Advanced Pharmacology for Care of the
Family, Exam Questions with Correct Answers
(VerifiedAnswers) Plus Rationales 2026 Q&A
Instant Download PDF
Practice Examination
Question 1
A patient with hypertension is prescribed lisinopril. Which
adverse effect should the nurse recognize as a potentially
serious reaction requiring prompt intervention?
A. Mild headache
B. Constipation
C. Angioedema
D. Increased appetite
Correct Answer: C. Angioedema
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE)
inhibitor. Although uncommon, ACE inhibitors can cause
angioedema involving swelling of the lips, tongue, face, or
airway. Because airway obstruction can develop rapidly,
angioedema is a potentially life-threatening adverse effect
requiring immediate evaluation. A mild headache is not the
,characteristic serious reaction associated with lisinopril, and
constipation and increased appetite are not typical major
adverse effects.
Question 2
A patient taking warfarin asks which laboratory test is most
important for monitoring the therapeutic effect of the
medication. Which response is correct?
A. Serum sodium
B. Hemoglobin A1c
C. Serum creatinine
D. International normalized ratio (INR)
Correct Answer: D. International normalized ratio (INR)
Rationale: Warfarin therapy is monitored primarily with the
prothrombin time expressed as the INR. The INR helps
determine whether anticoagulation is within the prescribed
therapeutic range and reduces the risk of either inadequate
anticoagulation or excessive bleeding. Serum sodium and
creatinine may be clinically relevant for other reasons, but they
do not directly measure the anticoagulant effect of warfarin.
Hemoglobin A1c is used for longer-term assessment of glycemic
control.
,Question 3
Which medication should generally be avoided in a patient with
a history of serious anaphylaxis to penicillin because of
potential cross-reactivity?
A. Azithromycin
B. Doxycycline
C. Amoxicillin
D. Metronidazole
Correct Answer: C. Amoxicillin
Rationale: Amoxicillin is a penicillin-class beta-lactam antibiotic
and should not be administered to a patient with a documented
serious immediate hypersensitivity reaction to penicillin unless a
specialist-directed evaluation determines that it is appropriate.
Anaphylaxis is a potentially fatal IgE-mediated reaction.
Azithromycin, doxycycline, and metronidazole belong to
different antibiotic classes and do not share the same penicillin
structure.
Question 4
A patient with type 1 diabetes is prescribed insulin lispro. When
should the patient generally administer this medication in
relation to meals?
, A. At bedtime only
B. Close to mealtime
C. Two hours after eating
D. Once weekly
Correct Answer: B. Close to mealtime
Rationale: Insulin lispro is a rapid-acting insulin analog intended
to provide mealtime insulin coverage. It is generally
administered shortly before a meal, with timing individualized
according to the specific product instructions and clinical plan.
Because its onset is rapid, patients should have access to food
when administering it as directed to reduce the risk of
hypoglycemia. It is not a long-acting or once-weekly insulin.
Question 5
Which symptom is most characteristic of hypoglycemia in a
patient receiving insulin?
A. Dry, flushed skin
B. Slow, deep respirations
C. Diaphoresis and tremor
D. Severe thirst with polyuria
Correct Answer: C. Diaphoresis and tremor
Rationale: Hypoglycemia activates the sympathetic nervous
system, producing manifestations such as sweating, tremor,
Family, Exam Questions with Correct Answers
(VerifiedAnswers) Plus Rationales 2026 Q&A
Instant Download PDF
Practice Examination
Question 1
A patient with hypertension is prescribed lisinopril. Which
adverse effect should the nurse recognize as a potentially
serious reaction requiring prompt intervention?
A. Mild headache
B. Constipation
C. Angioedema
D. Increased appetite
Correct Answer: C. Angioedema
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE)
inhibitor. Although uncommon, ACE inhibitors can cause
angioedema involving swelling of the lips, tongue, face, or
airway. Because airway obstruction can develop rapidly,
angioedema is a potentially life-threatening adverse effect
requiring immediate evaluation. A mild headache is not the
,characteristic serious reaction associated with lisinopril, and
constipation and increased appetite are not typical major
adverse effects.
Question 2
A patient taking warfarin asks which laboratory test is most
important for monitoring the therapeutic effect of the
medication. Which response is correct?
A. Serum sodium
B. Hemoglobin A1c
C. Serum creatinine
D. International normalized ratio (INR)
Correct Answer: D. International normalized ratio (INR)
Rationale: Warfarin therapy is monitored primarily with the
prothrombin time expressed as the INR. The INR helps
determine whether anticoagulation is within the prescribed
therapeutic range and reduces the risk of either inadequate
anticoagulation or excessive bleeding. Serum sodium and
creatinine may be clinically relevant for other reasons, but they
do not directly measure the anticoagulant effect of warfarin.
Hemoglobin A1c is used for longer-term assessment of glycemic
control.
,Question 3
Which medication should generally be avoided in a patient with
a history of serious anaphylaxis to penicillin because of
potential cross-reactivity?
A. Azithromycin
B. Doxycycline
C. Amoxicillin
D. Metronidazole
Correct Answer: C. Amoxicillin
Rationale: Amoxicillin is a penicillin-class beta-lactam antibiotic
and should not be administered to a patient with a documented
serious immediate hypersensitivity reaction to penicillin unless a
specialist-directed evaluation determines that it is appropriate.
Anaphylaxis is a potentially fatal IgE-mediated reaction.
Azithromycin, doxycycline, and metronidazole belong to
different antibiotic classes and do not share the same penicillin
structure.
Question 4
A patient with type 1 diabetes is prescribed insulin lispro. When
should the patient generally administer this medication in
relation to meals?
, A. At bedtime only
B. Close to mealtime
C. Two hours after eating
D. Once weekly
Correct Answer: B. Close to mealtime
Rationale: Insulin lispro is a rapid-acting insulin analog intended
to provide mealtime insulin coverage. It is generally
administered shortly before a meal, with timing individualized
according to the specific product instructions and clinical plan.
Because its onset is rapid, patients should have access to food
when administering it as directed to reduce the risk of
hypoglycemia. It is not a long-acting or once-weekly insulin.
Question 5
Which symptom is most characteristic of hypoglycemia in a
patient receiving insulin?
A. Dry, flushed skin
B. Slow, deep respirations
C. Diaphoresis and tremor
D. Severe thirst with polyuria
Correct Answer: C. Diaphoresis and tremor
Rationale: Hypoglycemia activates the sympathetic nervous
system, producing manifestations such as sweating, tremor,
