NSG 318 Exam 2 Pharmacology Practice Quiz 2026 UPDATE |… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 318 Exam 2 Pharmacology Practice Quiz 2026
UPDATE |GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 318 Exam 2 Pharmacology Practice Quiz 2026 UPDATE |… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is preparing to administer heparin subcutaneously to a patient. Which laboratory
value should the nurse monitor to evaluate the effectiveness of this medication?
A. Prothrombin time (PT)
B. Activated partial thromboplastin time (aPTT)
C. International Normalized Ratio (INR)
D. Glycosylated hemoglobin (HbA1c)
Answer: B
Rationale: aPTT is the standard laboratory test used to monitor the effectiveness and safety of heparin
therapy. Exam questions often test the ability to distinguish this concept from closely related distractors, making
a clear rationale essential for mastery. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. A patient is receiving warfarin for the prevention of deep vein thrombosis. Which of the
following should the nurse instruct the patient to keep consistent in their diet?
A. Dark green leafy vegetables
B. Red meat and poultry
C. Citrus fruits and juices
D. Dairy products like milk and cheese
Answer: A
Rationale: Dark green leafy vegetables are high in Vitamin K, which is the antagonist to warfarin. Consistent
intake is necessary to maintain stable INR levels. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A nurse is caring for a patient who has received an overdose of heparin. Which medication
should the nurse expect the provider to order?
A. Protamine sulfate
B. Vitamin K
C. Acetylcysteine
D. Flumazenil
Answer: A
Rationale: Protamine sulfate is the specific antidote used to reverse the anticoagulant effects of heparin.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 318 Exam 2 Pharmacology Practice Quiz 2026 UPDATE |… 2026 Update • Verified Answers
4. Which of the following findings is a common adverse effect of ACE inhibitors, such as
lisinopril?
A. Hypokalemia
B. Increased heart rate
C. Persistent dry cough
D. Constipation
Answer: C
Rationale: A persistent, dry, nonproductive cough is a common side effect of ACE inhibitors due to the
accumulation of bradykinin. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
5. A nurse is monitoring a patient taking digoxin for heart failure. Which of the following
symptoms is an early sign of digoxin toxicity?
A. Yellow-green halos around lights
B. Hyperactivity
C. Increased appetite
D. Hypertension
Answer: A
Rationale: Visual disturbances, specifically yellow or green halos around objects, are classic early signs of
digoxin toxicity. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
6. A patient with a history of asthma is prescribed propranolol for hypertension. Why should
the nurse question this order?
A. Propranolol causes extreme tachycardia.
B. Propranolol causes excessive fluid retention.
C. Propranolol increases blood glucose levels.
D. Propranolol can cause bronchoconstriction.
Answer: D
Rationale: Propranolol is a non-selective beta-blocker that can block beta-2 receptors in the lungs, potentially
leading to life-threatening bronchospasm in patients with asthma. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 318 Exam 2 Pharmacology Practice Quiz 2026
UPDATE |GCU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 318 Exam 2 Pharmacology Practice Quiz 2026 UPDATE |… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is preparing to administer heparin subcutaneously to a patient. Which laboratory
value should the nurse monitor to evaluate the effectiveness of this medication?
A. Prothrombin time (PT)
B. Activated partial thromboplastin time (aPTT)
C. International Normalized Ratio (INR)
D. Glycosylated hemoglobin (HbA1c)
Answer: B
Rationale: aPTT is the standard laboratory test used to monitor the effectiveness and safety of heparin
therapy. Exam questions often test the ability to distinguish this concept from closely related distractors, making
a clear rationale essential for mastery. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. A patient is receiving warfarin for the prevention of deep vein thrombosis. Which of the
following should the nurse instruct the patient to keep consistent in their diet?
A. Dark green leafy vegetables
B. Red meat and poultry
C. Citrus fruits and juices
D. Dairy products like milk and cheese
Answer: A
Rationale: Dark green leafy vegetables are high in Vitamin K, which is the antagonist to warfarin. Consistent
intake is necessary to maintain stable INR levels. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A nurse is caring for a patient who has received an overdose of heparin. Which medication
should the nurse expect the provider to order?
A. Protamine sulfate
B. Vitamin K
C. Acetylcysteine
D. Flumazenil
Answer: A
Rationale: Protamine sulfate is the specific antidote used to reverse the anticoagulant effects of heparin.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 318 Exam 2 Pharmacology Practice Quiz 2026 UPDATE |… 2026 Update • Verified Answers
4. Which of the following findings is a common adverse effect of ACE inhibitors, such as
lisinopril?
A. Hypokalemia
B. Increased heart rate
C. Persistent dry cough
D. Constipation
Answer: C
Rationale: A persistent, dry, nonproductive cough is a common side effect of ACE inhibitors due to the
accumulation of bradykinin. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
5. A nurse is monitoring a patient taking digoxin for heart failure. Which of the following
symptoms is an early sign of digoxin toxicity?
A. Yellow-green halos around lights
B. Hyperactivity
C. Increased appetite
D. Hypertension
Answer: A
Rationale: Visual disturbances, specifically yellow or green halos around objects, are classic early signs of
digoxin toxicity. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
6. A patient with a history of asthma is prescribed propranolol for hypertension. Why should
the nurse question this order?
A. Propranolol causes extreme tachycardia.
B. Propranolol causes excessive fluid retention.
C. Propranolol increases blood glucose levels.
D. Propranolol can cause bronchoconstriction.
Answer: D
Rationale: Propranolol is a non-selective beta-blocker that can block beta-2 receptors in the lungs, potentially
leading to life-threatening bronchospasm in patients with asthma. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
