FUN 10001 Pharmacology Exam 1 - PG 10-18
Pharmacology Exam 1 - PG 10-18
#1 (1
The nurse is caring for a diverse group of clients. In which client should the nurse assess for an
point
alteration in drug metabolism?
)
Resp
A 50-year-old man with cirrhosis of the liver ---
Correct onse:
Expla
nati Most drug metabolism occurs in the liver.
o n:
#2 (1
A nurse collects a culture sample of infected tissue. What does the result of testing the culture contribut
point
to the patient's care?
)
Resp
Identifies the specific organism causing the infection ---
Correct onse:
Expla
nati Patient should have antibiotics that work against a specific identified organism.
o n:
#3 (1 The nurse is admitting a 12-year-old girl to the acute care facility and notices discolored secondary teeth
point The mother says she doesn't know why the teeth are discolored because the child is
) very good about brushing and flossing and sees the dentist regularly. What question
would the nurse ask?
Resp
"Has she ever received tetracycline?" ---
Correct onse:
Expla
nati Tetracycline is not given to children under eight due to risk of staining teeth.
o n:
#4 (1
point
)
Match the generic (trade) drug to its drug classification:
acyclovir (Zovirax) → antifungal for superficial infection, nystatin (Mycostatin) →
antiprotozoals,
Resp metronidazole (Flagyl) → Antifungal drugs for systemic infections,
onse:
amphotericin B (Fungizone) →
antiviral --- Incorrect
Answ acyclovir (Zovirax) → antiviral, nystatin (Mycostatin) → antifungal for superficial infection, metronidazole
er: (Flagyl) → antiprotozoals, amphotericin B (Fungizone) → Antifungal drugs for systemic infections
#5 (1When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to penic
point
) Based on this finding, the nurse would expect the patient to be prescribed which o
the following d
Resp
cefaclor (Ceclor) ---
Incorrect onse:
Answ erythromycin (Ery-Tab)
,FUN 10001 Pharmacology Exam 1 - PG 10-18
er:
Patients with anaphylactic reactions to penicillin may have a cross sensitivity to cephalosporins.
Erythromycin is a
Expla
macrolide natio
n:
#6 (1
point
)
Place the phases of the nursing process in the correct order, with 1 as the first pha
and 5 as th
Resp
1 Nursing Diagnosis, 2 Assessment, 3 Planning, 4 Implementation, 5 Evaluation ---
Incorrect onse:
Answ
1 Assessment, 2 Nursing Diagnosis, 3 Planning, 4 Implementation, 5
Evaluation er:
Expla
The nursing process is an ongoing process that begins with assessing and continues with
nati
o n: diagnosing, planning, implementing and evaluation
#7 (1The patient is experiencing chest pain and needs to take a sublingual form of
nitroglycerin.
point
) Where does the nurse instruct the patient to place the tablet?
Resp
Under the tongue ---
Correct onse:
Expla
nati Sublingual refers to under the tongue
o n:
#8 (1
point
)
How would the nurse describe selective toxicity?
Resp Selective toxicity is the ability of the drug to kill foreign cells without causing harm to one's
own body onse: cells --- Correct
Expla
Selective toxicity is the ability of the drug to kill foreign cells without causing harm to one's own body
nati
cells.
o n:
#9 (1
point
) When reviewing the medication orders for a patient who is taking penicillin, the nurse
notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What
possible effect may occur as the result of an interaction between these drugs?
,FUN 10001 Pharmacology Exam 1 - PG 10-18
Resp
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
--- Correct onse:
Expla
nati Penicillin will increase anticoagulation and INR with warfarin
o n:
#10 (
1
A patient has a urinary tract infection. The nurse knows that which class of drugs is
point
especially useful for such infections?
)
Resp
Tetracyclines ---
Incorrect onse:
Answ
Sulfonamides er:
Expla Sulfonamides are used to treat many kinds of infections caused by bacteria and certain other microorga
nati isms.Physicians may prescribe these drugs to treat urinary tract infections, ear infections,
o n: frequent or lon g-lasting bronchitis,
#11 ( A drug is available in tablet form at a concentration of 400 mcg/ tablet. The order is for 0.8 mg. How
1 many tablets should be administered. (If rounding is necessary round to the
point
) nearest tenth) Write the number (No Units)
Resp
2 ---
Correct onse:
Expla
nati 0.8 mg = 800 mcg. 800/ 400 = 2 tablets
o n:
#12 (
1
When providing patient-teaching we should always assume that the patients at least have
point
a high-school diploma.
