NU150 Exam 2 Galen: (Latest 2026/2027) Pharmacology – Statins,
Antihypertensives, Anticoagulants, Thyroid, Adrenergics,
Respiratory | Q&A Grade A
Complete Review: Drug Classes, Side Effects, Patient Teaching, Nursing Interventions, Drug Interactions & NCLEX‑Style
Questions
SUBJECT SOURCE FORMAT
Pharmacology / NU 150 Galen Exam 2 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
The nurse is discussing the benefits of adding an HMG‑CoA reductase inhibitor (statin) to a client's
regimen. This class of drugs can reduce the risk of death from which of the following?
CORRECT ANSWER
Cardiovascular disorders
RATIONALE
• Statins lower LDL cholesterol, reduce plaque formation, and prevent cardiovascular events (MI, stroke).
• Adverse effects: myopathy, rhabdomyolysis, hepatotoxicity.
• Avoid grapefruit juice; monitor LFTs and CK.
Q2
A client asks how amlodipine works for angina. The best response is that the medication:
CORRECT ANSWER
Dilates vessels by manipulating the movement of calcium (calcium channel blocker).
RATIONALE
• Calcium channel blockers inhibit calcium influx into vascular smooth muscle → vasodilation.
• Used for hypertension, angina, and certain arrhythmias.
• Side effects: peripheral edema, dizziness, flushing.
, Q3
A client with bacterial sepsis and BP 78/44 is prescribed an adrenergic drug. The rationale is that
adrenergic drugs:
CORRECT ANSWER
Increase blood pressure and increase organ perfusion.
RATIONALE
• Adrenergic drugs (norepinephrine, epinephrine, dopamine) are vasopressors.
• Increase MAP to perfuse vital organs.
• Monitor for tachycardia, arrhythmias, and extravasation.
Q4
Which statement by a client taking warfarin demonstrates correct understanding of dietary restrictions?
CORRECT ANSWER
"I will limit the amount of spinach salad I eat."
RATIONALE
• Warfarin is a vitamin K antagonist; high vitamin K foods (spinach, kale, broccoli) decrease its effect.
• Consistent vitamin K intake is key, not complete avoidance.
• Monitor INR (therapeutic range 2‑3).
Q5
Which information in a client's record is most concerning when prescribed propranolol?
CORRECT ANSWER
A medical history of asthma and emphysema.
RATIONALE
• Propranolol is a non‑selective beta blocker (blocks B1 and B2).
• B2 blockade causes bronchospasm → contraindicated in asthma/COPD.
• Use cardioselective beta blockers (atenolol, metoprolol) with caution.
Antihypertensives, Anticoagulants, Thyroid, Adrenergics,
Respiratory | Q&A Grade A
Complete Review: Drug Classes, Side Effects, Patient Teaching, Nursing Interventions, Drug Interactions & NCLEX‑Style
Questions
SUBJECT SOURCE FORMAT
Pharmacology / NU 150 Galen Exam 2 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
The nurse is discussing the benefits of adding an HMG‑CoA reductase inhibitor (statin) to a client's
regimen. This class of drugs can reduce the risk of death from which of the following?
CORRECT ANSWER
Cardiovascular disorders
RATIONALE
• Statins lower LDL cholesterol, reduce plaque formation, and prevent cardiovascular events (MI, stroke).
• Adverse effects: myopathy, rhabdomyolysis, hepatotoxicity.
• Avoid grapefruit juice; monitor LFTs and CK.
Q2
A client asks how amlodipine works for angina. The best response is that the medication:
CORRECT ANSWER
Dilates vessels by manipulating the movement of calcium (calcium channel blocker).
RATIONALE
• Calcium channel blockers inhibit calcium influx into vascular smooth muscle → vasodilation.
• Used for hypertension, angina, and certain arrhythmias.
• Side effects: peripheral edema, dizziness, flushing.
, Q3
A client with bacterial sepsis and BP 78/44 is prescribed an adrenergic drug. The rationale is that
adrenergic drugs:
CORRECT ANSWER
Increase blood pressure and increase organ perfusion.
RATIONALE
• Adrenergic drugs (norepinephrine, epinephrine, dopamine) are vasopressors.
• Increase MAP to perfuse vital organs.
• Monitor for tachycardia, arrhythmias, and extravasation.
Q4
Which statement by a client taking warfarin demonstrates correct understanding of dietary restrictions?
CORRECT ANSWER
"I will limit the amount of spinach salad I eat."
RATIONALE
• Warfarin is a vitamin K antagonist; high vitamin K foods (spinach, kale, broccoli) decrease its effect.
• Consistent vitamin K intake is key, not complete avoidance.
• Monitor INR (therapeutic range 2‑3).
Q5
Which information in a client's record is most concerning when prescribed propranolol?
CORRECT ANSWER
A medical history of asthma and emphysema.
RATIONALE
• Propranolol is a non‑selective beta blocker (blocks B1 and B2).
• B2 blockade causes bronchospasm → contraindicated in asthma/COPD.
• Use cardioselective beta blockers (atenolol, metoprolol) with caution.
