NUR 2474 exam

NUR 2474
exam


# 📚 NUR 2474 Pharmacology for Professional Nursing – Comprehensive Practice Exam



**Format:** Multiple Choice, Select All That Apply (SATA), and Priority Setting



**Focus Areas:** Cardiovascular, Respiratory, Endocrine, GI, and CNS Pharmacology; Lifespan
Considerations; Medication Safety.



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, ### Priority & Safety – Which Patient to Assess First?



**1.** The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who
were just admitted. Which patient should the nurse assess first?

- **A.** The patient with a pulse of 58 bpm about to receive digoxin

- **B.** The patient with a BP of 136/92 mm Hg complaining of a headache

- **C.** The NPO patient with a blood glucose of 80 mg/dL who just received 20 units of 70/30 Novolin
insulin

- **D.** The patient with a penicillin allergy receiving vancomycin



**Correct Answer: C**

- **Rationale:** The patient is NPO, has a normal-to-low glucose level, and just received
intermediate/short-acting insulin, placing them at high risk for **hypoglycemia**. This is a life-
threatening priority .



**2.** A patient in the hospital on warfarin has black, tarry stools. What is the nurse's priority action?

- **A.** Document the finding as an expected side effect

- **B.** Administer Vitamin K immediately

- **C.** Hold the drug, check the INR, and call the provider

- **D.** Increase the patient's fluid intake



**Correct Answer: C**

- **Rationale:** Black, tarry stools indicate **internal bleeding**. The nurse should hold the
anticoagulant, assess the INR (therapeutic range for warfarin is 2-3), and notify the provider
immediately .



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