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NR 293 EXAM 2 | PHARMACOLOGY FOR NURSING
PRACTICE (2026) ACTUAL Q&A CHAMBERLAIN –
PRACTICE QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES
COMPETENCY DOMAINS
• Autonomic Nervous System Pharmacology
• Cardiovascular System Medications
• Respiratory System Medications
• Gastrointestinal System Medications
• Endocrine System Medications
• Pain Management and Anti-Inflammatory Agents
• Anti-Infective Agents
• Medication Administration, Calculations, and Patient Safety
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, skills, and competency of
candidates preparing for the NR 293 Exam 2. The assessment evaluates essential competencies
across core domains through multiple-choice and scenario-based questions. Candidates must
demonstrate critical thinking, analytical skills, and decision-making abilities required to apply
knowledge effectively in professional practice.
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1. A nurse is administering a beta-adrenergic blocker to a client with hypertension. Which
assessment finding indicates a therapeutic response?
A. Increased heart rate
B. Decreased blood pressure
C. Increased respiratory rate
D. Decreased urine output
☑ Correct Answer: B
☑ Explanation: Beta-blockers decrease heart rate and blood pressure. Increased
heart rate is not therapeutic. Respiratory rate and urine output are not primary
indicators for beta-blocker therapy.
2. A client is prescribed metoprolol. Which instruction should the nurse include?
A. "Take this medication with grapefruit juice."
B. "Do not stop this medication abruptly."
C. "Take this medication only when you feel anxious."
D. "Increase your dose if your heart rate increases."
☑ Correct Answer: B
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☑ Explanation: Abrupt discontinuation of metoprolol can cause rebound
hypertension, tachycardia, and angina. Grapefruit juice interacts with other drugs. It is
taken daily, not as needed. Dose adjustments require provider guidance.
3. A nurse is assessing a client taking furosemide. Which laboratory value should the nurse
monitor?
A. Serum potassium
B. Serum calcium
C. Serum sodium
D. Serum magnesium
☑ Correct Answer: A
☑ Explanation: Furosemide is a loop diuretic that causes potassium loss, leading
to hypokalemia. Calcium, sodium, and magnesium are less commonly affected.
4. A client with heart failure is prescribed digoxin. Which finding indicates digoxin toxicity?
A. Heart rate 58 beats/min
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B. Blood pressure 110/70 mm Hg
C. Visual disturbances
D. Increased urine output
☑ Correct Answer: C
☑ Explanation: Visual disturbances (yellow-green halos, blurred vision) are
classic signs of digoxin toxicity. Bradycardia may occur but is not specific. Blood pressure
and urine output are not indicators of toxicity.
5. A nurse is teaching a client about lisinopril. Which side effect should the nurse include?
A. Dry cough
B. Weight gain
C. Bradycardia
D. Constipation
☑ Correct Answer: A
☑ Explanation: ACE inhibitors like lisinopril commonly cause a persistent dry
cough. Weight gain, bradycardia, and constipation are not typical.
NR 293 EXAM 2 | PHARMACOLOGY FOR NURSING
PRACTICE (2026) ACTUAL Q&A CHAMBERLAIN –
PRACTICE QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES
COMPETENCY DOMAINS
• Autonomic Nervous System Pharmacology
• Cardiovascular System Medications
• Respiratory System Medications
• Gastrointestinal System Medications
• Endocrine System Medications
• Pain Management and Anti-Inflammatory Agents
• Anti-Infective Agents
• Medication Administration, Calculations, and Patient Safety
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, skills, and competency of
candidates preparing for the NR 293 Exam 2. The assessment evaluates essential competencies
across core domains through multiple-choice and scenario-based questions. Candidates must
demonstrate critical thinking, analytical skills, and decision-making abilities required to apply
knowledge effectively in professional practice.
,2
1. A nurse is administering a beta-adrenergic blocker to a client with hypertension. Which
assessment finding indicates a therapeutic response?
A. Increased heart rate
B. Decreased blood pressure
C. Increased respiratory rate
D. Decreased urine output
☑ Correct Answer: B
☑ Explanation: Beta-blockers decrease heart rate and blood pressure. Increased
heart rate is not therapeutic. Respiratory rate and urine output are not primary
indicators for beta-blocker therapy.
2. A client is prescribed metoprolol. Which instruction should the nurse include?
A. "Take this medication with grapefruit juice."
B. "Do not stop this medication abruptly."
C. "Take this medication only when you feel anxious."
D. "Increase your dose if your heart rate increases."
☑ Correct Answer: B
,3
☑ Explanation: Abrupt discontinuation of metoprolol can cause rebound
hypertension, tachycardia, and angina. Grapefruit juice interacts with other drugs. It is
taken daily, not as needed. Dose adjustments require provider guidance.
3. A nurse is assessing a client taking furosemide. Which laboratory value should the nurse
monitor?
A. Serum potassium
B. Serum calcium
C. Serum sodium
D. Serum magnesium
☑ Correct Answer: A
☑ Explanation: Furosemide is a loop diuretic that causes potassium loss, leading
to hypokalemia. Calcium, sodium, and magnesium are less commonly affected.
4. A client with heart failure is prescribed digoxin. Which finding indicates digoxin toxicity?
A. Heart rate 58 beats/min
, 4
B. Blood pressure 110/70 mm Hg
C. Visual disturbances
D. Increased urine output
☑ Correct Answer: C
☑ Explanation: Visual disturbances (yellow-green halos, blurred vision) are
classic signs of digoxin toxicity. Bradycardia may occur but is not specific. Blood pressure
and urine output are not indicators of toxicity.
5. A nurse is teaching a client about lisinopril. Which side effect should the nurse include?
A. Dry cough
B. Weight gain
C. Bradycardia
D. Constipation
☑ Correct Answer: A
☑ Explanation: ACE inhibitors like lisinopril commonly cause a persistent dry
cough. Weight gain, bradycardia, and constipation are not typical.
