PHARMACOLOGY FINAL EXAM LATEST 2026
ACTUAL VERIFIED EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!||
A patient about to receive his morning dose of digoxin has
an apical pulse of 70 beats per minute. What will the nurse
do?
A. Administer the dose.
B. Administer the dose and notify the physician.
C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the - Answer-A. Administer
the dose.
In assessing a patient before administration of a cardiac
glycoside, the nurse knows that what condition can
predispose a patient to digitalis toxicity?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia - Answer-A. Hypokalemia; control
ventricular response to atrial fibrillation and a derived from
,2|Page
foxglove. Digoxin is the only available cardiac glycoside---
positive inotropic---inhibits sodium potassium pump
(adenosine tripphophatase) Sodium and calcium rise.
Cholinergic stimulation via the vagus nerve of
Parasympathetic nervous system. ---Negative
chronotropic---Negative Dromotropic effect
While assessing a patient who is receiving intravenous
digitalis, the nurse recognizes that the drug has a negative
chronotropic effect. How would this drug effect be evident
in the patient?
A. Increased heart rate
B. Decreased heart rate
C. Decreased conduction
D. Increased ectopic beats - Answer-B. Decreased heart
rate
A patient has been taking digoxin at home but has taken
an accidental overdose and has developed toxicity. He has
been admitted to the telemetry unit where the physician
has ordered digoxin immune Fab (Digibind). The patient
asks the nurse why the medication is ordered. What is the
nurse's best response?
A. "It works faster than digoxin."
,3|Page
B. "It is safer than digoxin and can be taken orally."
C. "It helps to convert the irregular heart rhythm to a more
normal rhythm."
D. "This drug is an antidote to digoxin and will help to
lower the blood levels." - Answer-D. "This drug is an
antidote to digoxin and will help to lower the blood levels."
(severe bradycardia, advanced heart block, ventricularr
tachycardia, fibrillation, and hyperkalemia); available in
parental form. Clinical signs and symptoms are monitored
NOT serum levels----used for systolic heart failure and
atrial fibrillation.
5. A patient has been placed on a milrinone infusion as
part of the therapy for end-stage heart failure. What risks
involved with this drug will the nurse keep in mind while
assessing this patient during the infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias - Answer-D. Cardiac
dysrhythmias (contraindictated with ventricular
tachycardia, and fibrillation) used for treatment of atrial
fibrillation. Available in Oral and injection form.
, 4|Page
6. A patient with atrial fibrillation was started on digoxin,
and 1 week later a digoxin level was drawn. Which result
is within normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher - Answer-B. 0.7 ng/mL (normal 0.5
to 2.0 ng/mL
7. When reviewing the list of medications taken by a
patient who will be receiving a new prescription for
digoxin, the nurse would be concerned about which
medication that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K - Answer-C. furosemide (Lasix); (loop
Diuretics); numerous ones on page 341
8. The nurse is reviewing discharge teaching for a patient
who will be taking digoxin (Lanoxin) therapy. The patient
should be taught to avoid which foods when taking the
digoxin?