N5362 Pharmacology Final Exam
Review Questions With 100% Actual
Answers.
With the need to protect our environment, what is it now important to teach patients to do? -
Answer dispose of drugs no longer used on an annual basis
Drugs do not metabolize the same way in all people. For what patient would a nurse expect to
assess for an alteration in drug metabolism? - Answer A 50-year-old man with cirrhosis of
the liver
The parent of a 2-year-old child is visiting his or her pediatric health care provider and shows
the nurse the advertisement for allergy medication found in a magazine in the waiting room
saying, "This drug sounds like it would be far more effective to treat my son's asthma and I'd
only have to give it once a day." What is the nurse's best response? - Answer "Talk with your
health care provider about this drug, but be aware that advertisements do not always provide
all the important information you need to know."
The patient is taking a 2 mg dose of ropinerol XR. The drug has a half-life of 12 hours. How long
will it be before only 0.25 mg of this drug remains in the patient's system? - Answer 36 hours
When a nurse brings prescribed medication to a client, the client says she usually takes a white
tablet, not the yellow tablet that the nurse has brought. What should the nurse do first? -
Answer preform a recheck of the medication name and strength
A client is to receive several oral medications at the same administration time. Which nursing
instruction or action is appropriate in this situation? - Answer Tell the client the name and
action or use of each med before administering it
Which of the following concepts is considered when generic drugs are substituted for brand-
name drugs? - Answer Bioavailability
The nurse, providing patient teaching about home medication use to an older adult, explains
that even when drugs are taken properly they can produce negative or unexpected effects.
What are these negative or unexpected effects called? - Answer Adverse effects
The nurse plans to teach a group of patients about how their medications work in their bodies.
If education has been successful, what will be the best understanding of the patients? - Answer
Medications work by enhancing or blocking normal body functioning
,The nurse receives a medication order over the telephone. How should the nurse handle this
situation? - Answer Verify the order by repeating it back to the physician over the phone
Which nursing diagnosis is commonly used to develop a care plan for managing a client's drug
regimen? - Answer Deficient knowledge
The nursing instructor is teaching pharmacology to student nurses. What will the nursing
instructor include as the four major components of pharmacokinetics? - Answer How drugs
are transported throughout the body
How drugs are converted to a form that is easily removed form the body
How drugs are removed from the body
How drugs move from the site of administration to circulating fluids
The nurse provides medication education to a client with terminal cancer. The physician has
ordered morphine (MS Contin), a schedule II drug, for the client. The nurse determines that
learning had taken place when the client makes which statement? - Answer I need to see my
doctor before my prescription runs out so I can get a refill.
A patient has recently moved from Vermont to south Florida. The patient presents to the clinic
complaining for "dizzy spells and weakness." While conducting admission assessment the
patient tells the nurse that they have been on the same antihypertensive drug for six years and
had stable blood pressures and no side effects. Since her move, she has been having her
problems and she feels that the drugs is no longer effective. The clinic nurse knowns that one
possible reason for the change in the effectiveness of the drug could be what? - Answer The
impact of the warmer environment on the patient's physical status
Bioavailability can be different between the generic and trade versions of a drug. When is it not
appropriate for a generic drug to be substituted for a trade version? - Answer The drug is a
critical care drug, or one with a narrow safety margin.
Because of the amount of care now being done in the home care setting, it is imperative that
the nurse teach the patients what? - Answer Generic names of medication
Over-the counter (OTC) drugs that need to be avoided
Alleviation of adverse effects
The nurse is providing medication education to a client with hypertension. The nurse teaches
the client that the physician ordered a diuretic to decrease the amount of fluid in his body.
Which statement best described the nurse's instruction? - Answer The nurse explained the
drug's mechanism of action
,The nursing instructor observes several nursing students administer medications to their
assigned patients. The instructor would stop what student from administering the medication
until the error was corrected? - Answer The student enters the patient's room and asks the
patient are you Mr. Jones
A drug manufacturer that is preforming the effects of a drug on laboratory animals would be in
which phase of the new drug development timeline? - Answer Preclinical investigation
The nurse needs to consider teratogenic effects of medications when caring for what population
of patient's? - Answer Young adult women
The nurse is aware that in order for a drug to work properly on reactive tissues, a sufficient
amount of the drug is needed to cause the therapeutic effect. The term used for this amount is
which of the following? - Answer Critical concentration
A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a
Pregnancy Category B drug. The nurse would inform the patient that: - Answer "Animal
studies have not demonstrated a risk to the fetus, but there have been no adequate studies in
pregnant women."