)
Resp
False ---
Correct onse:
#13 ( A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown. Assessment reveals cloudy, foul
1 smelling urine that is dark amber in color. Orders have just been written to obtain stat
point urine and blood cultures and to administer an antibiotic intravenously. The nurse will
) complete these orders in which sequence?
, FUN 10001 Pharmacology Exam 1 - PG 10-18
Resp
Blood and urine cultures, antibiotic dose ---
Correct onse:
Expla
nati Cultures should be taken prior to starting antibiotics
o n:
#14 (
1
point The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?
)
Resp
Parenteral drugs bypass the first-pass effect. ---
Correct onse:
The first pass effect is a phenomenon of drug metabolism whereby the concentration of a
drug is greatly reduced before it reaches the systemic circulation. The liver metabolizes
many drugs, sometimes
to such an extent that only a small amount of active drug emerges from the liver to the rest of
Expla
nati the circulatory system when given orally.
o n:
Alternative routes of administration like suppository, intravenous, intramuscular,
inhalational aerosol, transdermal and sublingual avoid the first-pass effect because they
allow drugs to be absorbed directly into the systemic circulation.
#15 (
When administering a new medication to a patient, the nurse reads that it is highly protein bound.
1
Assuming that the patient’s albumin levels are normal, the nurse would expect
point
which result, as compared to a medication that is not highly protein bound?
)
Resp
The drug will be metabolized quickly ---
Incorrect onse:
Answ
The duration of action of the medication will
be longer er:
Expl
As a general rule, agents that are minimally protein bound penetrate tissue better than
a
those that are highly bound, but they are excreted much faster. Highy protein bound drugs
natio
have longer duration of action.
n:
#16 (
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
1
documenting the patient’s therapeutic response to the medication. Which phase of the
point
nursing process do these actions illustrate?
)
Resp
Evaluation ---
Correct onse:
#17 (
1
When given an intravenous medication, the patient says to the nurse, “I usually take pills.
point
Why does this medication have to be given in the arm?” What is the nurse’s best answer?
)
Resp
“The action of the medication will begin sooner when given
intravenously.” --- Correct onse:
Pharmacology Exam 1 - PG 10-18
#1 (1
The nurse is caring for a diverse group of clients. In which client should the nurse assess for an
point
alteration in drug metabolism?
)
Resp
A 50-year-old man with cirrhosis of the liver ---
Correct onse:
Expla
nati Most drug metabolism occurs in the liver.
o n:
#2 (1
A nurse collects a culture sample of infected tissue. What does the result of testing the culture contribut
point
to the patient's care?
)
Resp
Identifies the specific organism causing the infection ---
Correct onse:
Expla
nati Patient should have antibiotics that work against a specific identified organism.
o n:
#3 (1 The nurse is admitting a 12-year-old girl to the acute care facility and notices discolored secondary teeth
point The mother says she doesn't know why the teeth are discolored because the child is
) very good about brushing and flossing and sees the dentist regularly. What question
would the nurse ask?
Resp
"Has she ever received tetracycline?" ---
Correct onse:
Expla
nati Tetracycline is not given to children under eight due to risk of staining teeth.
o n:
#4 (1
point
)
Match the generic (trade) drug to its drug classification:
acyclovir (Zovirax) → antifungal for superficial infection, nystatin (Mycostatin) →
antiprotozoals,
Resp metronidazole (Flagyl) → Antifungal drugs for systemic infections,
onse:
amphotericin B (Fungizone) →
antiviral --- Incorrect
Answ acyclovir (Zovirax) → antiviral, nystatin (Mycostatin) → antifungal for superficial infection, metronidazole
er: (Flagyl) → antiprotozoals, amphotericin B (Fungizone) → Antifungal drugs for systemic infections
#5 (1When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to penic
point
) Based on this finding, the nurse would expect the patient to be prescribed which o
the following d
Resp
cefaclor (Ceclor) ---
Incorrect onse:
Answ erythromycin (Ery-Tab)
,FUN 10001 Pharmacology Exam 1 - PG 10-18
er:
Patients with anaphylactic reactions to penicillin may have a cross sensitivity to cephalosporins.
