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Introduction to Pharmacotherapeutics (NUR1141) – PBSC – 2026 Final Exam | Updated Exam Review Material

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This document covers key concepts for the NUR1141 Introduction to Pharmacotherapeutics final exam at PBSC, focusing on essential pharmacology principles for nursing practice. It includes drug classifications, mechanisms of action, therapeutic uses, side effects, contraindications, and safe medication administration practices. The material is designed to support exam preparation by reinforcing core concepts commonly tested in pharmacotherapeutics courses, including dosage calculations, patient safety, and nursing responsibilities in drug therapy. It aligns with standard nursing pharmacology curricula and final exam expectations.

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Institution
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Nur1141

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Nur1141 Exam 3/Introduc on to Pharmacotherapeu cs
(NUR1141)- PBSC- Final Exam| Updated New 2026


Which of the following is a potassium-sparing diure c?

Spironolactone

When assessing a client receiving metoprolol, the nurse should expect to find:

decreased pulse rate

The nurse is administering hydrochlorothiazide. Which specific lab value should the nurse
monitor?

potassium

The pa ent receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urina ng more
frequently and ques ons how this drug affects his blood pressure. What is the nurse's best
response?

Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream, and this lowers
your blood pressure

A pa ent is taking spironolactone. Which condi on is a contraindica on?

hyperkalemia

What is a priority nursing interven on for a pa ent who has just begun an hypertensive
treatment with captopril?

Take the pa ent's blood pressure.

The nurse is providing care to a pa ent who has experienced several episodes of angina. What
is the primary outcome for this pa ent?

The pa ent will experience relief of chest pain with nitrate therapy.

The nurse is teaching the pa ent about lifestyle modifica ons to help manage the pa ent's Pal
hypertension. The nurse determines that teaching has been effec ve when the pa ent makes
which statement?

"i know i need to give up my cigare4es and alcohol"

, One of the nonselec ve beta-adrenergic blockers is metoprolol (Lopressor).

This drug blocks:
Beta 1 and beta 2 receptors

The client is to take atorvasta n (Lipitor) to lower a high serum cholesterol level. What would
the nurse include in the teaching for this drug?

report muscle pain, tenderness or weakness right away

Metoprolol is a nonselec ve beta-adrenergic blocker, and is contraindicated for a client with
asthma because it may cause:

bronchial constric on

Before administering digoxin (Lanoxin), what must the nurse assess?

Apical pulse rate

When monitoring for the therapeu c effects of dil azem, the nurse should assess for:

decreased blood pressure

Blood work needs to be drawn on the client who is on warfarin (Coumadin). The nurse should
expect that the health care provider will order which lab test?

pt/inr

Which of the following blood tests) does NOT indicate an increased risk for coronary artery
disease?

HDL (high density lipoprotein)

A pa ent is in the emergency department with a new onset of rapid-rate atrial fibrilla on, and
the nurse is preparing a con nuous infusion. Which drug is most appropriate for this
dysrhythmia?

Dil azem (Cardizem)

Drugs used to treat heart failure include the following EXCEPT:

alpha 2 s mulators

The client's serum cholesterol is elevated. Atorvasta n (Lipitor) is prescribed. The ac on of
atorvasta n (Lipitor) is to:

Inhibit hepa c synthesis of cholesterol

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