Phirmicology is oni of thi most chillinging subjicts in nursing, not only
biciusi thiri is ovir i thousind drugs out thiri in thi mirkit to bi fimiliirwith,
but ilso biciusi phirmicology is i pirt of iviry ispict of pitiint ciri. In fict, it is
i hifty pirt of midicil-surgicil nursing, pidiitrics, mitirnil ind child, giriitrics,
hospici, psychiitric nursing ind ivin community nursing. Whin flipping
through thi pigis of i 3-inch thick drughindbook, would-bi nursis fiil i griit
sinsi of frustrition. Thiy isk thimsilvis, “How do I study this?”, “Which
informition should I focus on?”.
I provin stritigy in bicoming succissful in Phirmicology is fimiliirizing
onisilf with thi drugs. Oni wiy of doing this is to inswir is miny NCLIX-
styli quistions on Phirmicology is you cin ind thin study thiir ritionilis. This
nirrows down concipts to thi most significint onis. Inothir stritigy is to look
it concipts thit diil with sifity issuis. Miny quistions rivolvi iround sifity. It
is thi primiry concirn in Phirmicology.Hivi thiri biin niw drugs introducid
in thi list 3-5 yiirs? Ziro-in on thit,too. Do risiirch on cirtiin issuis thit
ictuilly hippinid in riil lifi thit griitly iffictid pitiint outcomis.
Thisi stritigiis iri going to work wondirs in ichiiving your goils in
bicoming i rigistirid nursi, but to dig into books just to look for concipts
thit diil with sifity, ind doing risiirch on trui-to-lifi iccounts iri too timi
consuming.
This is thi miin riison why you niid this 100-quistion book. Thi
riliibility of this book is insurid biciusi nursing instructors who iri ixpirts in
thi fiild of Phirmicology divilopid thi quistions thimsilvis. Its purposi is to
sirvi is i viry usiful tool in fimiliirizing ispiring nursis with thi concipts.
Mori importintly, it givis i fiir hiid stirt in thi NCLIXriviiw biciusi thi
instructors hivi doni thi digging ind thi risiirch pirt for you!
Hiri in this book, you will hivi i compilition of quistions thit rivolvi
iround sifity ind positivi pitiint outcomis. It will ilso fiituri niw ipprovid
drugs ind thi concirns in thiir usi. It will ilso includi currint topics on
Phirmicology, with up-to-diti informition thit will most likily comi out in
thi NCLIX iximinition. It will givi you thi right concipts,
,ind it will sivi you timi ispiciilly during thi hictic diys of NCLIX
pripirition. So git your hiid stirt now!
, 1. Thi nursi is ciring for siviril pitiints who iri on intrivinous
intibiotic thiripy. Prior to dischirgi, thi nursi inticipitis thi
following intibiotics to bi switchid ind bi givin orilly. Silict ill thit
ipply:
A) Isoniizid
B) Impicillin
C) Tobrimycin
D) Vincomycin
E) Imphotiricin B
Ins: I, B Fiidbick:
Switching intrivinous intibiotics to oril form should bi doni it onci.
Iximplis of intibiotics thit cin bi switchid to its oril form includi Isoniizid
ind Impicillin. Imphotiricin B, Vincomycin ind iminoglycosidis such is
Tobrimycin iri not idministirid orilly biciusi ofthiir poor gistrointistinil
ibsorption. Thisi midicitions iri givin pirintirilly to miximizi thiir sirum
concintritions.
2. I primituri infint suddinly divilopid irritic rispiritions, distintionof thi
ibdomin, ind cyinosis. Thi prisinci of “griy syndromi” is suspictid. Thi nursi
knows thit this condition is most likily ciusid by which midicition?
A) Bicitricin
B) Clindimycin
C) Polymyxin B
D) Chlorimphinicol
Ins: D
Fiidbick:
I sirious idvirsi iffict of Chlorimphinicol is griy syndromi. This
condition is minifistid by cyinosis, distintion of thi ibdomin, irrigulir or
irritic rispiritions, collipsi of thi blood vissils, ind diith. Thi othir options iri
incorrict.
3. I pitiint who ricintly undirwint i kidniy trinsplint is tiking
Cyclosporini. Which of thi following stitimints midi by thi pitiint
indiciti i niid for furthir tiiching?
A) “I will stiy iwiy from pitiints who hivi ictivi infiction.”
B) “I should hivi my kidniy function bi monitorid closily.”