Erythromycin is a
Expla
macrolide natio
n:
#6 (1
point
)
Place the phases of the nursing process in the correct order, with 1 as the first pha
and 5 as th
Resp
1 Nursing Diagnosis, 2 Assessment, 3 Planning, 4 Implementation, 5 Evaluation ---
Incorrect onse:
Answ
1 Assessment, 2 Nursing Diagnosis, 3 Planning, 4 Implementation, 5
Evaluation er:
Expla
The nursing process is an ongoing process that begins with assessing and continues with
nati
o n: diagnosing, planning, implementing and evaluation
#7 (1The patient is experiencing chest pain and needs to take a sublingual form of
nitroglycerin.
point
) Where does the nurse instruct the patient to place the tablet?
Resp
Under the tongue ---
Correct onse:
Expla
nati Sublingual refers to under the tongue
o n:
#8 (1
point
)
How would the nurse describe selective toxicity?
Resp Selective toxicity is the ability of the drug to kill foreign cells without causing harm to one's
own body onse: cells --- Correct
Expla
Selective toxicity is the ability of the drug to kill foreign cells without causing harm to one's own body
nati
cells.
o n:
#9 (1
point
) When reviewing the medication orders for a patient who is taking penicillin, the nurse
notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What
possible effect may occur as the result of an interaction between these drugs?
,FUN 10001 Pharmacology Exam 1 - PG 10-18
Resp
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
--- Correct onse:
Expla
nati Penicillin will increase anticoagulation and INR with warfarin
o n:
#10 (
1
A patient has a urinary tract infection. The nurse knows that which class of drugs is
point
especially useful for such infections?
)
Resp
Tetracyclines ---
Incorrect onse:
Answ
Sulfonamides er:
Expla Sulfonamides are used to treat many kinds of infections caused by bacteria and certain other microorga
nati isms.Physicians may prescribe these drugs to treat urinary tract infections, ear infections,
o n: frequent or lon g-lasting bronchitis,
#11 ( A drug is available in tablet form at a concentration of 400 mcg/ tablet. The order is for 0.8 mg. How
1 many tablets should be administered. (If rounding is necessary round to the
point
) nearest tenth) Write the number (No Units)
Resp
2 ---
Correct onse:
Expla
nati 0.8 mg = 800 mcg. 800/ 400 = 2 tablets
o n:
#12 (
1
When providing patient-teaching we should always assume that the patients at least have
point
a high-school diploma.
)
Resp
False ---
Correct onse:
#13 ( A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown. Assessment reveals cloudy, foul
1 smelling urine that is dark amber in color. Orders have just been written to obtain stat
point urine and blood cultures and to administer an antibiotic intravenously. The nurse will
) complete these orders in which sequence?
, FUN 10001 Pharmacology Exam 1 - PG 10-18
Resp
Blood and urine cultures, antibiotic dose ---
Correct onse:
Expla
nati Cultures should be taken prior to starting antibiotics
o n:
#14 (
1
point The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?
)
Resp
Parenteral drugs bypass the first-pass effect. ---
Correct onse:
The first pass effect is a phenomenon of drug metabolism whereby the concentration of a
drug is greatly reduced before it reaches the systemic circulation. The liver metabolizes
many drugs, sometimes
to such an extent that only a small amount of active drug emerges from the liver to the rest of
Expla
nati the circulatory system when given orally.
o n:
Alternative routes of administration like suppository, intravenous, intramuscular,
inhalational aerosol, transdermal and sublingual avoid the first-pass effect because they
allow drugs to be absorbed directly into the systemic circulation.
#15 (
When administering a new medication to a patient, the nurse reads that it is highly protein bound.
1
Assuming that the patient’s albumin levels are normal, the nurse would expect
point
which result, as compared to a medication that is not highly protein bound?
)
Resp
The drug will be metabolized quickly ---
Incorrect onse:
Answ
The duration of action of the medication will
be longer er:
Expl
As a general rule, agents that are minimally protein bound penetrate tissue better than
a
those that are highly bound, but they are excreted much faster. Highy protein bound drugs
natio
have longer duration of action.
n:
#16 (
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
1
documenting the patient’s therapeutic response to the medication. Which phase of the
point
nursing process do these actions illustrate?
)
Resp
Evaluation ---
Correct onse:
#17 (
1
When given an intravenous medication, the patient says to the nurse, “I usually take pills.
point
Why does this medication have to be given in the arm?” What is the nurse’s best answer?
)
Resp
“The action of the medication will begin sooner when given
intravenously.” --- Correct onse:
