Full Test Bank
lippincott Pharmacology Illustrated
Reviews 7th Edition Whalen Test Bank
Test Bank Directly From The publisher, 100% Verified Answers.
COVERS ALL CHAPTERS.
Download Immediately After the Order.
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Pharmacology Illustrated Reviews 7th Edition Whalen
Test Bank
Chapter 1: Pharmacokinetics
M
MULTIPLE CHOICE
O
.C
1. Which drugs will go through a pharmaceutic phase after it is administered?
a. Intramuscular cephalosporins
LD
b. Intravenous vasopressors
R
c. Oral analgesics
O
d. Subcutaneous antiglycemics
W
ANS: C
KS
When drugs are administered parenterally, there is no pharmaceutic phase, which occurs when a
drug becomes a solution that can cross the biologic membrane.
N
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
BA
TOP: NURSING PROCESS: Assessment
ST
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
TE
2. The nurse is preparing to administer an oral medication and wants to ensure a rapid drug
action. Which form of the medication will the nurse administer?
G
a. Capsule
N
b. Enteric-coated pill
SI
c. Liquid suspension
R
d. Tablet
U
ANS: C
.N
Liquid drugs are already in solution, which is the form necessary for absorption in the GI tract.
W
The other forms must disintegrate into small particles and then dissolve before being
W
absorbed.
W
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
TOP: NURSING PROCESS: Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
coated tablet. Which statement by the patient indicates understanding of the teaching?
a. I may crush the tablet and put it in applesauce to improve absorption.
b. I should consume acidic foods to enhance absorption of this medication.
c. I should expect a delay in onset of the drugs effects after taking the tablet.
M
d. I should take this medication with high-fat foods to improve its action.
O
ANS: C
.C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
LD
disintegrate when they reach the small intestine. There is usually some delay in onset of actions
after taking these medications. Enteric-coated tablets should not be crushed or chewed, which
R
O
would alter the time and location of absorption. Acidic foods will not enhance the absorption of
W
the medication. The patient should not to eat high-fat food before ingesting an enteric-coated
tablet, because high-fat foods decrease the absorption rate.
KS
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3
N
TOP: NURSING PROCESS: Nursing Intervention
BA
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
ST
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be
TE
given by subcutaneous injection instead of by mouth. The nurse will explain that this is because
a. absorption is diminished by the first-pass effects in the liver.
G
b. absorption is faster when insulin is given subcutaneously.
N
c. digestive enzymes in the gastrointestinal tract prevent absorption.
SI
d. the oral form is less predictable with more adverse effects.
R
ANS: C
U
Insulin, growth hormones, and other protein-based drugs are destroyed in the small intestine by
.N
digestive enzymes and must be given parenterally. Because insulin is destroyed by digestive
W
enzymes, it would not make it to the liver for metabolism with a first-pass effect. Subcutaneous
W
tissue has fewer blood vessels, so absorption is slower in such tissue. Insulin is given
subcutaneously because it is desirable to have it absorb slowly.
W
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
www.nursylab.com
, www.nursylab.com
5. The nurse is preparing to administer an oral medication that is water-soluble. The nurse
understands that this drug
a. must be taken on an empty stomach.
b. requires active transport for absorption.
c. should be taken with fatty foods.
M
d. will readily diffuse into the gastrointestinal tract.
O
ANS: B
.C
Water-soluble drugs require a carrier enzyme or protein to pass through the GI membrane.
LD
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 4
R
TOP: NURSING PROCESS: Nursing Intervention
O
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
W
KS
6. A nurse is preparing to administer an oral drug that is best absorbed in an acidic environment.
How will the nurse give the drug?
a. On an empty stomach
N
BA
b. With a full glass of water
c. With food
ST
d. With high-fat food
TE
ANS: C
Food can stimulate the production of gastric acid so medications requiring an acidic environment
G
should be given with a meal. High-fat foods are useful for drugs that are lipid soluble.
N
SI
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 4
R
TOP: NURSING PROCESS: Nursing Intervention
U
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
.N
7. The nurse is preparing an injectable drug and wants to administer it for rapid absorption. How
W
will the nurse give this medication?
W
a. IM into the deltoid muscle
W
b. IM into the gluteal muscle
c. SubQ into abdominal tissue
d. SubQ into the upper arm
ANS: A
www.nursylab.com
lippincott Pharmacology Illustrated
Reviews 7th Edition Whalen Test Bank
Test Bank Directly From The publisher, 100% Verified Answers.