A nurse is a public clinic is planning a health fair for older adult clients in the community. In
teaching medication safety, which of the following foods should the nurse advise the client to
avoid when taking their prescriptions? - Answer Grapefruit juice
Discharge planning for patients leaving the hospital should include instructions on the use of
over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good
understanding of OTC drugs? - Answer "OTC drugs are thought to be safe when taken as
directed"
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
coated aspirin PO once daily. The client asks if the medication can be crushed to make is easier
to swallow. Which of the following responses should the nurse provide? - Answer "Crushing
the medication might cause you to have stomachache or indigestion"
The nurse needs to ask what specific questions when collecting a drug history? - Answer "Do
you take any OTC medications?"
"Do you take any herbal supplements?"
"Do you take any natural supplements or vitamins?"
The physician ordered a loading dose of medication for the patient. It is to be followed by a
lower dose. When the patient receives the lower dose, she says to the nurse, "I think my doctor
, made a mistake; my medication dose is too low." What is the best response by the nurse? -
Answer You had a larger dose initially so that the medication would work more quickly
A nurse is planning patient teaching about a newly prescribed drug for her patient. What would
the nurse know to include in the teaching to help improve patient compliance and safety? -
Answer Measures to alleviate any discomfort associated with adverse effects
An instructor is teaching a class about medication reconciliation. Which of the following
information should the nurse include in the teaching? - Answer A transition in care requires
the nurse to conduct medication reconciliation
A patient presents to the emergency department with a drug level of 50 units/mL. The half-life
of this drug is 1 hour. Whish this drug, concentrations above 25 units/mL are considered toxic
and no more drug is given. How long will it take for the blood level to reach the non-toxic
range? - Answer 1 hour
The physician orders an IM injection for a client. Which factor may affect the drug absorption
rate from an IM injection site? - Answer Blood flow to the injection site
A charge nurse is observing a newly licensed nurse administer medications to a client. Which of
the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
- Answer Newly licensed nurse documents medication administration prior to administering
it
A pharmacology student asks the instructor what an accurate description of a drug agonist is.
What would be the instructor's best response? - Answer A drug that interacts directly with
receptor sites to cause the same activity that a natural chemical would cause at that site
The nurse is preparing to administer a sustained-release tablet to a client. Which statement
about sustained-release tablets is true? - Answer They should never be split, crushed, or
chewed
The nurse is reviewing the patient's medication orders and finds an order stating "amoxicillin
250 mg every 8 hours." What would the nurse question regarding this order? - Answer Route
The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse
obtains the medication from the pharmacy and administers it to the patient 30 mins later.
Which statement best described the nurse's action? - Answer The medication should have
been administered within 5-minute time frame
Review Questions With 100% Actual
Answers.
With the need to protect our environment, what is it now important to teach patients to do? -
Answer dispose of drugs no longer used on an annual basis
Drugs do not metabolize the same way in all people. For what patient would a nurse expect to
assess for an alteration in drug metabolism? - Answer A 50-year-old man with cirrhosis of
the liver
The parent of a 2-year-old child is visiting his or her pediatric health care provider and shows
the nurse the advertisement for allergy medication found in a magazine in the waiting room
saying, "This drug sounds like it would be far more effective to treat my son's asthma and I'd
only have to give it once a day." What is the nurse's best response? - Answer "Talk with your
health care provider about this drug, but be aware that advertisements do not always provide
all the important information you need to know."
The patient is taking a 2 mg dose of ropinerol XR. The drug has a half-life of 12 hours. How long
will it be before only 0.25 mg of this drug remains in the patient's system? - Answer 36 hours
When a nurse brings prescribed medication to a client, the client says she usually takes a white
tablet, not the yellow tablet that the nurse has brought. What should the nurse do first? -
Answer preform a recheck of the medication name and strength
A client is to receive several oral medications at the same administration time. Which nursing
instruction or action is appropriate in this situation? - Answer Tell the client the name and
action or use of each med before administering it
Which of the following concepts is considered when generic drugs are substituted for brand-
name drugs? - Answer Bioavailability
The nurse, providing patient teaching about home medication use to an older adult, explains
that even when drugs are taken properly they can produce negative or unexpected effects.
What are these negative or unexpected effects called? - Answer Adverse effects
The nurse plans to teach a group of patients about how their medications work in their bodies.
If education has been successful, what will be the best understanding of the patients? - Answer
Medications work by enhancing or blocking normal body functioning
,The nurse receives a medication order over the telephone. How should the nurse handle this
situation? - Answer Verify the order by repeating it back to the physician over the phone
Which nursing diagnosis is commonly used to develop a care plan for managing a client's drug
regimen? - Answer Deficient knowledge
The nursing instructor is teaching pharmacology to student nurses. What will the nursing
instructor include as the four major components of pharmacokinetics? - Answer How drugs
are transported throughout the body
How drugs are converted to a form that is easily removed form the body
How drugs are removed from the body
How drugs move from the site of administration to circulating fluids
The nurse provides medication education to a client with terminal cancer. The physician has
ordered morphine (MS Contin), a schedule II drug, for the client. The nurse determines that
learning had taken place when the client makes which statement? - Answer I need to see my
doctor before my prescription runs out so I can get a refill.
