NUR 354 PHARMACOLOGY II EXAM 4 (ARIZONA) NEWEST 2026
ACTUAL EXAM TEST BANK| NUR354 PHARMACOLOGY II EXAM 4
REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
1. A patient taking lisinopril should be monitored for:
A. Hyperkalemia
B. Hypoglycemia
C. Hearing loss
D. Bradycardia
Answer: A. Hyperkalemia
Rationale: ACE inhibitors decrease aldosterone, leading to potassium
retention.
2. Which drug is contraindicated in pregnancy due to fetal harm?
A. Lisinopril
B. Acetaminophen
C. Amoxicillin
D. Loratadine
Answer: A. Lisinopril
Rationale: ACE inhibitors cause fetal renal damage and death.
pg. 1
,3. A priority teaching point for warfarin therapy is:
A. Maintain consistent vitamin K intake
B. Increase potassium intake
C. Avoid all fluids
D. Take with grapefruit juice
Answer: A. Maintain consistent vitamin K intake
Rationale: Fluctuations in vitamin K affect anticoagulation levels.
4. Which lab value is most important for heparin therapy?
A. aPTT
B. INR
C. Platelets only
D. Troponin
Answer: A. aPTT
Rationale: Heparin affects intrinsic clotting pathway.
5. A sign of heparin-induced thrombocytopenia (HIT) is:
A. Low platelets with clotting
B. High hemoglobin
pg. 2
,C. High glucose
D. Bradycardia
Answer: A. Low platelets with clotting
Rationale: HIT causes paradoxical thrombosis despite low platelets.
6. Which drug is a direct thrombin inhibitor?
A. Dabigatran
B. Warfarin
C. Aspirin
D. Clopidogrel
Answer: A. Dabigatran
Rationale: It directly inhibits thrombin activity.
7. A major side effect of furosemide:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Bradycardia
Answer: A. Hypokalemia
Rationale: Loop diuretics waste potassium.
pg. 3
, 8. Spironolactone causes:
A. Hyperkalemia
B. Hypokalemia
C. Hypocalcemia
D. Hypernatremia
Answer: A. Hyperkalemia
Rationale: It spares potassium by blocking aldosterone.
9. Which diuretic is most ototoxic at high doses?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Mannitol
Answer: A. Furosemide
Rationale: Loop diuretics can damage hearing.
10. Nitroglycerin should be avoided with:
A. Sildenafil
pg. 4
ACTUAL EXAM TEST BANK| NUR354 PHARMACOLOGY II EXAM 4
REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
1. A patient taking lisinopril should be monitored for:
A. Hyperkalemia
B. Hypoglycemia
C. Hearing loss
D. Bradycardia
Answer: A. Hyperkalemia
Rationale: ACE inhibitors decrease aldosterone, leading to potassium
retention.
2. Which drug is contraindicated in pregnancy due to fetal harm?
A. Lisinopril
B. Acetaminophen
C. Amoxicillin
D. Loratadine
Answer: A. Lisinopril
Rationale: ACE inhibitors cause fetal renal damage and death.
pg. 1
,3. A priority teaching point for warfarin therapy is:
A. Maintain consistent vitamin K intake
B. Increase potassium intake
C. Avoid all fluids
D. Take with grapefruit juice
Answer: A. Maintain consistent vitamin K intake
Rationale: Fluctuations in vitamin K affect anticoagulation levels.
4. Which lab value is most important for heparin therapy?
A. aPTT
B. INR
C. Platelets only
D. Troponin
Answer: A. aPTT
Rationale: Heparin affects intrinsic clotting pathway.
5. A sign of heparin-induced thrombocytopenia (HIT) is:
A. Low platelets with clotting
B. High hemoglobin
pg. 2
,C. High glucose
D. Bradycardia
Answer: A. Low platelets with clotting
Rationale: HIT causes paradoxical thrombosis despite low platelets.
6. Which drug is a direct thrombin inhibitor?
A. Dabigatran
B. Warfarin
C. Aspirin
D. Clopidogrel
Answer: A. Dabigatran
Rationale: It directly inhibits thrombin activity.
7. A major side effect of furosemide:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Bradycardia
Answer: A. Hypokalemia
Rationale: Loop diuretics waste potassium.
pg. 3
, 8. Spironolactone causes:
A. Hyperkalemia
B. Hypokalemia
C. Hypocalcemia
D. Hypernatremia
Answer: A. Hyperkalemia
Rationale: It spares potassium by blocking aldosterone.
9. Which diuretic is most ototoxic at high doses?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Mannitol
Answer: A. Furosemide
Rationale: Loop diuretics can damage hearing.
10. Nitroglycerin should be avoided with:
A. Sildenafil
pg. 4
