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NUR2407 Pharmacology
Exam 2 2024/2025 – Verified
Questions and Rationales |
Rasmussen Nursing
1. What is the mechanism of action of lisinopril in treating hypertension?
a) Blocks beta-adrenergic receptors
b) Inhibits angiotensin-converting enzyme
c) Increases sodium retention
d) Enhances cardiac output
Correct Answer: b) Inhibits angiotensin-converting enzyme
Rationale: Lisinopril, an ACE inhibitor, prevents the conversion of angiotensin I to II,
reducing vasoconstriction and blood pressure, per Rasmussen’s NUR2407 cardiovascular
pharmacology standards (Chapter 10).
2. A patient on lisinopril reports a dry cough. What should the nurse do?
a) Continue the medication without concern
b) Report the cough to the provider
c) Increase the dose to reduce symptoms
d) Administer an expectorant
Correct Answer: b) Report the cough to the provider
Rationale: A dry cough is a common side effect of ACE inhibitors like lisinopril, often
requiring a switch to an ARB, per NUR2407 safety principles.
3. What electrolyte imbalance is a risk with furosemide therapy?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hypercalcemia
Correct Answer: b) Hypokalemia
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking
hypokalemia, which requires monitoring, per NUR2407 cardiovascular competencies.
4. A patient with heart failure is prescribed spironolactone. What should the nurse
monitor?
a) Hypokalemia
b) Hyperkalemia
c) Hyponatremia
d) Hypoglycemia
, 2
Correct Answer: b) Hyperkalemia
Rationale: Spironolactone, a potassium-sparing diuretic, reduces potassium excretion,
risking hyperkalemia, per NUR2407 pharmacology standards.
5. What is the primary therapeutic effect of nitroglycerin in angina?
a) Increases heart rate
b) Dilates coronary arteries
c) Reduces platelet aggregation
d) Enhances myocardial contractility
Correct Answer: b) Dilates coronary arteries
Rationale: Nitroglycerin dilates coronary arteries, improving blood flow to the
myocardium, per NUR2407 cardiovascular competencies (Chapter 10).
6. What should the nurse teach a patient using sublingual nitroglycerin?
a) Swallow the tablet with water
b) Take up to three doses 5 minutes apart
c) Store in a warm, humid environment
d) Expect no side effects
Correct Answer: b) Take up to three doses 5 minutes apart
Rationale: Sublingual nitroglycerin is taken every 5 minutes for up to three doses to
relieve angina, per NUR2407 patient education standards.
7. A patient on warfarin reports bleeding gums. What should the nurse assess?
a) INR levels
b) Blood glucose
c) Serum potassium
d) Platelet count
Correct Answer: a) INR levels
Rationale: Bleeding gums may indicate excessive anticoagulation from warfarin,
requiring INR monitoring, per NUR2407 safety principles.
8. What is the antidote for warfarin overdose?
a) Protamine sulfate
b) Vitamin K
c) Naloxone
d) Flumazenil
Correct Answer: b) Vitamin K
Rationale: Vitamin K reverses warfarin’s anticoagulant effect by promoting clotting
factor synthesis, per NUR2407 pharmacology standards.
9. What is a side effect of amiodarone in atrial fibrillation treatment?
a) Hypothyroidism
b) Hyperglycemia
c) Weight loss
d) Hypertension
Correct Answer: a) Hypothyroidism
Rationale: Amiodarone’s iodine content can cause thyroid dysfunction, including
hypothyroidism, per NUR2407 cardiovascular competencies.
10. What is the mechanism of action of atorvastatin?
a) Increases LDL production
b) Inhibits HMG-CoA reductase
NUR2407 Pharmacology
Exam 2 2024/2025 – Verified
Questions and Rationales |
Rasmussen Nursing
1. What is the mechanism of action of lisinopril in treating hypertension?
a) Blocks beta-adrenergic receptors
b) Inhibits angiotensin-converting enzyme
c) Increases sodium retention
d) Enhances cardiac output
Correct Answer: b) Inhibits angiotensin-converting enzyme
Rationale: Lisinopril, an ACE inhibitor, prevents the conversion of angiotensin I to II,
reducing vasoconstriction and blood pressure, per Rasmussen’s NUR2407 cardiovascular
pharmacology standards (Chapter 10).
2. A patient on lisinopril reports a dry cough. What should the nurse do?
a) Continue the medication without concern
b) Report the cough to the provider
c) Increase the dose to reduce symptoms
d) Administer an expectorant
Correct Answer: b) Report the cough to the provider
Rationale: A dry cough is a common side effect of ACE inhibitors like lisinopril, often
requiring a switch to an ARB, per NUR2407 safety principles.
3. What electrolyte imbalance is a risk with furosemide therapy?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hypercalcemia
Correct Answer: b) Hypokalemia
Rationale: Furosemide, a loop diuretic, increases potassium excretion, risking
hypokalemia, which requires monitoring, per NUR2407 cardiovascular competencies.
4. A patient with heart failure is prescribed spironolactone. What should the nurse
monitor?
a) Hypokalemia
b) Hyperkalemia
c) Hyponatremia
d) Hypoglycemia
, 2
Correct Answer: b) Hyperkalemia
Rationale: Spironolactone, a potassium-sparing diuretic, reduces potassium excretion,
risking hyperkalemia, per NUR2407 pharmacology standards.
5. What is the primary therapeutic effect of nitroglycerin in angina?
a) Increases heart rate
b) Dilates coronary arteries
c) Reduces platelet aggregation
d) Enhances myocardial contractility
Correct Answer: b) Dilates coronary arteries
Rationale: Nitroglycerin dilates coronary arteries, improving blood flow to the
myocardium, per NUR2407 cardiovascular competencies (Chapter 10).
6. What should the nurse teach a patient using sublingual nitroglycerin?
a) Swallow the tablet with water
b) Take up to three doses 5 minutes apart
c) Store in a warm, humid environment
d) Expect no side effects
Correct Answer: b) Take up to three doses 5 minutes apart
Rationale: Sublingual nitroglycerin is taken every 5 minutes for up to three doses to
relieve angina, per NUR2407 patient education standards.
7. A patient on warfarin reports bleeding gums. What should the nurse assess?
a) INR levels
b) Blood glucose
c) Serum potassium
d) Platelet count
Correct Answer: a) INR levels
Rationale: Bleeding gums may indicate excessive anticoagulation from warfarin,
requiring INR monitoring, per NUR2407 safety principles.
8. What is the antidote for warfarin overdose?
a) Protamine sulfate
b) Vitamin K
c) Naloxone
d) Flumazenil
Correct Answer: b) Vitamin K
Rationale: Vitamin K reverses warfarin’s anticoagulant effect by promoting clotting
factor synthesis, per NUR2407 pharmacology standards.
9. What is a side effect of amiodarone in atrial fibrillation treatment?
a) Hypothyroidism
b) Hyperglycemia
c) Weight loss
d) Hypertension
Correct Answer: a) Hypothyroidism
Rationale: Amiodarone’s iodine content can cause thyroid dysfunction, including
hypothyroidism, per NUR2407 cardiovascular competencies.
10. What is the mechanism of action of atorvastatin?
a) Increases LDL production
b) Inhibits HMG-CoA reductase
