PHARMACOLOGY NR 293 EXAM | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | LATEST VERSION |
VERIFIED ANSWERS | JUST RELEASED
Nursing Pharmacology | Key Domains: Pharmacokinetics & Pharmacodynamics, Autonomic
Nervous System Drugs, Medications for Pain & Inflammation, Antimicrobial Agents, Cardiovascular
& Renal Drugs, Endocrine & Respiratory Drugs, Psychotropic Medications, Safe Medication
Administration, and Patient Education | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured Pharmacology NR 293 Exam for 2026/2027 provides 65 high-quality exam-style
questions with correct answers and rationales. It emphasizes the foundational principles of drug
therapy, mechanism of action for major drug classes, nursing considerations for safe administration,
recognition of adverse effects, and patient-centered education for medication management.
Answer Format
All correct answers appear in bold and cyan blue, accompanied by concise rationales explaining
the drug's mechanism, key nursing intervention, priority assessment, or critical teaching point, and
why alternative options are pharmacologically incorrect, unsafe, or represent inadequate patient
care.
1. The nurse administers a drug that is eliminated primarily by the kidneys. Which patient
condition requires close monitoring for drug toxicity?
a) Hepatitis
b) Chronic kidney disease (CKD)
c) Asthma
d) Hyperthyroidism
,In chronic kidney disease, glomerular filtration rate (GFR) is reduced, impairing drug excretion and
increasing the risk of accumulation and toxicity. Dose adjustments are often necessary for renally
cleared medications.
2. A patient is prescribed an anticholinergic drug. Which adverse effect should the nurse
monitor for?
a) Diarrhea
b) Urinary retention
c) Bradycardia
d) Excessive salivation
Anticholinergics block parasympathetic activity, leading to decreased secretions and smooth muscle
relaxation. Common side effects include dry mouth, constipation, blurred vision, and urinary
retention—especially in older men with prostate enlargement.
3. Before administering digoxin, the nurse should assess:
a) Blood pressure
b) Apical pulse for 1 full minute
c) Respiratory rate
d) Temperature
Digoxin can cause bradycardia and other arrhythmias. The nurse must assess the apical pulse for 60
seconds; if it is <60 bpm (or per provider parameters), the dose should be held and the provider
notified.
4. A patient taking warfarin (Coumadin) should be taught to avoid excessive intake of:
a) Vitamin C
, b) Vitamin K
c) Calcium
d) Iron
Vitamin K is essential for clotting factor synthesis and antagonizes warfarin’s anticoagulant effect.
Sudden increases in vitamin K-rich foods (e.g., leafy greens) can reduce INR and increase thrombosis
risk; consistency in intake is key.
5. The priority assessment before administering morphine sulfate is:
a) Pain level
b) Respiratory rate and depth
c) Blood pressure
d) Level of consciousness
Morphine is a CNS depressant that can cause life-threatening respiratory depression. The nurse must
assess baseline respirations and monitor closely after administration, especially with initial doses or
dose increases.
6. A patient on metformin (Glucophage) is scheduled for a CT scan with contrast. What is the
nurse’s priority action?
a) Administer the metformin as scheduled
b) Hold metformin and notify the provider
c) Double the dose of metformin
d) Assess blood glucose only
CORRECT ANSWERS | GRADED A+ | LATEST VERSION |
VERIFIED ANSWERS | JUST RELEASED
Nursing Pharmacology | Key Domains: Pharmacokinetics & Pharmacodynamics, Autonomic
Nervous System Drugs, Medications for Pain & Inflammation, Antimicrobial Agents, Cardiovascular
& Renal Drugs, Endocrine & Respiratory Drugs, Psychotropic Medications, Safe Medication
Administration, and Patient Education | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured Pharmacology NR 293 Exam for 2026/2027 provides 65 high-quality exam-style
questions with correct answers and rationales. It emphasizes the foundational principles of drug
therapy, mechanism of action for major drug classes, nursing considerations for safe administration,
recognition of adverse effects, and patient-centered education for medication management.
Answer Format
All correct answers appear in bold and cyan blue, accompanied by concise rationales explaining
the drug's mechanism, key nursing intervention, priority assessment, or critical teaching point, and
why alternative options are pharmacologically incorrect, unsafe, or represent inadequate patient
care.
1. The nurse administers a drug that is eliminated primarily by the kidneys. Which patient
condition requires close monitoring for drug toxicity?
a) Hepatitis
b) Chronic kidney disease (CKD)
c) Asthma
d) Hyperthyroidism
,In chronic kidney disease, glomerular filtration rate (GFR) is reduced, impairing drug excretion and
increasing the risk of accumulation and toxicity. Dose adjustments are often necessary for renally
cleared medications.
2. A patient is prescribed an anticholinergic drug. Which adverse effect should the nurse
monitor for?
a) Diarrhea
b) Urinary retention
c) Bradycardia
d) Excessive salivation
Anticholinergics block parasympathetic activity, leading to decreased secretions and smooth muscle
relaxation. Common side effects include dry mouth, constipation, blurred vision, and urinary
retention—especially in older men with prostate enlargement.
3. Before administering digoxin, the nurse should assess:
a) Blood pressure
b) Apical pulse for 1 full minute
c) Respiratory rate
d) Temperature
Digoxin can cause bradycardia and other arrhythmias. The nurse must assess the apical pulse for 60
seconds; if it is <60 bpm (or per provider parameters), the dose should be held and the provider
notified.
4. A patient taking warfarin (Coumadin) should be taught to avoid excessive intake of:
a) Vitamin C
, b) Vitamin K
c) Calcium
d) Iron
Vitamin K is essential for clotting factor synthesis and antagonizes warfarin’s anticoagulant effect.
Sudden increases in vitamin K-rich foods (e.g., leafy greens) can reduce INR and increase thrombosis
risk; consistency in intake is key.
5. The priority assessment before administering morphine sulfate is:
a) Pain level
b) Respiratory rate and depth
c) Blood pressure
d) Level of consciousness
Morphine is a CNS depressant that can cause life-threatening respiratory depression. The nurse must
assess baseline respirations and monitor closely after administration, especially with initial doses or
dose increases.
6. A patient on metformin (Glucophage) is scheduled for a CT scan with contrast. What is the
nurse’s priority action?
a) Administer the metformin as scheduled
b) Hold metformin and notify the provider
c) Double the dose of metformin
d) Assess blood glucose only
