PHARMACOLOGY UTA FALL -EXAM 1
QUESTIONS WITH COMPLETE
ANSWERS
Which physiologic factor is most responsible for the differences in the
pharmacokinetic and pharmodynamic behavior of drugs in neonates and adults?
a)infant's stature
b)infant's smaller weight
c)immaturity of neonatal organs
d)adult's longer exposure to toxins - ANSWER-c
A woman who has just discovered that she is pregnant is asking the nurse about
taking medications. The nurse keeps in mind that the greatest risk for the drug-
induced developmental defects occurs during which trimester of pregnancy?
a) first
b) second
c) third
d) the risk is the same throughout the pregnancy - ANSWER-a
Most drug references provide recommended pediatric dosages based on which of
the following?
a) total body water content
b) fat-to-lean mass ratio
c) renal function studies
d) body weight in kilograms - ANSWER-d
The nurse recognizes that drug dosages in older adults are based oh which factors
a. more age than on height and weight
b. on body weight and organ function
c. on the total body water content
d. on the strength of the drug - ANSWER-b
When giving medications to older adults, the nurse will keep in mind the changes
that occur due to aging. Which statements regarding changes in the older patient are
true? (select all that apply)
a. the ratio of fat to water is increased
b. gastric pH is less acidic because of reduced hydrochloric acid production
c. protein albumin binding sites are reduced because of decreased serum protein
d. total body water content increases as body composition changes
e. the absorptive surface area of the GI tract is increased because of the flattening
and blunting of villi - ANSWER-a, b, c
, Which factor would have the greatest effect on medication response in the newborn?
a. immaturity of organs
b. increased muscle mass
c. increased protein binding
d. less drugs enter the brain - ANSWER-
Which explanation underpins the nurse's understanding that the greatest risk to the
fetus to the exposure of maternal drugs occurs in the first trimester?
a. this is the period organogenesis
b. this is the period of the greatest placental blood flow
c. this is the period of nutritional interupption due to pregnancy-induced emsis
d. this is the period of greatest resistance to insulin receptors throughout the
maternal body - ANSWER-a
When reviewing drug classifications, the nurse knows that drugs classified as
category C-I, which are to be dispensed "only with an approved protocol," include
which drugs?
a. Codeine, cocaine, and meperidine (demoral)
b. heroin, LSD, and marijuana
c. phenobarbital, chloral hydrate, and benzodiazepines
d. cough preparations and diarrhea-control drugs - ANSWER-b
When a health care provider is writing a prescription for a drug, he or she is not
permitted to mark a refill on the prescription if the drug falls into which category?
a. C-II
b. C-III
c. C-IV
d. C-V - ANSWER-a
The nurse is aware that the ethical principle of "Do no harm" is known by which
name?
a. Autonomy
b. Beneficence
c. Confidentiality
d. Nonmaleficence - ANSWER-d
The nurse is attempting to administer the morning dose of medication. The patient
refuses the medication, stating, "it makes me sick to my stomach!" What is the
nurse's responsibility?
A) Document the patient's refusal in the record
B) Discard the medication according the hospital policy
C) Disguise the medication in food
D) Offer the medication again in 30 min - ANSWER-a
QUESTIONS WITH COMPLETE
ANSWERS
Which physiologic factor is most responsible for the differences in the
pharmacokinetic and pharmodynamic behavior of drugs in neonates and adults?
a)infant's stature
b)infant's smaller weight
c)immaturity of neonatal organs
d)adult's longer exposure to toxins - ANSWER-c
A woman who has just discovered that she is pregnant is asking the nurse about
taking medications. The nurse keeps in mind that the greatest risk for the drug-
induced developmental defects occurs during which trimester of pregnancy?
a) first
b) second
c) third
d) the risk is the same throughout the pregnancy - ANSWER-a
Most drug references provide recommended pediatric dosages based on which of
the following?
a) total body water content
b) fat-to-lean mass ratio
c) renal function studies
d) body weight in kilograms - ANSWER-d
The nurse recognizes that drug dosages in older adults are based oh which factors
a. more age than on height and weight
b. on body weight and organ function
c. on the total body water content
d. on the strength of the drug - ANSWER-b
When giving medications to older adults, the nurse will keep in mind the changes
that occur due to aging. Which statements regarding changes in the older patient are
true? (select all that apply)
a. the ratio of fat to water is increased
b. gastric pH is less acidic because of reduced hydrochloric acid production
c. protein albumin binding sites are reduced because of decreased serum protein
d. total body water content increases as body composition changes
e. the absorptive surface area of the GI tract is increased because of the flattening
and blunting of villi - ANSWER-a, b, c
, Which factor would have the greatest effect on medication response in the newborn?
a. immaturity of organs
b. increased muscle mass
c. increased protein binding
d. less drugs enter the brain - ANSWER-
Which explanation underpins the nurse's understanding that the greatest risk to the
fetus to the exposure of maternal drugs occurs in the first trimester?
a. this is the period organogenesis
b. this is the period of the greatest placental blood flow
c. this is the period of nutritional interupption due to pregnancy-induced emsis
d. this is the period of greatest resistance to insulin receptors throughout the
maternal body - ANSWER-a
When reviewing drug classifications, the nurse knows that drugs classified as
category C-I, which are to be dispensed "only with an approved protocol," include
which drugs?
a. Codeine, cocaine, and meperidine (demoral)
b. heroin, LSD, and marijuana
c. phenobarbital, chloral hydrate, and benzodiazepines
d. cough preparations and diarrhea-control drugs - ANSWER-b
When a health care provider is writing a prescription for a drug, he or she is not
permitted to mark a refill on the prescription if the drug falls into which category?
a. C-II
b. C-III
c. C-IV
d. C-V - ANSWER-a
The nurse is aware that the ethical principle of "Do no harm" is known by which
name?
a. Autonomy
b. Beneficence
c. Confidentiality
d. Nonmaleficence - ANSWER-d
The nurse is attempting to administer the morning dose of medication. The patient
refuses the medication, stating, "it makes me sick to my stomach!" What is the
nurse's responsibility?
A) Document the patient's refusal in the record
B) Discard the medication according the hospital policy
C) Disguise the medication in food
D) Offer the medication again in 30 min - ANSWER-a
