Advanced Pharmacology Exam 1 Questions
With Correct Answers
Once you graduate from an NP program, in order to prescribe you'll need: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Advanced nurse prescriber license
| | | |
-DEA # |
What is the purpose of a DEA #? - CORRECT ANSWER✔✔-Needed to prescribed
| | | | | | | | | | | | |
scheduled drugs |
Rules for prescribing Schedule II drugs: - CORRECT ANSWER✔✔--Written script
| | | | | | | | | |
needed
-1 month supply only
| | | |
-No refills
|
What is the PDMP? - CORRECT ANSWER✔✔-Prescription Drug Monitoring
| | | | | | | | |
Program
Used to effectively track patient's controlled substance uses across different
| | | | | | | | | |
health facilities (in the same state)
| | | | |
What are clinical practice guidelines? - CORRECT ANSWER✔✔-Recommendations
| | | | | | | |
that are intended to optimize patient care that are informed by a systematic
| | | | | | | | | | | | |
,review of the evidence and an assessment of the benefits/harms of alternative
| | | | | | | | | | | |
care practices
|
Ex: sepsis, CAP
| |
Common causes of medication errors: - CORRECT ANSWER✔✔--Illegible writing
| | | | | | | |
-Drug names that sound alike
| | | |
-Medications that look alike | | |
-Administering a drug with the wrong route | | | | | |
What is pharmacokinetics? What are its 4 categories? - CORRECT ANSWER✔✔-
| | | | | | | | | |
What the body does to the drug
| | | | | |
1. Absorption
|
2. Metabolism
|
3. Distribution
|
4. Excretion
|
Quickest route of absorption? Slowest? - CORRECT ANSWER✔✔-IV = quickest
| | | | | | | | | |
IM = slowest
| |
What is the most common way drugs pass through cell membranes? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Passive diffusion |
,What characteristics of a drug allow it to pass most quickly through cell
| | | | | | | | | | | | |
membranes (usually through passive diffusion)? - CORRECT ANSWER✔✔-Small,
| | | | | | | |
uncharged (unionized), lipid soluble--pass through membrane without any energy
| | | | | | | |
What does it mean when a drug is ionized? - CORRECT ANSWER✔✔-It means
| | | | | | | | | | | | |
that the drug is stuck in the compartment it was ionized in and has to be moved
| | | | | | | | | | | | | | | | |
to the next compartment (cannot be absorbed into the bloodstream)
| | | | | | | | |
Where do weak acids absorb? - CORRECT ANSWER✔✔-Stomach
| | | | | | |
Where do weak bases absorb? - CORRECT ANSWER✔✔-Small intestine
| | | | | | | |
pH of stomach: - CORRECT ANSWER✔✔-2-4
| | | | |
pH of small intestine: - CORRECT ANSWER✔✔-6-7
| | | | | |
pH of large intestine: - CORRECT ANSWER✔✔-6-7
| | | | | |
pH of bloodstream: - CORRECT ANSWER✔✔-7.35-7.45
| | | | |
pH of bladder: - CORRECT ANSWER✔✔-5-8
| | | | |
pH of breastmilk: - CORRECT ANSWER✔✔-7.1
| | | | |
, Where will a drug absorb if it is a weak base that ionizes at a pH of 4 and lower? -
| | | | | | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-In the small intestine (since the stomach has a pH of 2-4,
| | | | | | | | | | | | | |
so the drug will become ionized and move to the small intestine where it will be
| | | | | | | | | | | | | | | |
able to absorb into the bloodstream)
| | | | |
How can we manipulate the urine pH in cases of overdose? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Drugs that are weak acids (aspirin) can be trapped and excreted | | | | | | | | | | |
through the urine. | | |
We raise pH of the urine (with sodium bicarb) to force the drug to ionize and
| | | | | | | | | | | | | | | |
allow it to be excreted, not reabsorbed through the bloodstream.
