NUR 2407 PHARMACOLOGY
ADVANCED EXAM QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
|GRADE A –: RASMUSSEN COLLEGE
1. A patient is prescribed Warfarin for atrial fibrillation. Which lab value should the nurse
monitor to assess the effectiveness and safety of this therapy?
A. Partial Thromboplastin Time (PTT)
B. Platelet Count
C. International Normalized Ratio (INR)
D. Bleeding Time
Answer: C
Conceptual Explanation: Warfarin therapy is monitored using PT/INR. PTT is used for
Heparin monitoring.
2. A client with heart failure is receiving Digoxin. Which electrolyte imbalance most increases
the risk of Digoxin toxicity?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
,D. Hypermagnesemia
Answer: A
Conceptual Explanation: Low potassium levels (hypokalemia) sensitize the myocardium
to digoxin, significantly increasing the risk of toxicity.
3. A nurse is teaching a patient about a new prescription for Lisinopril. Which side effect
requires immediate notification to the provider?
A. Persistent dry cough
B. Increased frequency of urination
C. Occasional lightheadedness
D. Swelling of the tongue and lips
Answer: D
Conceptual Explanation: Swelling of the tongue and lips (angioedema) is a life-
threatening adverse reaction to ACE inhibitors like Lisinopril.
4. Which medication is contraindicated in a patient with a known history of severe asthma?
A. Metoprolol
B. Propranolol
C. Amlodipine
D. Losartan
, Answer: B
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction by blocking beta-2 receptors in the lungs.
5. A patient is receiving Vancomycin IV for MRSA. The nurse notes the patient’s face and neck
are becoming bright red. What is the priority action?
A. Stop the infusion immediately
B. Administer Epinephrine
C. Slow the infusion rate
D. Apply cold compresses to the neck
Answer: C
Conceptual Explanation: Red Man Syndrome is a rate-dependent reaction, not a true
allergy. The appropriate action is to slow the infusion rate.
6. A patient is prescribed Furosemide. Which of the following should the nurse encourage the
patient to consume more of?
A. Milk and cheese
B. Bananas and potatoes
C. Red meat and liver
D. Whole grain breads
Answer: B
ADVANCED EXAM QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
|GRADE A –: RASMUSSEN COLLEGE
1. A patient is prescribed Warfarin for atrial fibrillation. Which lab value should the nurse
monitor to assess the effectiveness and safety of this therapy?
A. Partial Thromboplastin Time (PTT)
B. Platelet Count
C. International Normalized Ratio (INR)
D. Bleeding Time
Answer: C
Conceptual Explanation: Warfarin therapy is monitored using PT/INR. PTT is used for
Heparin monitoring.
2. A client with heart failure is receiving Digoxin. Which electrolyte imbalance most increases
the risk of Digoxin toxicity?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
,D. Hypermagnesemia
Answer: A
Conceptual Explanation: Low potassium levels (hypokalemia) sensitize the myocardium
to digoxin, significantly increasing the risk of toxicity.
3. A nurse is teaching a patient about a new prescription for Lisinopril. Which side effect
requires immediate notification to the provider?
A. Persistent dry cough
B. Increased frequency of urination
C. Occasional lightheadedness
D. Swelling of the tongue and lips
Answer: D
Conceptual Explanation: Swelling of the tongue and lips (angioedema) is a life-
threatening adverse reaction to ACE inhibitors like Lisinopril.
4. Which medication is contraindicated in a patient with a known history of severe asthma?
A. Metoprolol
B. Propranolol
C. Amlodipine
D. Losartan
, Answer: B
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can cause
bronchoconstriction by blocking beta-2 receptors in the lungs.
5. A patient is receiving Vancomycin IV for MRSA. The nurse notes the patient’s face and neck
are becoming bright red. What is the priority action?
A. Stop the infusion immediately
B. Administer Epinephrine
C. Slow the infusion rate
D. Apply cold compresses to the neck
Answer: C
Conceptual Explanation: Red Man Syndrome is a rate-dependent reaction, not a true
allergy. The appropriate action is to slow the infusion rate.
6. A patient is prescribed Furosemide. Which of the following should the nurse encourage the
patient to consume more of?
A. Milk and cheese
B. Bananas and potatoes
C. Red meat and liver
D. Whole grain breads
Answer: B
