Liley's Pharmacology for Canadian Health Care Practice 4th
edition Exam Questions AND Correct Answers
A child is prescribed methylphenidate (Ritalin®) to treat
attention deficit hyperactivity disorder (ADHD). The parent
expresses concern about using a controlled substance to treat
ADHD and asks the nurse about using a noncontrolled
substance. The nurse knows ADHD can be treated with which
noncontrolled substance?
a. Methylphenidate (Concerta®)
b. Amphetamine aspartate (Adderall®)
c. Atomoxetine (Strattera®)
d. Dextroamphetamine sulphate (Dexedrine®) - ✔✔c.
Atomoxetine (Strattera®)
A client receiving vitamin K most likely has which of the
following abnormal clinical findings?
a. Diarrhea
b. Sudden severe confusion
c. Altered coagulation studies
d. Seizure activity - ✔✔c. Altered coagulation studies
,A concern among the older adult population is polypharmacy.
What is the rationale for the avoidance of cranberry-based
beverages by this population?
a. It decreases the circulating inactive drugs
b. It decreases the elimination of drugs excreted by the
kidneys
c. It reduces the capacity for liver enzyme to filter drug
molecules
d. It enhances the elimination of sodium by the kidneys -
✔✔b. It decreases the elimination of drugs excreted by the
kidneys
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - ✔✔a. Oral
A hospital nurse is assessing a newly admitted patient's
culture and ethnicity. Which of the following concepts is
important for the nurse to understand regarding drug therapy
as it relates to an individual's race?
,a. Polymorphism
b. Pharmacodynamics
c. Polypharmacy
d. Pharmacokinetics - ✔✔a. Polymorphism
A hypertensive crisis may occur if adrenergic
(sympathomimetic) drugs are given along with drugs from
which of the following drug classes?
a. β-Blockers
b. α1-Blockers
c. Monoamine oxidase inhibitors (MAOIs)
d. Direct renin inhibitors - ✔✔c. Monoamine oxidase
inhibitors (MAOIs)
A male patient who misuses alcohol tells the nurse that he is
treating himself with kava. Which of the following instructions
should the nurse include in patient teaching?
a. Use another herb besides kava.
b. Stop taking the kava now.
c. Use either the kava or the alcohol.
d. Avoid using the kava with alcohol. - ✔✔b. Stop taking the
kava now.
, A mechanically ventilated patient receiving a neuromuscular
blocking drug has tearing in the eyes and increased heart rate
and blood pressure. How does the nurse interpret this clinical
finding?
a. The patient's level of sedation is inadequate.
b. The patient is having an adverse reaction to the medication.
c. The patient's response to the drug is appropriate.
d. The patient's dose of the neuromuscular-blocking drug is
insufficient. - ✔✔a. The patient's level of sedation is
inadequate.
A mother of a 1-month-old infant calls the clinic and asks the
nurse if the medication she is taking can be passed to her
infant during breastfeeding. What is the nurse's best response
to the mother's question?
a. "Only certain medications pass to infants while
breastfeeding."
b. "You should not take any medication while breastfeeding."
c. "I will leave the health care provider a message to return
your call."
d. "Drugs can cross from mother to infant in breast milk, so it
will depend on the drug you are taking." - ✔✔d. "Drugs can
edition Exam Questions AND Correct Answers
A child is prescribed methylphenidate (Ritalin®) to treat
attention deficit hyperactivity disorder (ADHD). The parent
expresses concern about using a controlled substance to treat
ADHD and asks the nurse about using a noncontrolled
substance. The nurse knows ADHD can be treated with which
noncontrolled substance?
a. Methylphenidate (Concerta®)
b. Amphetamine aspartate (Adderall®)
c. Atomoxetine (Strattera®)
d. Dextroamphetamine sulphate (Dexedrine®) - ✔✔c.
Atomoxetine (Strattera®)
A client receiving vitamin K most likely has which of the
following abnormal clinical findings?
a. Diarrhea
b. Sudden severe confusion
c. Altered coagulation studies
d. Seizure activity - ✔✔c. Altered coagulation studies
,A concern among the older adult population is polypharmacy.
What is the rationale for the avoidance of cranberry-based
beverages by this population?
a. It decreases the circulating inactive drugs
b. It decreases the elimination of drugs excreted by the
kidneys
c. It reduces the capacity for liver enzyme to filter drug
molecules
d. It enhances the elimination of sodium by the kidneys -
✔✔b. It decreases the elimination of drugs excreted by the
kidneys
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - ✔✔a. Oral
A hospital nurse is assessing a newly admitted patient's
culture and ethnicity. Which of the following concepts is
important for the nurse to understand regarding drug therapy
as it relates to an individual's race?
,a. Polymorphism
b. Pharmacodynamics
c. Polypharmacy
d. Pharmacokinetics - ✔✔a. Polymorphism
A hypertensive crisis may occur if adrenergic
(sympathomimetic) drugs are given along with drugs from
which of the following drug classes?
a. β-Blockers
b. α1-Blockers
c. Monoamine oxidase inhibitors (MAOIs)
d. Direct renin inhibitors - ✔✔c. Monoamine oxidase
inhibitors (MAOIs)
A male patient who misuses alcohol tells the nurse that he is
treating himself with kava. Which of the following instructions
should the nurse include in patient teaching?
a. Use another herb besides kava.
b. Stop taking the kava now.
c. Use either the kava or the alcohol.
d. Avoid using the kava with alcohol. - ✔✔b. Stop taking the
kava now.
, A mechanically ventilated patient receiving a neuromuscular
blocking drug has tearing in the eyes and increased heart rate
and blood pressure. How does the nurse interpret this clinical
finding?
a. The patient's level of sedation is inadequate.
b. The patient is having an adverse reaction to the medication.
c. The patient's response to the drug is appropriate.
d. The patient's dose of the neuromuscular-blocking drug is
insufficient. - ✔✔a. The patient's level of sedation is
inadequate.
A mother of a 1-month-old infant calls the clinic and asks the
nurse if the medication she is taking can be passed to her
infant during breastfeeding. What is the nurse's best response
to the mother's question?
a. "Only certain medications pass to infants while
breastfeeding."
b. "You should not take any medication while breastfeeding."
c. "I will leave the health care provider a message to return
your call."
d. "Drugs can cross from mother to infant in breast milk, so it
will depend on the drug you are taking." - ✔✔d. "Drugs can
