NGN HESI RN PHARMACOLOGY TEST BANK
QUESTIONS AND ANSWERS ALL TOPICS FULLY
COVERED
, Drug Class–Based Questions
i. Cardiovascular
ii. CNS (antidepressants, antipsychotics, anticonvulsants)
iii. Endocrine
iv. Anti-infectives
v. Pain management
vi. Respiratory
vii. GI
Calculation & Dosage Questions
i. IV drip rate
ii. Dosage per weight
iii. Safe dose ranges
Clinical Judgment / NGN-Style Scenarios
i. Case studies
ii. Select-all-that-apply (SATA)
iii. Matrix-style prioritization questions
Drug Class–Based Questions
Cardiovascular
,Q1. A patient taking lisinopril develops a persistent dry cough. Which action is most
appropriate?
A) Encourage increased fluid intake
B) Recommend over-the-counter cough syrup
C) Continue the medication as prescribed
D) Notify the provider to consider switching to an ARB
Rationale: ACE inhibitors often cause dry cough due to bradykinin accumulation. ARBs are an
alternative without this effect.
Q2. Which electrolyte imbalance is a risk with furosemide (Lasix)?
A) Hypokalemia
B) Hyperkalemia
C) Hypercalcemia
D) Hypernatremia
Rationale: Loop diuretics increase potassium excretion, leading to hypokalemia, which can
cause arrhythmias.
Q3. The nurse is monitoring a patient on digoxin. Which finding suggests toxicity?
A) Diarrhea
B) Yellow-green vision changes
C) Bradycardia
D) Headache
Rationale: Classic digoxin toxicity signs include visual disturbances (yellow halos), nausea, and
bradycardia.
Q4. Which antihypertensive medication is contraindicated in pregnancy?
A) Methyldopa
B) Labetalol
C) ACE inhibitors
D) Hydralazine
Rationale: ACE inhibitors and ARBs are teratogenic. Safer options include methyldopa and
labetalol.
, Q5. A patient on amiodarone should be monitored for which serious adverse effect?
A) Hyperglycemia
B) Pulmonary toxicity
C) Liver cirrhosis
D) Renal stones
Rationale: Amiodarone may cause interstitial lung disease and pulmonary fibrosis, which can be
fatal.
Q6. What is the priority assessment before administering metoprolol?
A) Blood glucose
B) Temperature
C) Apical heart rate
D) Oxygen saturation
Rationale: Beta-blockers can cause bradycardia. HR should be checked before each dose.
Q7. Which teaching is important for a patient on nitroglycerin sublingual tablets?
A) Take on an empty stomach
B) Store in a plastic pillbox
C) Sit down before taking to prevent dizziness
D) Swallow with water
Rationale: Nitroglycerin can cause hypotension and dizziness; sitting reduces fall risk.
Q8. Which antihypertensive may cause ankle swelling due to peripheral edema?
A) ACE inhibitors
B) Beta-blockers
C) Calcium channel blockers
D) Diuretics
Rationale: Calcium channel blockers (like amlodipine) cause vasodilation, leading to peripheral
edema.
Q9. A patient on spironolactone should avoid which food?
A) Apples
B) Bananas
C) Rice
QUESTIONS AND ANSWERS ALL TOPICS FULLY
COVERED
, Drug Class–Based Questions
i. Cardiovascular
ii. CNS (antidepressants, antipsychotics, anticonvulsants)
iii. Endocrine
iv. Anti-infectives
v. Pain management
vi. Respiratory
vii. GI
Calculation & Dosage Questions
i. IV drip rate
ii. Dosage per weight
iii. Safe dose ranges
Clinical Judgment / NGN-Style Scenarios
i. Case studies
ii. Select-all-that-apply (SATA)
iii. Matrix-style prioritization questions
Drug Class–Based Questions
Cardiovascular
,Q1. A patient taking lisinopril develops a persistent dry cough. Which action is most
appropriate?
A) Encourage increased fluid intake
B) Recommend over-the-counter cough syrup
C) Continue the medication as prescribed
D) Notify the provider to consider switching to an ARB
Rationale: ACE inhibitors often cause dry cough due to bradykinin accumulation. ARBs are an
alternative without this effect.
Q2. Which electrolyte imbalance is a risk with furosemide (Lasix)?
A) Hypokalemia
B) Hyperkalemia
C) Hypercalcemia
D) Hypernatremia
Rationale: Loop diuretics increase potassium excretion, leading to hypokalemia, which can
cause arrhythmias.
Q3. The nurse is monitoring a patient on digoxin. Which finding suggests toxicity?
A) Diarrhea
B) Yellow-green vision changes
C) Bradycardia
D) Headache
Rationale: Classic digoxin toxicity signs include visual disturbances (yellow halos), nausea, and
bradycardia.
Q4. Which antihypertensive medication is contraindicated in pregnancy?
A) Methyldopa
B) Labetalol
C) ACE inhibitors
D) Hydralazine
Rationale: ACE inhibitors and ARBs are teratogenic. Safer options include methyldopa and
labetalol.
, Q5. A patient on amiodarone should be monitored for which serious adverse effect?
A) Hyperglycemia
B) Pulmonary toxicity
C) Liver cirrhosis
D) Renal stones
Rationale: Amiodarone may cause interstitial lung disease and pulmonary fibrosis, which can be
fatal.
Q6. What is the priority assessment before administering metoprolol?
A) Blood glucose
B) Temperature
C) Apical heart rate
D) Oxygen saturation
Rationale: Beta-blockers can cause bradycardia. HR should be checked before each dose.
Q7. Which teaching is important for a patient on nitroglycerin sublingual tablets?
A) Take on an empty stomach
B) Store in a plastic pillbox
C) Sit down before taking to prevent dizziness
D) Swallow with water
Rationale: Nitroglycerin can cause hypotension and dizziness; sitting reduces fall risk.
Q8. Which antihypertensive may cause ankle swelling due to peripheral edema?
A) ACE inhibitors
B) Beta-blockers
C) Calcium channel blockers
D) Diuretics
Rationale: Calcium channel blockers (like amlodipine) cause vasodilation, leading to peripheral
edema.
Q9. A patient on spironolactone should avoid which food?
A) Apples
B) Bananas
C) Rice
