NR 293 NR293 PHARMACOLOGY FOR NURSING

NR 293 \ NR293 PHARMACOLOGY FOR NURSING

PRACTICE MIDTERM VERSION 2 2025 QUESTIONS

AND ANSWERS PLUS RATIONALES| GUARANTEED

PASS | LATEST UPDATE | CHAMBERLAIN

UNIVERSITY

• A patient is prescribed lisinopril for hypertension. Which electrolyte

imbalance should the nurse monitor for?

• Hypokalemia
• Hyperkalemia
• Hyponatremia
• Hypernatremia

Rationale: ACE inhibitors like lisinopril decrease aldosterone, leading to

potassium retention and possible hyperkalemia.

• A patient taking warfarin is admitted with excessive bleeding. Which lab

value would indicate over-anticoagulation?

A. INR 1.2

B. INR 2.0 1 / 4

C. INR 4.5

D. INR 0.9

Rationale: The therapeutic INR range for warfarin is 2–3. An INR of 4.5 indicates increased bleeding risk.

• A nurse is administering insulin lispro. When should the nurse plan to give the

patient their meal?

• 45 minutes after injection
• Immediately before or after injection
• 1 hour after injection
• 30 minutes before injection

Rationale: Insulin lispro is rapid-acting; it should be given right before or after meals to prevent hypoglycemia.

• What is the antidote for benzodiazepine overdose?
• Naloxone
• Atropine
• Flumazenil
• Protamine sulfate

Rationale: Flumazenil is the specific antidote for benzodiazepine toxicity.

• A client prescribed digoxin has a serum level of 2.6 ng/mL. What is the nurse’s

priority action?

• Administer potassium 2 / 4

• Hold the dose and notify the provider
• Administer the next dose early
• Encourage fluid intake

Rationale: A level above 2.0 ng/mL indicates digoxin toxicity; the nurse should

withhold the drug and notify the provider.

• A nurse is teaching a client about nitroglycerin sublingual tablets. Which

statement indicates a need for further teaching?

• "I should take one tablet at the first sign of chest pain."
• "I can take all three tablets at once if the pain is bad."
• "I should sit down when taking this medication."
• "I can repeat a dose every 5 minutes up to three times."

Rationale: Sublingual nitroglycerin should not be taken all at once—doses are

spaced to assess response and avoid hypotension.

• A nurse administers morphine. What is the highest priority assessment?
• Pain level
• Temperature
• Respiratory rate
• Blood pressure

Rationale: Respiratory depression is a serious side effect of opioids like morphine.

• Which instruction should the nurse give to a patient taking levothyroxine?
• Take the medication on an empty stomach in the morning. 3 / 4

• Take it with antacids to reduce stomach upset.
• Stop taking it if you feel better.
• Double the dose if one is missed.

Rationale: Levothyroxine is best absorbed on an empty stomach and should be

taken at the same time every morning.

• Which lab value should be monitored for a patient on furosemide?
• Calcium
• Potassium
• Magnesium
• Sodium bicarbonate

Rationale: Furosemide is a loop diuretic that can cause hypokalemia.

• Which drug classification is contraindicated during pregnancy?
• Antacids
• Beta-blockers
• ACE inhibitors
• Insulin

Rationale: ACE inhibitors can cause fetal renal damage and are contraindicated in pregnancy.

• Which finding indicates a therapeutic effect of albuterol?
• Bradycardia
• Decreased wheezing
• / 4