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NUR 378
Final Exam NUR 378: Pharmacology Actual
Questions & Answers – Concordia University
St. Paul. 2025
1. Inhaled medications: inhale/exhale deeply before, rinse mouth following
administration as ordered
2. Nasal medications: clear nasal passage prior
3. Variations in older adults: - polypharmacy
- organ dysfunction (affects metabolism)
- increased risk of adverse effects due to sensitivity
- non-compliance/non-adherence to taking medications
- hepatic medication metabolism decreases with age
- older adults require smaller doses due to possibility of accumulation within
the body
4. Atorvastatin indications: decreases LDL, decreases total cholesterol and
triglycerides, and increases HDL
NUR 378
, 2
NUR 378
5. Atorvastatin client education: - avoid grapefruit juice
- do not take with pregnancy (category X)
- take at bed time for peak drug levels to correlate with natural daytime rhythm
of cholesterol production
6. Nitroprusside MOA: dilates blood vessels
7. Nitroprusside client education: - do not take with sildenafil (risk for severe
hypotension and death - monitor BP; hold for SBP < 100
- tell patient it will make them feel better
8. Main goal in heart failure: - decrease effects of RAAS and SNS
9. Treatment in heart failure: - ACE inhibitors, ARBs, and Metoprolol/Carvedilol
- Loop diuretics: decreased signs and symptoms of fluid overload
10. Lisinopril action: decrease blood pressure
11. Lisinopril adverse effects: - dry cough
- angioedema
- hyperkalemia
- palpitations
NUR 378
, 3
NUR 378
- muscle weakness
- dizziness/lightheadedness
- hypotension
- metallic taste
- muscle twitching
- paresthesia
12. Furosemide adverse effects: - permanent or temporary ototoxicity
- hyperglycemia
- hyperuricemia
- orthostatic hypotension
- electrolyte imbalance
13. Digoxin adverse effects: - yellow halos / decreased vision
- GI upset
- fatigue
- weakness
- increased risk with hypokalemia
NUR 378
NUR 378
Final Exam NUR 378: Pharmacology Actual
Questions & Answers – Concordia University
St. Paul. 2025
1. Inhaled medications: inhale/exhale deeply before, rinse mouth following
administration as ordered
2. Nasal medications: clear nasal passage prior
3. Variations in older adults: - polypharmacy
- organ dysfunction (affects metabolism)
- increased risk of adverse effects due to sensitivity
- non-compliance/non-adherence to taking medications
- hepatic medication metabolism decreases with age
- older adults require smaller doses due to possibility of accumulation within
the body
4. Atorvastatin indications: decreases LDL, decreases total cholesterol and
triglycerides, and increases HDL
NUR 378
, 2
NUR 378
5. Atorvastatin client education: - avoid grapefruit juice
- do not take with pregnancy (category X)
- take at bed time for peak drug levels to correlate with natural daytime rhythm
of cholesterol production
6. Nitroprusside MOA: dilates blood vessels
7. Nitroprusside client education: - do not take with sildenafil (risk for severe
hypotension and death - monitor BP; hold for SBP < 100
- tell patient it will make them feel better
8. Main goal in heart failure: - decrease effects of RAAS and SNS
9. Treatment in heart failure: - ACE inhibitors, ARBs, and Metoprolol/Carvedilol
- Loop diuretics: decreased signs and symptoms of fluid overload
10. Lisinopril action: decrease blood pressure
11. Lisinopril adverse effects: - dry cough
- angioedema
- hyperkalemia
- palpitations
NUR 378
, 3
NUR 378
- muscle weakness
- dizziness/lightheadedness
- hypotension
- metallic taste
- muscle twitching
- paresthesia
12. Furosemide adverse effects: - permanent or temporary ototoxicity
- hyperglycemia
- hyperuricemia
- orthostatic hypotension
- electrolyte imbalance
13. Digoxin adverse effects: - yellow halos / decreased vision
- GI upset
- fatigue
- weakness
- increased risk with hypokalemia
NUR 378
