NSG 5240 Advanced Pharmacology Final Exam – Advanced Pharmacology – Edition – 50 Questions with Evidence-Based Verified Answers.pdf

NSG 5240 Advanced Pharmacology Final Exam
– Advanced Pharmacology – 2026/2027
Edi on – 50 Ques ons with Evidence-Based
Verified Answers


1. Which drug class is contraindicated in pregnancy due to fetal renal toxicity?
A. Beta-blockers
B. ACE inhibitors
C. Calcium channel blockers
D. Diure cs
Answer: B – ACE inhibitors reduce fetal renal perfusion → teratogenic.



2. First-line treatment for acute heart failure pulmonary edema:
A. Digoxin
B. Furosemide
C. Atorvasta n
D. Warfarin
Answer: B – Loop diure c reduces fluid overload rapidly.



3. Which beta-blocker is cardioselec ve?
A. Propranolol
B. Metoprolol
C. Carvedilol
D. Labetalol
Answer: B – Metoprolol selec vely blocks β1 receptors.



4. Major side effect of ACE inhibitors:
A. Hyperglycemia
B. Dry cough
C. Bradycardia
D. Cons pa on
Answer: B – Bradykinin accumula on causes cough.

,5. Which drug is used for atrial fibrilla on rate control?
A. Amiodarone
B. Dil azem
C. Nitroprusside
D. Dobutamine
Answer: B – Calcium channel blockers slow AV node conduc on.



6. An dote for warfarin overdose:
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Atropine
Answer: A



7. Most serious toxicity of digoxin:
A. Hypoglycemia
B. Arrhythmias
C. Hypertension
D. Rash
Answer: B



8. Sta ns primarily lower:
A. HDL
B. LDL
C. Platelets
D. Glucose
Answer: B



9. Drug of choice for hypertensive emergency:
A. Oral amlodipine
B. IV nitroprusside
C. Oral losartan
D. Sublingual nifedipine
Answer: B



10. Potassium-sparing diure c:
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone

, D. Mannitol
Answer: C



11–20: Respiratory & CNS Pharmacology

11. First-line rescue inhaler for asthma:
A. Salmeterol
B. Albuterol
C. Budesonide
D. Theophylline
Answer: B



12. Long-term asthma control:
A. Albuterol
B. Inhaled cor costeroids
C. Oxygen only
D. An bio cs
Answer: B



13. Opioid overdose an dote:
A. Flumazenil
B. Naloxone
C. Atropine
D. Vitamin K
Answer: B



14. Benzodiazepines act by enhancing:
A. Dopamine
B. Serotonin
C. GABA
D. Acetylcholine
Answer: C



15. An psycho c side effect: rigidity + fever indicates:
A. Serotonin syndrome
B. Neurolep c malignant syndrome
C. Stroke
D. Hypoglycemia
Answer: B