NUR210 / NUR210 (Latest 2025/2026) Principles of Pharmacology Exam 4 | Questions and Verified Answers | Grade A | Galen Introduction This document contains verified, Grade A questions and answers for Exam 4 in the NUR210 Principles of Pharmacology course at Galen College of Nursing. Fully updated for the 2025/2026 academic year and structured in NCLEX-style format, it is ideal for nursing students preparing to master pharmacologic therapies and achieve top exam performance.Exam Questions and Answers 1.A patient is prescribed warfarin. Which laboratory value should the nurse monitor closely?A.Platelet count B.International Normalized Ratio (INR) C.Hemoglobin D.Serum creatinine Rationale:INR monitors warfarin’s anticoagulant effect, ensuring therapeutic levels (2–3 for most indications).
2.A patient receiving furosemide reports muscle cramps. What electrolyte imbalance is most likely?A.Hyperkalemia B.Hypokalemia C.Hypercalcemia D.Hyponatremia Rationale:Furosemide, a loop diuretic, causes potassium loss, leading to hypokalemia and muscle cramps.
3.Which instruction should the nurse give a patient starting levothyroxine?A.Take with food to enhance absorption B.Take on an empty stomach in the morning NUR210 Exam 4 | Principles of Pharmacology | Verified Answers | Galen College |
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C.Take at bedtime D.Take with grapefruit juice Rationale:Levothyroxine is best absorbed on an empty stomach, typically 30–60 minutes before breakfast.
4.A patient with type 2 diabetes is prescribed metformin. What is the primary action of this drug?A.Stimulates insulin release B.Decreases hepatic glucose production C.Increases insulin sensitivity D.Delays carbohydrate absorption Rationale:Metformin reduces blood glucose by decreasing liver glucose output and improving insulin sensitivity.
5.A patient is receiving heparin. Which antidote should be available in case of over- dose?A.Vitamin K B.Protamine sulfate C.Naloxone D.Flumazenil Rationale:Protamine sulfate reverses heparin’s anticoagulant effects by binding to it.
6.Which side effect is most common with ACE inhibitors like lisinopril?A.Dry cough B.Hypoglycemia C.Constipation D.Weight gain
Rationale:ACE inhibitors cause a dry cough due to bradykinin accumulation.
7.A patient is prescribed albuterol for asthma. What is the drug’s mechanism of action?A.Beta-2 agonist, bronchodilation B.Anticholinergic C.Corticosteroid D.Leukotriene modifier Rationale:Albuterol stimulates beta-2 receptors, relaxing bronchial smooth muscles.
8.A nurse administers insulin lispro. When should the patient eat after the injection?A.1 hour later NUR210 Exam 4 | Principles of Pharmacology | Verified Answers | Galen College |
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B.Within 15 minutes C.2 hours later D.No specific timing required Rationale:Lispro insulin is rapid-acting; food intake within 15 minutes prevents hypo- glycemia.
9.A patient on digoxin reports nausea and blurred vision. What should the nurse suspect?A.Hypokalemia B.Digoxin toxicity C.Dehydration D.Allergic reaction
Rationale:Nausea and blurred vision are classic signs of digoxin toxicity.
10.Which instruction is critical for a patient taking tetracycline?A.Avoid dairy products B.Take with grapefruit juice C.Take at bedtime D.Take with antacids
Rationale:Dairy products bind tetracycline, reducing absorption.
11.A patient is prescribed atorvastatin. What should the nurse monitor for?A.Liver function tests B.Blood glucose C.Platelet count D.Serum sodium Rationale:Statins like atorvastatin can cause liver damage, requiring liver function monitoring.
12.What is the primary indication for prescribing ondansetron?A.Pain relief B.Nausea and vomiting C.Anxiety D.Hypertension Rationale:Ondansetron, a 5-HT3 antagonist, is used for nausea and vomiting, especially chemotherapy-induced.
13.A patient with bipolar disorder is prescribed lithium. Which laboratory value is most important to monitor?NUR210 Exam 4 | Principles of Pharmacology | Verified Answers | Galen College | 2025/2026
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