Pharm final
After completing acourse on pharmacology for nurses, what will the nurse know?
A) Everything necessary for safe and effective medication administration
B) Current pharmacologic therapy; the nurse will not require ongoing education for
5 years.
C) General drug information; the nurse can consult a drug guide for specific drug
information.
D) The drug actions that are associated with each classification of medication -
(correct Answer) - C
The nurse learns that a drug needed by the patient is classified as an orphan drug
and recognizes what as a reason for this classification? (Select all that apply.)
A) The drug is rarely prescribed.
B) The drug has dangerous adverse effects.
C) The drug treats a rare disease.
D) The patent on the medication is still effective.
E) Production by a company that only manufactures drugs - (correct Answer) - A,B,C
Before administering a prescription medication, what information does the nurse
find on the drug label? (Select all that apply.)
A) Brand name
B) Generic name
C) Drug concentration
D) Expiration date
E) Adverse effects - (correct Answer) - A,B,C,D
A patient presents to the emergency department with a drug level of 50 units/mL.
The half-life of this drug is 1 hour. With this drug, concentrations above 25
units/mL are considered toxic and no more drug is given. How long will it take for
the blood level to reach the non-toxic range?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 3 hours - (correct Answer) - C
A nurse is caring for a patient who has been receiving a drug by the intramuscular
route but will receive the drug orally after discharge. How does the nurse explain
the increased dosage prescribed for the oral dose?
A) Passive diffusion
B) Active transport
C) Glomerular filtration
D) First-pass effect - (correct Answer) - D
The nurse uses what term to describe the drug level required to have a therapeutic
effect?
A) Critical concentration
B) Dynamic equilibrium
C) Selective toxicity
D) Active transport - (correct Answer) - A
Several processes enable a drug to reach a specific concentration in the body.
Together they are called dynamic equilibrium. What are these processes? (Select all
that apply.)
A) Distribution to the active site
B) Biotransformation
C) Absorption from the muscle
D) Excretion
E) Interaction with other drugs - (correct Answer) - A,B,D
What factor influences drug absorption?
A) Kidney function
B) Route of administration
C) Liver function
D) Cardiovascular function - (correct Answer) - B
, The nursing students are learning about the half-life of drugs. A student asks the
instructor to explain half-life. What is the instructor's best response?
A) Half-life of a drug is the time it takes for the amount of drug in the body to
decrease to half of the peak level it previously achieved.
B) Half-life is the amount of time it takes for the drug to be metabolized by the
body.
C) Half-life is the amount of time it takes for half of the drug to reach peak
level in the body.
D) Half-life of a drug is the time it takes for the drug to reach half its
potential peak level in the body - (correct Answer) - A
The nurse is caring for a patient who is receiving gentamicin, 250 mg and
fluconazole (Diflucan), 500 mg at the same time. The nurse knows that if these two
drugs competed with each other for proteinbinding sites, what would this do?
A) Make the patient gentamicin deficient
B) Make the patient fluconazole deficient
C) Counteract any positive benefit the drugs would have
D) Alter the effectiveness of both drugs - (correct Answer) - D
The nurse is assessing a patient new to the clinic. The patient says she is
allergic to penicillin. What would be the nurse's appropriate next action?
A) Ascertain the exact nature of the patient's response to the drug.
B) Document the patient is allergic to penicillin.
C) Mark the patient's chart in red that she has a penicillin allergy.
D) Continue to assess the patient for other allergies. - (correct Answer) - A
The nurse needs to consider teratogenic effects of medications when caring for what
population of patients?
A) Older adults
B) Patients with a history of cancer
C) Children
D) Young adult women - (correct Answer) - D
The nurse is conducting an admission assessment on a patient. When collecting data
related to medications the nurse asks ?What medications are you currently taking??
After collecting this information, what other questions should the nurse ask?
(Select all that apply.)
A) ?Do you take any medications??
B) ?What over-the-counter (OTC) medications do
you take??
C) ?Do you take an herbs, vitamins, or supplements??
D) ?Do you take medications safely when you take them??
E) ?Why do you take this medication?? - (correct Answer) - B,C
The pathophysiology class is learning how microorganisms develop resistance to
anti-infective drugs. What is one way the nursing students would learn that
microorganisms develop resistance to antiinfective drugs?
A) By rearranging their deoxyribonucleic acid (DNA) to produce membranes that are
permeable to the drug
B) By producing an enzyme that stimulates the drug
After completing acourse on pharmacology for nurses, what will the nurse know?
