NUR 378 FINAL EXAM
Pharmacology - Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 100% Guarantee Pass.
➢ Multiple choice (single best answer)
➢ Multiple response
➢ Fill-in-the-blank for drug names or mechanisms
➢ Case-based questions (clinical scenarios)
➢ Matching drugs to their classes or side effects
,1. A patient is prescribed albuterol via inhaler. After taking a
dose, the patient reports feeling nervous and slightly shaky.
What is the most appropriate response by the nurse?
a. This is an expected adverse effect. Let me take your pulse.
b. This is a life-threatening reaction. Call 911 immediately.
c. You may be experiencing an allergic reaction. Stop taking it.
d. You probably took too much. Don’t use it again until I say so.
✔ Answer: a. This is an expected adverse effect.
Let me take your pulse.
Rationale: Beta-agonists like albuterol stimulate the sympathetic
nervous system and may cause nervousness, tremor, or tachycardia.
These are expected side effects.
2. Which medications are considered appropriate rescue agents
in acute asthma exacerbations? (Select all that apply.)
a. Salmeterol inhaler
b. Albuterol nebulizer solution
c. Intravenous systemic corticosteroids
d. Montelukast
e. Inhaled corticosteroids
✔ Answer: b, c
Rationale: Rescue medications include albuterol and systemic
corticosteroids. Salmeterol and montelukast are for maintenance, not
acute attacks.
3. Which medication is typically used for the immediate
treatment of acute asthma symptoms?
a. Montelukast
b. A short-acting beta2 agonist such as albuterol
c. A long-acting beta2 agonist such as salmeterol
d. Fluticasone inhaler
, ✔ Answer: b. A short-acting beta2 agonist such as
albuterol
Rationale: Albuterol is a short-acting beta2 agonist used for
immediate bronchodilation in acute asthma exacerbations.
4. A patient taking disulfiram states they occasionally use cough
syrup for colds. Which teaching point is most important?
a. Cough syrup may reduce the drug’s effectiveness.
b. Many OTC products contain alcohol and must be avoided.
c. Disulfiram does not interact with medications like that.
d. Use only brand-name cough syrups with disulfiram.
✔ Answer: b. Many OTC products contain alcohol
and must be avoided.
Rationale: Disulfiram reacts with alcohol; even trace amounts in
products like cough syrups may cause serious reactions.
5. What symptoms are consistent with acetaldehyde syndrome
caused by disulfiram? (Select all that apply.)
a. Vomiting
b. Diarrhea
c. Headache
d. Euphoria
e. Dyspnea
f. Diaphoresis
✔ Answer: a, c, e, f
Rationale: Acetaldehyde syndrome includes vomiting, headache,
dyspnea, and diaphoresis. Diarrhea and euphoria are not typical.
6. What is the most serious potential adverse effect of cisplatin?
, a. Bone marrow suppression
b. Kidney damage
c. Hypertension
d. Hepatic dysfunction
✔ Answer: b. Kidney damage
Rationale: Cisplatin is nephrotoxic and can cause acute renal failure.
Renal function must be monitored closely.
7. Which are common adverse effects of cisplatin therapy?
(Select all that apply.)
a. Hyperglycemia
b. Tinnitus
c. Peripheral neuropathy
d. Hearing loss
e. Elevated BUN and creatinine
f. Heart failure
✔ Answer: b, c, d, e
Rationale: Cisplatin is known for nephrotoxicity, ototoxicity (tinnitus,
hearing loss), and peripheral neuropathy. Not associated with
hyperglycemia or HF.
8. In what scenario should digoxin immune Fab (Digibind) be
administered? (Select all that apply.)
a. Serum digoxin level of 0.9 ng/mL
b. Severe bradycardia unresponsive to atropine
c. Serum potassium >5.0 mEq/L in the presence of digoxin toxicity
d. Ingestion of >10 mg of digoxin in an adult
e. Patient stable with minor GI symptoms
✔ Answer: b, c, d
Pharmacology - Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 100% Guarantee Pass.