| | | | | | | | |
What is distribution? - CORRECT ANSWER✔✔-How a drug will be transported to
| | | | | | | | | | | |
the tissues it needs to go to in order for it to exert its effects
| | | | | | | | | | | | | |
Drug factors related to distribution: - CORRECT ANSWER✔✔--Lipid solubility
| | | | | | | | |
-Molecular size |
-Degree of ionization | | |
-Duration of action | |
-Cellular binding |
-Therapeutic effects | |
-Toxic effects |
(lipid soluble, small, and non-ionized drugs will distribute more quickly)
| | | | | | | | |
With Correct Answers
Once you graduate from an NP program, in order to prescribe you'll need: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Advanced nurse prescriber license
| | | |
-DEA # |
What is the purpose of a DEA #? - CORRECT ANSWER✔✔-Needed to prescribed
| | | | | | | | | | | | |
scheduled drugs |
Rules for prescribing Schedule II drugs: - CORRECT ANSWER✔✔--Written script
| | | | | | | | | |
needed
-1 month supply only
| | | |
-No refills
|
What is the PDMP? - CORRECT ANSWER✔✔-Prescription Drug Monitoring
| | | | | | | | |
Program
Used to effectively track patient's controlled substance uses across different
| | | | | | | | | |
health facilities (in the same state)
| | | | |
What are clinical practice guidelines? - CORRECT ANSWER✔✔-Recommendations
| | | | | | | |
that are intended to optimize patient care that are informed by a systematic
| | | | | | | | | | | | |
,review of the evidence and an assessment of the benefits/harms of alternative
| | | | | | | | | | | |
care practices
|
Ex: sepsis, CAP
| |
Common causes of medication errors: - CORRECT ANSWER✔✔--Illegible writing
| | | | | | | |
-Drug names that sound alike
| | | |
-Medications that look alike | | |
-Administering a drug with the wrong route | | | | | |
What is pharmacokinetics? What are its 4 categories? - CORRECT ANSWER✔✔-
| | | | | | | | | |
What the body does to the drug
| | | | | |
1. Absorption
|
2. Metabolism
|
3. Distribution
|
4. Excretion
|
Quickest route of absorption? Slowest? - CORRECT ANSWER✔✔-IV = quickest
| | | | | | | | | |
IM = slowest
| |
What is the most common way drugs pass through cell membranes? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Passive diffusion |
,What characteristics of a drug allow it to pass most quickly through cell
| | | | | | | | | | | | |
membranes (usually through passive diffusion)? - CORRECT ANSWER✔✔-Small,
| | | | | | | |
uncharged (unionized), lipid soluble--pass through membrane without any energy
| | | | | | | |
What does it mean when a drug is ionized? - CORRECT ANSWER✔✔-It means
| | | | | | | | | | | | |
that the drug is stuck in the compartment it was ionized in and has to be moved
| | | | | | | | | | | | | | | | |
to the next compartment (cannot be absorbed into the bloodstream)
| | | | | | | | |
Where do weak acids absorb? - CORRECT ANSWER✔✔-Stomach
| | | | | | |
Where do weak bases absorb? - CORRECT ANSWER✔✔-Small intestine
| | | | | | | |
pH of stomach: - CORRECT ANSWER✔✔-2-4
| | | | |
pH of small intestine: - CORRECT ANSWER✔✔-6-7
| | | | | |
pH of large intestine: - CORRECT ANSWER✔✔-6-7
| | | | | |
pH of bloodstream: - CORRECT ANSWER✔✔-7.35-7.45
| | | | |
pH of bladder: - CORRECT ANSWER✔✔-5-8
| | | | |
pH of breastmilk: - CORRECT ANSWER✔✔-7.1
| | | | |
, Where will a drug absorb if it is a weak base that ionizes at a pH of 4 and lower? -
| | | | | | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-In the small intestine (since the stomach has a pH of 2-4,
| | | | | | | | | | | | | |
so the drug will become ionized and move to the small intestine where it will be
| | | | | | | | | | | | | | | |
able to absorb into the bloodstream)
| | | | |
How can we manipulate the urine pH in cases of overdose? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Drugs that are weak acids (aspirin) can be trapped and excreted | | | | | | | | | | |
through the urine. | | |
We raise pH of the urine (with sodium bicarb) to force the drug to ionize and
| | | | | | | | | | | | | | | |
allow it to be excreted, not reabsorbed through the bloodstream.
| | | | | | | | |
What is distribution? - CORRECT ANSWER✔✔-How a drug will be transported to
| | | | | | | | | | | |
the tissues it needs to go to in order for it to exert its effects
| | | | | | | | | | | | | |
Drug factors related to distribution: - CORRECT ANSWER✔✔--Lipid solubility
| | | | | | | | |
-Molecular size |
-Degree of ionization | | |
-Duration of action | |
-Cellular binding |
-Therapeutic effects | |
-Toxic effects |
(lipid soluble, small, and non-ionized drugs will distribute more quickly)
| | | | | | | | |
