Pharmacology at Concordia, St. Paul
Actual Questions and Answers
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This Exam contains:
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Multiple choice (single best answer)
Multiple response
Fill-in-the-blank for drug names or mechanisms
Case-based questions (clinical scenarios)
Matching drugs to their classes or side effects
,Sort each of the following factors affecting the rate of medication metabolism to indicate if
the factor results in the need for an increased medication dosage or a decreased medication
dosage.
- increased renal excretion
- elevated medication-metabolizing enzymes
- liver failure
- peripheral vascular disease
- concurrent medications using the same metabolization pathway
- malnourishment
Answer
Increased dosage:
- increased renal excretion
- elevated medication-metabolizing enzymes
- peripheral vascular disease
Decreased dosage:
- liver failure
- concurrent medications using the same metabolization pathway
- malnourishment
A nurse recieves a prescription to obtain a trough level of a client's medication. Which of the
following actions should the nurse take?
a. obtain a blood specimen immediately prior to administering the next dose of medication
b. verify that the client has been taking the medication for 24 hr before obtaining a blood
specimen
c. ask the client to provide a urine specimen after the next dose of medication
d. administer the medication, and obtain a blood specimen 30 min later
Answer
a. obtain a blood specimen immediately prior to administering the next dose of medication
A provider prescribes phenobarbital for a client who has a seizure disorder. The med has a
long half-life of 4 days. How many times per day should the nurse expect to administer the
, med?
a. one
b. two
c. three
d. four
Answer
a. one
A nurse is teaching a client about a new prescription for a transdermal patch. Which of the
following client statements indicates an understanding?
a. "I will clean the site with an alcohol swab before I apply the patch"
b. "I will rotate the application sites weekly"
c. "I will apply the patch to an area of skin with no hair"
d. "I will place the new patch on the site of the old patch"
Answer
c. "I will apply the patch to an area of skin with no hair"
A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take? (select all that apply)
a. have the client lie on one side
b. ask the client to look up at the ceiling
c. tell the client to blink when the drops enter the eye
d. drop the med into the client's conjunctival sac
e. instruct the client to close the eye gently after installation
Answer
b. ask the client to look up at the ceiling
d. drop the med into the client's conjunctival sac
e. instruct the client to close the eye gently after installation