzodiazepines like Lorazepam or Diazepam are the first-line
treatment for status epilepticus to stop the seizure activity quickly.
6. A patient with a history of asthma is prescribed Propranolol for hypertension. Why should
the nurse question this order?
A. Propranolol causes excessive bronchodilation
B. Propranolol masks the symptoms of a dry cough
C. Propranolol increases the risk of respiratory infections
PHARMACOLOGY FOR NURSING
QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEE PASS
1. A patient is prescribed Warfarin for atrial fibrillation. Which laboratory value should the
nurse monitor to determine the therapeutic effectiveness of this medication?
A. International Normalized Ratio (INR)
B. Activated partial thromboplastin time (aPTT)
C. Platelet count
D. Bleeding time
Answer: A
Conceptual Explanation: Warfarin therapy is monitored using the Prothrombin Time (PT)
and the International Normalized Ratio (INR). aPTT is used for Heparin monitoring.
2. A patient receiving intravenous Vancomycin reports sudden onset of flushing, itching, and
a rash on the face and neck. What is the nurse’s priority action?
A. Administer epinephrine subcutaneously immediately
B. Stop the infusion and notify the provider
C. Apply cold compresses to the affected areas
,D. Slow the infusion rate and monitor the patient
Answer: D
Conceptual Explanation: This describes ‘Red Man Syndrome,’ which is a rate-related
infusion reaction. The priority is to slow the infusion rate rather than stopping it, as it is not
a true allergic reaction (anaphylaxis).
3. A patient is taking Digoxin 0.125 mg daily. Which of the following assessment findings
would most likely indicate Digoxin toxicity?
A. Heart rate of 110 beats per minute
B. Visual disturbances, such as yellow-green halos
C. Increased appetite and weight gain
D. Constipation and dry mouth
Answer: B
Conceptual Explanation: Classic signs of Digoxin toxicity include gastrointestinal upset
(nausea/vomiting), bradycardia, and visual changes like yellow-green halos or blurred
vision.
4. A nurse is preparing to administer Lispro (Humalog) insulin to a patient. When should the
nurse instruct the patient to eat?
A. 30 to 60 minutes after the injection
B. Exactly 2 hours after the injection
, C. Immediately before going to sleep
D. Within 15 minutes of the injection
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. To
prevent hypoglycemia, the patient must eat within 15 minutes of administration.
5. Which of the following medications is considered the drug of choice for treating a patient
in status epilepticus?
A. Phenytoin
B. Valproic acid
C. Gabapentin
D. Lorazepam
Answer: D
Conceptual Explanation: Benzodiazepines like Lorazepam or Diazepam are the first-line
treatment for status epilepticus to stop the seizure activity quickly.
6. A patient with a history of asthma is prescribed Propranolol for hypertension. Why should
the nurse question this order?
A. Propranolol causes excessive bronchodilation
B. Propranolol masks the symptoms of a dry cough
C. Propranolol increases the risk of respiratory infections
