NUR 210 Principles of Pharmacology
Exam 4 – Galen – 2025/2026 with
Verified Questions and Answers
The NUR 210 Principles of Pharmacology Exam 4 at Galen College of Nursing focuses on anti-
infectives (antibacterials, antivirals, antifungals, antiretrovirals), analgesics (opioids, NSAIDs),
and related nursing implications, adverse effects, and patient education. This practice exam
includes 50 multiple-choice and select-all-that-apply questions, aligned with the 2025/2026
curriculum, Pharmacology: A Patient-Centered Nursing Process Approach (McCuistion, 10th
ed., 2021), Galen resources, and HESI-style question banks. Each question is worth 5 points
(total 250 points); aim for ≥80% (40/50 correct) for progression. Answers are in blue, with
concise rationales for mastery. Focus on drug mechanisms, side effects, monitoring, and patient
teaching.
Question 1: What is the red blotchy rash on the face, neck, and chest caused by Vancomycin
infusion?
Answer: Red man syndrome
Rationale: Histamine release from rapid infusion; slow IV rate to prevent.
Question 2: A painful red/purple rash progressing to blisters and skin peeling is:
Answer: Stevens-Johnson syndrome
Rationale: Severe drug reaction (e.g., sulfonamides); stop drug immediately.
Question 3: Taking Cephalosporins or Metronidazole with alcohol may cause:
Answer: Disulfiram-like reaction
Rationale: Inhibits aldehyde dehydrogenase; causes nausea, flushing.
Question 4: Which labs are monitored for Cephalosporins? (Select all that apply)
Answer: BUN; Creatinine; ALT; AST
Rationale: Assess nephrotoxicity and hepatotoxicity risks.
, Question 5: Penicillins’ mechanism of action is:
Answer: Inhibit bacterial cell wall synthesis
Rationale: Bactericidal; bind penicillin-binding proteins.
Question 6: Common side effects of Penicillins include: (Select all that apply)
Answer: Rash; Diarrhea; Allergic reactions
Rationale: Hypersensitivity in 5-10%; monitor for anaphylaxis.
Question 7: The Penicillin prototype for syphilis is:
Answer: Penicillin G
Rationale: Effective against Treponema pallidum; IM administration.
Question 8: Aminoglycosides (e.g., Gentamicin) require monitoring of:
Answer: Peak/trough levels and renal function
Rationale: Risk of ototoxicity and nephrotoxicity.
Question 9: Tetracyclines are contraindicated in:
Answer: Children <8 years and pregnant women
Rationale: Causes tooth discoloration and teratogenic effects.
Question 10: Macrolides (e.g., Erythromycin) are indicated for:
Answer: Penicillin-allergic patients with respiratory infections
Rationale: Inhibits protein synthesis; GI upset common.
Question 11: Fluoroquinolones (e.g., Ciprofloxacin) have a black box warning for:
Answer: Tendon rupture and aortic aneurysm
Rationale: Increased risk in elderly or with steroids.
Question 12: Sulfonamides (e.g., Sulfamethoxazole) may cause:
Answer: Crystalluria and hypersensitivity
Rationale: Increase fluid intake to prevent crystalluria.
Exam 4 – Galen – 2025/2026 with
Verified Questions and Answers
The NUR 210 Principles of Pharmacology Exam 4 at Galen College of Nursing focuses on anti-
infectives (antibacterials, antivirals, antifungals, antiretrovirals), analgesics (opioids, NSAIDs),
and related nursing implications, adverse effects, and patient education. This practice exam
includes 50 multiple-choice and select-all-that-apply questions, aligned with the 2025/2026
curriculum, Pharmacology: A Patient-Centered Nursing Process Approach (McCuistion, 10th
ed., 2021), Galen resources, and HESI-style question banks. Each question is worth 5 points
(total 250 points); aim for ≥80% (40/50 correct) for progression. Answers are in blue, with
concise rationales for mastery. Focus on drug mechanisms, side effects, monitoring, and patient
teaching.
Question 1: What is the red blotchy rash on the face, neck, and chest caused by Vancomycin
infusion?
Answer: Red man syndrome
Rationale: Histamine release from rapid infusion; slow IV rate to prevent.
Question 2: A painful red/purple rash progressing to blisters and skin peeling is:
Answer: Stevens-Johnson syndrome
Rationale: Severe drug reaction (e.g., sulfonamides); stop drug immediately.
Question 3: Taking Cephalosporins or Metronidazole with alcohol may cause:
Answer: Disulfiram-like reaction
Rationale: Inhibits aldehyde dehydrogenase; causes nausea, flushing.
Question 4: Which labs are monitored for Cephalosporins? (Select all that apply)
Answer: BUN; Creatinine; ALT; AST
Rationale: Assess nephrotoxicity and hepatotoxicity risks.
, Question 5: Penicillins’ mechanism of action is:
Answer: Inhibit bacterial cell wall synthesis
Rationale: Bactericidal; bind penicillin-binding proteins.
Question 6: Common side effects of Penicillins include: (Select all that apply)
Answer: Rash; Diarrhea; Allergic reactions
Rationale: Hypersensitivity in 5-10%; monitor for anaphylaxis.
Question 7: The Penicillin prototype for syphilis is:
Answer: Penicillin G
Rationale: Effective against Treponema pallidum; IM administration.
Question 8: Aminoglycosides (e.g., Gentamicin) require monitoring of:
Answer: Peak/trough levels and renal function
Rationale: Risk of ototoxicity and nephrotoxicity.
Question 9: Tetracyclines are contraindicated in:
Answer: Children <8 years and pregnant women
Rationale: Causes tooth discoloration and teratogenic effects.
Question 10: Macrolides (e.g., Erythromycin) are indicated for:
Answer: Penicillin-allergic patients with respiratory infections
Rationale: Inhibits protein synthesis; GI upset common.
Question 11: Fluoroquinolones (e.g., Ciprofloxacin) have a black box warning for:
Answer: Tendon rupture and aortic aneurysm
Rationale: Increased risk in elderly or with steroids.
Question 12: Sulfonamides (e.g., Sulfamethoxazole) may cause:
Answer: Crystalluria and hypersensitivity
Rationale: Increase fluid intake to prevent crystalluria.
