1
NR 293 PHARMACOLOGY FOR NURSING PRACTICE – EXAM 2
(CHAMBERLAIN UNIVERSITY) | UPDATED 2026–2027 | EXAM-
STYLE QUESTIONS WITH CORRECT ANSWERS AND RATIONALES |
PASS GUARANTEED
COMPETENCY DOMAINS
• Pharmacokinetics and Pharmacodynamics
• Cardiovascular Pharmacology and Antilipidemics
• Diuretics and Renal Pharmacology
• Anti-infective Pharmacology
• Central Nervous System Pharmacology
• Respiratory and Gastrointestinal Pharmacology
• Endocrine and Anti-inflammatory Pharmacology
• Drug Interactions, Adverse Effects, and Nursing Process
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, skills, and competency of
candidates preparing for NR 293 Pharmacology for Nursing Practice Exam 2 at Chamberlain
University. 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 pharmacological knowledge
effectively in professional nursing practice. Exam 2 emphasizes cardiovascular agents, diuretics,
anti-infectives, CNS medications, respiratory and GI drugs, endocrine pharmacology, and the
nursing process related to safe medication administration, monitoring, and patient education.
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1. A nurse is reviewing a medication order for a client with a history of heart failure. Which
medication is a cardiac glycoside with a narrow therapeutic index?
A. Milrinone
B. Digoxin
C. Valsartan
D. Carvedilol
☑ Correct Answer: B
☑ Explanation: Digoxin is a cardiac glycoside with a narrow therapeutic index
requiring serum level monitoring. Milrinone is a phosphodiesterase inhibitor, valsartan is
an ARB, and carvedilol is a beta-blocker—none are cardiac glycosides.
2. A client taking digoxin reports seeing green and yellow halos around lights. What is the
nurse's priority action?
A. Document the finding as expected.
B. Notify the provider of suspected digoxin toxicity.
C. Administer the next scheduled dose.
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D. Encourage increased fluid intake.
☑ Correct Answer: B
☑ Explanation: Visual changes (green/yellow halos) are classic signs of digoxin
toxicity and require immediate provider notification. Documenting as expected,
administering more digoxin, or encouraging fluids does not address the toxicity risk.
3. Which medication is the reversal agent for digoxin toxicity?
A. Protamine sulfate
B. Naloxone
C. Digoxin immune Fab
D. Vitamin K
☑ Correct Answer: C
☑ Explanation: Digoxin immune Fab (Digibind) is the specific reversal agent for
digoxin toxicity. Protamine reverses heparin, naloxone reverses opioids, and vitamin K
reverses warfarin—none are indicated for digoxin toxicity.
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4. A client with heart failure is started on milrinone. Which adverse effect should the nurse
monitor for?
A. Hypertension
B. Ventricular dysrhythmias
C. Bradycardia
D. Hyperkalemia
☑ Correct Answer: B
☑ Explanation: Milrinone can cause ventricular dysrhythmias and is hard on the liver.
Hypertension, bradycardia, and hyperkalemia are not the primary concerns—ventricular
dysrhythmias are the serious adverse effect.
5. Which medication is an angiotensin II receptor blocker (ARB) used in heart failure?
A. Valsartan
B. Lisinopril
C. Metoprolol
D. Digoxin
☑ Correct Answer: A
NR 293 PHARMACOLOGY FOR NURSING PRACTICE – EXAM 2
(CHAMBERLAIN UNIVERSITY) | UPDATED 2026–2027 | EXAM-
STYLE QUESTIONS WITH CORRECT ANSWERS AND RATIONALES |
PASS GUARANTEED
COMPETENCY DOMAINS
• Pharmacokinetics and Pharmacodynamics
• Cardiovascular Pharmacology and Antilipidemics
• Diuretics and Renal Pharmacology
• Anti-infective Pharmacology
• Central Nervous System Pharmacology
• Respiratory and Gastrointestinal Pharmacology
• Endocrine and Anti-inflammatory Pharmacology
• Drug Interactions, Adverse Effects, and Nursing Process
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, skills, and competency of
candidates preparing for NR 293 Pharmacology for Nursing Practice Exam 2 at Chamberlain
University. 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 pharmacological knowledge
effectively in professional nursing practice. Exam 2 emphasizes cardiovascular agents, diuretics,
anti-infectives, CNS medications, respiratory and GI drugs, endocrine pharmacology, and the
nursing process related to safe medication administration, monitoring, and patient education.
,2
1. A nurse is reviewing a medication order for a client with a history of heart failure. Which
medication is a cardiac glycoside with a narrow therapeutic index?
A. Milrinone
B. Digoxin
C. Valsartan
D. Carvedilol
☑ Correct Answer: B
☑ Explanation: Digoxin is a cardiac glycoside with a narrow therapeutic index
requiring serum level monitoring. Milrinone is a phosphodiesterase inhibitor, valsartan is
an ARB, and carvedilol is a beta-blocker—none are cardiac glycosides.
2. A client taking digoxin reports seeing green and yellow halos around lights. What is the
nurse's priority action?
A. Document the finding as expected.
B. Notify the provider of suspected digoxin toxicity.
C. Administer the next scheduled dose.
,3
D. Encourage increased fluid intake.
☑ Correct Answer: B
☑ Explanation: Visual changes (green/yellow halos) are classic signs of digoxin
toxicity and require immediate provider notification. Documenting as expected,
administering more digoxin, or encouraging fluids does not address the toxicity risk.
3. Which medication is the reversal agent for digoxin toxicity?
A. Protamine sulfate
B. Naloxone
C. Digoxin immune Fab
D. Vitamin K
☑ Correct Answer: C
☑ Explanation: Digoxin immune Fab (Digibind) is the specific reversal agent for
digoxin toxicity. Protamine reverses heparin, naloxone reverses opioids, and vitamin K
reverses warfarin—none are indicated for digoxin toxicity.
, 4
4. A client with heart failure is started on milrinone. Which adverse effect should the nurse
monitor for?
A. Hypertension
B. Ventricular dysrhythmias
C. Bradycardia
D. Hyperkalemia
☑ Correct Answer: B
☑ Explanation: Milrinone can cause ventricular dysrhythmias and is hard on the liver.
Hypertension, bradycardia, and hyperkalemia are not the primary concerns—ventricular
dysrhythmias are the serious adverse effect.
5. Which medication is an angiotensin II receptor blocker (ARB) used in heart failure?
A. Valsartan
B. Lisinopril
C. Metoprolol
D. Digoxin
☑ Correct Answer: A
