TEST BANK STUDY GUIDE FOR PHARMACOLOGY
AND THE NURSING PROCESS WITH QUESTIONS
AND CORRECT ANSWERS 2026
1. A nurse is preparing to administer digoxin. Which finding should be reported before
giving the medication?
A. Heart rate 58 bpm
B. Blood pressure 120/80 mmHg
C. Respiratory rate 18/min
D. Oxygen saturation 96%
Correct Answer: A
Explanation: Digoxin should be withheld if the apical pulse is
below 60 bpm in adults due to risk of bradycardia and toxicity.
The other vital signs are within acceptable ranges.
2. Which principle is most important in the nursing process when administering
medications?
A. Speed of administration
B. Cost of medication
C. The 10 rights of medication administration
D. Patient preference only
Correct Answer: C
Explanation: The 10 rights (right patient, drug, dose, route,
time, etc.) ensure safe medication administration. Other options
do not ensure safety.
3. A patient is prescribed morphine. What is the priority nursing assessment?
A. Pain level
B. Respiratory rate
C. Skin color
D. Bowel sounds
Correct Answer: B
Explanation: Morphine can cause respiratory depression;
therefore, respiratory rate is the priority assessment before
administration.
4. Which drug classification does furosemide belong to?
A. ACE inhibitor
B. Loop diuretic
, C. Beta blocker
D. Calcium channel blocker
Correct Answer: B
Explanation: Furosemide is a loop diuretic used to reduce fluid
overload by acting on the loop of Henle.
5. A patient taking warfarin should be monitored for which laboratory value?
A. Platelet count
B. INR
C. Blood glucose
D. Serum sodium
Correct Answer: B
Explanation: INR measures blood coagulation and is essential
for monitoring warfarin therapy.
6. What is the primary action of beta-blockers?
A. Increase heart rate
B. Block calcium channels
C. Reduce heart rate and blood pressure
D. Increase cardiac output
Correct Answer: C
Explanation: Beta-blockers decrease sympathetic stimulation,
reducing heart rate and blood pressure.
7. A patient experiences anaphylaxis after penicillin administration. What is the first
drug to administer?
A. Diphenhydramine
B. Epinephrine
C. Prednisone
D. Albuterol
Correct Answer: B
Explanation: Epinephrine is the first-line treatment for
anaphylaxis due to its rapid vasoconstrictive and
bronchodilating effects.
8. Which route of administration has the fastest absorption?
A. Oral
B. Intramuscular
C. Intravenous
, D. Subcutaneous
Correct Answer: C
Explanation: IV administration delivers medication directly into
the bloodstream, producing immediate effects.
9. A nurse is teaching about antibiotics. What should be emphasized?
A. Stop medication when symptoms improve
B. Take all prescribed doses
C. Share antibiotics with family
D. Skip doses if feeling better
Correct Answer: B
Explanation: Completing the full antibiotic course prevents
resistance and recurrence of infection.
10. Which medication is used to treat type 1 diabetes?
A. Metformin
B. Insulin
C. Glipizide
D. Acarbose
Correct Answer: B
Explanation: Insulin is required for type 1 diabetes because the
body cannot produce it.
11. A patient on ACE inhibitors should be monitored for which adverse effect?
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
Correct Answer: B
Explanation: ACE inhibitors decrease aldosterone, leading to
potassium retention and hyperkalemia.
12. What is the antidote for heparin overdose?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Atropine
Correct Answer: B
Explanation: Protamine sulfate neutralizes heparin activity.
AND THE NURSING PROCESS WITH QUESTIONS
AND CORRECT ANSWERS 2026
1. A nurse is preparing to administer digoxin. Which finding should be reported before
giving the medication?
A. Heart rate 58 bpm
B. Blood pressure 120/80 mmHg
C. Respiratory rate 18/min
D. Oxygen saturation 96%
Correct Answer: A
Explanation: Digoxin should be withheld if the apical pulse is
below 60 bpm in adults due to risk of bradycardia and toxicity.
The other vital signs are within acceptable ranges.
2. Which principle is most important in the nursing process when administering
medications?
A. Speed of administration
B. Cost of medication
C. The 10 rights of medication administration
D. Patient preference only
Correct Answer: C
Explanation: The 10 rights (right patient, drug, dose, route,
time, etc.) ensure safe medication administration. Other options
do not ensure safety.
3. A patient is prescribed morphine. What is the priority nursing assessment?
A. Pain level
B. Respiratory rate
C. Skin color
D. Bowel sounds
Correct Answer: B
Explanation: Morphine can cause respiratory depression;
therefore, respiratory rate is the priority assessment before
administration.
4. Which drug classification does furosemide belong to?
A. ACE inhibitor
B. Loop diuretic
, C. Beta blocker
D. Calcium channel blocker
Correct Answer: B
Explanation: Furosemide is a loop diuretic used to reduce fluid
overload by acting on the loop of Henle.
5. A patient taking warfarin should be monitored for which laboratory value?
A. Platelet count
B. INR
C. Blood glucose
D. Serum sodium
Correct Answer: B
Explanation: INR measures blood coagulation and is essential
for monitoring warfarin therapy.
6. What is the primary action of beta-blockers?
A. Increase heart rate
B. Block calcium channels
C. Reduce heart rate and blood pressure
D. Increase cardiac output
Correct Answer: C
Explanation: Beta-blockers decrease sympathetic stimulation,
reducing heart rate and blood pressure.
7. A patient experiences anaphylaxis after penicillin administration. What is the first
drug to administer?
A. Diphenhydramine
B. Epinephrine
C. Prednisone
D. Albuterol
Correct Answer: B
Explanation: Epinephrine is the first-line treatment for
anaphylaxis due to its rapid vasoconstrictive and
bronchodilating effects.
8. Which route of administration has the fastest absorption?
A. Oral
B. Intramuscular
C. Intravenous
, D. Subcutaneous
Correct Answer: C
Explanation: IV administration delivers medication directly into
the bloodstream, producing immediate effects.
9. A nurse is teaching about antibiotics. What should be emphasized?
A. Stop medication when symptoms improve
B. Take all prescribed doses
C. Share antibiotics with family
D. Skip doses if feeling better
Correct Answer: B
Explanation: Completing the full antibiotic course prevents
resistance and recurrence of infection.
10. Which medication is used to treat type 1 diabetes?
A. Metformin
B. Insulin
C. Glipizide
D. Acarbose
Correct Answer: B
Explanation: Insulin is required for type 1 diabetes because the
body cannot produce it.
11. A patient on ACE inhibitors should be monitored for which adverse effect?
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
Correct Answer: B
Explanation: ACE inhibitors decrease aldosterone, leading to
potassium retention and hyperkalemia.
12. What is the antidote for heparin overdose?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Atropine
Correct Answer: B
Explanation: Protamine sulfate neutralizes heparin activity.