RASMUSSEN UNIVERSITY
Bachelor of Science in Nursing (BSN)
NUR 2502 - Multidimensional Care III (MDC 3)
Academic Year: 2026/2027
Final Exam Question Bank - Pharmacology Review
Question 1
The nurse is administering naproxen (Anaprox) to a patient for mild to moderate pain.
Which black box warning is associated with this medication?
A. Hepatotoxicity and acute liver failure
B. Respiratory depression and substance abuse
C. GI bleeding, stroke, and cardiovascular events
D. Lumbar puncture complications and spinal hematoma
CORRECT ANSWER C. GI bleeding, stroke, and cardiovascular events
RATIONALE
Naproxen, like other NSAIDs, carries black box warnings for increased risk of serious GI bleeding,
stroke, and myocardial infarction. Patients with a history of peptic ulcer disease, elderly patients,
and those taking anticoagulants are at highest risk.
, Question 2
A patient asks the nurse about the purpose of acetaminophen (Tylenol). Which response
is most accurate?
A. Treatment of bacterial infections
B. Pain relief and fever reduction; it has no anti-inflammatory effects
C. Prevention of deep vein thrombosis (DVT)
D. Reduction of inflammation and swelling in arthritis
CORRECT ANSWER
B. Pain relief and fever reduction; it has no anti-inflammatory effects
RATIONALE
Acetaminophen is a nonopioid analgesic and antipyretic. Unlike NSAIDs, it has negligible anti-
inflammatory effects. Its primary black box warning is hepatotoxicity, especially when doses
exceed 4g/day or when combined with alcohol.
Question 3
A patient is receiving enoxaparin (Lovenox) postoperatively to prevent deep vein
thrombosis. Which black box warning is specific to this medication?
A. Risk of respiratory depression and opioid dependence
B. Risk of epidural or spinal hematoma with neuraxial anesthesia or lumbar puncture
C. Severe hepatotoxicity and acute liver injury
D. Risk of myocardial infarction and stroke
CORRECT ANSWER
B. Risk of epidural or spinal hematoma with neuraxial anesthesia or lumbar
puncture
RATIONALE
Enoxaparin (Lovenox) carries a black box warning for spinal/epidural hematoma when used with
neuraxial anesthesia or lumbar puncture, which can cause prolonged or permanent paralysis.
Timing of dose and catheter removal is critical.
Bachelor of Science in Nursing (BSN)
NUR 2502 - Multidimensional Care III (MDC 3)
Academic Year: 2026/2027
Final Exam Question Bank - Pharmacology Review
Question 1
The nurse is administering naproxen (Anaprox) to a patient for mild to moderate pain.
Which black box warning is associated with this medication?
A. Hepatotoxicity and acute liver failure
B. Respiratory depression and substance abuse
C. GI bleeding, stroke, and cardiovascular events
D. Lumbar puncture complications and spinal hematoma
CORRECT ANSWER C. GI bleeding, stroke, and cardiovascular events
RATIONALE
Naproxen, like other NSAIDs, carries black box warnings for increased risk of serious GI bleeding,
stroke, and myocardial infarction. Patients with a history of peptic ulcer disease, elderly patients,
and those taking anticoagulants are at highest risk.
, Question 2
A patient asks the nurse about the purpose of acetaminophen (Tylenol). Which response
is most accurate?
A. Treatment of bacterial infections
B. Pain relief and fever reduction; it has no anti-inflammatory effects
C. Prevention of deep vein thrombosis (DVT)
D. Reduction of inflammation and swelling in arthritis
CORRECT ANSWER
B. Pain relief and fever reduction; it has no anti-inflammatory effects
RATIONALE
Acetaminophen is a nonopioid analgesic and antipyretic. Unlike NSAIDs, it has negligible anti-
inflammatory effects. Its primary black box warning is hepatotoxicity, especially when doses
exceed 4g/day or when combined with alcohol.
Question 3
A patient is receiving enoxaparin (Lovenox) postoperatively to prevent deep vein
thrombosis. Which black box warning is specific to this medication?
A. Risk of respiratory depression and opioid dependence
B. Risk of epidural or spinal hematoma with neuraxial anesthesia or lumbar puncture
C. Severe hepatotoxicity and acute liver injury
D. Risk of myocardial infarction and stroke
CORRECT ANSWER
B. Risk of epidural or spinal hematoma with neuraxial anesthesia or lumbar
puncture
RATIONALE
Enoxaparin (Lovenox) carries a black box warning for spinal/epidural hematoma when used with
neuraxial anesthesia or lumbar puncture, which can cause prolonged or permanent paralysis.
Timing of dose and catheter removal is critical.
