Intro to Pharmacology – Practice Exam
Questions and Answers
The nurse reviews data collected from a medication history. Which of these data are
considered objective data? Select all that apply:
- WBCs 22,000 mm3
- Blood pressure 150/84 mm Hg
- Patient rates pain "8" on a 10-point scale
- Patient's wife reports he has been very sleepy during the day
- Patient's weight is 68 kg - ANSWER-- WBCs 22,000 mm3
- Blood pressure 150/84 mm Hg
- Patient's weight is 68 kg;
Sometimes since it is on a scale it is considered objective! But think of pain as
SUBJECTIVE -you were RIGHT! Pain = subjective
An elderly woman took medication to help her sleep; however, she did not sleep at
all due to restlessness. The nurse recognizes she has experienced which reaction?:
- Allergic
- Idiosyncratic reaction
- Mutagenic effect
- Synergistic effect - ANSWER-Idiosyncratic reaction
Caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in
which phase of pharmacokinetics may occur?:
- Absorption
- Distribution
- Metabolism
- Excretion - ANSWER-Metabolism
A nurse is teaching a patient about a new enteric-coated stool softener. Which
statement should be included?:
- "Take the tablet with 2-3 oz of orange juice."
- "Avoid taking all other meds with any enteric-coated tablet."
- "Crush the tablet before swallowing if you have problems with swallowing."
- "Be sure to swallow the tablet whole without chewing it." - ANSWER-"Be sure to
swallow the tablet whole without chewing it."
Put the following statements in the order of which phase occurs first (1) to last (4):
, - Enzymes in the liver transform the drug into an inactive metabolite.
- Drug metabolites are secreted through passive glomerular filtration into the renal
tubules.
- A drug binds to the plasma protein albumin and circulates through the body.
- A drug moves from the intestinal lumen into the mesenteric blood system. -
ANSWER-1. A drug moves from the intestinal lumen into the mesenteric blood
system.
2. A drug binds to the plasma protein albumin and circulates through the body.
3. Enzymes in the liver transform the drug into an inactive metabolite.
4. Drug metabolites are secreted through passive glomerular filtration into the renal
tubules.
The nurse reviews various forms of topical meds. Which of the following are topical
meds? Select all that apply:
- Rectal ointment for hemorrhoids
- Eye drops for inflammation
- Sublingual tablet for chest pain
- Inhaled medication for asthma
- Intradermal injection for TB testing - ANSWER-- Rectal ointment for hemorrhoids
- Eye drops for inflammation
- Inhaled medication for asthma (actually a topical because it is going through the
surface of the lungs - it's just inside the body, not outside!)
A patient status/post thyroidectomy now takes levothyroxine, a thyroid hormone,
daily. Which term best describes this type of therapy?:
- Palliative therapy
- Maintenance therapy
- Supportive therapy
- Supplemental therapy - ANSWER-Maintenance therapy
The nurse giving meds to a patient in heart failure notes that the intravenous route is
chosen instead of intramuscular. What patient function does the nurse recognize as
the most influential when deciding to use the intravenous route?:
- Altered biliary function
- Increased glomerular filtration
- Reduced liver metabolism
- Diminished circulation - ANSWER-Diminished circulation
General responsibilities of the nurse regarding genetics may include which of these
activities? Select all that apply:
- Assessing patient personal and family history
- Referring patient to a genetics counselor or genetics specialist
- Communicating the results of genetic tests to the patient's and patient's family
- Maintaining privacy and confidentiality during the testing process - ANSWER--
Assessing patient personal and family history
- Referring patient to a genetics counselor or genetics specialist
Questions and Answers
The nurse reviews data collected from a medication history. Which of these data are
considered objective data? Select all that apply:
- WBCs 22,000 mm3
- Blood pressure 150/84 mm Hg
- Patient rates pain "8" on a 10-point scale
- Patient's wife reports he has been very sleepy during the day
- Patient's weight is 68 kg - ANSWER-- WBCs 22,000 mm3
- Blood pressure 150/84 mm Hg
- Patient's weight is 68 kg;
Sometimes since it is on a scale it is considered objective! But think of pain as
SUBJECTIVE -you were RIGHT! Pain = subjective
An elderly woman took medication to help her sleep; however, she did not sleep at
all due to restlessness. The nurse recognizes she has experienced which reaction?:
- Allergic
- Idiosyncratic reaction
- Mutagenic effect
- Synergistic effect - ANSWER-Idiosyncratic reaction
Caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in
which phase of pharmacokinetics may occur?:
- Absorption
- Distribution
- Metabolism
- Excretion - ANSWER-Metabolism
A nurse is teaching a patient about a new enteric-coated stool softener. Which
statement should be included?:
- "Take the tablet with 2-3 oz of orange juice."
- "Avoid taking all other meds with any enteric-coated tablet."
- "Crush the tablet before swallowing if you have problems with swallowing."
- "Be sure to swallow the tablet whole without chewing it." - ANSWER-"Be sure to
swallow the tablet whole without chewing it."
Put the following statements in the order of which phase occurs first (1) to last (4):
, - Enzymes in the liver transform the drug into an inactive metabolite.
- Drug metabolites are secreted through passive glomerular filtration into the renal
tubules.
- A drug binds to the plasma protein albumin and circulates through the body.
- A drug moves from the intestinal lumen into the mesenteric blood system. -
ANSWER-1. A drug moves from the intestinal lumen into the mesenteric blood
system.
2. A drug binds to the plasma protein albumin and circulates through the body.
3. Enzymes in the liver transform the drug into an inactive metabolite.
4. Drug metabolites are secreted through passive glomerular filtration into the renal
tubules.
The nurse reviews various forms of topical meds. Which of the following are topical
meds? Select all that apply:
- Rectal ointment for hemorrhoids
- Eye drops for inflammation
- Sublingual tablet for chest pain
- Inhaled medication for asthma
- Intradermal injection for TB testing - ANSWER-- Rectal ointment for hemorrhoids
- Eye drops for inflammation
- Inhaled medication for asthma (actually a topical because it is going through the
surface of the lungs - it's just inside the body, not outside!)
A patient status/post thyroidectomy now takes levothyroxine, a thyroid hormone,
daily. Which term best describes this type of therapy?:
- Palliative therapy
- Maintenance therapy
- Supportive therapy
- Supplemental therapy - ANSWER-Maintenance therapy
The nurse giving meds to a patient in heart failure notes that the intravenous route is
chosen instead of intramuscular. What patient function does the nurse recognize as
the most influential when deciding to use the intravenous route?:
- Altered biliary function
- Increased glomerular filtration
- Reduced liver metabolism
- Diminished circulation - ANSWER-Diminished circulation
General responsibilities of the nurse regarding genetics may include which of these
activities? Select all that apply:
- Assessing patient personal and family history
- Referring patient to a genetics counselor or genetics specialist
- Communicating the results of genetic tests to the patient's and patient's family
- Maintaining privacy and confidentiality during the testing process - ANSWER--
Assessing patient personal and family history
- Referring patient to a genetics counselor or genetics specialist