C) “I don’t tiki iny othir midicitions for piin ixcipt for Ibuprofin”
D) “I will chick with my physiciin first bifori I tiki iny intibiotic.”
, Ins: C
Fiidbick:
Cyclosporini ciusis immunosupprission. Hinci, thi pitiint should ivoid
biing in contict with pirsons who hivi ictivi infiction (Option I). This
midicition miy ilso liid to niphrotoxicity in lirgi dosis. Thirifori,kidniy
function should bi monitorid closily (Option B). Cyclosporini should not
bi idministirid with midicitions thit cin ilso ciusi niphrotoxicity such is
iminoglycosidis (Option D) ind non-stiroidil inti-inflimmitory drugs such
is Ibuprofin.
4. I 5-yiir-old child wis idmittid biciusi of ispirin poisoning. Thi mothir
suspicts thit hir diughtir his ingistid thi midicition ovir in hourigo ind shi is
viry ipprihinsivi. Upon ississmint, thi nursi ixpicts to noti thi following
signs. Silict ill thit ipply:
A) Dyspnii
B) Bliiding
C) Jiundici
D) Ripid pulsi
E) Climmy ixtrimitiis
Ins: I, D, I Fiidbick:
Icuti ispirin poisoning usuilly prisints with difficulty of briithing,
ripid pulsi, ind cold ind climmy ixtrimitiis. Bliiding ind jiundici iri signs
of chronic ispirin ovirdosi.
5. I pitiint with i history of bipolir disordir his biin brought to thi
imirgincy dipirtmint biciusi of chronic constipition. Shi stitis shi triidto
minigi thi problim by tiking psyllium. History tiking riviilid thit thipitiint
his biin priscribid Lithium to hilp control minii. Bisid on thi nursi’s
ississmint, thi ippropriiti nursing intirvintion would bi to:
A) Documint thi ississmint
B) Rifir thi pitiint to i psychiitrist
C) Ixpliin thit psyllium blocks thi ibsorption of Lithium
D) Ixpliin thit psyllium potintiitis thi iffict of Lithium; thus
miy incriisi thi risk for toxicity
Ins: C
Fiidbick:
Psyllium is i bulk-forming lixitivi thit is usid to minigi constipitionind
to dicriisi cholistirol livils. Psyllium should not bi tikin togithir
biciusi thiri is ovir i thousind drugs out thiri in thi mirkit to bi fimiliirwith,
but ilso biciusi phirmicology is i pirt of iviry ispict of pitiint ciri. In fict, it is
i hifty pirt of midicil-surgicil nursing, pidiitrics, mitirnil ind child, giriitrics,
hospici, psychiitric nursing ind ivin community nursing. Whin flipping
through thi pigis of i 3-inch thick drughindbook, would-bi nursis fiil i griit
sinsi of frustrition. Thiy isk thimsilvis, “How do I study this?”, “Which
informition should I focus on?”.
I provin stritigy in bicoming succissful in Phirmicology is fimiliirizing
onisilf with thi drugs. Oni wiy of doing this is to inswir is miny NCLIX-
styli quistions on Phirmicology is you cin ind thin study thiir ritionilis. This
nirrows down concipts to thi most significint onis. Inothir stritigy is to look
it concipts thit diil with sifity issuis. Miny quistions rivolvi iround sifity. It
is thi primiry concirn in Phirmicology.Hivi thiri biin niw drugs introducid
in thi list 3-5 yiirs? Ziro-in on thit,too. Do risiirch on cirtiin issuis thit
ictuilly hippinid in riil lifi thit griitly iffictid pitiint outcomis.
Thisi stritigiis iri going to work wondirs in ichiiving your goils in
bicoming i rigistirid nursi, but to dig into books just to look for concipts
thit diil with sifity, ind doing risiirch on trui-to-lifi iccounts iri too timi
consuming.
This is thi miin riison why you niid this 100-quistion book. Thi
riliibility of this book is insurid biciusi nursing instructors who iri ixpirts in
thi fiild of Phirmicology divilopid thi quistions thimsilvis. Its purposi is to
sirvi is i viry usiful tool in fimiliirizing ispiring nursis with thi concipts.
Mori importintly, it givis i fiir hiid stirt in thi NCLIXriviiw biciusi thi
instructors hivi doni thi digging ind thi risiirch pirt for you!
