PHARMACOLOGY MIDTERM
EXAM Q & A
1. In which of the following patients would a nurse expect to experi- ence alterations in
drug metabolism?
A) A 35-year-old woman with cervical cancer
B) A 41-year-old man with kidney stones
,C) A 50-year-old man with cirrhosis of the liver
D) A 62-year-old woman in acute renal failure C
2. A patient with class-IV CHF has a medication regimen consisting of metoprolol
(Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the
patient s heart rate, the nurse should prioritize assessment of the patient's
A) intake and output.
B) blood pressure.
C) cognition.
D) exercise
tolerance. B
3. A nurse is caring for a patient who is taking metoprolol (Lopressor).
Which of the following statements would indicate that teaching by the nurse concerning the
beta-adrenergic antagonist has been effective?
a. "I may have a very dry mouth while taking this drug."
b. "I should never stop taking this drug abruptly."
c. "I can stop walking a mile a day."
d. "Since I am taking this drug, I no longer need to worry about my diet."
4. A nurse is developing a care plan for a patient who has multiple scle- rosis. An expected
outcome for the patient who is receiving glatiramer would be a decrease in
a. chest pain.
b. fatigue.
, c. breathing difficulties.
d. Heart
palpitations.
5. An elderly postsurgical patient has developed postoperative pneumo- nia in the days
following abdominal surgery and is being treated with a number of medications. Which of
the following medications that the nurse will administer has the slowest absorption?
A. A sublingual benzodiazepine that has been prescribed to help the pa- tient sleep
B. An intravenous (IV) antibiotic that is being administered by IV pig- gyback at 150
mL/hour
C. An oral antidepressant that the patient has been taking daily for sev- eral years
D. An
intramuscular
6. Which of the following patients demonstrates the clearest indication for
treatment with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to
leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor
7. A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the
, drug to be given orally. The nurse notices that the oral dosage is consid- erably higher than the
parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
EXAM Q & A
1. In which of the following patients would a nurse expect to experi- ence alterations in
drug metabolism?
A) A 35-year-old woman with cervical cancer
B) A 41-year-old man with kidney stones
,C) A 50-year-old man with cirrhosis of the liver
D) A 62-year-old woman in acute renal failure C
2. A patient with class-IV CHF has a medication regimen consisting of metoprolol
(Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the
patient s heart rate, the nurse should prioritize assessment of the patient's
A) intake and output.
B) blood pressure.
C) cognition.
D) exercise
tolerance. B
3. A nurse is caring for a patient who is taking metoprolol (Lopressor).
Which of the following statements would indicate that teaching by the nurse concerning the
beta-adrenergic antagonist has been effective?
a. "I may have a very dry mouth while taking this drug."
b. "I should never stop taking this drug abruptly."
c. "I can stop walking a mile a day."
d. "Since I am taking this drug, I no longer need to worry about my diet."
4. A nurse is developing a care plan for a patient who has multiple scle- rosis. An expected
outcome for the patient who is receiving glatiramer would be a decrease in
a. chest pain.
b. fatigue.
, c. breathing difficulties.
d. Heart
palpitations.
5. An elderly postsurgical patient has developed postoperative pneumo- nia in the days
following abdominal surgery and is being treated with a number of medications. Which of
the following medications that the nurse will administer has the slowest absorption?
A. A sublingual benzodiazepine that has been prescribed to help the pa- tient sleep
B. An intravenous (IV) antibiotic that is being administered by IV pig- gyback at 150
mL/hour
C. An oral antidepressant that the patient has been taking daily for sev- eral years
D. An
intramuscular
6. Which of the following patients demonstrates the clearest indication for
treatment with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of
emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to
leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor
7. A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the
, drug to be given orally. The nurse notices that the oral dosage is consid- erably higher than the
parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
