Pharmacology Chapter Questions for Exam 1

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Fyrcracker
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Pharmacology Chapter Questions for Exam 1
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2013-09-06 09:18:09
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Pharmacology drug action
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Questions at the end of the chapters. For Exam 1
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  1. It is important for the nurse to be aware of the four sequential processes of the pharmacokinetic phase.  What are these processes?
    • Absorption
    • Distribution
    • Metabolism (Biotransformation)
    • Exretion
  2. It is expected that the nurse will question the health care provider if a drug with a t1/2 of >24hrs is ordered to be given more than how often?
    a. Once daily
    b. Twice daily
    c. Twice weekly
    d. Once weekly
  3. b. Twice daily
  4. Which of these statements are correct? (select all that apply).
    a. A drug bound to a protein is an active drug.
    b. A drug not bound to a protein is an active drug.
    c. Most receptors are found under cell membrane.
    d. Toxic effects can result if the trough level is low.
    • b. A drug not bound to a protein is an active drug.
    • c. Most receptors are found under cell membrane.
  5. The nurse notices that one of the client's drugs has a low therapeutic index.  What is the most important nursing implication of this?
    A. Measured 10min after administration.
    B. Measured 1 hour after administration.
    C. A wide margin of safety
    D. A narrow margin of safety.
    D. a narrow margin of safety.
    (this multiple choice question has been scrambled)
  6. One of the client's drugs has potential adverse effect of nephrotoxicity.  Which test is most accurate to determine renal function?
    A. Creatinine clearance
    B. Blood urea nitrogen
    C. Glomerular filtration rate
    D. Renal clearance
    A. Creatinine clearance
    (this multiple choice question has been scrambled)
  7. The nurse reviews the client's medication regimen, including the interval of drug dosage, which is related to which of the following?
    A. Theraputic index
    B. Stimulation of receptors
    C. Trough level
    D. Half-life
    D. Half-life
    (this multiple choice question has been scrambled)
  8. Nursing responsibilities in the assessment phase of the nursing process include which responsibilities? (select all that apply)
    a. Identify side effects of drugs that are nonspecific.
    b. Check peak & trough levels of drugs
    c. Advise client to avoid fatty foods prior to ingesting an enteric coated tablet.
    d. Evaluate client's reaction to drug.
    • a. Identify side effects of drugs that are nonspecific.
    • b. Check peak & trough levels of drugs.
  9. During a medication review session, a client comments, "I just do not know why I am taking all of these pills."  This comment suggests which nursing diagnosis?
    A. Risk for aspiration
    B. Risk for Injury
    C. Deficient knowledge
    D. Anxiety
    C. Deficient Knowledge
    (this multiple choice question has been scrambled)
  10. The nurse is developing goals in collaboration with the client.  Which is the best goal statement?
    A. The client will organize her medications by tomorrow.
    B. The client will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
    C. The client will self-administer albuterol by tomorrow.
    D. The client will self-administer the prescribed dose of albuterol by the end of the second teaching session.
    B. The client will independently self-administer the prescribed dose of albuterol by the end of the second teaching session.
    (this multiple choice question has been scrambled)
  11. The nurse is aware of the many factors related to effective health teaching about the medication.  The most essential component of the teaching plan is to do which?
    A. Establish a trust relationship.
    B. Provide written instruments.
    C. Review community resources.
    D. Use colorful charts.
    A. Establish a trust relationship.
    (this multiple choice question has been scrambled)
  12. A medication health teaching plan is tailored to a specific client.  Common topics for health teaching include which? (select all that apply)
    a. Importance of adherence to the prescribed regimen.
    b. How to administer medications
    c. What side/adverse effects to report to the health care provider.
    d. Instruction of the client on what foods should be eaten.
    • a. Importance of adherence to the prescribed regimen.
    • b. How to administer medication(s)
    • c. What side/adverse effects to report to the health care provider
  13. The client's goals have been met during hospitalization.  At the time of discharge, which nursing diagnosis is most probable?
    A. Readiness for enhanced self-care activities
    B. Ineffective coping
    C. Knowledge deficient
    D. Readiness for enhanced social interaction
    A. Readiness for enhanced self-care activities
    (this multiple choice question has been scrambled)
  14. The client asks about disposal of medications.  What are the nurse's best reponses?
    a. "You should mix medications with coffee        grounds before disposal."
    b. "You should pour medications down the  sink."
    c. "You should remove identifying info on the  original container."
    d. "You should pulverize all tablets before  disposal."
    • a. "You should mix medications with coffee grounds before disposal."
    • c. "You should remove identifying info on the original container."
