Test bank for pharmacology
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1. . A patient tells the nurse that the oral drug that c. To order an en-
has been prescribed has caused a lot of stomach teric-coated form of the
discomfort in the past. What will the nurse ask the drug
prescriber?
a. Whether a sublingual form of the medication can be
given
b. Whether the medication can be given by a parenter-
al route instead
c. To order an enteric-coated form of the drug
d. Whether the patient can receive a sustained-release
preparation of the drug
2. A patient claims to get better effects with a tablet of c. Tablets can differ in
Brand X of a drug than with a tablet of Brand Y of the composition and have dif-
same drug. Both brands contain the same amount of fering rates of disinte-
the active ingredient. What does the nurse know to be gration and dissolution,
most likely? which can alter effects.
a. Advertising by pharmaceutical companies may en-
hance patient expectations of one brand over another,
leading to a placebo effect.
b. Because the drug preparations are chemically
equivalent, the effects must be identical.
c. Tablets can differ in composition and have differing
rates of disintegration and dissolution, which can alter
effects.
d. The bioavailability of a drug is determined by the
amount of drug in each dose.
3. A patient receives a drug that has a narrow therapeu- c. Monitor plasma drug
tic range. What should the nurse expect to do? levels
a. Administer the drug at intervals longer than its
half-life
, Test bank for pharmacology
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b. Administer the medication intravenously
c. Monitor plasma drug levels
d. Teach the patient that maximum drug effects occur
within a short period
4. A patient is prescribed azithromycin (Zithromax) and a. "A large initial dose
asks why the dose on the first day is twice as much as helps to get the drug to
on the following 4 days. Which reply by the nurse is optimal levels faster."
correct?
a. "A large initial dose helps to get the drug to optimal
levels faster."
b. "The first dose is larger to minimize the first-pass
effect."
c. "The smaller doses help taper the drug gradually."
d. "Tubular reabsorption is faster with initial doses."
5. A nurse is giving an enteral medication. The patient b. "This route is safer, less
asks why this route is preferred. How should the nurse expensive, and more con-
reply? venient."
a. "This route allows more rapid absorption of the
drug."
b. "This route is safer, less expensive, and more conve-
nient."
c. "This route provides the best control of serum drug
levels."
d. "This route prevents inactivation by digestive en-
zymes."
6. The nurse is preparing to give penicillin G intramuscu- d. "This drug would be
larly to a child. The child's parents ask why the drug inactivated by enzymes in
can't be given as an oral liquid. Which reply by the the stomach."
nurse is correct?
, Test bank for pharmacology
Study online at https://quizlet.com/_i327iv
a. "This drug causes severe gastric upset if given oral-
ly."
b. "This drug has a narrow therapeutic range and
must be tightly controlled."
c. "This drug is absorbed too quickly orally."
d. "This drug would be inactivated by enzymes in the
stomach."
7. A prescriber orders drug X 100 mg PO every 6 hours. b. 8:00 AM
The drug's half-life is 6 hours. The nurse gives the first
dose at 8 AM on Tuesday. On Wednesday, when will
the serum drug level reach plateau?
a. 2:00 AM
b. 8:00 AM
c. 2:00 PM
d. 8:00 PM
8. An adult male is 1 day postoperative after total hip re- c. 6 mg morphine sulfate
placement and reports pain rated 10/10. Which med- IV
ication should the nurse administer?
a. 60 mg morphine sulfate PO
b. 75 mg meperidine IM
c. 6 mg morphine sulfate IV
d. Fentanyl patch 50 mcg transdermal
9. A nurse explains glucuronidation to a student nurse. c. Recycled via enterohep-
The nurse knows this process allows drugs to be: atic recirculation to remain
a. Excreted in hydrolyzed form in the feces to reduce longer in the body
toxicity
b. Reabsorbed from urine into the renal circulation
c. Recycled via enterohepatic recirculation to remain
longer in the body
, Test bank for pharmacology
Study online at https://quizlet.com/_i327iv
d. Transported across the renal tubules to be excreted
in urine
10. A patient is receiving IV gentamicin. A serum drug test c. The patient is taking an-
reveals toxic levels even though the dose is correct other drug that binds to
and has been tolerated in the past. What is the prob- serum albumin.
able cause?
a. A loading dose was not given.
b. The drug was not completely dissolved in the IV
solution.
c. The patient is taking another drug that binds to
serum albumin.
d. The medication is being given at a frequency longer
than its half-life.
