ECPI NUR 138 PHARMACOLOGY EXAM 1 QUESTIONS AND CORRECT VERIFIED ANSWERS

ECPI NUR 138 PHARMACOLOGY EXAM 1
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2patientA2isA2toA2receiveA2oralA2guaifenesinA2(Mucinex)A2twiceA2aA2day.A2Today,A2theA
2nurseA2wasA2busyA2andA2gaveA2theA2medicationA22A2hoursA2afterA2theA2scheduledA2doseA
2wasA2due.A2WhatA2typeA2ofA2problemA2doesA2thisA2represent?
A2
A.A2"RightA2route"
B.A2"RightA2medication"
C.A2"RightA2dose"
D.A2"RightA2time"A2-A2Ans--D.A2"RightA2time"

Rationale:A2"RightA2time"A2isA2correctA2becauseA2theA2medicationA2wasA2givenA2moreA2tha
nA230A2minutesA2afterA2theA2scheduledA2doseA2wasA2due.A2"Dose"A2isA2incorrectA2because
A2theA2doseA2isA2notA2relatedA2toA2theA2timeA2theA2medicationA2administrationA2isA2schedul
ed.A2"Route"A2isA2incorrectA2becauseA2theA2routeA2isA2notA2affected.A2"Medication"A2isA2inc
orrectA2becauseA2theA2medicationA2orderedA2willA2notA2change.

TheA2nurseA2isA2administeringA2parenteralA2drugs.A2WhichA2statementA2isA2trueA2regardin
gA2parenteralA2drugs?

A.A2ParenteralA2drugsA2bypassA2theA2first-passA2effect.
B.A2AbsorptionA2ofA2parenteralA2drugsA2isA2affectedA2byA2reducedA2bloodA2flowA2toA2theA2s
tomach.A2
C.A2AbsorptionA2ofA2parenteralA2drugsA2isA2fasterA2whenA2theA2stomachA2isA2empty.
D.A2ParenteralA2drugsA2exertA2theirA2effectsA2whileA2circulatingA2inA2theA2bloodstream.A2-
A2Ans--A.A2ParenteralA2drugsA2bypassA2theA2first-passA2effect.


Rationale:A2DrugsA2givenA2byA2theA2parenteralA2routeA2bypassA2theA2first-
passA2effect.A2ReducedA2bloodA2flowA2toA2theA2stomachA2andA2theA2presenceA2ofA2foodA2i
nA2theA2stomachA2applyA2toA2enteralA2drugsA2(takenA2orally),A2notA2toA2parenteralA2drugs.A
2ParenteralA2drugsA2mustA2beA2absorbedA2intoA2cellsA2andA2tissuesA2fromA2theA2circulatio
nA2beforeA2theyA2canA2exertA2theirA2effects:A2theyA2doA2notA2exertA2theirA2effectsA2whileA2ci
rculatingA2inA2theA2bloodstream.

TheA2nurseA2isA2administeringA2medicationsA2toA2theA2patientA2whoA2isA2inA2renalA2failureA
2resultingA2fromA2end-
stageA2renalA2disease.A2TheA2nurseA2isA2awareA2thatA2patientsA2withA2kidneyA2failureA2wo
uldA2mostA2likelyA2haveA2problemsA2withA2whichA2pharmacokineticA2phase?

A.A2Excretion
B.A2Absorption

,C.A2Metabolism
D.A2DistributionA2-A2Ans--A.A2Excretion

Rationale:A2TheA2kidneysA2areA2theA2organsA2thatA2areA2mostA2responsibleA2forA2drugA2ex
cretion.A2RenalA2functionA2doesA2notA2affectA2theA2absorptionA2andA2distributionA2ofA2aA2dr
ug.A2RenalA2functionA2mayA2affectA2metabolismA2ofA2drugsA2toA2aA2smallA2extent.

TheA2patientA2isA2complainingA2ofA2aA2headacheA2andA2asksA2theA2nurseA2whichA2over-
the-
counterA2medicationA2formA2wouldA2workA2theA2fastestA2toA2helpA2reduceA2theA2pain.A2Whi
chA2medicationA2formA2willA2theA2nurseA2suggest?
A2
A.A2AA2tablet
B.A2AA2capsule
C.A2AA2powderA2
D.A2AnA2enteric-coatedA2tabletA2-A2Ans--C.A2AA2powder

Rationale:A2OfA2theA2typesA2ofA2oralA2medicationsA2listed,A2theA2powderA2formA2wouldA2be
A2absorbedA2theA2fastest,A2thusA2havingA2aA2fasterA2onset.A2TheA2tablet,A2theA2capsule,A2a
nd,A2finally,A2theA2enteric-coatedA2tabletA2wouldA2beA2absorbedA2next,A2inA2thatA2order.

WhichA2drugsA2wouldA2beA2affectedA2byA2theA2first-passA2effect?
A2(SelectA2allA2thatA2apply.)


