PHARM 101quiz.
Pharmacology Exam 1 - PG 2-21
#1 (1
point The nurse is caring for a diverse group of clients. In which client should the nurse
) assess for an alteration in drug metabolism?
Resp
onse A 50-year-old man with cirrhosis of the liver --- Correct
:
Expl
anati Most drug metabolism occurs in the liver.
on:
#2 (1
point A nurse collects a culture sample of infected tissue. What does the result of testing
) the culture contribute to the patient's care?
Resp
onse Identifies the specific organism causing the infection --- Correct
:
Expl
anati Patient should have antibiotics that work against a specific identified organism.
on:
#3 (1 The nurse is admitting a 5-year-old girl to the acute care facility and notices
point discolored secondary teeth. 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
onse "Has she ever received tetracycline?" --- Correct
:
Expl
anati Tetracycline is not given to children under eight due to risk of staining teeth.
on:
#4 (1
point When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to peni
)
,PHARM 101quiz.
Based on this finding, the nurse would expect the patient to be prescribed which o
the following
Resp
onse erythromycin (Ery-Tab) --- Correct
:
Patients with anaphylactic reactions to penicillin may have a cross
Expl sensitivity to cephalosporins. Erythromycin is a macrolide
ana
ti
on:
#5 (1 The 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
onse Under the tongue --- Correct
:
Expl
anati Sublingual refers to under the tongue
on:
#6 (1
point How would the nurse describe selective toxicity?
)
Resp
Selective toxicity is the ability of the drug to kill foreign cells without causing
onse
harm to one's own body cells --- Correct
:
Expl
anati Selective toxicity is the ability of the drug to kill foreign cells without causing harm
on to one's own body cells.
:
#7 (1
point A patient has a urinary tract infection. The nurse knows that which class of drugs i
)
,PHARM 101quiz.
especially useful for such infections?
Resp
onse Tetracyclines --- Incorrect
:
Ans
wer Sulfonamides
:
Exp
Sulfonamides are used to treat many kinds of infections caused by bacteria and ce
l
anati rtain other microorganisms.Physicians may prescribe these drugs to treat urinary
on ract infections, ear infections, frequent or long-lasting bronchitis,
:
A drug is available in tablet form at a concentration of 0.5 mg/ tablet. The order is
#8 (1 for 1500 mcg. How many tablets should be administered. (If rounding is
point necessary round to the nearest tenth)
)
Resp
onse 3 --- Correct
:
Expl
ana Each tablet is 0.5 mg = 500 mcg.
ti
on: Therefore, 3 tablets should be administered (1500 mcg)
#9 (1
point When providing patient-teaching we should always assume that the patients at
) least have a high-school diploma.
Resp
onse False --- Correct
:
#10 (
1
A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown.
point Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders
)
, PHARM 101quiz.
have just been written to obtain stat urine and blood cultures and to
administer an antibiotic intravenously. The nurse will complete these
orders in which sequence?
Resp
onse Blood and urine cultures, antibiotic dose --- Correct
:
Expl
anati Cultures should be taken prior to starting antibiotics
on:
#11 (
1
The nurse is administering parenteral drugs. Which statement is true regarding
point parenteral drugs?
)
Resp
onse Parenteral drugs bypass the first-pass effect. --- Correct
:
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
Exp such an extent that only a small amount of active drug emerges from
l the liver to the rest of
anati the circulatory system when given orally.
on:
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.
#12 ( When administering a new medication to a patient, the nurse reads that it is highly
1 protein bound. Assuming that the patient’s albumin levels are normal, the nurse
point would expect which result, as compared to a medication that is not highly protein
)
bound?
Resp
onse Slower onset of action --- Correct
:
Expl
anat As a general rule, agents that are minimally protein bound penetrate
i on: tissue better than those that are highly bound,and have a quicker
Pharmacology Exam 1 - PG 2-21
#1 (1
point The nurse is caring for a diverse group of clients. In which client should the nurse
) assess for an alteration in drug metabolism?
Resp
onse A 50-year-old man with cirrhosis of the liver --- Correct
:
Expl
anati Most drug metabolism occurs in the liver.
on:
#2 (1
point A nurse collects a culture sample of infected tissue. What does the result of testing
) the culture contribute to the patient's care?
Resp
onse Identifies the specific organism causing the infection --- Correct
:
Expl
anati Patient should have antibiotics that work against a specific identified organism.
on:
#3 (1 The nurse is admitting a 5-year-old girl to the acute care facility and notices
point discolored secondary teeth. 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
onse "Has she ever received tetracycline?" --- Correct
:
Expl
anati Tetracycline is not given to children under eight due to risk of staining teeth.
on:
#4 (1
point When reviewing the allergy history of a patient, the nurse notes that the patient is
allergic to peni
)
,PHARM 101quiz.
Based on this finding, the nurse would expect the patient to be prescribed which o
the following
Resp
onse erythromycin (Ery-Tab) --- Correct
:
Patients with anaphylactic reactions to penicillin may have a cross
Expl sensitivity to cephalosporins. Erythromycin is a macrolide
ana
ti
on:
#5 (1 The 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
onse Under the tongue --- Correct
:
Expl
anati Sublingual refers to under the tongue
on:
#6 (1
point How would the nurse describe selective toxicity?
)
Resp
Selective toxicity is the ability of the drug to kill foreign cells without causing
onse
harm to one's own body cells --- Correct
:
Expl
anati Selective toxicity is the ability of the drug to kill foreign cells without causing harm
on to one's own body cells.
:
#7 (1
point A patient has a urinary tract infection. The nurse knows that which class of drugs i
)
,PHARM 101quiz.
especially useful for such infections?
Resp
onse Tetracyclines --- Incorrect
:
Ans
wer Sulfonamides
:
Exp
Sulfonamides are used to treat many kinds of infections caused by bacteria and ce
l
anati rtain other microorganisms.Physicians may prescribe these drugs to treat urinary
on ract infections, ear infections, frequent or long-lasting bronchitis,
:
A drug is available in tablet form at a concentration of 0.5 mg/ tablet. The order is
#8 (1 for 1500 mcg. How many tablets should be administered. (If rounding is
point necessary round to the nearest tenth)
)
Resp
onse 3 --- Correct
:
Expl
ana Each tablet is 0.5 mg = 500 mcg.
ti
on: Therefore, 3 tablets should be administered (1500 mcg)
#9 (1
point When providing patient-teaching we should always assume that the patients at
) least have a high-school diploma.
Resp
onse False --- Correct
:
#10 (
1
A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown.
point Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders
)
, PHARM 101quiz.
have just been written to obtain stat urine and blood cultures and to
administer an antibiotic intravenously. The nurse will complete these
orders in which sequence?
Resp
onse Blood and urine cultures, antibiotic dose --- Correct
:
Expl
anati Cultures should be taken prior to starting antibiotics
on:
#11 (
1
The nurse is administering parenteral drugs. Which statement is true regarding
point parenteral drugs?
)
Resp
onse Parenteral drugs bypass the first-pass effect. --- Correct
:
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
Exp such an extent that only a small amount of active drug emerges from
l the liver to the rest of
anati the circulatory system when given orally.
on:
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.
#12 ( When administering a new medication to a patient, the nurse reads that it is highly
1 protein bound. Assuming that the patient’s albumin levels are normal, the nurse
point would expect which result, as compared to a medication that is not highly protein
)
bound?
Resp
onse Slower onset of action --- Correct
:
Expl
anat As a general rule, agents that are minimally protein bound penetrate
i on: tissue better than those that are highly bound,and have a quicker
