NR 293 NR293 PHARMACOLOGY FOR NURSING

NR 293 \ NR293 PHARMACOLOGY FOR NURSING

PRACTICE MIDTERM VERSION 1 2025 QUESTIONS

AND ANSWERS PLUS RATIONALES| GUARANTEED

PASS | LATEST UPDATE | CHAMBERLAIN

UNIVERSITY

• A patient is prescribed lisinopril. Which of the following adverse effects

should the nurse monitor for?

• Bradycardia
• Dry cough
• Constipation
• Hyperglycemia

Answer: B. Dry cough

Rationale: ACE inhibitors like lisinopril can cause a persistent dry cough due to accumulation of bradykinin. This is a well-known class side effect.

• A client with heart failure is receiving furosemide. Which laboratory value

should the nurse monitor most closely? 1 / 4

• Hemoglobin
• Sodium
• Potassium
• Calcium

Answer: C. Potassium

Rationale: Furosemide is a loop diuretic that can cause potassium loss, leading to hypokalemia. Monitoring potassium levels is essential to prevent arrhythmias.

• Which medication is classified as a beta-blocker?
• Amlodipine
• Enalapril
• Metoprolol
• Losartan

Answer: C. Metoprolol

Rationale: Metoprolol is a selective beta-1 adrenergic blocker used to treat

hypertension and heart failure.

• A nurse is providing teaching to a client starting nitroglycerin sublingual

tablets. Which instruction should be included?

• Swallow the tablet with water
• Take it with meals
• Store in a plastic container
• Place under the tongue and do not chew 2 / 4

Answer: D. Place under the tongue and do not chew

Rationale: Sublingual nitroglycerin must be placed under the tongue to be

absorbed quickly into the bloodstream and relieve chest pain.

• A patient is receiving warfarin therapy. Which lab value should the nurse

monitor?

• aPTT
• Hematocrit

C. INR

• Platelet count

Answer: C. INR

Rationale: The International Normalized Ratio (INR) is used to monitor the

effectiveness and safety of warfarin therapy.

• A nurse should recognize that which of the following is a sign of digoxin

toxicity?

• Hypertension
• Visual disturbances (yellow halos)
• Constipation
• Tinnitus

Answer: B. Visual disturbances (yellow halos)

Rationale: A classic sign of digoxin toxicity includes seeing yellow-green halos around lights, along with nausea and confusion. 3 / 4

• Which instruction is appropriate when administering insulin glargine?
• Mix with regular insulin in the same syringe
• Give 30 minutes before meals
• Administer subcutaneously at the same time daily
• Hold if patient is NPO

Answer: C. Administer subcutaneously at the same time daily

Rationale: Insulin glargine (Lantus) is a long-acting insulin meant to provide a steady level. It should not be mixed and is given once daily.

• Which antibiotic should not be given with calcium-containing foods?
• Amoxicillin
• Tetracycline
• Azithromycin
• Cephalexin

Answer: B. Tetracycline

Rationale: Tetracycline binds with calcium, which impairs its absorption. It should not be taken with dairy or antacids.

• Which of the following medications can cause ototoxicity?
• Gentamicin
• Furosemide
• / 4