[PHARMACOLOGY FINAL EXAM - CHAMBERLAIN
UNIVERSITY, NRS65 / NR 293 COMPREHENSIVE
PRACTICE EXAMINATION] COMPLETE EXAM
QUESTIONS AND VERIFIED ANSWERS | 2026–2027
LATEST UPDATE | GUARANTEED PASS | DETAILED
RATIONALES | FULL STUDY GUIDE | EXAM PREP |
PRACTICE TEST | CERTIFICATION PREPARATION
1. A nurse is preparing to administer a medication to a hospitalized patient. Which action
best reflects the “right patient” principle of safe medication administration?
A. Compare the medication label with the provider’s order
B. Ask the patient to state their full name and verify the identification band
C. Confirm the medication expiration date
D. Review the patient’s allergy list
Correct Answer: B. Ask the patient to state their full name and verify the identification band
Rationale: Using two approved identifiers helps ensure the medication is given to the correct
patient. The other actions are important safety measures but do not specifically verify patient
identity.
2. A patient taking lisinopril reports a persistent dry cough. Which nursing response is
most appropriate?
A. Advise the patient to stop the medication immediately
B. Recommend an over-the-counter cough suppressant only
C. Notify the provider because this is a common adverse effect of ACE inhibitors
D. Reassure the patient that the symptom is unrelated
Correct Answer: C. Notify the provider because this is a common adverse effect of ACE
inhibitors
Rationale: ACE inhibitors commonly cause a dry, persistent cough. The provider may consider
an alternative such as an ARB. Abrupt discontinuation without guidance is inappropriate.
3. A patient receives insulin glargine. What is the primary characteristic of this
medication?
A. Rapid onset and short duration
B. Intermediate duration with a pronounced peak
C. Long-acting basal insulin with minimal peak effect
D. Used only for emergency hyperglycemia
,Correct Answer: C. Long-acting basal insulin with minimal peak effect
Rationale: Insulin glargine provides long-term basal glucose control and generally does not
produce a significant peak. It is not intended for rapid correction of hyperglycemia.
4. Which assessment finding requires immediate follow-up before administering digoxin?
A. Blood pressure 130/78 mm Hg
B. Respiratory rate 18/min
C. Temperature 37°C (98.6°F)
D. Apical pulse 54 beats/min
Correct Answer: D. Apical pulse 54 beats/min
Rationale: Digoxin may cause bradycardia. A pulse below 60 beats/min generally warrants
holding the medication and notifying the provider.
5. A nurse is teaching a patient prescribed warfarin. Which statement indicates a need for
further education?
A. “I will report unusual bruising.”
B. “I should have my INR monitored regularly.”
C. “I can significantly increase my intake of leafy green vegetables.”
D. “I will inform healthcare providers that I take warfarin.”
Correct Answer: C. “I can significantly increase my intake of leafy green vegetables.”
Rationale: Large changes in vitamin K intake can affect warfarin effectiveness. Patients should
maintain consistent dietary habits rather than making significant increases.
6. A patient develops urticaria and wheezing shortly after receiving an antibiotic. What is
the nurse’s priority action?
A. Document the findings
B. Administer the next scheduled medication
C. Encourage oral fluids
D. Stop the medication and initiate emergency measures
Correct Answer: D. Stop the medication and initiate emergency measures
Rationale: The patient is exhibiting signs of a potentially life-threatening hypersensitivity
reaction. Airway, breathing, and circulation take priority.
7. Which laboratory value should be monitored closely in a patient receiving furosemide?
, A. Hemoglobin
B. Potassium
C. Platelet count
D. Bilirubin
Correct Answer: B. Potassium
Rationale: Loop diuretics can cause significant potassium loss, increasing the risk of
arrhythmias and muscle weakness.
8. A patient asks why two medications with different brand names contain the same active
ingredient. What is the best explanation?
A. Generic medications contain different active ingredients
B. Brand medications are always more effective
C. Multiple manufacturers may market the same active ingredient under different names
D. Active ingredients vary depending on pharmacy location
Correct Answer: C. Multiple manufacturers may market the same active ingredient under
different names
Rationale: Different brand names may contain the same active ingredient. Understanding
generic and brand names is important in pharmacology exam prep and practice questions.
9. Which medication classification is most commonly associated with an increased risk of
gastrointestinal bleeding?
A. Antihistamines
B. NSAIDs
C. Antacids
D. Beta blockers
Correct Answer: B. NSAIDs
Rationale: NSAIDs can irritate the gastrointestinal tract and increase bleeding risk, especially
with prolonged use.
10. A patient taking metformin is scheduled for a contrast-enhanced imaging procedure.
Which action is most appropriate?