COVERS ALL CHAPTERS.
Download Immediately After the Order.
, www.nursylab.com
Pharmacology Illustrated Reviews 7th Edition Whalen
Test Bank
Chapter 1: Pharmacokinetics
M
MULTIPLE CHOICE
O
.C
1. Which drugs will go through a pharmaceutic phase after it is administered?
a. Intramuscular cephalosporins
LD
b. Intravenous vasopressors
R
c. Oral analgesics
O
d. Subcutaneous antiglycemics
W
ANS: C
KS
When drugs are administered parenterally, there is no pharmaceutic phase, which occurs when a
drug becomes a solution that can cross the biologic membrane.
N
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
BA
TOP: NURSING PROCESS: Assessment
ST
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
TE
2. The nurse is preparing to administer an oral medication and wants to ensure a rapid drug
action. Which form of the medication will the nurse administer?
G
a. Capsule
N
b. Enteric-coated pill
SI
c. Liquid suspension
R
d. Tablet
U
ANS: C
.N
Liquid drugs are already in solution, which is the form necessary for absorption in the GI tract.
W
The other forms must disintegrate into small particles and then dissolve before being
W
absorbed.
W
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
TOP: NURSING PROCESS: Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
www.nursylab.com
, www.nursylab.com
3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
coated tablet. Which statement by the patient indicates understanding of the teaching?
a. I may crush the tablet and put it in applesauce to improve absorption.
b. I should consume acidic foods to enhance absorption of this medication.
c. I should expect a delay in onset of the drugs effects after taking the tablet.
M
d. I should take this medication with high-fat foods to improve its action.
O
ANS: C
.C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
LD
disintegrate when they reach the small intestine. There is usually some delay in onset of actions
after taking these medications. Enteric-coated tablets should not be crushed or chewed, which
R
O
would alter the time and location of absorption. Acidic foods will not enhance the absorption of
W
the medication. The patient should not to eat high-fat food before ingesting an enteric-coated
tablet, because high-fat foods decrease the absorption rate.
KS
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3
N
TOP: NURSING PROCESS: Nursing Intervention
BA
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
ST
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be
TE
given by subcutaneous injection instead of by mouth. The nurse will explain that this is because
a. absorption is diminished by the first-pass effects in the liver.
G
b. absorption is faster when insulin is given subcutaneously.
N
c. digestive enzymes in the gastrointestinal tract prevent absorption.
SI
d. the oral form is less predictable with more adverse effects.
R
ANS: C
U
Insulin, growth hormones, and other protein-based drugs are destroyed in the small intestine by
.N
digestive enzymes and must be given parenterally. Because insulin is destroyed by digestive
W
enzymes, it would not make it to the liver for metabolism with a first-pass effect. Subcutaneous
W
tissue has fewer blood vessels, so absorption is slower in such tissue. Insulin is given
subcutaneously because it is desirable to have it absorb slowly.
W
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
www.nursylab.com
, www.nursylab.com
5. The nurse is preparing to administer an oral medication that is water-soluble. The nurse
understands that this drug
a. must be taken on an empty stomach.
b. requires active transport for absorption.
c. should be taken with fatty foods.
M
d. will readily diffuse into the gastrointestinal tract.
O
ANS: B
.C
Water-soluble drugs require a carrier enzyme or protein to pass through the GI membrane.
LD
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 4
R
TOP: NURSING PROCESS: Nursing Intervention
O
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
W
KS
6. A nurse is preparing to administer an oral drug that is best absorbed in an acidic environment.
How will the nurse give the drug?
a. On an empty stomach
N
BA
b. With a full glass of water
c. With food
ST
d. With high-fat food
TE
ANS: C
Food can stimulate the production of gastric acid so medications requiring an acidic environment
G
should be given with a meal. High-fat foods are useful for drugs that are lipid soluble.
N
SI
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 4
R
TOP: NURSING PROCESS: Nursing Intervention
U
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
.N
7. The nurse is preparing an injectable drug and wants to administer it for rapid absorption. How
W
will the nurse give this medication?
W
a. IM into the deltoid muscle
W
b. IM into the gluteal muscle
c. SubQ into abdominal tissue
d. SubQ into the upper arm
ANS: A
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