PHARM 151 FINAL EXAM CHAPTERS 1-3 Study Guide QUESTIONS WITH ANSWERS

Pharm I Chapter 1-3


Question 1: A patient admittedly abuses heroin daily and has been in rehabilitation programs twice
(see full question) without success. What does the nurse understand about the abuse potential of heroin?

You selected: The abuse potential is high.

Correct




Question 2:
(see full question) After administering a medication to a client, the client complains of an upset stomach.
The nurse interprets this as a negative effect of the drug and identifies it as which of
the following?

You selected: Adverse effect

Correct




Question 3: The agency responsible for approving drugs for OTC availability, including the transfer
(see full question) of drugs from prescription to OTC status, is:

You selected: The Food and Drug Administration (FDA).

Correct




Question 4:
(see full question) The main goal of current drug laws and standards is to ensure what?

You selected: That drugs marketed for therapeutic purposes are safe and effective

Correct




Question 5: A nurse has administered drugs to a patient as per the physician's orders. Which of the
(see full question) following activities should the nurse perform after administering a drug to the patient?

You selected: Check for adverse drug reactions.

Correct




Question 6: A client with an upper respiratory tract infection has been prescribed an antibiotic that
(see full question) the nurse is not familiar with. Which of the following should the nurse caring for the
client do if she is not familiar with the new medication?

You selected: Collect information about the new medication

Correct

,Question 7: Administration of a drug is primarily the responsibility of which health care provider?
(see full question) (Choose one)

You selected: Nurse

Correct




Question 8: Federal legislation dictates a lengthy and rigorous process of testing for new drugs.
(see full question) What is the primary purpose of this testing process?

You selected: To ensure the safety of the public

Correct




Question 9: Which of the following duties related to drug therapy is inconsistent with the role of the
(see full question) registered nurse (RN)?

You selected: Prescribing drugs

Correct




Question 10: Drugs related to the chemical or official name and independent of the manufacturer
(see full question) are:

You selected: Generic name drugs.

Correct




Question 11: The elderly client fractured his jaw 1 week ago and reports difficulty taking his
(see full question) medications, which are in tablet form. To aid in adhering to the prescribed regimen, the
nurse seeks information about whether the medication can be administered as a

You selected: liquid

Correct




Question 12:
(see full question) When administering a drug, the nurse understands that a drug administered by which
route would be absorbed most rapidly?

You selected: Intravenous

Correct




Question 13: What is the serum half-life of a medication?
(see full question)

,You selected: The time needed for the serum level to fall by 50%

Correct




Question 14: A nurse notes new drug orders for a patient who is already getting several
(see full question) medications. Which of the following is the most important consideration when
preparing to administer the new drugs?

You selected: Possible drug–drug interactions that might occur

Correct




Question 15: The route medication must be given to achieve 100% bioavailability is given:
(see full question)


You selected: IV.

Correct




Question 16: What client is most likely to have impaired drug metabolism?
(see full question)


You selected: A client who has a diagnosis of hepatitis C

Correct




Question 17:
(see full question) Which of the following plays the largest role in drug excretion?

You selected: Kidneys

Correct




Question 18: The nurse should be aware that many older adults take multiple prescribed and over-
(see full question) the-counter (OTC) drugs. What is taking several drugs simultaneously known as?

You selected: Polypharmacy

Correct




Question 19: An 82-year-old patient is suffering from acute anxiety and is prescribed alprazolam
(see full question) (Xanax) by the physician. What steps can the physician take to ensure that the patient
will be at a decreased risk for injury?

You selected: Prescribe a smaller dose for the patient.

, Correct




Question 20: Which client is most at risk for a cumulative drug effect?
(see full question)


Correct response: A client with liver failure




Question 21: When assessing a patient who has developed an anaphylactic reaction, which of the
(see full question) following would the nurse expect to find?

You selected: Difficulty breathing

Correct




Question 22: A patient exhibiting Parkinson-like-syndrome would be expected to have which
(see full question) manifestation upon assessment?

Correct response: Muscular tremors




Question 23: The nurse is caring for a patient in the intensive care unit. This patient took an
(see full question) overdose of acetaminophen 3 days previously and now has jaundice. Laboratory
results show elevated liver enzymes. What does the nurse understand has occurred
with this patient?

You selected: The patient is experiencing hepatotoxicity and may have permanent liver damage.

Correct




Question 24: A client with seasonal allergies is taking an OTC antihistamine to relieve itchy, watery
(see full question) eyes, and a runny nose. What would be a good nursing intervention for this client?

Correct response: Avoid driving or operating machinery.




Question 25: A parent brings a child to the clinic for an earache. The child receives a prescription for
(see full question) amoxicillin. The parent calls the clinic the next day and says the child has been taking
the medicine and now has a rash. The nurse should give the parent instructions about
which type of response?

You selected: Allergic response

Correct




Question 26: The nurse is caring for a client who has been taking potassium-sparing diuretic. What
(see full question) assessment finding would suggest an adverse reaction?