HERZING UNIVERSITY PHARMACOLOGY EXAM 2026 WITH 100% ACCURATE
ANSWERS
1. A patient is prescribed metoprolol. Which assessment finding would indicate
the drug is having its desired effect?
A) Heart rate 110 bpm
B) Blood pressure 150/90 mm Hg
C) Heart rate 68 bpm
D) Respiratory rate 28/min
Answer: C
Rationale: Metoprolol is a beta-blocker that reduces heart rate and blood
pressure. A heart rate of 68 bpm indicates therapeutic effect.
2. A nurse administers furosemide IV. Which lab value should be monitored
closely?
A) Sodium
B) Potassium
C) Calcium
D) Glucose
,Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting, leading to
hypokalemia.
3. Which medication is used as a rescue inhaler for acute asthma attacks?
A) Fluticasone
B) Montelukast
C) Albuterol
D) Theophylline
Answer: C
Rationale: Albuterol is a short-acting beta-agonist (SABA) for rapid
bronchodilation.
4. A patient on warfarin has an INR of 4.5. What should the nurse anticipate?
A) Increase warfarin dose
B) Administer vitamin K
C) Give protamine sulfate
D) Hold all medications
,Answer: B
Rationale: INR >4.0 increases bleeding risk; vitamin K reverses warfarin effect.
5. Which antibiotic is contraindicated in children under 8 years old?
A) Amoxicillin
B) Ciprofloxacin
C) Doxycycline
D) Azithromycin
Answer: C
Rationale: Tetracyclines (doxycycline) cause permanent tooth discoloration and
affect bone growth in young children.
6. A patient is started on lisinopril. Which adverse effect requires immediate
attention?
A) Dry cough
B) Angioedema
C) Dizziness
D) Headache
, Answer: B
Rationale: Angioedema (swelling of lips/tongue/airway) is a life-threatening ACE
inhibitor reaction.
7. Which medication is used to reverse opioid overdose?
A) Flumazenil
B) Naloxone
C) Acetylcysteine
D) Naltrexone
Answer: B
Rationale: Naloxone is an opioid antagonist that rapidly reverses respiratory
depression.
8. The nurse administers digoxin and notes a heart rate of 52 bpm. What is the
priority action?
A) Give the medication as ordered
B) Hold the dose and notify provider
C) Increase IV fluids
ANSWERS
1. A patient is prescribed metoprolol. Which assessment finding would indicate
the drug is having its desired effect?
A) Heart rate 110 bpm
B) Blood pressure 150/90 mm Hg
C) Heart rate 68 bpm
D) Respiratory rate 28/min
Answer: C
Rationale: Metoprolol is a beta-blocker that reduces heart rate and blood
pressure. A heart rate of 68 bpm indicates therapeutic effect.
2. A nurse administers furosemide IV. Which lab value should be monitored
closely?
A) Sodium
B) Potassium
C) Calcium
D) Glucose
,Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting, leading to
hypokalemia.
3. Which medication is used as a rescue inhaler for acute asthma attacks?
A) Fluticasone
B) Montelukast
C) Albuterol
D) Theophylline
Answer: C
Rationale: Albuterol is a short-acting beta-agonist (SABA) for rapid
bronchodilation.
4. A patient on warfarin has an INR of 4.5. What should the nurse anticipate?
A) Increase warfarin dose
B) Administer vitamin K
C) Give protamine sulfate
D) Hold all medications
,Answer: B
Rationale: INR >4.0 increases bleeding risk; vitamin K reverses warfarin effect.
5. Which antibiotic is contraindicated in children under 8 years old?
A) Amoxicillin
B) Ciprofloxacin
C) Doxycycline
D) Azithromycin
Answer: C
Rationale: Tetracyclines (doxycycline) cause permanent tooth discoloration and
affect bone growth in young children.
6. A patient is started on lisinopril. Which adverse effect requires immediate
attention?
A) Dry cough
B) Angioedema
C) Dizziness
D) Headache
, Answer: B
Rationale: Angioedema (swelling of lips/tongue/airway) is a life-threatening ACE
inhibitor reaction.
7. Which medication is used to reverse opioid overdose?
A) Flumazenil
B) Naloxone
C) Acetylcysteine
D) Naltrexone
Answer: B
Rationale: Naloxone is an opioid antagonist that rapidly reverses respiratory
depression.
8. The nurse administers digoxin and notes a heart rate of 52 bpm. What is the
priority action?
A) Give the medication as ordered
B) Hold the dose and notify provider
C) Increase IV fluids