A. Double the metformin dose
B. Continue metformin without concern
C. Discontinue insulin therapy permanently
D. Follow provider instructions regarding temporary withholding of metformin
UNIVERSITY, NRS65 / NR 293 COMPREHENSIVE
PRACTICE EXAMINATION] COMPLETE EXAM
QUESTIONS AND VERIFIED ANSWERS | 2026–2027
LATEST UPDATE | GUARANTEED PASS | DETAILED
RATIONALES | FULL STUDY GUIDE | EXAM PREP |
PRACTICE TEST | CERTIFICATION PREPARATION
1. A nurse is preparing to administer a medication to a hospitalized patient. Which action
best reflects the “right patient” principle of safe medication administration?
A. Compare the medication label with the provider’s order
B. Ask the patient to state their full name and verify the identification band
C. Confirm the medication expiration date
D. Review the patient’s allergy list
Correct Answer: B. Ask the patient to state their full name and verify the identification band
Rationale: Using two approved identifiers helps ensure the medication is given to the correct
patient. The other actions are important safety measures but do not specifically verify patient
identity.
2. A patient taking lisinopril reports a persistent dry cough. Which nursing response is
most appropriate?
A. Advise the patient to stop the medication immediately
B. Recommend an over-the-counter cough suppressant only
C. Notify the provider because this is a common adverse effect of ACE inhibitors
D. Reassure the patient that the symptom is unrelated
Correct Answer: C. Notify the provider because this is a common adverse effect of ACE
inhibitors
Rationale: ACE inhibitors commonly cause a dry, persistent cough. The provider may consider
an alternative such as an ARB. Abrupt discontinuation without guidance is inappropriate.
3. A patient receives insulin glargine. What is the primary characteristic of this
medication?
A. Rapid onset and short duration
B. Intermediate duration with a pronounced peak
C. Long-acting basal insulin with minimal peak effect
D. Used only for emergency hyperglycemia
,Correct Answer: C. Long-acting basal insulin with minimal peak effect
Rationale: Insulin glargine provides long-term basal glucose control and generally does not
produce a significant peak. It is not intended for rapid correction of hyperglycemia.
4. Which assessment finding requires immediate follow-up before administering digoxin?
A. Blood pressure 130/78 mm Hg
B. Respiratory rate 18/min
C. Temperature 37°C (98.6°F)
D. Apical pulse 54 beats/min
Correct Answer: D. Apical pulse 54 beats/min
Rationale: Digoxin may cause bradycardia. A pulse below 60 beats/min generally warrants
holding the medication and notifying the provider.
5. A nurse is teaching a patient prescribed warfarin. Which statement indicates a need for
further education?
A. “I will report unusual bruising.”
B. “I should have my INR monitored regularly.”
C. “I can significantly increase my intake of leafy green vegetables.”
D. “I will inform healthcare providers that I take warfarin.”
Correct Answer: C. “I can significantly increase my intake of leafy green vegetables.”
Rationale: Large changes in vitamin K intake can affect warfarin effectiveness. Patients should
maintain consistent dietary habits rather than making significant increases.
6. A patient develops urticaria and wheezing shortly after receiving an antibiotic. What is
the nurse’s priority action?
A. Document the findings
B. Administer the next scheduled medication
C. Encourage oral fluids
D. Stop the medication and initiate emergency measures
Correct Answer: D. Stop the medication and initiate emergency measures
Rationale: The patient is exhibiting signs of a potentially life-threatening hypersensitivity
reaction. Airway, breathing, and circulation take priority.
7. Which laboratory value should be monitored closely in a patient receiving furosemide?
, A. Hemoglobin
B. Potassium
C. Platelet count
D. Bilirubin
Correct Answer: B. Potassium
Rationale: Loop diuretics can cause significant potassium loss, increasing the risk of
arrhythmias and muscle weakness.
8. A patient asks why two medications with different brand names contain the same active
ingredient. What is the best explanation?
A. Generic medications contain different active ingredients
B. Brand medications are always more effective
C. Multiple manufacturers may market the same active ingredient under different names
D. Active ingredients vary depending on pharmacy location
Correct Answer: C. Multiple manufacturers may market the same active ingredient under
different names
Rationale: Different brand names may contain the same active ingredient. Understanding
generic and brand names is important in pharmacology exam prep and practice questions.
9. Which medication classification is most commonly associated with an increased risk of
gastrointestinal bleeding?
A. Antihistamines
B. NSAIDs
C. Antacids
D. Beta blockers
Correct Answer: B. NSAIDs
Rationale: NSAIDs can irritate the gastrointestinal tract and increase bleeding risk, especially
with prolonged use.
10. A patient taking metformin is scheduled for a contrast-enhanced imaging procedure.
Which action is most appropriate?
A. Double the metformin dose
B. Continue metformin without concern
C. Discontinue insulin therapy permanently
D. Follow provider instructions regarding temporary withholding of metformin
