Pharmacology Study Guide - Part 2 exam questions and
answers
1. A nurse is caring for a patient who is experiencing B
nausea and vomiting from chemotherapy. Which of the
following would be an appropriate nursing diag- nosis
for this patient?
A) Infection, Risk for related to drug-induced
bone marrow suppression
B) Nutrition, Imbalanced: Less Than Body Require-
ment related to adverse effects of drug
C) Poisoning, Risk for related to use of a drug with
a narrow therapeutic index
D) Nutrition, Imbalanced: More Than Body Require-
ment related to adverse effects of drug
2. A nurse has administered a medication to a patient C
with hypertension. The prescribed drug is supposed to
decrease cardiac output. A decrease in cardiac output
would most likely
A) increase the serum creatinine level.
B) decrease drug absorption in the blood.
C) decrease the amount of circulating blood
sent through the kidneys.
D) increase the synergistic effect of the drug.
3. A home health nurse notes that there have been B
changes to a patient's oral drug regimen. The nurse
will closely monitor the new drug regimen to
A) track the exact route of metabolism as a
research project.
B) identify any changes in drug absorption that would
change the drug effect.
C) monitor only for the adverse effect of
immunotoxi- city.
D) determine the speed of chelation.
4. Which of the following affects drug distribution C
throughout the body?
, A) Presence of food in the gastrointestinal tract
B) Increase in hepatic enzymes
C) Protein binding
D) High blood levels
5. A patient is being seen in the emergency department
D for a sprained ankle and is given a drug to relieve
pain. When a second dose of the pain medication is
given, the patient develops redness of the skin,
itching, and swelling at the site of injection of the drug.
The most likely cause of this response is
A) a hepatotoxic response.
B) an idiosyncratic response.
C) a paradoxical response.
D) an allergic response.
6. A 70-year-old man who enjoys good health began D
taking low-dose aspirin several months ago based on
recommendations that he read in a magazine ar- ticle.
During the man's most recent visit to his care provider,
routine blood work was ordered and the re- sults
indicated an unprecedented rise in the man's serum
creatinine and blood urea nitrogen (BUN) lev- els. How
should a nurse best interpret these findings?
A) The man may be experiencing a paradoxical
effect of aspirin
B) The man may be allergic to aspirin
C) The man may be experiencing liver toxicity from the
aspirin
D) The man may be experiencing nephrotoxic
effects of aspirin
7. A nurse who provides care for older adults is aware of
B the high incidence of drug interactions in this popu-
lation. When educating a group of seniors about the
prevention of drug interactions, the nurse should en-
answers
1. A nurse is caring for a patient who is experiencing B
nausea and vomiting from chemotherapy. Which of the
following would be an appropriate nursing diag- nosis
for this patient?
A) Infection, Risk for related to drug-induced
bone marrow suppression
B) Nutrition, Imbalanced: Less Than Body Require-
ment related to adverse effects of drug
C) Poisoning, Risk for related to use of a drug with
a narrow therapeutic index
D) Nutrition, Imbalanced: More Than Body Require-
ment related to adverse effects of drug
2. A nurse has administered a medication to a patient C
with hypertension. The prescribed drug is supposed to
decrease cardiac output. A decrease in cardiac output
would most likely
A) increase the serum creatinine level.
B) decrease drug absorption in the blood.
C) decrease the amount of circulating blood
sent through the kidneys.
D) increase the synergistic effect of the drug.
3. A home health nurse notes that there have been B
changes to a patient's oral drug regimen. The nurse
will closely monitor the new drug regimen to
A) track the exact route of metabolism as a
research project.
B) identify any changes in drug absorption that would
change the drug effect.
C) monitor only for the adverse effect of
immunotoxi- city.
D) determine the speed of chelation.
4. Which of the following affects drug distribution C
throughout the body?
, A) Presence of food in the gastrointestinal tract
B) Increase in hepatic enzymes
C) Protein binding
D) High blood levels
5. A patient is being seen in the emergency department
D for a sprained ankle and is given a drug to relieve
pain. When a second dose of the pain medication is
given, the patient develops redness of the skin,
itching, and swelling at the site of injection of the drug.
The most likely cause of this response is
A) a hepatotoxic response.
B) an idiosyncratic response.
C) a paradoxical response.
D) an allergic response.
6. A 70-year-old man who enjoys good health began D
taking low-dose aspirin several months ago based on
recommendations that he read in a magazine ar- ticle.
During the man's most recent visit to his care provider,
routine blood work was ordered and the re- sults
indicated an unprecedented rise in the man's serum
creatinine and blood urea nitrogen (BUN) lev- els. How
should a nurse best interpret these findings?
A) The man may be experiencing a paradoxical
effect of aspirin
B) The man may be allergic to aspirin
C) The man may be experiencing liver toxicity from the
aspirin
D) The man may be experiencing nephrotoxic
effects of aspirin
7. A nurse who provides care for older adults is aware of
B the high incidence of drug interactions in this popu-
lation. When educating a group of seniors about the
prevention of drug interactions, the nurse should en-
