NURS 316 Pharmacology Exam 2 2025 EXAM
QUESTIONS AND VERIFIED SOLUTIONS
|ELABORATED &DETAILED ANSWERS!!
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A patient states they have Apixaban / selective, reversible inhibitor of factor Xa -
a history of bruising and -> inhibits thrombin-induced platelet aggregation and
DVTs. They were taking a thrombin generation
drug for this but have now
switched to a drug that is After INR < 2.0 after taking Coumadin.
safer and doesn't require
constant f/u's.
What is the drug and what
is the mechanism?
When did they switch to
this drug?
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,8/13/25, 11:17 PM NURS 316 Pharmacology Exam 2 2025 EXAM QUESTIONS AND VERIFIED SOLUTIONS |ELABORATED &DETAILED ANSWE…
A patient states they have Take dose if missed, do not double.
a history of bruising and
DVTs. They were taking a Kidney panels due to excretion in kidney.
drug for this but have now
switched to a drug that is
safer and doesn't require
constant f/u's.
What education is
important?
What should be
monitored considering its
pharmacokinetics?
A patient is taking a drug 4/day.
for their peptic ulcers with
a history of Abd pain and diarrhea.
acetaminophen use.
Gestational due to teratogenic effect. Clients must use
What is the usual oral contraception.
regimen?
The drug is misoprostol.
What are side effect(s)?
What history is important
and why? What education
is important?
ACEi's
Identify the classes of ARBs
drugs that suppress RAAS. aldosterone antagonists
direct renin inhibitors
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,8/13/25, 11:17 PM NURS 316 Pharmacology Exam 2 2025 EXAM QUESTIONS AND VERIFIED SOLUTIONS |ELABORATED &DETAILED ANSWE…
A patient is taking a ACE, -pril
hypertensive drug that is
inhibiting kinase and Low potassium and sodium.
another enzyme in the
lung.
What is the other enzyme?
What does the drug end
with?
What electrolyte
abnormality(s) could the
patient have?
A client is taking a Angioedema, rash, metallic taste, dry cough.
hypertensive drug that is
inhibiting kinase and 1) Get up slowly.
another enzyme. 2) Fall risk.
3) Report dizziness.
What is the main side 4) Avoid strenuous activity.
effect from inhibiting 5) Client retakes at-home BP.
kinase? What other side
effect(s) could he have?
What nursing interventions
could you educate the
client? (5)
A client is taking a He is on an ACEi.
hypertensive drug that is
making him cough. What Switch him to an ARB (Losartan) and tell him to drink
drug is he on and what is water.
the next intervention and
why? ARBs do not cause bradykinin build up.
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, 8/13/25, 11:17 PM NURS 316 Pharmacology Exam 2 2025 EXAM QUESTIONS AND VERIFIED SOLUTIONS |ELABORATED &DETAILED ANSWE…
A client is taking a ARB/-artan
hypertensive drug that is
no longer making him Angioedema, dizziness, hypotension, headache, and
cough. insomnia.
What drug is this? 1) Take drug in AM.
What side effects should
you educate him on? What
education is important?
A client is taking a Sodium
hypertensive drug that is
no longer making him
cough.
What electrolyte(s) are
going to be lost?
A client is taking a Aldosterone antagonist (Epirenone or Aldactone, -
hypertensive drug. His one).
potassium is now checked
to be 5.5. Na and water lost so K stays.
What is the possible drug? altered mental status, palpitations, muscle twitching,
weakness, or paresthesia
What is causing this
potassium level?
What side effects should
you educate him on?
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