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NUR 210/ NUR210 Exam 1 – Principles of Pharmacology Guide | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NUR 210/ NUR210 Exam 1 – Principles of Pharmacology Guide | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Stomach pH - less than 5 - meds built to be absorbed in very acidic environment QUESTION First Pass Effect (Metabolism) Answer: - lose some of drug - happens in liver QUESTION Grape fruit & meds Answer: - if patient is on meds, no grape fruit - interacts w/ lots of meds QUESTION Pharmacokinetics (Disintegration) Answer: - Breakdown of oral drug form into small particles QUESTION Pharmacokinetics (Dissolution) Answer: - combining small drug particles with liquid to form a solution QUESTION Pharmacokinetics (Drug absorption) Answer: - Drug movement from GI tract into bloodstream QUESTION Factors affecting absorption Answer: - Blood circulation - Pain, stress, exercise - Food texture, fat content, temperature - pH - Route of administration QUESTION Factors affecting oral medications Answer: - First pass effect - liver - via portal vein - Bioavailability- % of administered drug available for activity; affected by absorption & first pass metabolism (less 100% is oral drugs; 100% in IV) QUESTION Factors affecting bioavailability Answer: - Absorption - First-pass metabolism - Drug form - Route of administration - Gastric mucosa & motility - Administration with food & other drugs - Changes in liver metabolism QUESTION Drug metabolism (biotransformation) Answer: - Process of body chemically changing drug into form to be excreted - Half-life (t½)- time it takes for amount of drug in body to be reduced by 1/2 - Loading dose- large initial dose (for drugs w/ long half lives) QUESTION Drug excretion (elimination) routes Answer: - Kidneys- renal function tests: Creatinine (metabolic byproduct of muscle), BUN (metabolic breakdown of protein), Glomerular filtration rate - Liver (bile) - Feces - Lungs - Saliva, sweat, breast milk QUESTION Pharmacodynamics Answer: - Study of way drugs affect body - Primary effect- Desirable response -Secondary effect- Desirable/undesirable QUESTION Therapeutic index Answer: - ratio between toxic & therapeutic concentrations of a drug QUESTION Therapeutic drug monitoring Answer: - Peak & trough (lab) - requested for drugs that have narrow theraputic index & are considered toxic - ex. antibiotics- Vancomycin QUESTION Peak drug level Answer: - highest plasma concentration of a drug at a specific time - indicates rate of drug absorption - 1hr after antibiotic finished QUESTION through drug level - usually done first, then peak - lowest plasma concentration of drug - measures rate @ which drug is eliminated - drawn just before next dose of drug regardless of route of administration

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NURl 210/l NUR210l Examl 1l –l Principlesl
ofl Pharmacologyl Guidel |l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A

Q:l Stomachl pH
Answer:
-l lessl thanl 5
-l medsl builtl tol bel absorbedl inl veryl acidicl environment



Q:l Firstl Passl Effectl (Metabolism)
Answer:
-l losel somel ofl drug
-l happensl inl liver



Q:l Grapel fruitl &l meds
Answer:
-l ifl patientl isl onl meds,l nol grapel fruit
-l interactsl w/l lotsl ofl meds



Q:l Pharmacokineticsl (Disintegration)
Answer:
-l Breakdownl ofl orall drugl forml intol smalll particles



Q:l Pharmacokineticsl (Dissolution)

,Answer:
-l combiningl smalll drugl particlesl withl liquidl tol forml al solution



Q:l Pharmacokineticsl (Drugl absorption)
Answer:
-l Drugl movementl froml GIl tractl intol bloodstream



Q:l Factorsl affectingl absorption
Answer:
-l Bloodl circulation
-l Pain,l stress,l exercise
-l Foodl texture,l fatl content,l temperature
-l pH
-l Routel ofl administration



Q:l Factorsl affectingl orall medications
Answer:
-l Firstl passl effectl -l liverl -l vial portall vein
-l Bioavailability-l %l ofl administeredl drugl availablel forl activity;l affectedl byl absorptionl
&l firstl passl metabolisml (lessl 100%l isl orall drugs;l 100%l inl IV)



Q:l Factorsl affectingl bioavailability
Answer:
-l Absorption
-l First-passl metabolism
-l Drugl form
-l Routel ofl administration
-l Gastricl mucosal &l motility
-l Administrationl withl foodl &l otherl drugs

,-l Changesl inl liverl metabolism



Q:l Drugl metabolisml (biotransformation)
Answer:
-l Processl ofl bodyl chemicallyl changingl drugl intol forml tol bel excreted
-l Half-lifel (t½)-l timel itl takesl forl amountl ofl drugl inl bodyl tol bel reducedl byl 1/2
-l Loadingl dose-l largel initiall dosel (forl drugsl w/l longl halfl lives)



Q:l Drugl excretionl (elimination)l routes
Answer:
-l Kidneys-l renall functionl tests:l Creatininel (metabolicl byproductl ofl muscle),l BUNl
(metabolicl breakdownl ofl protein),l Glomerularl filtrationl ratel
-l Liverl (bile)
-l Feces
-l Lungs
-l Saliva,l sweat,l breastl milk



Q:l Pharmacodynamics
Answer:
-l Studyl ofl wayl drugsl affectl body
-l Primaryl effect-l Desirablel response
-Secondaryl effect-l Desirable/undesirable



Q:l Therapeuticl index
Answer:
-l ratiol betweenl toxicl &l therapeuticl concentrationsl ofl al drug



Q:l Therapeuticl drugl monitoring

, Answer:
-l Peakl &l troughl (lab)
-l requestedl forl drugsl thatl havel narrowl theraputicl indexl &l arel consideredl toxic
l -l ex.l antibiotics-l Vancomycin



Q:l Peakl drugl level
Answer:
-l highestl plasmal concentrationl ofl al drugl atl al specificl time
-l indicatesl ratel ofl drugl absorption
-l 1hrl afterl antibioticl finished



Q:l throughl drugl level
Answer:
-l usuallyl donel first,l thenl peak
-l lowestl plasmal concentrationl ofl drug
-l measuresl ratel @l whichl drugl isl eliminated
-l drawnl justl beforel nextl dosel ofl drugl regardlessl ofl routel ofl administration



Q:l Pharmacodynamicsl (Onset)
Answer:
-l Timel itl takesl forl drugl tol reachl minimuml effectivel concentrationl (MEC)l afterl admin



Q:l Pharmacodynamicsl (Duration)
Answer:
-l Howl longl al drugl exertsl al therapeuticl effect.



Q:l Pharmacodynamicsl (Receptorl theory)
Answer:

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