NUR 2407 PHARMACOLOGY FINAL
EXAM 2026/2027 QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
|GRADE A –: RASMUSSEN COLLEGE
1. A patient with chronic kidney disease is prescribed a drug that is primarily excreted by the
kidneys. The nurse should anticipate which pharmacological adjustment?
A. Increased dosage to ensure therapeutic levels
B. Switching to an oral route for slower absorption
C. Shortened dosing intervals
D. Decreased dosage to prevent toxicity
Answer: D
Conceptual Explanation: Decreased renal function reduces the clearance of drugs, leading
to accumulation and potential toxicity. Therefore, dosages must be lowered or intervals
extended.
2. Which assessment finding is the most critical priority for a nurse to report in a patient
taking Digoxin?
A. Yellow-green halos around lights
B. Heart rate of 72 beats per minute
,C. Increased urine output
D. Blood pressure of 130/80 mmHg
Answer: A
Conceptual Explanation: Visual disturbances such as yellow-green halos are a classic sign
of Digoxin toxicity and require immediate intervention.
3. A patient is receiving a Heparin infusion for a deep vein thrombosis. Which laboratory
value should the nurse monitor to adjust the dose?
A. Activated Partial Thromboplastin Time (aPTT)
B. International Normalized Ratio (INR)
C. Prothrombin Time (PT)
D. Platelet Count
Answer: A
Conceptual Explanation: aPTT is the standard laboratory test used to monitor the
effectiveness and safety of unfractionated Heparin therapy.
4. A patient taking Lisinopril develops a persistent, non-productive cough. What is the nurse’s
best understanding of this phenomenon?
A. It is an expected side effect that will resolve in 48 hours
B. It indicates the development of pulmonary edema
C. It is caused by the accumulation of bradykinin
, D. It is a sign of an acute viral infection
Answer: C
Conceptual Explanation: ACE inhibitors prevent the breakdown of bradykinin, which can
accumulate in the lungs and cause a dry cough, a common reason for switching to an ARB.
5. Which medication is contraindicated for a patient with a history of severe asthma?
A. Metoprolol
B. Losartan
C. Amlodipine
D. Propranolol
Answer: D
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can block Beta-2
receptors in the lungs, leading to bronchoconstriction.
6. A nurse is preparing to administer Lispro insulin at 0730. When should the nurse ensure the
patient’s breakfast tray is available?
A. At the time of the pre-lunch glucose check
B. By 0830
C. By 0900
D. By 0745
EXAM 2026/2027 QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
|GRADE A –: RASMUSSEN COLLEGE
1. A patient with chronic kidney disease is prescribed a drug that is primarily excreted by the
kidneys. The nurse should anticipate which pharmacological adjustment?
A. Increased dosage to ensure therapeutic levels
B. Switching to an oral route for slower absorption
C. Shortened dosing intervals
D. Decreased dosage to prevent toxicity
Answer: D
Conceptual Explanation: Decreased renal function reduces the clearance of drugs, leading
to accumulation and potential toxicity. Therefore, dosages must be lowered or intervals
extended.
2. Which assessment finding is the most critical priority for a nurse to report in a patient
taking Digoxin?
A. Yellow-green halos around lights
B. Heart rate of 72 beats per minute
,C. Increased urine output
D. Blood pressure of 130/80 mmHg
Answer: A
Conceptual Explanation: Visual disturbances such as yellow-green halos are a classic sign
of Digoxin toxicity and require immediate intervention.
3. A patient is receiving a Heparin infusion for a deep vein thrombosis. Which laboratory
value should the nurse monitor to adjust the dose?
A. Activated Partial Thromboplastin Time (aPTT)
B. International Normalized Ratio (INR)
C. Prothrombin Time (PT)
D. Platelet Count
Answer: A
Conceptual Explanation: aPTT is the standard laboratory test used to monitor the
effectiveness and safety of unfractionated Heparin therapy.
4. A patient taking Lisinopril develops a persistent, non-productive cough. What is the nurse’s
best understanding of this phenomenon?
A. It is an expected side effect that will resolve in 48 hours
B. It indicates the development of pulmonary edema
C. It is caused by the accumulation of bradykinin
, D. It is a sign of an acute viral infection
Answer: C
Conceptual Explanation: ACE inhibitors prevent the breakdown of bradykinin, which can
accumulate in the lungs and cause a dry cough, a common reason for switching to an ARB.
5. Which medication is contraindicated for a patient with a history of severe asthma?
A. Metoprolol
B. Losartan
C. Amlodipine
D. Propranolol
Answer: D
Conceptual Explanation: Propranolol is a non-selective beta-blocker that can block Beta-2
receptors in the lungs, leading to bronchoconstriction.
6. A nurse is preparing to administer Lispro insulin at 0730. When should the nurse ensure the
patient’s breakfast tray is available?
A. At the time of the pre-lunch glucose check
B. By 0830
C. By 0900
D. By 0745
