, ECPI NUR 138 Pharmacology Exam 1 Practice Questions.
1. The patient is to receive oral guaife- D. "Right time"
nesin (Mucinex) twice a day. Today,
the nurse was busy and gave the Rationale: "Right time" is correct because the medica-
medication 2 hours after the sched- tion was given more than 30 minutes after the sched-
uled dose was due. What type of uled dose was due. "Dose" is incorrect because the
problem does this represent? dose is not related to the time the medication admin-
istration is scheduled. "Route" is incorrect because the
A. "Right route" route is not attected. "Medication" is incorrect because
B. "Right medication" the medication ordered will not change.
C. "Right dose"
D. "Right time"
2. The nurse is administering par- A. Parenteral drugs bypass the first-pass ettect.
enteral drugs. Which statement is
true regarding parenteral drugs? Rationale: Drugs given by the parenteral route bypass
the first-pass ettect. Reduced blood flow to the stom-
A. Parenteral drugs bypass the ach and the presence of food in the stomach apply to
first-pass effect. enteral drugs (taken orally), not to parenteral drugs.
B. Absorption of parenteral drugs is Parenteral drugs must be absorbed into cells and tis-
affected by reduced blood flow to sues from the circulation before they can exert their
the stomach. ettects: they do not exert their ettects while circulating
C. Absorption of parenteral drugs is in the bloodstream.
faster when the stomach is empty.
D. Parenteral drugs exert their ef-
fects while circulating in the blood-
stream.
3. The nurse is administering medica- A. Excretion
tions to the patient who is in renal
failure resulting from end-stage re- Rationale: The kidneys are the organs that are most
, ECPI NUR 138 Pharmacology Exam 1 Practice Questions.
nal disease. The nurse is aware that responsible for drug excretion. Renal function does
patients with kidney failure would not attect the absorption and distribution of a drug.
, ECPI NUR 138 Pharmacology Exam 1 Practice Questions.
most likely have problems with Renal function may attect metabolism of drugs to a
which pharmacokinetic phase? small extent.
A. Excretion
B. Absorption
C. Metabolism
D. Distribution
4. The patient is complaining of a C. A powder
headache and asks the nurse which
Rationale: Of the types of oral medications listed, the
over-the-counter medication form
powder form would be absorbed the fastest, thus hav-
would work the fastest to help re-
ing a faster onset. The tablet, the capsule, and, finally,
duce the pain. Which medication
the enteric-coated tablet would be absorbed next, in
form will the nurse suggest?
that order.
A. A tablet
B. A capsule
C. A powder
D. An enteric-coated tablet
5. Which drugs would be affected by B. Levothyroxine (Synthroid) tablets
the first-pass effect? (Select all that C. Diphenhydramine (Benadryl) elixir
apply.) F. Esomeprazole (Nexium) capsules
A. Sublingual nitroglycerin tablets
B. Levothyroxine (Synthroid) tablets
C. Diphenhydramine (Benadryl)
elixir
D. Penicillin given by IV piggyback
infusion
E. Morphine given by IV push injec-
tion