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Galen Pharmacology Exam 1 Review 2026: 133 Questions & Answers on Drug Actions, Side Effects, and Nursing Interventions

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A comprehensive 2026 review guide for Galen Pharmacology Exam 1, featuring 133 questions and verified answers on key topics including pharmacokinetics, drug metabolism, NSAIDs, analgesics, CNS stimulants, antidepressants, antipsychotics, antiseizure medications, and essential nursing interventions and safety teachings. Galen Pharmacology Exam 1 Reviewed 2026 133 Questions with Answers 1. What is drug metabolism - ANSWER-process of body chemically changing drug into a form to be excreted 2. What is the half-life of a drug? - ANSWER-the time it takes for the drug in body to be reduced by half 3. What is a loading dose - ANSWER-Large initial dose of medication followed by small maintanence dose 4. Where does drug excretion occur? - ANSWER-kidneys 5. Ways drug excretion takes place - ANSWER-Kidneys, liver (bile), feces, lungs, saliva 6. What is the primary effect of a drug - ANSWER-Why you're taking the drug (desirable response) 7. What is the secondary effect of a drug - ANSWER-Side effects (can be desirable or undesirable) 8. What is the therapeutic index? - ANSWER-ratio of toxic dose to therapeutic dose 9. What is ED50? - ANSWER-effective dose for 50% of the population 10. What is TD50? - ANSWER-toxic dose in 50% of the population 11. What is the peak level of a drug? - ANSWER-highest blood level of a drug 12. What is the trough drug level? - ANSWER-lowest blood level of a drug 13. What is the onset of a drug - ANSWER-The amount of time it takes a drug to begin working. 14. When do you draw a peak for PO meds - ANSWER-2-3 hours after taking 15. When do you draw peak for IV meds - ANSWER-30-60 meds 16. What is polypharmacy? - ANSWER-use of multiple medications (more than 5) 17. S/S of infection - ANSWER-fever, chills, redness, swelling, fatigue, increased WBC, pus, sweats 18. Purpose of COX-1 - ANSWER-Protects stomach lining and regulates blood platelets 19. Purpose of COX-2 - ANSWER-Triggers inflammation and pain 20. What does nsaids block - ANSWER-Both COX 1 and 2 4 things nsaids do - ANSWER-Reduce fever Reduce inflammation Reduce pain Inhibits platelet aggregation 21. What is analgesic effect - ANSWER-Reduce pain 22. What is the antipyretic effect? - ANSWER-Reduce fever 23. Action of Aspirin - ANSWER-Anti-inflammatory, anti-fever, anticoagulant, antipyretic 24. Side effects/ adverse reactions of aspirin - ANSWER-Dizziness, drowsiness, headache, GI distress, tinnitus, thrombocytopenia 25. Can aspirin be given to children? - ANSWER-No. May cause Reye's syndrome (brain development) 26. 5 Gs of food drug reactions - ANSWER-Garlic, ginseng, ginko, green tea, ginger 27. What is the most widely used NSAID - ANSWER-Ibuprofen (advil) 28. Actions of Ibuprofen (Advil) - ANSWER-Inhibits COX 1 and 2 29. Nursing interventions/ teachings of aspirin and ibuprofen's - ANSWER-Observe pt for bleeding gums, petechiae, black/tarry stools Avoid alcohol 30. What is the max dose of acetaminophen? - ANSWER-4g/day If taken frequently, 2g/daily 31. Acetaminophen is toxic to what - ANSWER-Live- hepatoxicity 32. What are some nursing interventions for acetaminophen - ANSWER-Check liver enzymes tests for abnormalities Teach pt to avoid alcohol ingestion Teach max dose of 4g a day 33. What are some adverse reactions and side effects of morphine - ANSWER-Drowsiness, sedation, dizziness, confusion, pupil constriction, hypotension, bradycardia, respiratory depression (less than 8)

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Written in
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Galen Pharmacology Exam 1 Reviewed 2026
133 Questions with Answers
1. What is drug metabolism - ANSWER-process of body chemically changing drug into a
form to be excreted

2. What is the half-life of a drug? - ANSWER-the time it takes for the drug in body to be
reduced by half

3. What is a loading dose - ANSWER-Large initial dose of medication followed by small
maintanence dose

4. Where does drug excretion occur? - ANSWER-kidneys

5. Ways drug excretion takes place - ANSWER-Kidneys, liver (bile), feces, lungs, saliva

6. What is the primary effect of a drug - ANSWER-Why you're taking the drug (desirable
response)

7. What is the secondary effect of a drug - ANSWER-Side effects (can be desirable or
undesirable)

8. What is the therapeutic index? - ANSWER-ratio of toxic dose to therapeutic dose

9. What is ED50? - ANSWER-effective dose for 50% of the population

10. What is TD50? - ANSWER-toxic dose in 50% of the population

11. What is the peak level of a drug? - ANSWER-highest blood level of a drug

12. What is the trough drug level? - ANSWER-lowest blood level of a drug

13. What is the onset of a drug - ANSWER-The amount of time it takes a drug to begin
working.

14. When do you draw a peak for PO meds - ANSWER-2-3 hours after taking

15. When do you draw peak for IV meds - ANSWER-30-60 meds

16. What is polypharmacy? - ANSWER-use of multiple medications (more than 5)

17. S/S of infection - ANSWER-fever, chills, redness, swelling, fatigue, increased WBC, pus,
sweats

, 18. Purpose of COX-1 - ANSWER-Protects stomach lining and regulates blood platelets

19. Purpose of COX-2 - ANSWER-Triggers inflammation and pain

20. What does nsaids block - ANSWER-Both COX 1 and 2

4 things nsaids do - ANSWER-Reduce fever
Reduce inflammation
Reduce pain
Inhibits platelet aggregation

21. What is analgesic effect - ANSWER-Reduce pain

22. What is the antipyretic effect? - ANSWER-Reduce fever

23. Action of Aspirin - ANSWER-Anti-inflammatory, anti-fever, anticoagulant, antipyretic

24. Side effects/ adverse reactions of aspirin - ANSWER-Dizziness, drowsiness, headache,
GI distress, tinnitus, thrombocytopenia

25. Can aspirin be given to children? - ANSWER-No. May cause Reye's syndrome (brain
development)

26. 5 Gs of food drug reactions - ANSWER-Garlic, ginseng, ginko, green tea, ginger

27. What is the most widely used NSAID - ANSWER-Ibuprofen (advil)

28. Actions of Ibuprofen (Advil) - ANSWER-Inhibits COX 1 and 2

29. Nursing interventions/ teachings of aspirin and ibuprofen's - ANSWER-Observe pt for
bleeding gums, petechiae, black/tarry stools
Avoid alcohol

30. What is the max dose of acetaminophen? - ANSWER-4g/day
If taken frequently, 2g/daily

31. Acetaminophen is toxic to what - ANSWER-Live- hepatoxicity

32. What are some nursing interventions for acetaminophen - ANSWER-Check liver
enzymes tests for abnormalities
Teach pt to avoid alcohol ingestion
Teach max dose of 4g a day

33. What are some adverse reactions and side effects of morphine - ANSWER-Drowsiness,
sedation, dizziness, confusion, pupil constriction, hypotension, bradycardia, respiratory
depression (less than 8)

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