Advanced Practice Nurses and Physician Assistants ACTUAL
(3rd Edition, 2026) By Rosenthal All Chapters 1–94
1. A drug with a long half-life will:
A. Act faster
B. Stay in the body longer
C. Be less potent
D. Require IV administration
Answer: B
Rationale: Half-life determines duration of drug in the body.
2. First-pass metabolism occurs in the:
A. Kidney
B. Liver
C. Lung
D. Intestine only
Answer: B
,3. Bioavailability refers to:
A. Drug toxicity
B. Amount of drug reaching systemic circulation
C. Drug excretion rate
D. Drug absorption in kidneys
Answer: B
4. A drug with high protein binding:
A. Is more active
B. Has longer duration
C. Is quickly excreted
D. Has no effect
Answer: B
5. Agonists:
A. Block receptors
B. Activate receptors
C. Destroy enzymes
D. Reduce absorption
Answer: B
🟠 CARDIOVASCULAR PHARMACOLOGY
6. ACE inhibitors primarily:
2 of 23
, A. Increase heart rate
B. Decrease angiotensin II
C. Increase potassium loss
D. Increase sodium retention
Answer: B
7. Major adverse effect of ACE inhibitors:
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypoglycemia
Answer: B
8. Beta blockers should be used cautiously in:
A. Asthma
B. Hypertension
C. Diabetes
D. Hyperlipidemia
Answer: A
9. Warfarin mechanism:
A. Blocks platelets
B. Inhibits vitamin K clotting factors
C. Dissolves clots
D. Activates thrombin
Answer: B
10. Antidote for warfarin:
A. Vitamin C
B. Vitamin K
C. Heparin
D. Protamine
Answer: B
11. Heparin antidote:
A. Protamine sulfate
B. Vitamin K
C. Naloxone