Rasmussen University – NUR2407 Pharmacology Final
Exam
Comprehensive 150-Question Multiple-Choice Examination
with Rationales
This Pharmacology Final Exam is designed for Rasmussen University's NUR2407 (or
equivalent) course, covering all major drug classes including cardiovascular,
antibiotics, CNS medications, endocrine drugs, and critical care pharmacology.
Each question includes a correct multiple-choice answer and a detailed rationale
in italics that explains the clinical reasoning, adverse effects, nursing
interventions, and patient teaching points. This exam serves as a comprehensive
review for nursing students preparing for final exams, NCLEX-RN, or clinical
pharmacology assessments.
Instructions:
Answer: c
,Answer: b
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A potassium of 2.9 is
critically low and increases the risk of cardiac arrhythmias.
Answer: b
Answer: b
Rationale: Metformin should be held before contrast dye studies to prevent lactic acidosis.
It is not PRN, alcohol increases lactic acidosis risk, and metformin is weight-neutral or
causes weight loss.
,Answer: b
Answer: b
Rationale: Angioedema is a life-threatening allergic reaction to ACE inhibitors. Dry cough
is common but not emergent; dizziness is common initially.
Answer: c
Rationale: Standard protocol: one tablet q5 min x 3 doses; if no relief after first, call 911
but continue up to 3. Tablets are stored in original dark glass bottle, not refrigerated;
placed under tongue, not swallowed.
, Answer: b
Answer: b
Answer: a
Rationale: Naloxone is an opioid antagonist. Flumazenil reverses benzodiazepines.
Respiratory rate <10 is a priority for reversal.
Answer: b
Rationale: Furosemide is a sulfonamide derivative; cross-sensitivity can occur. Penicillin
has no cross-allergy with sulfa.
Exam
Comprehensive 150-Question Multiple-Choice Examination
with Rationales
This Pharmacology Final Exam is designed for Rasmussen University's NUR2407 (or
equivalent) course, covering all major drug classes including cardiovascular,
antibiotics, CNS medications, endocrine drugs, and critical care pharmacology.
Each question includes a correct multiple-choice answer and a detailed rationale
in italics that explains the clinical reasoning, adverse effects, nursing
interventions, and patient teaching points. This exam serves as a comprehensive
review for nursing students preparing for final exams, NCLEX-RN, or clinical
pharmacology assessments.
Instructions:
Answer: c
,Answer: b
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A potassium of 2.9 is
critically low and increases the risk of cardiac arrhythmias.
Answer: b
Answer: b
Rationale: Metformin should be held before contrast dye studies to prevent lactic acidosis.
It is not PRN, alcohol increases lactic acidosis risk, and metformin is weight-neutral or
causes weight loss.
,Answer: b
Answer: b
Rationale: Angioedema is a life-threatening allergic reaction to ACE inhibitors. Dry cough
is common but not emergent; dizziness is common initially.
Answer: c
Rationale: Standard protocol: one tablet q5 min x 3 doses; if no relief after first, call 911
but continue up to 3. Tablets are stored in original dark glass bottle, not refrigerated;
placed under tongue, not swallowed.
, Answer: b
Answer: b
Answer: a
Rationale: Naloxone is an opioid antagonist. Flumazenil reverses benzodiazepines.
Respiratory rate <10 is a priority for reversal.
Answer: b
Rationale: Furosemide is a sulfonamide derivative; cross-sensitivity can occur. Penicillin
has no cross-allergy with sulfa.
