NUR2474 Pharmacology Final Exam
NUR2474 PHARMACOLOGY FINAL EXAM NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
1. A patient with hypothyroidism begins taking PO levothyroxine (Synthroid). The
nurse assesses the patient at the beginning of the shift and notes a heart rate of
62 beats per minute and a temperature of 97.2° F. The patient is lethargic and
difficult to arouse. The nurse will contact the provider to request an order for
which drug?
a. Beta blocker
b. Increased dose of PO levothyroxine
c. Intravenous levothyroxine
d. Methimazole (Tapazole) - ANSWER-c. Intravenous levothyroxine
*IV allows for a more rapid correction of thyroid hormone levels especially
hypothyroidism with symptoms of myxedema coma or severe hypothyroidism.
This is considered a medical emergency.
2. A patient is admitted to the hospital and will begin taking levothyroxine
(Synthroid). The nurse learns that the patient also takes warfarin (Coumadin). The
nurse will notify the provider to discuss _____ the _____ dose.
a. reducing levothyroxine
b. reducing warfarin
c. increasing levothyroxine
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, NUR2474 Pharmacology Final Exam
d. increasing warfarin - ANSWER-b. reducing warfarin
*Levothyroxine (Synthroid) can potentially increase the effects of warfarin, leading
to an increased risk of bleeding.
3. An older adult patient is diagnosed with hypothyroidism. The initial free T4 level
is 0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders
levothyroxine (Levothroid) 100 mcg/day PO. What will the nurse do?
a. Administer the medication as ordered.
b. Contact the provider to discuss giving the levothyroxine IV.
c. Request an order to give desiccated thyroid (Armour Thyroid).
d. Suggest that the provider lower the dose. - ANSWER-d. Suggest that the
provider lower the dose.
*normal TSH is 0.4-4.
4. A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of
levothyroxine (Synthroid). The child comes to the clinic for a well-child check up.
The nurse will expect the provider to:
a. change the dose of levothyroxine to 6 mcg/kg/day.
b. discontinue the drug if the child's physical and mental development is normal.
c. increase the dose to accommodate the child's increased growth.
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, NUR2474 Pharmacology Final Exam
d. stop the drug for 4 weeks and check the child's TSH level. - ANSWER-a. change
the dose of levothyroxine to 6 mcg/kg/day.
*after 1 year of age, the organs are developed and higher does is no longer
needed.
5. A patient who is receiving a final dose of intravenous (IV) cephalosporin begins
to complain of pain and irritation at the infusion site. The nurse observes signs of
redness at the IV insertion site and along the vein. What is the nurse's priority
action?
a. Apply warm packs to the arm, and infuse the medication at a slower rate.
b. Continue the infusion while elevating the arm.
c. Select an alternate intravenous site and administer the infusion more slowly. d.
Request central venous access. - ANSWER-c. Select an alternate intravenous site
and administer the infusion more slowly.
*infiltration
6. A nurse is teaching a nursing student what is meant by "generations" of
cephalosporins. Which statement by the student indicates understanding of the
teaching?
a."Cephalosporins are assigned to generations based on their relative costs to
administer."
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, NUR2474 Pharmacology Final Exam
b. "Cephalosporins have increased activity against gram-negative bacteria with
each generation.
c. "First-generation cephalosporins have better penetration of the cerebrospinal
fluid."d. "Later generations of cephalosporins have lower resistance to destruction
by beta- lactamases." - ANSWER-b. "Cephalosporins have increased activity
against gram-negative bacteria with each generation.
*this statement reflects the general trend seen in cephalosporins
7. A provider has ordered ceftriaxone 4 gm once daily for a patient with renal
impairment. What will the nurse do?
a. Administer the medication as prescribed.
b. Contact the provider to ask about giving the drug in divided doses.
c. Discuss increasing the interval between doses with the provider.
d. Discuss reducing the dose with the provider. - ANSWER-a. Administer the
medication as prescribed.
*?
8. A patient will be discharged home to complete treatment with intravenous
cefotetan with the assistance of a home nurse. The home care nurse will include
which instruction when teaching the patient about this drug treatment?
a. Abstain from alcohol consumption during therapy.
