Pharmacology
Integrated Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
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1. A nurse is administering digoxin to a client with heart
failure. Which finding requires holding the medication?
A. Apical pulse 78 bpm
B. Apical pulse 62 bpm
C. Apical pulse 54 bpm
D. Blood pressure 132/78
,Answer: C. Apical pulse 54 bpm
Rationale: Digoxin should be withheld if the apical pulse is
less than 60 bpm in adults due to risk of bradycardia.
2. A client taking warfarin asks which food should be
limited. Which response is correct?
A. Bananas
B. Spinach
C. Apples
D. Rice
Answer: B. Spinach
Rationale: Spinach contains high vitamin K levels, which can
reduce warfarin effectiveness.
3. A nurse is teaching about nitroglycerin use. Which
statement indicates understanding?
A. “I will swallow the tablet.”
B. “I will store tablets in a clear container.”
C. “I will place the tablet under my tongue.”
D. “I will take with milk.”
Answer: C. “I will place the tablet under my tongue.”
Rationale: Sublingual administration allows rapid absorption
and relief of angina.
4. A client receives morphine IV. Which assessment is
priority?
,A. Blood pressure
B. Respiratory rate
C. Pain level
D. Temperature
Answer: B. Respiratory rate
Rationale: Morphine can cause respiratory depression, which
is life-threatening.
5. Which medication is a beta-blocker?
A. Lisinopril
B. Metoprolol
C. Furosemide
D. Losartan
Answer: B. Metoprolol
Rationale: Metoprolol is a beta-blocker used to treat
hypertension and heart disease.
6. A client taking furosemide should be monitored for:
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hyponatremia only
Answer: B. Hypokalemia
Rationale: Loop diuretics cause potassium loss, increasing risk
for hypokalemia.
, 7. Which medication requires monitoring of serum lithium
levels?
A. Fluoxetine
B. Lithium
C. Sertraline
D. Haloperidol
Answer: B. Lithium
Rationale: Lithium has a narrow therapeutic index requiring
regular level monitoring.
8. A client on insulin therapy reports shakiness and
sweating. What is the nurse’s priority action?
A. Administer insulin
B. Check blood glucose
C. Give glucagon immediately
D. Call the provider
Answer: B. Check blood glucose
Rationale: Symptoms suggest hypoglycemia; glucose level
must be confirmed.
9. Which medication is an ACE inhibitor?
A. Enalapril
B. Propranolol
C. Diltiazem
D. Clonidine
Integrated Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A nurse is administering digoxin to a client with heart
failure. Which finding requires holding the medication?
A. Apical pulse 78 bpm
B. Apical pulse 62 bpm
C. Apical pulse 54 bpm
D. Blood pressure 132/78
,Answer: C. Apical pulse 54 bpm
Rationale: Digoxin should be withheld if the apical pulse is
less than 60 bpm in adults due to risk of bradycardia.
2. A client taking warfarin asks which food should be
limited. Which response is correct?
A. Bananas
B. Spinach
C. Apples
D. Rice
Answer: B. Spinach
Rationale: Spinach contains high vitamin K levels, which can
reduce warfarin effectiveness.
3. A nurse is teaching about nitroglycerin use. Which
statement indicates understanding?
A. “I will swallow the tablet.”
B. “I will store tablets in a clear container.”
C. “I will place the tablet under my tongue.”
D. “I will take with milk.”
Answer: C. “I will place the tablet under my tongue.”
Rationale: Sublingual administration allows rapid absorption
and relief of angina.
4. A client receives morphine IV. Which assessment is
priority?
,A. Blood pressure
B. Respiratory rate
C. Pain level
D. Temperature
Answer: B. Respiratory rate
Rationale: Morphine can cause respiratory depression, which
is life-threatening.
5. Which medication is a beta-blocker?
A. Lisinopril
B. Metoprolol
C. Furosemide
D. Losartan
Answer: B. Metoprolol
Rationale: Metoprolol is a beta-blocker used to treat
hypertension and heart disease.
6. A client taking furosemide should be monitored for:
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hyponatremia only
Answer: B. Hypokalemia
Rationale: Loop diuretics cause potassium loss, increasing risk
for hypokalemia.
, 7. Which medication requires monitoring of serum lithium
levels?
A. Fluoxetine
B. Lithium
C. Sertraline
D. Haloperidol
Answer: B. Lithium
Rationale: Lithium has a narrow therapeutic index requiring
regular level monitoring.
8. A client on insulin therapy reports shakiness and
sweating. What is the nurse’s priority action?
A. Administer insulin
B. Check blood glucose
C. Give glucagon immediately
D. Call the provider
Answer: B. Check blood glucose
Rationale: Symptoms suggest hypoglycemia; glucose level
must be confirmed.
9. Which medication is an ACE inhibitor?
A. Enalapril
B. Propranolol
C. Diltiazem
D. Clonidine
