Pharmacology Midterm Exam Questions With Complete
Solutions
A 70-year-old man who enjoys good health began taking low-
dose aspirin several months ago based on recommendations that
he read in a magazine article. During the man's most recent visit
to his care provider, routine blood work was ordered and the
results indicated an unprecedented rise in the man's serum
creatinine and blood urea nitrogen (BUN) levels. How should a
nurse best interpret these findings? Correct Answers The man
may be experiencing nephrotoxic effects of aspirin
A client says to a nurse, "Why do you need to know the names
of all the over-the-countersupplements I take? They aren't
drugs." Which of the nurse's responses are appropriate?Select all
that apply. Correct Answers "The healthcare provider needs to
know everything you are taking."
"It is true that supplements are not considered drugs; however,
some of these products can cause adverse effects with prescribed
drugs."
A group of LPN students are reviewing state practice acts for
nursing. Which statementsrepresent best practice for the LPN
role? Correct Answers LPNs are not allowed to administer
intravenous (IV) medications in most states.
A group of nurses are reviewing barbiturate medications. Which
statement is accurate? Correct Answers They are synthetic
medications.
, A home health nurse notes that there have been changes to a
patient's oral drug regimen. The nurse will closely monitor the
new drug regimen to Correct Answers Changes in the drug
regimen may cause changes in drug absorption and thereby
decrease the anticipated drug effect. This decrease is due to the
prevention of binding and loss of absorption and overall drug
effectiveness. A change in the drug regimen would not help a
nurse to track the route of metabolism or determine the speed of
chelation. If any adverse effect were to occur as a result of a
drug regimen change, it would not necessarily be
immunotoxicity; it could also be nephrotoxicity, ototoxicity, or
cardiotoxicity.
A nurse administers the same medication in the same
preparation in the same dose to several patients and notes that
some patients have a better response to the drug than others.
What is the most likely explanation for this phenomenon?
Correct Answers Pharmacogenomic differences among
individuals
A nurse is a member of a research team that is exploring unique
differences in responses todrugs that each individual possesses,
based on genetic make-up. This area of study is called Correct
Answers pharmacogenomics
A nurse is caring for a client who has had part of her small
intestine removed due to cancer. She has also now developed
hypertension and has been prescribed a new medication to
decrease her blood pressure. While planning the client's care, the
nurse should consider a possible alteration in which aspect of
pharmacokinetics? Correct Answers absorption
Solutions
A 70-year-old man who enjoys good health began taking low-
dose aspirin several months ago based on recommendations that
he read in a magazine article. During the man's most recent visit
to his care provider, routine blood work was ordered and the
results indicated an unprecedented rise in the man's serum
creatinine and blood urea nitrogen (BUN) levels. How should a
nurse best interpret these findings? Correct Answers The man
may be experiencing nephrotoxic effects of aspirin
A client says to a nurse, "Why do you need to know the names
of all the over-the-countersupplements I take? They aren't
drugs." Which of the nurse's responses are appropriate?Select all
that apply. Correct Answers "The healthcare provider needs to
know everything you are taking."
"It is true that supplements are not considered drugs; however,
some of these products can cause adverse effects with prescribed
drugs."
A group of LPN students are reviewing state practice acts for
nursing. Which statementsrepresent best practice for the LPN
role? Correct Answers LPNs are not allowed to administer
intravenous (IV) medications in most states.
A group of nurses are reviewing barbiturate medications. Which
statement is accurate? Correct Answers They are synthetic
medications.
, A home health nurse notes that there have been changes to a
patient's oral drug regimen. The nurse will closely monitor the
new drug regimen to Correct Answers Changes in the drug
regimen may cause changes in drug absorption and thereby
decrease the anticipated drug effect. This decrease is due to the
prevention of binding and loss of absorption and overall drug
effectiveness. A change in the drug regimen would not help a
nurse to track the route of metabolism or determine the speed of
chelation. If any adverse effect were to occur as a result of a
drug regimen change, it would not necessarily be
immunotoxicity; it could also be nephrotoxicity, ototoxicity, or
cardiotoxicity.
A nurse administers the same medication in the same
preparation in the same dose to several patients and notes that
some patients have a better response to the drug than others.
What is the most likely explanation for this phenomenon?
Correct Answers Pharmacogenomic differences among
individuals
A nurse is a member of a research team that is exploring unique
differences in responses todrugs that each individual possesses,
based on genetic make-up. This area of study is called Correct
Answers pharmacogenomics
A nurse is caring for a client who has had part of her small
intestine removed due to cancer. She has also now developed
hypertension and has been prescribed a new medication to
decrease her blood pressure. While planning the client's care, the
nurse should consider a possible alteration in which aspect of
pharmacokinetics? Correct Answers absorption