A patient has recently moved from Vermont to south Florida. The patient presents to the clinic
complaining for "dizzy spells and weakness." While conducting admission assessment the
patient tells the nurse that they have been on the same antihypertensive drug for six years and
had stable blood pressures and no side effects. Since her move, she has been having her
problems and she feels that the drugs is no longer effective. The clinic nurse knowns that one
possible reason for the change in the effectiveness of the drug could be what? - Answer The
impact of the warmer environment on the patient's physical status
Bioavailability can be different between the generic and trade versions of a drug. When is it not
appropriate for a generic drug to be substituted for a trade version? - Answer The drug is a
critical care drug, or one with a narrow safety margin.
Because of the amount of care now being done in the home care setting, it is imperative that
the nurse teach the patients what? - Answer Generic names of medication
Over-the counter (OTC) drugs that need to be avoided
Alleviation of adverse effects
The nurse is providing medication education to a client with hypertension. The nurse teaches
the client that the physician ordered a diuretic to decrease the amount of fluid in his body.
Which statement best described the nurse's instruction? - Answer The nurse explained the
drug's mechanism of action
,The nursing instructor observes several nursing students administer medications to their
assigned patients. The instructor would stop what student from administering the medication
until the error was corrected? - Answer The student enters the patient's room and asks the
patient are you Mr. Jones
A drug manufacturer that is preforming the effects of a drug on laboratory animals would be in
which phase of the new drug development timeline? - Answer Preclinical investigation
The nurse needs to consider teratogenic effects of medications when caring for what population
of patient's? - Answer Young adult women
The nurse is aware that in order for a drug to work properly on reactive tissues, a sufficient
amount of the drug is needed to cause the therapeutic effect. The term used for this amount is
which of the following? - Answer Critical concentration
A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a
Pregnancy Category B drug. The nurse would inform the patient that: - Answer "Animal
studies have not demonstrated a risk to the fetus, but there have been no adequate studies in
pregnant women."
A nurse is a public clinic is planning a health fair for older adult clients in the community. In
teaching medication safety, which of the following foods should the nurse advise the client to
avoid when taking their prescriptions? - Answer Grapefruit juice
Discharge planning for patients leaving the hospital should include instructions on the use of
over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good
understanding of OTC drugs? - Answer "OTC drugs are thought to be safe when taken as
directed"
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
coated aspirin PO once daily. The client asks if the medication can be crushed to make is easier
to swallow. Which of the following responses should the nurse provide? - Answer "Crushing
the medication might cause you to have stomachache or indigestion"
The nurse needs to ask what specific questions when collecting a drug history? - Answer "Do
you take any OTC medications?"
"Do you take any herbal supplements?"
"Do you take any natural supplements or vitamins?"
The physician ordered a loading dose of medication for the patient. It is to be followed by a
lower dose. When the patient receives the lower dose, she says to the nurse, "I think my doctor
, made a mistake; my medication dose is too low." What is the best response by the nurse? -
Answer You had a larger dose initially so that the medication would work more quickly
A nurse is planning patient teaching about a newly prescribed drug for her patient. What would
the nurse know to include in the teaching to help improve patient compliance and safety? -
Answer Measures to alleviate any discomfort associated with adverse effects
An instructor is teaching a class about medication reconciliation. Which of the following
information should the nurse include in the teaching? - Answer A transition in care requires
the nurse to conduct medication reconciliation
A patient presents to the emergency department with a drug level of 50 units/mL. The half-life
of this drug is 1 hour. Whish this drug, concentrations above 25 units/mL are considered toxic
and no more drug is given. How long will it take for the blood level to reach the non-toxic
range? - Answer 1 hour
The physician orders an IM injection for a client. Which factor may affect the drug absorption
rate from an IM injection site? - Answer Blood flow to the injection site
A charge nurse is observing a newly licensed nurse administer medications to a client. Which of
the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
- Answer Newly licensed nurse documents medication administration prior to administering
it
A pharmacology student asks the instructor what an accurate description of a drug agonist is.
What would be the instructor's best response? - Answer A drug that interacts directly with
receptor sites to cause the same activity that a natural chemical would cause at that site
The nurse is preparing to administer a sustained-release tablet to a client. Which statement
about sustained-release tablets is true? - Answer They should never be split, crushed, or
chewed
The nurse is reviewing the patient's medication orders and finds an order stating "amoxicillin
250 mg every 8 hours." What would the nurse question regarding this order? - Answer Route
The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse
obtains the medication from the pharmacy and administers it to the patient 30 mins later.
Which statement best described the nurse's action? - Answer The medication should have
been administered within 5-minute time frame