  15. The client is taking dutastride (Avodart).  Which client comment indicates the need for more education about the drug?
    a. "I'm glad I can take the medication with or  without food."
    b. "It is good that no lab tests & monitoring are  required."
    c. "This drug is expensive."
    d. "I prefer to chew the drug before swallowing  it."
    • d. "I prefer to chew the drug before swallowing it."
    • *it can irritate lips, mouth & throat if capsule is broken or open.
  16. The nurse educator on the unit receives a list of high-alert drugs.  Which strategies are recommended to decrease the risk of errors with these medications? (select all that apply)
    a. Store meds in alphabetically on their usual    shelf.
    b. Limit access to these drugs.
    c. Use special labels.
    d. Provide increased information to staff.
    • b. Limit access to these drugs
    • c. Use special labels.
    • d. Provide increased information to staff.
  17. The nurse is aware that according to The Joint Commission, which abreviations are acceptable for ordering or documenting meds? (select all that apply.)
    a. QD
    b. h.s.
    c. T.I.W.
    d. b.i.d.
    • b. h.s.
    • c. T.I.W.
    • d. b.i.d.
  18. The client refuses to take his prescribed meds.  Which is the nurse's best response to this clients?
    A. Explain the risks of not taking the med
    B. Leave the med at the client's bedside to be taken later.
    C. Persuade the client to take the med
    D. Explain the benefits & s/e of the drug.
    A. Explain the risks of not taking the med.
    (this multiple choice question has been scrambled)
  19. The nurse is administering oral meds to the client.  Which are important considerations? (select all that apply)
    a. Administer irritating drugs with food.
    b. Avoid mixing medications in infant formula
    c. Enteric coated capsules can be chewed or crushed.
    d. Oral meds are not given if client is vomiting.
    • a. Administer irritating drugs with food
    • b. Avoid mixing meds in infant formula
    • d. Oral meds are not given if client is vomiting.
  20. The clinic nurse administers a TB test to the client.  Which supplies are best used?
    A. 25g needle, insulin syringe
    B. 25g needle, tuberculine syringe
    C. 27g, 5/8" needle, 3ml syringe
    D. 21g, 5/8" needle
    B. 25g needle, tuberculine syringe
    (this multiple choice question has been scrambled)
  21. The nurse administers iron dextran to the client.  What special considerations are associated with this? (all that apply)
    A. Deltoid site is preferred; ^ chance of self sticks.
    B. Gluteal site is preferred w/use of one needle
    C. Gluteal site is preferred, a different needle to draw up vs. admin
    D. Vastus Lateralis site is preferred
    C. Gluteal site is preferred, with a different needle to draw up vs. admin.
    (this multiple choice question has been scrambled)
  22. The nurse administers a variety of medications to the client.  Which comment by the client indicates need for further teaching?
    A. "I keep the meds in their original labeled containers."
    B. "I do not drink or eat when I have nitroglycerin in place."
    C. "I store meds away from children & pets."
    D. "I mix all these meds in my dessert & hope I am not too full to finish."
    D. "I mix all these meds in my dessert & hope I am not too full to finish."
    (this multiple choice question has been scrambled)
  23. The nurse is teaching the client to use an inhaler.  What common teaching points should the nurse remember?  (all that apply)
    a. Handheld nebulizers deliver a large molecule particle spray of medication.
    b. Semi- or high Fowler's position is recommended.
    c. Spacers decrease delivery of med
    d. A counter should be used to track the number of inhalations used.
    • a. Handheld nebulizers deliver a large molecule particle spray of medication.
    • d. A counter should be used to track the number of inhalations used.
  24. The 3-year-old client has an IM med ordered.  What is the most appropriate approach to gain the child's cooperation?
    A. Engage in fantasy play.
    B. Ask family member to leave the room
    C. Restrain the client's upper extremities
    D. Give injection to a stuffed toy bear.
    D. Give injection to a stuffed toy bear.
    (this multiple choice question has been scrambled)
  25. What legislation ^ controls on drug safety & required that adverse reactions & contraindications must be included on the label?
    A. Durham-Humphrey Amendment to 1938 Act
    B. Food, Drug, & Cosmetic Act
    C. Kefauver-Harris Amendment to 1938 Act
    D. Controlled Substances Act
    C. Kefauver-Harris Amendment to 1938 Act
    (this multiple choice question has been scrambled)
  26. The nurse is reviewing the client"s list of meds & notes that several have the highest abuse potential.  According to U.S. standards, the highest potential for abuse of drugs w/accepted medical use is found in drugs included in which  schedule?
