Question 1
The CNP orders the patient a tetracycline antibiotic and instructs him to avoid taking the
medication with foods, beverages, or drugs that contain calcium, iron, or magnesium. The
patient takes the antibiotic along with a daily multivitamin, not realizing that the vitamin
contains iron. What effect may this have on the tetracycline?
Select one:
a.Decreased metabolism
b.Impaired excretion
c.Impaired absorption
d.Increased distribution
Question 2
During completion of the exam and review of the patient’s most recent medical record notes,
it is noted by the CNP that the patient has a malignant brain tumor. What pharmacokinetic
phase may be affected by the presence of the tumor?
Select one:
a.Absorption
b.Metabolism
c.Excretion
d.Distribution
Question 3
The patient requires a drug to be prescribed by the CNP that is known to be completely
metabolized by the first-pass effect. During the prescribing process the CNP knows that due
to this requirement: