NR 293 Pharm Exam 1 Chamberlain Exam
Questions and Answers
1. Risks for injury correct answer: know that anything can be a possible risk for patient injury
2. 9 rights of medicine administration correct answer: right patient, right dose, right
medication, right time, right documentation, right route, right reason, right response
3. what is a prototype correct answer: the first drug of a class that all others are based from
(ex- morphine)
4. what is pharmacokinetics correct answer: what the body does to the drug
5. what is pharmacodynamics correct answer: what the drug does to the body
6. bioavailability correct answer: what portion of the drug that entered the circulation can have an
ettect on the body
7. first pass effect correct answer: a drug enters the GI tract and is filtered to the liver where
some is destroyed
8. what enzymes work in the liver correct answer: P-450 enzymes
9. if a patient has cirrhosis of the liver, what will happen when they
take a medication? correct answer: When the medication passes through the liver for the first
pass, there will be less P-450 enzymes so the bioavailability of the medication will be higher and it
will circulate in the bloodstream longer.
10. half life correct answer: time required for 50% of the drug to be removed from the body
11. Pharmacotherapeutics correct answer: treatment of conditions
12. enteral route correct answer: through the GI tract
13. parenteral tract correct answer: outside the GI tract
14. how is medication absorption different for neonates and
children? correct answer: they have less gastric acid to break down medications and
availability is higher
15. why do more drugs enter neonate and children's brains, why
are meds not as easily excreted/destroyed by liver and kidneys ? correct
answer: immature BBB, liver, and kidneys
16. Polypharmacy correct answer: The use of multiple medications on a regular basis
17. during which phase of the nursing process does a nurse
prioritize the nurs- ing diagnoses? correct answer: planning
18. the nurse recognizes that drugs given by which route will be
,altered by the first pass effect?
a. oral
b. sublingual
c. subcutaneous
d. IV
e. rectal correct answer: oral and rectal
, 19. the nurse is reviewing a list of a patient's medications and
notes one of the drugs has a low therapeutic index. what does this
mean? correct answer: the ditterence between a therapeutic dose and a toxic dose
are very close together
20. when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B? correct answer: level of drug B could rise to toxicity
21. A drug is highly protein bound, what does this mean? correct answer: it
will have a longer duration of action
22. do no harm is what ethical principle? correct answer: nonmaleficence
23. Which legal act required drug manufacturers to establish
the safety and efficacy of a new drug before its approval for use? correct
answer: Kefauver-Harris, amendment of 1962
24. over the counter drugs (otc) are correct answer: nonprescription drugs that are
used for short term treatment
25. what herbal supplement is used to promote sleep and
relaxation, prolonged use can cause yellow discoloration of nails, risk
for liver toxicity correct answer: kava
26. herbal supplement used to decrease nausea and
vomiting induced by chemotherapy correct answer: ginkgo
27. which drug classes are used as OTC remedies ?
a. NSAIDs
b. cold remedies
c. antibiotics
d. smoking deterrent drugs
e. antihypertensive drugs
f. histamine 2 (H2) blockers correct answer: A, B,D,F
28. what are side effects of NSAIDs? correct answer: stroke, MI, GI ulcers, kidney
dysfunction
29. what do antibiotics do? correct answer: fight ott infection caused by bacteria
30. Bacteriostatic correct answer: doesn't kill bacteria, it inhibits growth
31. bactericidal correct answer: kills bacteria
32. healthcare associated infections correct answer: are contracted in a hospital or
institution (>48 hours after admin)
, are more diflcult to treat, and are more virulent
Questions and Answers
1. Risks for injury correct answer: know that anything can be a possible risk for patient injury
2. 9 rights of medicine administration correct answer: right patient, right dose, right
medication, right time, right documentation, right route, right reason, right response
3. what is a prototype correct answer: the first drug of a class that all others are based from
(ex- morphine)
4. what is pharmacokinetics correct answer: what the body does to the drug
5. what is pharmacodynamics correct answer: what the drug does to the body
6. bioavailability correct answer: what portion of the drug that entered the circulation can have an
ettect on the body
7. first pass effect correct answer: a drug enters the GI tract and is filtered to the liver where
some is destroyed
8. what enzymes work in the liver correct answer: P-450 enzymes
9. if a patient has cirrhosis of the liver, what will happen when they
take a medication? correct answer: When the medication passes through the liver for the first
pass, there will be less P-450 enzymes so the bioavailability of the medication will be higher and it
will circulate in the bloodstream longer.
10. half life correct answer: time required for 50% of the drug to be removed from the body
11. Pharmacotherapeutics correct answer: treatment of conditions
12. enteral route correct answer: through the GI tract
13. parenteral tract correct answer: outside the GI tract
14. how is medication absorption different for neonates and
children? correct answer: they have less gastric acid to break down medications and
availability is higher
15. why do more drugs enter neonate and children's brains, why
are meds not as easily excreted/destroyed by liver and kidneys ? correct
answer: immature BBB, liver, and kidneys
16. Polypharmacy correct answer: The use of multiple medications on a regular basis
17. during which phase of the nursing process does a nurse
prioritize the nurs- ing diagnoses? correct answer: planning
18. the nurse recognizes that drugs given by which route will be
,altered by the first pass effect?
a. oral
b. sublingual
c. subcutaneous
d. IV
e. rectal correct answer: oral and rectal
, 19. the nurse is reviewing a list of a patient's medications and
notes one of the drugs has a low therapeutic index. what does this
mean? correct answer: the ditterence between a therapeutic dose and a toxic dose
are very close together
20. when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B? correct answer: level of drug B could rise to toxicity
21. A drug is highly protein bound, what does this mean? correct answer: it
will have a longer duration of action
22. do no harm is what ethical principle? correct answer: nonmaleficence
23. Which legal act required drug manufacturers to establish
the safety and efficacy of a new drug before its approval for use? correct
answer: Kefauver-Harris, amendment of 1962
24. over the counter drugs (otc) are correct answer: nonprescription drugs that are
used for short term treatment
25. what herbal supplement is used to promote sleep and
relaxation, prolonged use can cause yellow discoloration of nails, risk
for liver toxicity correct answer: kava
26. herbal supplement used to decrease nausea and
vomiting induced by chemotherapy correct answer: ginkgo
27. which drug classes are used as OTC remedies ?
a. NSAIDs
b. cold remedies
c. antibiotics
d. smoking deterrent drugs
e. antihypertensive drugs
f. histamine 2 (H2) blockers correct answer: A, B,D,F
28. what are side effects of NSAIDs? correct answer: stroke, MI, GI ulcers, kidney
dysfunction
29. what do antibiotics do? correct answer: fight ott infection caused by bacteria
30. Bacteriostatic correct answer: doesn't kill bacteria, it inhibits growth
31. bactericidal correct answer: kills bacteria
32. healthcare associated infections correct answer: are contracted in a hospital or
institution (>48 hours after admin)
, are more diflcult to treat, and are more virulent
