NUR 2474 PHARMACOLOGY FINAL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS
1. The patient has a history of angina and migraines. The patient takes a
calcium channel blocker for angina, and the health care provider wants to
start preventive medication for migraines. Which medication will raise a
concern with the nurse?
a. Acetaminophen
b. Propranolol
c. Levetiracetam
d. Butalbital
Answer: b. Propranolol
Propranolol can be used for migraines; however, it is not
safe to use when the patient is also taking a calcium
channel blocker.
Bradycardia may result.
2. The patient is taking ciprofloxacin (Cipro) for an infection. When
completing the discharge teaching, what foods will the nurse advise the
patient to avoid while taking the medication?
a. Cheese
b. Grapes
c. Hamburger
d. Oatmeal
Answer: a. Cheese
Concurrent use of calcium-containing products may prevent the
absorption of some fluoroquinolones like ciprofloxacin (Cipro).
3. Before administering a medication, the nurse checks a drug reference
book or pamphlet to obtain pertinent data. Which data should the
, nurse note?
(Select all that apply.)
a. Contraindications
b. Half-life
c. Maximum effective concentration
d. Protein-binding effect
e. Therapeutic range
Answer: a. Contraindications
b. Half-life
d. Protein-binding effect
e. Therapeutic range
The nurse must be completely familiar with any medication he or she is
administering. Information needs to be obtained not only on the
medication, but also on the specific patient’s history. Drug reference
books, drug pamphlets/inserts, or a pharmacist may be consulted with
questions.
4. A nurse counsels a patient with diabetes who is starting therapy with an
alpha-glucosidase inhibitor. The patient should be educated about the
potential for which adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
Answer: b. Flatulence
e. Diarrhea
5. A 22-year-old woman suffering from asthma was prescribed albuterol by
inhalation. Albuterol is a bronchodilating drug with a molecular w eight of
239 daltons. Which of the following permeation processes most likely
accounted for the transfer of the drug through the bronchial mucosa?
, a. Aqueous diffusion
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Active transport
Answer: b. Lipid diffusion - is by far the most common transport
system of drugs across cell membranes. Because albuterol has a
low molecular weight, lipid diffusion most likely accounts for the
transfer of albuterol through the bronchial mucosa.
6. Which statement is correct about the contrast between acarbose and
miglitol?
a. Miglitol has not been associated with hepatic dysfunction
b. With miglitol, sucrose can be used to treat hypoglycemia
c. Miglitol is less effective in African Americans
d. Miglitol has no gastrointestinal side effects
Answer: a. Miglitol has not been associated with hepatic
dysfunction
7. A 51-year-old woman suffering from hyperthyroidism was administered an
oral solution of radioactive iodine to destroy her thyroid gland. Which of the
follow ing permeation processes most likely accounted for the transfer of
the drug across the thyroid cell membrane?
a. Active transport
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Aqueous diffusion
Answer: a. Active transport –
About one fifth of the iodides ingested with foods are selectively rem
oved from the circulating blood by the Na+-dependent secondary active
transport system
WITH 100% CORRECT ANSWERS
1. The patient has a history of angina and migraines. The patient takes a
calcium channel blocker for angina, and the health care provider wants to
start preventive medication for migraines. Which medication will raise a
concern with the nurse?
a. Acetaminophen
b. Propranolol
c. Levetiracetam
d. Butalbital
Answer: b. Propranolol
Propranolol can be used for migraines; however, it is not
safe to use when the patient is also taking a calcium
channel blocker.
Bradycardia may result.
2. The patient is taking ciprofloxacin (Cipro) for an infection. When
completing the discharge teaching, what foods will the nurse advise the
patient to avoid while taking the medication?
a. Cheese
b. Grapes
c. Hamburger
d. Oatmeal
Answer: a. Cheese
Concurrent use of calcium-containing products may prevent the
absorption of some fluoroquinolones like ciprofloxacin (Cipro).
3. Before administering a medication, the nurse checks a drug reference
book or pamphlet to obtain pertinent data. Which data should the
, nurse note?
(Select all that apply.)
a. Contraindications
b. Half-life
c. Maximum effective concentration
d. Protein-binding effect
e. Therapeutic range
Answer: a. Contraindications
b. Half-life
d. Protein-binding effect
e. Therapeutic range
The nurse must be completely familiar with any medication he or she is
administering. Information needs to be obtained not only on the
medication, but also on the specific patient’s history. Drug reference
books, drug pamphlets/inserts, or a pharmacist may be consulted with
questions.
4. A nurse counsels a patient with diabetes who is starting therapy with an
alpha-glucosidase inhibitor. The patient should be educated about the
potential for which adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
Answer: b. Flatulence
e. Diarrhea
5. A 22-year-old woman suffering from asthma was prescribed albuterol by
inhalation. Albuterol is a bronchodilating drug with a molecular w eight of
239 daltons. Which of the following permeation processes most likely
accounted for the transfer of the drug through the bronchial mucosa?
, a. Aqueous diffusion
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Active transport
Answer: b. Lipid diffusion - is by far the most common transport
system of drugs across cell membranes. Because albuterol has a
low molecular weight, lipid diffusion most likely accounts for the
transfer of albuterol through the bronchial mucosa.
6. Which statement is correct about the contrast between acarbose and
miglitol?
a. Miglitol has not been associated with hepatic dysfunction
b. With miglitol, sucrose can be used to treat hypoglycemia
c. Miglitol is less effective in African Americans
d. Miglitol has no gastrointestinal side effects
Answer: a. Miglitol has not been associated with hepatic
dysfunction
7. A 51-year-old woman suffering from hyperthyroidism was administered an
oral solution of radioactive iodine to destroy her thyroid gland. Which of the
follow ing permeation processes most likely accounted for the transfer of
the drug across the thyroid cell membrane?
a. Active transport
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Aqueous diffusion
Answer: a. Active transport –
About one fifth of the iodides ingested with foods are selectively rem
oved from the circulating blood by the Na+-dependent secondary active
transport system