A.A2SublingualA2nitroglycerinA2tablets
B.A2LevothyroxineA2(Synthroid)A2tablets
C.A2DiphenhydramineA2(Benadryl)A2elixir
D.A2PenicillinA2givenA2byA2IVA2piggybackA2infusion
E.A2MorphineA2givenA2byA2IVA2pushA2injection
F.A2EsomeprazoleA2(Nexium)A2capsules
G.A2TransdermalA2nicotineA2patchesA2-A2Ans--B.A2LevothyroxineA2(Synthroid)A2tablets
C.A2DiphenhydramineA2(Benadryl)A2elixir
F.A2EsomeprazoleA2(Nexium)A2capsules

ForA2accurateA2medicationA2administrationA2toA2pediatricA2patients,A2theA2nurseA2mustA2ta
keA2intoA2accountA2whichA2criteria?
A2
A.A2RenalA2outputA2
B.A2Height
C.A2BodyA2temperature
D.A2OrganA2maturityA2-A2Ans--D.A2OrganA2maturity

Rationale:A2ToA2administerA2medicationsA2toA2pediatricA2patientsA2accurately,A2oneA2must
A2takeA2intoA2accountA2organA2maturity,A2bodyA2surfaceA2area,A2age,A2andA2weight.A2TheA2
otherA2optionsA2areA2incorrect:A2renalA2outputA2andA2bodyA2temperatureA2areA2notA2consid
erations,A2andA2heightA2aloneA2isA2notA2sufficient.

, DuringA2dischargeA2patientA2teaching,A2theA2nurseA2reviewsA2prescriptionsA2withA2aA2patie
nt.A2WhichA2statementA2isA2correctA2aboutA2refillsA2forA2anA2analgesicA2thatA2isA2classifiedA
2asA2ScheduleA2C-III?


A.A2TheA2patientA2mayA2haveA2noA2moreA2thanA2fiveA2refillsA2inA2aA26-monthA2period.
B.A2RefillsA2areA2allowedA2onlyA2byA2writtenA2prescription.
C.A2WrittenA2prescriptionsA2expireA2inA212A2months.
D.A2NoA2prescriptionA2refillsA2areA2permitted.A2-A2Ans--
A.A2TheA2patientA2mayA2haveA2noA2moreA2thanA2fiveA2refillsA2inA2aA26-monthA2period.

Rationale:A2ScheduleA2C-
IIIA2medicationsA2mayA2beA2refilledA2noA2moreA2thanA2fiveA2timesA2inA2aA26-
monthA2period.A2TheA2patientA2shouldA2beA2informedA2ofA2thisA2regulation.A2NoA2prescripti
onA2refillsA2areA2permittedA2forA2ScheduleA2C-
IIA2drugs.A2RequiringA2refillsA2byA2writtenA2prescriptionA2onlyA2appliesA2toA2ScheduleA2C-
IIA2drugs.A2ScheduleA2C-IIIA2prescriptionsA2(writtenA2orA2oral)A2expireA2inA26A2months.

TheA2nurseA2isA2assessingA2anA2elderlyA2HispanicA2womanA2whoA2isA2beingA2treatedA2forA
2hypertension.A2DuringA2theA2assessment,A2whatA2isA2importantA2forA2theA2nurseA2toA2rem
emberA2aboutA2culturalA2aspects?
A2
A.A2TheA2patientA2shouldA2beA2discouragedA2fromA2usingA2folkA2remediesA2andA2rituals.
B.A2TheA2nurseA2willA2rememberA2thatA2theA2balanceA2amongA2body,A2mind,A2andA2enviro
nmentA2isA2importantA2forA2thisA2patient'sA2healthA2beliefs.
C.A2TheA2nurseA2willA2expectA2theA2patientA2toA2valueA2protectiveA2braceletsA2andA2"rootA2
workers"A2asA2healers.
D.A2TheA2nurse'sA2assessmentA2needsA2toA2includeA2gatheringA2informationA2regardingA2r
eligiousA2practicesA2andA2beliefsA2regardingA2medication,A2treatment,A2andA2healing.A2-
A2Ans--
D.A2TheA2nurse'sA2assessmentA2needsA2toA2includeA2gatheringA2informationA2regardingA2r
eligiousA2practicesA2andA2beliefsA2regardingA2medication,A2treatment,A2andA2healing.

Rationale:A2AllA2beliefsA2needA2toA2beA2consideredA2clearlyA2soA2asA2toA2preventA2aA2confli
ctA2fromA2arisingA2betweenA2theA2goalsA2ofA2nursingA2andA2healthA2careA2andA2theA2dictat
esA2ofA2aA2patient'sA2culturalA2background.A2AssessingA2religiousA2practicesA2andA2beliefs
A2isA2partA2ofA2aA2thoroughA2culturalA2assessment.A2TheA2otherA2optionsA2areA2incorrect.A2
TheA2nurseA2shouldA2notA2ignoreA2aA2patient'sA2culturalA2practices.A2TheA2conceptA2ofA2ba
lanceA2amongA2body,A2mind,A2andA2environmentA2andA2theA2valuingA2ofA2protectiveA2brac
eletsA2andA2rootA2workersA2reflectA2beliefsA2orA2practicesA2thatA2usuallyA2doA2notA2applyA2t
oA2theA2HispanicA2culturalA2group.

WhenA2reviewingA2theA2variousA2schedulesA2ofA2controlledA2drugs,A2theA2nurseA2knowsA2t
hatA2whichA2descriptionA2correctlyA2describesA2ScheduleA2IIA2drugs?
A2
A.A2MedicallyA2acceptedA2drugsA2thatA2mayA2causeA2moderateA2physicalA2orA2psychologic
A2dependence