NSG 6005 FINAL EXAM
COMPREHENSIVE REVIEW TEST BANK
300 REAL TEST QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES
NEWEST 2026 2027 EDITION
SECTION 1 ADVANCED PHARMACOLOGY
QUESTIONS 1 TO 50
1 A nurse practitioner is prescribing a medication
that is renally excreted. Which laboratory value is
most important to monitor?
A Serum creatinine
B Liver enzymes
C Hemoglobin
D Platelet count
, Page 2 of 203
ANSWER A
Rationale Serum creatinine and estimated
glomerular filtration rate reflect renal function and
guide dosing of renally excreted drugs.
2 A patient is prescribed warfarin. The INR is 4.5.
The patient has no bleeding. Which action should
the nurse practitioner take?
A Administer vitamin K 10 mg orally
B Withhold the next dose of warfarin and monitor
INR
C Administer fresh frozen plasma
D Increase the warfarin dose
ANSWER B
Rationale For an INR between 4.5 and 10 without
bleeding, withholding warfarin is appropriate.
Vitamin K is reserved for higher INRs or bleeding.
, Page 3 of 203
3 A patient is prescribed metformin. Which finding
requires discontinuation of the medication?
A Nausea
B Diarrhea
C Serum creatinine 1.8 mg per dL
D Weight loss
ANSWER C
Rationale Metformin is contraindicated in renal
impairment due to risk of lactic acidosis. Serum
creatinine of 1.8 indicates renal impairment.
4 A patient is prescribed digoxin. Which electrolyte
imbalance increases the risk of digoxin toxicity?
A Hyperkalemia
B Hypokalemia
C Hypercalcemia
D Hypermagnesemia
, Page 4 of 203
ANSWER B
Rationale Hypokalemia increases digoxin binding to
cardiac sodium potassium ATPase, increasing the
risk of toxicity.
5 A patient is prescribed a loop diuretic. Which
electrolyte imbalance is most concerning?
A Hypernatremia
B Hypokalemia
C Hypercalcemia
D Hypermagnesemia
ANSWER B
Rationale Loop diuretics cause potassium wasting.
Hypokalemia can lead to cardiac dysrhythmias.
6 A patient is prescribed an ACE inhibitor. Which
adverse effect is most common and may require
switching to an ARB?