2026 UPDATED QUESTIONS AND ANSWERS
◉1. A provider has prescribed a female patient a medication that
induces P-glycoprotein (PGP). The provider will be particularly
concerned about which aspects of the patient's medical history?
Answer: Intestinal problems, Kidney function, Liver function
◉When prescribing medications to infants, it is important for the
provider to consider which fact? Answer: Breast-feeding infants are
more likely to develop toxicity when the mother is taking lipid-
soluble drugs, Immaturity of renal function in infancy causes infants
to excrete drugs less efficiently. Infants have immature livers, which
slows drug metabolism, Infants are more sensitive to medications
that act on the central nervous system (CNS).
◉What will the provider consider when prescribing two drugs that
compete for plasma albumin receptor sites? Answer: Binding of one
or both agents will be reduced, Plasma levels of free drug will rise,
Plasma levels of free drug will fall
◉Which actions occur in most of the fatal medication errors?
Answer: Giving a drug intravenously instead of intramuscularly,
,Administering a drug that sounds like the prescribed drug, Writing a
prescription illegibly
◉A patient is found to have a genetic deficiency in the biomarker
CYP2C19. The provider recognizes that prescribing clopidogrel will
increase the patient's risk for developing what serious conditions?
Answer: Myocardial infarction, Stroke
◉A provider speaking to a class or a group of pregnant patients
correctly teaches that the highest risk of teratogen-induced gross
malformations exists during which time period Answer: During the
first trimester
◉A pregnant patient asks her provider about the safe use of
medications during the third trimester. What will the provider tell
her about drugs taken at this stage? Answer: "They may need to be
given in higher doses if they undergo renal clearance."
◉A woman who breastfeeds her infant must take a prescription
medication for 2 weeks. The medication is safe, but the patient
wants to make sure her baby receives as little of the drug as
possible. What instructions will the prescriber give the patient to
best address her concerns? Answer: "Take the medication
immediately after breastfeeding your baby."
, ◉Which type of medication prescribed to a pregnant patient is more
likely to have effects on her fetus? Answer: Lipid-soluble drugs
◉A pregnant woman asks why more is not known about the
teratogenic effects of maternal medication ingestion during
pregnancy. Which response will the provider offer to address the
patient's concern? Answer: "Clinical trials to determine teratogenic
effects would put the fetus at risk."
◉An infant developed a pruritic rash following exposure to an
allergen. The infant's parents ask the provider about using a topical
antihistamine. What information should the provider use to address
the parents' question? Answer: Applying an antihistamine to the
skin can cause toxicity in this age group.
◉The parents of a child with asthma ask the provider why their
child cannot use oral corticosteroids more often, because they are so
effective. The provider will base the discussion with the parents on
what fact concerning oral corticosteroids? Answer: Chronic
glucocorticoid use can inhibit physical growth
◉An infant is prescribed a medication that has a narrow therapeutic
range and is excreted by the kidneys. The provider will monitor
closely for which effect? Answer: Evidence of drug toxicity