Pharmacology Final Exam REVIEW!!!! Latest
Update 2024-2025 Actual Exam 130 Questions
and 100% Correct Answers Guaranteed A+
. Nicotinic acid is prescribed for a patient with elevated lipid levels. The nurse informs
the patient that which adverse effects may occur with this medication?
A. Pruritus, cutaneous flushing
B. Tinnitus, urine with a burnt odor
C. Myalgia, fatigue
D. Blurred vision, headaches - CORRECT ANSWER: Pruritus, cutaneous flushing
1. When monitoring a patient who has diabetes and is receiving a carbonic anhydrase
inhibitor for edema, the nurse monitors for which possible adverse effect?
A. Metabolic alkalosis
B. Elevated blood glucose
C. Hyperkalemia
D. Drowsiness - CORRECT ANSWER: B. Elevated Blood glucose and glycosuria in
diabetics
1. When teaching a patient about antihypertensive drug therapy, which statement by the
nurse is correct? Select all that apply.
A. "You should try to have your blood pressure checked once a week and keep track of
the readings."
B. "If you notice that the symptoms have gone away, you should be able to stop taking
the drug."
C. "An exercise program may be helpful in treating hypertension, but let's check with
your doctor first."
D. "If you experience severe side effects, stop the medicine and let us know at your next
office visit."
E. "Most over-the-counter decongestants are compatible with antihypertensive drugs."
,f. "please continue the medication, even if you are feeling better" - CORRECT
ANSWER: "You should try to have your blood pressure checked once a week and keep
track of the readings."
C. "An exercise program may be helpful in treating hypertension, but let's check with
your doctor first."
D. "If you experience severe side effects, stop the medicine and let us know at your next
office visit."f. "please continue the medication, even if you are feeling better"
1.When administering topical nitroglycerin ointment, the nurse should use which
technique?
A. The ointment should be applied on the chest over the heart.
B. The ointment should be used only in the case of a mild angina episode.
C. The old ointment should be removed before new ointment is applied.
D. The ointment should be massaged gently into the skin, then covered with plastic
wrap. - CORRECT ANSWER: C. The old ointment should be removed before new
ointment is applied.
10. A patient in the neurologic intensive care unit is being treated for cerebral edema
and is given which type of drug to reduce intracranial pressure?
A. Loop diuretics
B. Osmotic diuretics
C. Thiazide diuretics
D. Vasodilators - CORRECT ANSWER: B. Osmotic diuretics
10. A patient who has been taking antihypertensive drugs for a few months complains of
having a persistent dry cough. The nurse knows that this cough is an adverse effect of
which class of antihypertensive drugs?
A. Beta-blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Angiotensin-receptor blockers (ARBs)
D. Calcium channel blockers - CORRECT ANSWER: B. Angiotensin-converting enzyme
(ACE) inhibitors other adverse effects are: fatigue, dizziness, mood changes, and
,headaches. Dry non productive cough which is reversible when stopping ACE therapy.
has a first dose hypotension effect
10. The nurse administering the phosphodiesterase inhibitor inamrinone recognizes that
this drug should have a positive inotropic effect. This effect will result in increased
A. heart rate.
B. blood vessel dilation.
C. force of cardiac contraction.
D. conduction of electrical impulses across the heart. - CORRECT ANSWER: C. force of
cardiac contraction. (increase cAMP) positive inotropic (by more calcium available in
SR)effect and vasodilation, (inodilators)---positive chornotropic effect); USED IN ICU;
ADVERSE EFFECT...thrombocytopenia, dysrhythmia, ventricular, hypotension and
angina, hypokalemia, tremor.
10. The nurse should monitor for muscle pain and possible myopathy when a patient is
taking which class of antilipemic drugs?
A. Bile acid sequestrants
B. HMG-CoA reductase inhibitors
C. Fibric acid derivatives
D. Niacin - CORRECT ANSWER: B. HMG-CoA reductase inhibitors
10.While assessing a patient who is taking a beta-blocker for angina, the nurse knows
to monitor for which adverse effect?
A. Nervousness
B. Hypertension
C. Bradycardia
D. Dry cough - CORRECT ANSWER: C. Bradycardia (blocks beta 1 and beta 2
receptors) other adverse effects: negative chronotropic, decrease cardiac output, and
negative dromotropic effect, beta 2: bronchoconstriction, increased airway resistence
(asthma and COPD), cardiac rhytm, decrease renin release.
, 11. A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is
very independent and wants to continue to live at home, despite his diagnosis of mild
heart failure. The nurse will know that which teaching point is important for this patient?
A. He should take the diuretic with his evening meal.
B. He should skip the diuretic dose if he plans to leave the house.
C. If he feels dizzy while on this medication, he should stop taking it and take potassium
supplements instead.
D. He should take extra precautions when standing up because of possible orthostatic
hypotension and resulting injury from falls. - CORRECT ANSWER: D. He should take
extra precautions when standing up because of possible orthostatic hypotension and
resulting injury from falls.
11. The nurse notes in a patient's medical record that nesiritide has been ordered.
Based on this order, the nurse interprets that the patient has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart failure with dyspnea at rest
C. Systolic heart failure
D. Long-term treatment of heart failure. - CORRECT ANSWER: B. Acutely
decompensated heart failure with dyspnea at rest
11. When teaching a patient who is beginning antilipemic therapy about possible drug-
food interactions, the nurse should discuss which food?
A. Oatmeal
B. Grapefruit juice
C. Licorice
D. Dairy products - CORRECT ANSWER: B. Grapefruit juice
11. Which drug is commonly used for a pregnant patient who is experiencing
hypertension?
A. mannitol (Osmitrol)
B. enalapril (Vasotec)
C. hydrochlorothiazide (HydroDIURIL)
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