    A. IV
    B. III
    C. II
    D. V
    C. II
    (this multiple choice question has been scrambled)
  27. Give the schedule categories of controlled substances and their descriptions.
    • I - High potential for abuse. NO accepted medical use (C-I)
    • II - High potential for abuse.  Accepted medical use.  Can lead to dependency. (C-II)
    • III - Medically accepted drugs.  Potential for abuse is less than C-I & C-II
    • IV - Medically accepted drugs.  May cause dependence. (C-IV)
    • V - Medically accepted drugs.  Very limited potential for dependence. (C-V)
  28. The nurse is reviewing the drug-approval process in the U.S.A. & learns that the FDA Modernization Act of 1997 contains which provisions? (all that apply)
    a. Review of new drugs is accelerated.
    b. Drug companies are to provide info on "off-label" drugs.
    c. Privacy of individually identifiable health info is to be protected.
    d. Drug companies are to notify of plans to discontinue drugs.
    • a. Review of new drugs is accelerated
    • b. Drug companies are to provide info on "off-label" drugs.
    • d. Drug companies are to notify of plans to discontinue drugs.
  29. The client has questions about "those fake drugs."  Which factors alert the client or nuse that a drug is counterfeit or adulterated? (all that apply.)
    a. Variations in packaging
    b. Unexpected s/e
    c. Different taste
    d. Different chemical components
    • a. Variations in packaging
    • b. Unexpected s/e
    • c. Different chemical components
  30. In the event the nurse gives the correct drug via the wrong route, resulting in the death of the client, the nurse may be charged with which of the following in a civil court?
    A. Misfeasance
    B. Nonfeasance
    C. Malfeasance
    D. Negligence
    C. Malfeasance
    (this multiple choice question has been scrambled)
  31. What is Misfeasance?
    Negligence; giving the wrong drug or drug dose that results in the client's death.
  32. What is Nonfeasance?
    Omission; omitting a drug dose that results in the client's death.
  33. What is Malfeasance?
    Giving the correct drug but by the wrong route that results in the client's death.
  34. The nurse knows the importance of administering the right medication to the client & that drugs "go by" many names.  Most drugs are ordered by which type of name?
    Generic
  35. A drug label has "t/c" on it.  Which statement is true about this designation? (all that apply)
    a. It appears on all schedule F rx drugs.
    b. It appears on targeted substances, such as benzodiazapines.
    c. It is a designation of the Canadian Controlled Drug & Substance act.
    d. It appears on all narcotics.
    • b. It appears on targeted substances, such as benzodiazapines.
    • c. It is a designation of the Canadian Controlled Drug & Substance Act.
  36. The rate of absorption  of drugs can change when two drugs are taken at the same time.  The nurse is aware that the rate of absorption can be changed by which actions? (all that apply)
    a. Modifying gastric emptying time
    b. Changing gastric pH
    c. Decreasing inflammation
    d. Forming drug complexes
    • a. modifying gastric emptying time
    • b. changing gastric pH
    • d. forming drug complexes
  37. The nurse is reviewing the client's meds as part of client teaching.  Which drug is least likely to cause photosensitivity?
    A. Penicillin
    B. Sulfonamides
    C. Sulfonylureas
    D. Thiazides
    A. Penicillin
    (this multiple choice question has been scrambled)
  38. Categories of preparations for OTC products include which categories?
    a. Drugs in clinical trials
    b. Drugs judged to be both safe & effective
    c. Drugs judged to be either unsafe or ineffective
    d. Drugs w/insufficient data to judge safety or efficacy.
    • b. Drugs judged to be both safe & effective
    • c. Drugs judged to be either unsafe or ineffective.
    • d. Drugs w/insufficient data to judge safety or efficacy.
  39. The nurse is meeting w/a community group about med safety.  An important point the nurse must emphasize is that clients at high risk for drug interactions include which groups? (all that apply.)
    a. Older clients
    b. Clients w/chronic health conditions
    c. Clients taking 3 or more drugs
    d. Clients dealing w/only one pharmacy
    • a. Older clients
    • b. Clients w/chronic health conditions
    • c. Clients taking 3 or more drugs.
  40. The nurse recognizes that when a client takes a hepatic enzyme inducer, the dose of the warfarin is usually affected in which way?
    A. It is decreased
    B. It is unpredictable
    C. It is increased
    D. It remains the same
    C. It is increased
    (this multiple choice question has been scrambled)
  41. The nurse is conducting client assessment & notes that the client has alkaline urine, which promotes excretion of drugs that are weak acids.  Which drug is a weak acid?