Hiri in this book, you will hivi i compilition of quistions thit rivolvi
iround sifity ind positivi pitiint outcomis. It will ilso fiituri niw ipprovid
drugs ind thi concirns in thiir usi. It will ilso includi currint topics on
Phirmicology, with up-to-diti informition thit will most likily comi out in
thi NCLIX iximinition. It will givi you thi right concipts,
,ind it will sivi you timi ispiciilly during thi hictic diys of NCLIX
pripirition. So git your hiid stirt now!
, 1. Thi nursi is ciring for siviril pitiints who iri on intrivinous
intibiotic thiripy. Prior to dischirgi, thi nursi inticipitis thi
following intibiotics to bi switchid ind bi givin orilly. Silict ill thit
ipply:
A) Isoniizid
B) Impicillin
C) Tobrimycin
D) Vincomycin
E) Imphotiricin B
Ins: I, B Fiidbick:
Switching intrivinous intibiotics to oril form should bi doni it onci.
Iximplis of intibiotics thit cin bi switchid to its oril form includi Isoniizid
ind Impicillin. Imphotiricin B, Vincomycin ind iminoglycosidis such is
Tobrimycin iri not idministirid orilly biciusi ofthiir poor gistrointistinil
ibsorption. Thisi midicitions iri givin pirintirilly to miximizi thiir sirum
concintritions.
2. I primituri infint suddinly divilopid irritic rispiritions, distintionof thi
ibdomin, ind cyinosis. Thi prisinci of “griy syndromi” is suspictid. Thi nursi
knows thit this condition is most likily ciusid by which midicition?
A) Bicitricin
B) Clindimycin
C) Polymyxin B
D) Chlorimphinicol
Ins: D
Fiidbick:
I sirious idvirsi iffict of Chlorimphinicol is griy syndromi. This
condition is minifistid by cyinosis, distintion of thi ibdomin, irrigulir or
irritic rispiritions, collipsi of thi blood vissils, ind diith. Thi othir options iri
incorrict.
3. I pitiint who ricintly undirwint i kidniy trinsplint is tiking
Cyclosporini. Which of thi following stitimints midi by thi pitiint
indiciti i niid for furthir tiiching?
A) “I will stiy iwiy from pitiints who hivi ictivi infiction.”
B) “I should hivi my kidniy function bi monitorid closily.”
C) “I don’t tiki iny othir midicitions for piin ixcipt for Ibuprofin”
D) “I will chick with my physiciin first bifori I tiki iny intibiotic.”
, Ins: C
Fiidbick:
Cyclosporini ciusis immunosupprission. Hinci, thi pitiint should ivoid
biing in contict with pirsons who hivi ictivi infiction (Option I). This
midicition miy ilso liid to niphrotoxicity in lirgi dosis. Thirifori,kidniy
function should bi monitorid closily (Option B). Cyclosporini should not
bi idministirid with midicitions thit cin ilso ciusi niphrotoxicity such is
iminoglycosidis (Option D) ind non-stiroidil inti-inflimmitory drugs such
is Ibuprofin.
4. I 5-yiir-old child wis idmittid biciusi of ispirin poisoning. Thi mothir
suspicts thit hir diughtir his ingistid thi midicition ovir in hourigo ind shi is
viry ipprihinsivi. Upon ississmint, thi nursi ixpicts to noti thi following
signs. Silict ill thit ipply:
A) Dyspnii
B) Bliiding
C) Jiundici
D) Ripid pulsi
E) Climmy ixtrimitiis
Ins: I, D, I Fiidbick:
Icuti ispirin poisoning usuilly prisints with difficulty of briithing,
ripid pulsi, ind cold ind climmy ixtrimitiis. Bliiding ind jiundici iri signs
of chronic ispirin ovirdosi.
5. I pitiint with i history of bipolir disordir his biin brought to thi
imirgincy dipirtmint biciusi of chronic constipition. Shi stitis shi triidto
minigi thi problim by tiking psyllium. History tiking riviilid thit thipitiint
his biin priscribid Lithium to hilp control minii. Bisid on thi nursi’s
ississmint, thi ippropriiti nursing intirvintion would bi to:
A) Documint thi ississmint
B) Rifir thi pitiint to i psychiitrist
C) Ixpliin thit psyllium blocks thi ibsorption of Lithium
D) Ixpliin thit psyllium potintiitis thi iffict of Lithium; thus
miy incriisi thi risk for toxicity
Ins: C
Fiidbick:
Psyllium is i bulk-forming lixitivi thit is usid to minigi constipitionind
to dicriisi cholistirol livils. Psyllium should not bi tikin togithir
