pharmacology midterm exam practice
questions and answers
The nurse is administering medications to a patient who is in liver failure due to end
stage cirrhosis. The nurse is aware that patients with liver failure are most likely to
have problems with which pharmacokinetic phase - ANSWER-Metabolism
In the development of a new drug by a pharmaceutical company, the researcher
must ensure that the participants in experimental drug studies do not have unrealistic
expectations of the new drugs usefulness. What will the researcher include in the
design of the study to prevent a bias that may occur? - ANSWER-A placebo
Which is the most significant part of legislation in regard to professional nursing
practice? - ANSWER-Nursing Practice Act
Which statement correctly describes drugs in part G, Part II of the food and Drugs
Act - ANSWER-They are drugs with high potential for misuse that have an accepted
medical use.
During the last trimester of pregnancy, drug transfer to the fetus is more likely to
occur. Which is a reason for this possibility - ANSWER-Enhanced placental blood
flow
While assessing an 82 year old woman, the nurse determined that the patient is
experiencing polypharmacy. What is this experience most likely to indicate -
ANSWER-The patient takes multiple medications for several different illnesses
For accurate medication administration to you by patients, the nurse must take into
account which information? - ANSWER-Weight, height, age, organ maturity
An older patient will often experience a reduction in the stomach ability to produce
hydrochloric acid. This change results in which alteration - ANSWER-Altered
absoprtion of select drugs
Which is the reason drug toxicity is more likely to occur in a neonate? - ANSWER-
The liver is not fully developed
An 83 year old patient has been given a thiazide diuretic to treat muld heart failure.
She and her daughter should be taught to watch for which complications? -
ANSWER-Fatigue and dehydration
Which complication is common for an older adult patient who is taking digoxin -
ANSWER-Hallucinations
, The nurse is aware that confusion, ataxia and increases risk for falls are older adult
patients common response to which medications? - ANSWER-Sedatives
A nurse is assessing an older indigenous woman who is being treated for
hypertension. During the assessment, what important information should the nurse
remember or expect in regard to culture - ANSWER-The assessment should include
information about cultural practices and beliefs regarding medication, treatment and
healing
Which ethnocultural group believes in harmony with nature and views ill spirits as
causing disease?
a. Black people of African descent
b. South Asian Canadians
c. Filipino Canadians
d. Indigenous peoples - ANSWER-Indigenous peoples
Which contributes to drug polymorphism? - ANSWER-The new patients age, sex,
and body composition
Which best describes drug polymorphism? - ANSWER-Age or body composition
effects on drug absorption or metabolism.
Which is true regarding young patients - ANSWER-The level of microsomal enzymes
are decreased
Perfusion to the kidneys may be decreased, which may result in reduced renal
function
First-pass elimination is reduced because of immaturity of the liver gastric employing
is slower because of slow irregular peristalsis
Which are true regarding older adults - ANSWER-The levels of microsomal enzymes
are decreased.
Fat content is increased because of decreased lean body mass
The number of intact nephrons is decreased
Gastric pH is less acidic
Which situation is an example of a medication error? - ANSWER-A patient receives
a double dose of medication because the nurse did not cut the pill in half
Which is the proper notation for the dose of a drug ordered? - ANSWER-Digoxin
0.125 mg
Health care providers should report actual or potential med errors to which
institution? - ANSWER-Institutes of safe medication practices
Which statements are true regarding adverse drug reactions - ANSWER-Adverse
effects are ADR's that are usually predictable
ADR's can be unexpected and unintended responses to medications
questions and answers
The nurse is administering medications to a patient who is in liver failure due to end
stage cirrhosis. The nurse is aware that patients with liver failure are most likely to
have problems with which pharmacokinetic phase - ANSWER-Metabolism
In the development of a new drug by a pharmaceutical company, the researcher
must ensure that the participants in experimental drug studies do not have unrealistic
expectations of the new drugs usefulness. What will the researcher include in the
design of the study to prevent a bias that may occur? - ANSWER-A placebo
Which is the most significant part of legislation in regard to professional nursing
practice? - ANSWER-Nursing Practice Act
Which statement correctly describes drugs in part G, Part II of the food and Drugs
Act - ANSWER-They are drugs with high potential for misuse that have an accepted
medical use.
During the last trimester of pregnancy, drug transfer to the fetus is more likely to
occur. Which is a reason for this possibility - ANSWER-Enhanced placental blood
flow
While assessing an 82 year old woman, the nurse determined that the patient is
experiencing polypharmacy. What is this experience most likely to indicate -
ANSWER-The patient takes multiple medications for several different illnesses
For accurate medication administration to you by patients, the nurse must take into
account which information? - ANSWER-Weight, height, age, organ maturity
An older patient will often experience a reduction in the stomach ability to produce
hydrochloric acid. This change results in which alteration - ANSWER-Altered
absoprtion of select drugs
Which is the reason drug toxicity is more likely to occur in a neonate? - ANSWER-
The liver is not fully developed
An 83 year old patient has been given a thiazide diuretic to treat muld heart failure.
She and her daughter should be taught to watch for which complications? -
ANSWER-Fatigue and dehydration
Which complication is common for an older adult patient who is taking digoxin -
ANSWER-Hallucinations
, The nurse is aware that confusion, ataxia and increases risk for falls are older adult
patients common response to which medications? - ANSWER-Sedatives
A nurse is assessing an older indigenous woman who is being treated for
hypertension. During the assessment, what important information should the nurse
remember or expect in regard to culture - ANSWER-The assessment should include
information about cultural practices and beliefs regarding medication, treatment and
healing
Which ethnocultural group believes in harmony with nature and views ill spirits as
causing disease?
a. Black people of African descent
b. South Asian Canadians
c. Filipino Canadians
d. Indigenous peoples - ANSWER-Indigenous peoples
Which contributes to drug polymorphism? - ANSWER-The new patients age, sex,
and body composition
Which best describes drug polymorphism? - ANSWER-Age or body composition
effects on drug absorption or metabolism.
Which is true regarding young patients - ANSWER-The level of microsomal enzymes
are decreased
Perfusion to the kidneys may be decreased, which may result in reduced renal
function
First-pass elimination is reduced because of immaturity of the liver gastric employing
is slower because of slow irregular peristalsis
Which are true regarding older adults - ANSWER-The levels of microsomal enzymes
are decreased.
Fat content is increased because of decreased lean body mass
The number of intact nephrons is decreased
Gastric pH is less acidic
Which situation is an example of a medication error? - ANSWER-A patient receives
a double dose of medication because the nurse did not cut the pill in half
Which is the proper notation for the dose of a drug ordered? - ANSWER-Digoxin
0.125 mg
Health care providers should report actual or potential med errors to which
institution? - ANSWER-Institutes of safe medication practices
Which statements are true regarding adverse drug reactions - ANSWER-Adverse
effects are ADR's that are usually predictable
ADR's can be unexpected and unintended responses to medications
