NUR 378 FINAL EXAM
Pharmacology - Concordia, St. Paul
Actual Questions and Answers
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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
Rationale: Digoxin immune Fab is used for life-threatening toxicity, including
bradycardia, hyperkalemia, or massive overdose.
9. Which medication’s toxicity risk increases with hypokalemia induced by thiazide
diuretics?
a. Digoxin
b. Lisinopril
c. Warfarin
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
Rationale: Digoxin immune Fab is used for life-threatening toxicity, including
bradycardia, hyperkalemia, or massive overdose.
9. Which medication’s toxicity risk increases with hypokalemia induced by thiazide
diuretics?
a. Digoxin
b. Lisinopril
c. Warfarin