    A. warfarin
    B. aspirin
    C. phenytoin
    D. quinidine
    B. aspirin
    (this multiple choice question has been scrambled)
  42. The nurse is describing to the client the synergistic effects of two of his meds.  Which of these statements is correct about synergistic drug effects?
    A. One drug acts as an antidote to the s/e of another drug.
    B. 2 drugs have antagonistic effects on ea. other.
    C. The action of a drug is nullified by another drug.
    D. A greater effect is achieved when 2 drugs are combined.
    D. a greater effect is achieved when 2 drugs are combined.
    (this multiple choice question has been scrambled)
  43. Safety is the primary consideration w/all meds.  Which cautions are associated w/use of OTC meds? (all that apply)
    a. They may delay professional diagnosis
    b. They may mask symptoms
    c. They may make diagnosis easier
    d. Their inactive ingredients may cause adverse reactions
    • a. They may delay professional diagnosis
    • b. They may mask symptoms
    • d. Their inactive ingredients may cause adverse reactions.
  44. Clients on long-term digoxin therapy need regular digoxin-level monitoring to detect early toxicity manifested by which symptoms? (all that apply)
    a. Visual problems
    b. N/V
    c. Skin eruptions
    d. Urinary retention
    • a. Visual problems
    • b. N/V
    • d. Urinary retention
  45. The Dietary Supplement Health & Education Act of 1994 (DHSEA) accomplished which action(s)?
    a. Clarified marketing regulations
    b. Reclassified herbs as dietary supplements
    c. Stated that herbal products can be marketed w/suggested dosages
    d. Required that package labels give quality & strength of all contents.
    • a. Clarified marketing regulations
    • b. Reclassified herbs as dietary supplements
    • c. Stated that herbal products can be marketed w/suggested dosages
  46. The nurse discovers that her client has recently decided to take 4 herbal preparations.  What is the best nursing intervention to do first?
    A. Instruct the client to stop taking all herbal products immediately.
    B. Discuss the cost of herbal products.
    C. Suggest that the client taper off use of herbal products over the next 2 weeks.
    D. Instruct the client to inform the PCP of all herbal products taken.
    D. Instruct the client to inform the PCP of all products taken.
    (this multiple choice question has been scrambled)
  47. Labeling of herbal products is important. Which is an appropriate claim for an herbal product?
    A. Prevents diabetes
    B. Cures Alzheimer's disease
    C. Helps ^ blood flow to extremities
    D. Is safe for all
    C. Helps ^ blood flow to extremities
    (this multiple choice question has been scrambled)
  48. Which herbal products interfere w/the action of anticoagulants? (select all that apply)
    a. Aloe & cranberry
    b. Feverfew & dong quai
    c. Garlic & ginger
    d. Gingko & licorice
    • b. Feverfew & dong quai
    • c. Garlic & ginger
    • d. Gingko & licorice
  49. The client has multiple prescription meds & takes an herbal product.  Which is a serum antagonist typically used for relief of migraine headaches?
    A. Milk thistle
    B. Feverfew
    C. Valerian
    D. Gingko
    B. Feverfew
    (this multiple choice question has been scrambled)
  50. The client is being followed by a cardiac clinic & takes garlic, known as the "herb of endurance," which is reported to <cholesterol, triglycerides, blood pressure & blood clotting capability.  Which comment from the client indicates a need for further teaching? (all that apply)
    a. "I can just take garlic for my heart problems."
    b. "Garlic may provide some decrease in blood pressure."
    c. "Garlic is very effective in preventing depression."
    d. "Garlic may promote healing of my incision."
    • a. "I can just take garlic for my heart problems."
    • c. "Garlic is very effective in preventing depression."
  51. The nurse notes that many clients are taking herbal remedies for relief of depression & anxiety.  Which herbal preparation has at least 10 pharmacologically active components for relief of depression & anxiety?
    A. Saw Palmetto
    B. Licorice
    C. Goldenseal
    D. St. John's wort
    D. St. John's wort
    (this multiple choice question has been scrambled)
  52. An 8-month-old boy is dischrged from the hospital w/a plan of are to receive IM injections daily.  The parents have been taught how to administer IM injections.  Which statement, if verbalized by the parents, indicates a need for more teaching?
    a. "I need to administer this injection in the upper,outer quadrant of his buttocks."
    b. "IM injections are safe for children if administered correctly."
    c. "When I give my child this injection, the safest place for insertion is the thigh."
    d. "I will need someone to assist me to hold my child while I give the injections."
    • a. "I need to administer this injection in the upper, outer quadrant of his buttocks."
    • (use the thigh in children)

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