A) Everything necessary for safe and effective medication administration
B) Current pharmacologic therapy; the nurse will not require ongoing education for
5 years.
C) General drug information; the nurse can consult a drug guide for specific drug
information.
D) The drug actions that are associated with each classification of medication -
(correct Answer) - C
The nurse learns that a drug needed by the patient is classified as an orphan drug
and recognizes what as a reason for this classification? (Select all that apply.)
A) The drug is rarely prescribed.
B) The drug has dangerous adverse effects.
C) The drug treats a rare disease.
D) The patent on the medication is still effective.
E) Production by a company that only manufactures drugs - (correct Answer) - A,B,C
Before administering a prescription medication, what information does the nurse
find on the drug label? (Select all that apply.)
A) Brand name
B) Generic name
C) Drug concentration
D) Expiration date
E) Adverse effects - (correct Answer) - A,B,C,D
A patient presents to the emergency department with a drug level of 50 units/mL.
The half-life of this drug is 1 hour. With this drug, concentrations above 25
units/mL are considered toxic and no more drug is given. How long will it take for
the blood level to reach the non-toxic range?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 3 hours - (correct Answer) - C
A nurse is caring for a patient who has been receiving a drug by the intramuscular
route but will receive the drug orally after discharge. How does the nurse explain
the increased dosage prescribed for the oral dose?
A) Passive diffusion
B) Active transport
C) Glomerular filtration
D) First-pass effect - (correct Answer) - D
The nurse uses what term to describe the drug level required to have a therapeutic
effect?
A) Critical concentration
B) Dynamic equilibrium
C) Selective toxicity
D) Active transport - (correct Answer) - A
Several processes enable a drug to reach a specific concentration in the body.
Together they are called dynamic equilibrium. What are these processes? (Select all
that apply.)
A) Distribution to the active site
B) Biotransformation
C) Absorption from the muscle
D) Excretion
E) Interaction with other drugs - (correct Answer) - A,B,D
What factor influences drug absorption?
A) Kidney function
B) Route of administration
C) Liver function
D) Cardiovascular function - (correct Answer) - B
, The nursing students are learning about the half-life of drugs. A student asks the
instructor to explain half-life. What is the instructor's best response?
A) Half-life of a drug is the time it takes for the amount of drug in the body to
decrease to half of the peak level it previously achieved.
B) Half-life is the amount of time it takes for the drug to be metabolized by the
body.
C) Half-life is the amount of time it takes for half of the drug to reach peak
level in the body.
D) Half-life of a drug is the time it takes for the drug to reach half its
potential peak level in the body - (correct Answer) - A
The nurse is caring for a patient who is receiving gentamicin, 250 mg and
fluconazole (Diflucan), 500 mg at the same time. The nurse knows that if these two
drugs competed with each other for proteinbinding sites, what would this do?
A) Make the patient gentamicin deficient
B) Make the patient fluconazole deficient
C) Counteract any positive benefit the drugs would have
D) Alter the effectiveness of both drugs - (correct Answer) - D
The nurse is assessing a patient new to the clinic. The patient says she is
allergic to penicillin. What would be the nurse's appropriate next action?
A) Ascertain the exact nature of the patient's response to the drug.
B) Document the patient is allergic to penicillin.
C) Mark the patient's chart in red that she has a penicillin allergy.
D) Continue to assess the patient for other allergies. - (correct Answer) - A
The nurse needs to consider teratogenic effects of medications when caring for what
population of patients?
A) Older adults
B) Patients with a history of cancer
C) Children
D) Young adult women - (correct Answer) - D
The nurse is conducting an admission assessment on a patient. When collecting data
related to medications the nurse asks ?What medications are you currently taking??
After collecting this information, what other questions should the nurse ask?
(Select all that apply.)
A) ?Do you take any medications??
B) ?What over-the-counter (OTC) medications do
you take??
C) ?Do you take an herbs, vitamins, or supplements??
D) ?Do you take medications safely when you take them??
E) ?Why do you take this medication?? - (correct Answer) - B,C
The pathophysiology class is learning how microorganisms develop resistance to
anti-infective drugs. What is one way the nursing students would learn that
microorganisms develop resistance to antiinfective drugs?
A) By rearranging their deoxyribonucleic acid (DNA) to produce membranes that are
permeable to the drug
B) By producing an enzyme that stimulates the drug
