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NUR2474 Exam 2 Pharmacology Review (2025) – 90+ Q&A on Antibiotics, Antivirals, Antifungals

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This document provides a comprehensive pharmacology review with over 90 exam-based questions and answers for NUR2474 Exam 2, covering essential drug classes and clinical applications relevant to nursing practice. Structured to support quick learning and retention, this Q&A resource is ideal for students enrolled in a nursing pharmacology course at the undergraduate level during the 2025 academic year. Topics include the mechanisms of action, indications, contraindications, side effects, and nursing considerations for antibiotics (e.g., penicillins, cephalosporins, macrolides, aminoglycosides, tetracyclines), antivirals (e.g., acyclovir, oseltamivir), and antifungals (e.g., fluconazole, amphotericin B). The content also highlights high-alert medications, toxicities (e.g., ototoxicity, nephrotoxicity), drug interactions, and monitoring parameters. Realistic clinical scenarios test application of drug knowledge in infection control, patient education, lab monitoring (e.g., CBC, renal and hepatic panels), and allergy risk assessment. Emphasis is placed on safety in drug administration, including IV considerations, therapeutic ranges, and adverse reaction identification. Best suited for students in: – RN and LPN Pharmacology Courses – BSN, RN-to-BSN, and ADN programs – Pre-licensure nursing programs (NCLEX prep) – Students studying for pharmacology exams in adult health, med-surg, or infectious disease modules This document serves as an essential resource for exam preparation and applied clinical understanding of antimicrobial pharmacology. Keywords: NUR2474, pharmacology review, antibiotics, antivirals, antifungals, cephalosporins, penicillins, tetracyclines, aminoglycosides, macrolides, fluconazole, acyclovir, oseltamivir, amphotericin B, drug side effects, nephrotoxicity, ototoxicity, IV administration, therapeutic monitoring, NCLEX pharmacology, nursing pharmacology exam

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Uploaded on
September 27, 2025
Number of pages
40
Written in
2025/2026
Type
Exam (elaborations)
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Pharmacology Review for NUR2474
Exam 2 2025/2026 Exam Questions and
Answers | A+ Score Assured



Verapamil in combination with a beta block 'lol'? - 🧠 ANSWER

✔✔Increased risk for interaction


Which information should the nurse include in client education regarding a

cholesterol-lowering agent? - 🧠 ANSWER ✔✔"You should continue your

exercise program to increase your high-density lipoprotein (HLD) serum.

What would the nurse expect has occurred with a client who has taken

senna for several days and now experiencing yellowish-brownish urea? - 🧠

ANSWER ✔✔Expected effect of the medication (Anthraquinone's in

laxatives such as senna, change urine to brown, yellow, or orange.)


Verapamil can elevate? - 🧠 ANSWER ✔✔digoxin levels

,Client took too much warfarin normal vitals and no petechiae - 🧠 ANSWER

✔✔Expect DR to order pt INR


Patient on warfarin and levels of INR 4.7 - 🧠 ANSWER ✔✔Best action is to

hold dose and notify physician


Heparin post op and APTT is 120 BP 90/50 - 🧠 ANSWER ✔✔Expect Dr to

order protamine sulfate

Post surgery patient is pale and fatigued HR98 RR20 BP 100/50 - 🧠

ANSWER ✔✔Expect provider to order hemoglobin and hematocrit


Aspirin prevents - 🧠 ANSWER ✔✔platelet aggregation


Amiodarone - 🧠 ANSWER ✔✔is a positum channel blocker it is given for

Aflutter to prevent recurrence. Levels can be increased by grapefruit juice

and toxicity can result. Amiodarone levels can be reduced by

cholestyramine.


Propranolol - 🧠 ANSWER ✔✔is a beta adrenergic blocker non selective

given for recurrent ventricular tachycardia. Question the order if patient has

asthma as it can cause bronchospasm.

,Stage B Heart failure - 🧠 ANSWER ✔✔Captopril for reduced EF or ejection

fraction and symptomatic


Normal GFR - 🧠 ANSWER ✔✔90-120


If GFR is <20 - 🧠 ANSWER ✔✔risk of digoxin toxicity is greater


If digoxin level is 2.5 ng/ml - 🧠 ANSWER ✔✔hold dose and contact

healthcare provider


Always check apical pulse before - 🧠 ANSWER ✔✔giving digoxin


Torsades De pointes - 🧠 ANSWER ✔✔Give IV magnesium


Digoxin therapeutic range - 🧠 ANSWER ✔✔0.5-0.8


Normal potassium level - 🧠 ANSWER ✔✔is 3.5 to 5


Furosemide effective if - 🧠 ANSWER ✔✔Output is greater than input


Hypertension BP150/90 crackles bibasilar, 2+ edema, distended jugular

veins - 🧠 ANSWER ✔✔Expect order furosemide (loop diuretic)


Diabetes mellitus and hypertension - 🧠 ANSWER ✔✔Anticipate order for

ace inhibitor



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STATEMENT. ALL RIGHTS RESERVED
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, Patient has cough for 3 days that is non productive after starting lisinopril -

🧠 ANSWER ✔✔Stop lisinopril and start losartan


Angiotensin II Receptor Blockers (ARBs) - 🧠 ANSWER ✔✔DO NOT

promote accumulation of bradykinin in the lung and therefore have lower

instance of cough


Losartan - 🧠 ANSWER ✔✔is an angiotensin 2 receptor blocker adverse

effects are angioedema, fetal harm and renal failure

Patient with 2+ pitting edema In bilateral lower extremities, bibasilar

crackles and potassium of 6 - 🧠 ANSWER ✔✔Question it if Dr orders

spironolactone which is a potassium sparing drug


APTT normal levels - 🧠 ANSWER ✔✔40 seconds (60 to 80 if on heparin)


Methyldopa and labetalol - 🧠 ANSWER ✔✔are drugs of choice for treating

chronic hypertension of pregnancy

Hypertension is the most common complication of - 🧠 ANSWER

✔✔pregnancy


Nitroprusside (IV) - 🧠 ANSWER ✔✔is the drug of choice for hypertensive

emergencies

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