➢ Multiple choice (single best answer)
➢ Multiple response
➢ Fill-in-the-blank for drug names or mechanisms
➢ Case-based questions (clinical scenarios)
➢ Matching drugs to their classes or side effects
,1. A patient is prescribed albuterol via inhaler. After taking a
dose, the patient reports feeling nervous and slightly shaky.
What is the most appropriate response by the nurse?
a. This is an expected adverse effect. Let me take your pulse.
b. This is a life-threatening reaction. Call 911 immediately.
c. You may be experiencing an allergic reaction. Stop taking it.
d. You probably took too much. Don’t use it again until I say so.
✔ Answer: a. This is an expected adverse effect.
Let me take your pulse.
Rationale: Beta-agonists like albuterol stimulate the sympathetic
nervous system and may cause nervousness, tremor, or tachycardia.
These are expected side effects.
2. Which medications are considered appropriate rescue agents
in acute asthma exacerbations? (Select all that apply.)
a. Salmeterol inhaler
b. Albuterol nebulizer solution
c. Intravenous systemic corticosteroids
d. Montelukast
e. Inhaled corticosteroids
✔ Answer: b, c
Rationale: Rescue medications include albuterol and systemic
corticosteroids. Salmeterol and montelukast are for maintenance, not
acute attacks.
3. Which medication is typically used for the immediate
treatment of acute asthma symptoms?
a. Montelukast
b. A short-acting beta2 agonist such as albuterol
c. A long-acting beta2 agonist such as salmeterol
d. Fluticasone inhaler
, ✔ Answer: b. A short-acting beta2 agonist such as
albuterol
Rationale: Albuterol is a short-acting beta2 agonist used for
immediate bronchodilation in acute asthma exacerbations.
4. A patient taking disulfiram states they occasionally use cough
syrup for colds. Which teaching point is most important?
a. Cough syrup may reduce the drug’s effectiveness.
b. Many OTC products contain alcohol and must be avoided.
c. Disulfiram does not interact with medications like that.
d. Use only brand-name cough syrups with disulfiram.
✔ Answer: b. Many OTC products contain alcohol
and must be avoided.
Rationale: Disulfiram reacts with alcohol; even trace amounts in
products like cough syrups may cause serious reactions.
5. What symptoms are consistent with acetaldehyde syndrome
caused by disulfiram? (Select all that apply.)
a. Vomiting
b. Diarrhea
c. Headache
d. Euphoria
e. Dyspnea
f. Diaphoresis
✔ Answer: a, c, e, f
Rationale: Acetaldehyde syndrome includes vomiting, headache,
dyspnea, and diaphoresis. Diarrhea and euphoria are not typical.
6. What is the most serious potential adverse effect of cisplatin?
, a. Bone marrow suppression
b. Kidney damage
c. Hypertension
d. Hepatic dysfunction
✔ Answer: b. Kidney damage
Rationale: Cisplatin is nephrotoxic and can cause acute renal failure.
Renal function must be monitored closely.
7. Which are common adverse effects of cisplatin therapy?
(Select all that apply.)
a. Hyperglycemia
b. Tinnitus
c. Peripheral neuropathy
d. Hearing loss
e. Elevated BUN and creatinine
f. Heart failure
✔ Answer: b, c, d, e
Rationale: Cisplatin is known for nephrotoxicity, ototoxicity (tinnitus,
hearing loss), and peripheral neuropathy. Not associated with
hyperglycemia or HF.
8. In what scenario should digoxin immune Fab (Digibind) be
administered? (Select all that apply.)
a. Serum digoxin level of 0.9 ng/mL
b. Severe bradycardia unresponsive to atropine
c. Serum potassium >5.0 mEq/L in the presence of digoxin toxicity
d. Ingestion of >10 mg of digoxin in an adult
e. Patient stable with minor GI symptoms
✔ Answer: b, c, d