4|Page
NUR2474 PHARMACOLOGY FINAL EXAM NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
1. A patient with hypothyroidism begins taking PO levothyroxine (Synthroid). The
nurse assesses the patient at the beginning of the shift and notes a heart rate of
62 beats per minute and a temperature of 97.2° F. The patient is lethargic and
difficult to arouse. The nurse will contact the provider to request an order for
which drug?
a. Beta blocker
b. Increased dose of PO levothyroxine
c. Intravenous levothyroxine
d. Methimazole (Tapazole) - ANSWER-c. Intravenous levothyroxine
*IV allows for a more rapid correction of thyroid hormone levels especially
hypothyroidism with symptoms of myxedema coma or severe hypothyroidism.
This is considered a medical emergency.
2. A patient is admitted to the hospital and will begin taking levothyroxine
(Synthroid). The nurse learns that the patient also takes warfarin (Coumadin). The
nurse will notify the provider to discuss _____ the _____ dose.
a. reducing levothyroxine
b. reducing warfarin
c. increasing levothyroxine
1|Page
, NUR2474 Pharmacology Final Exam
d. increasing warfarin - ANSWER-b. reducing warfarin
*Levothyroxine (Synthroid) can potentially increase the effects of warfarin, leading
to an increased risk of bleeding.
3. An older adult patient is diagnosed with hypothyroidism. The initial free T4 level
is 0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders
levothyroxine (Levothroid) 100 mcg/day PO. What will the nurse do?
a. Administer the medication as ordered.
b. Contact the provider to discuss giving the levothyroxine IV.
c. Request an order to give desiccated thyroid (Armour Thyroid).
d. Suggest that the provider lower the dose. - ANSWER-d. Suggest that the
provider lower the dose.
*normal TSH is 0.4-4.
4. A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of
levothyroxine (Synthroid). The child comes to the clinic for a well-child check up.
The nurse will expect the provider to:
a. change the dose of levothyroxine to 6 mcg/kg/day.
b. discontinue the drug if the child's physical and mental development is normal.
c. increase the dose to accommodate the child's increased growth.
2|Page
, NUR2474 Pharmacology Final Exam
d. stop the drug for 4 weeks and check the child's TSH level. - ANSWER-a. change
the dose of levothyroxine to 6 mcg/kg/day.
*after 1 year of age, the organs are developed and higher does is no longer
needed.
5. A patient who is receiving a final dose of intravenous (IV) cephalosporin begins
to complain of pain and irritation at the infusion site. The nurse observes signs of
redness at the IV insertion site and along the vein. What is the nurse's priority
action?
a. Apply warm packs to the arm, and infuse the medication at a slower rate.
b. Continue the infusion while elevating the arm.
c. Select an alternate intravenous site and administer the infusion more slowly. d.
Request central venous access. - ANSWER-c. Select an alternate intravenous site
and administer the infusion more slowly.
*infiltration
6. A nurse is teaching a nursing student what is meant by "generations" of
cephalosporins. Which statement by the student indicates understanding of the
teaching?
a."Cephalosporins are assigned to generations based on their relative costs to
administer."
3|Page
, NUR2474 Pharmacology Final Exam
b. "Cephalosporins have increased activity against gram-negative bacteria with
each generation.
c. "First-generation cephalosporins have better penetration of the cerebrospinal
fluid."d. "Later generations of cephalosporins have lower resistance to destruction
by beta- lactamases." - ANSWER-b. "Cephalosporins have increased activity
against gram-negative bacteria with each generation.
*this statement reflects the general trend seen in cephalosporins
7. A provider has ordered ceftriaxone 4 gm once daily for a patient with renal
impairment. What will the nurse do?
a. Administer the medication as prescribed.
b. Contact the provider to ask about giving the drug in divided doses.
c. Discuss increasing the interval between doses with the provider.
d. Discuss reducing the dose with the provider. - ANSWER-a. Administer the
medication as prescribed.
*?
8. A patient will be discharged home to complete treatment with intravenous
cefotetan with the assistance of a home nurse. The home care nurse will include
which instruction when teaching the patient about this drug treatment?
a. Abstain from alcohol consumption during therapy.
4|Page