11. When administering medications to infants, which of B,c,d
the following are true? (Select all that apply.)
a. Breast-fed infants are more likely to develop toxicity
when given lipid-soluble drugs.
b. Immaturity of renal function causes slower drug
excretion.
c. Infants have immature livers, slowing metabolism.
d. Infants are more sensitive to CNS drugs.
e. Oral medications are contraindicated in infants.
12. A patient is receiving digoxin twice daily. Before giving a. Hold the medication
a dose, the nurse counts an apical pulse of 60 beats and notify the prescriber.
per minute and learns that the previous reading was
58. What should the nurse do?
a. Hold the medication and notify the prescriber.
b. Give the medication and monitor for toxicity.
Study online at https://quizlet.com/_i327iv
1. . A patient tells the nurse that the oral drug that c. To order an en-
has been prescribed has caused a lot of stomach teric-coated form of the
discomfort in the past. What will the nurse ask the drug
prescriber?
a. Whether a sublingual form of the medication can be
given
b. Whether the medication can be given by a parenter-
al route instead
c. To order an enteric-coated form of the drug
d. Whether the patient can receive a sustained-release
preparation of the drug
2. A patient claims to get better effects with a tablet of c. Tablets can differ in
Brand X of a drug than with a tablet of Brand Y of the composition and have dif-
same drug. Both brands contain the same amount of fering rates of disinte-
the active ingredient. What does the nurse know to be gration and dissolution,
most likely? which can alter effects.
a. Advertising by pharmaceutical companies may en-
hance patient expectations of one brand over another,
leading to a placebo effect.
b. Because the drug preparations are chemically
equivalent, the effects must be identical.
c. Tablets can differ in composition and have differing
rates of disintegration and dissolution, which can alter
effects.
d. The bioavailability of a drug is determined by the
amount of drug in each dose.
3. A patient receives a drug that has a narrow therapeu- c. Monitor plasma drug
tic range. What should the nurse expect to do? levels
a. Administer the drug at intervals longer than its
half-life
, Test bank for pharmacology
Study online at https://quizlet.com/_i327iv
b. Administer the medication intravenously
c. Monitor plasma drug levels
d. Teach the patient that maximum drug effects occur
within a short period
4. A patient is prescribed azithromycin (Zithromax) and a. "A large initial dose
asks why the dose on the first day is twice as much as helps to get the drug to
on the following 4 days. Which reply by the nurse is optimal levels faster."
correct?
a. "A large initial dose helps to get the drug to optimal
levels faster."
b. "The first dose is larger to minimize the first-pass
effect."
c. "The smaller doses help taper the drug gradually."
d. "Tubular reabsorption is faster with initial doses."
5. A nurse is giving an enteral medication. The patient b. "This route is safer, less
asks why this route is preferred. How should the nurse expensive, and more con-
reply? venient."
a. "This route allows more rapid absorption of the
drug."
b. "This route is safer, less expensive, and more conve-
nient."
c. "This route provides the best control of serum drug
levels."
d. "This route prevents inactivation by digestive en-
zymes."
6. The nurse is preparing to give penicillin G intramuscu- d. "This drug would be
larly to a child. The child's parents ask why the drug inactivated by enzymes in
can't be given as an oral liquid. Which reply by the the stomach."
nurse is correct?
, Test bank for pharmacology
Study online at https://quizlet.com/_i327iv
a. "This drug causes severe gastric upset if given oral-
ly."
b. "This drug has a narrow therapeutic range and
must be tightly controlled."
c. "This drug is absorbed too quickly orally."
d. "This drug would be inactivated by enzymes in the
stomach."
7. A prescriber orders drug X 100 mg PO every 6 hours. b. 8:00 AM
The drug's half-life is 6 hours. The nurse gives the first
dose at 8 AM on Tuesday. On Wednesday, when will
the serum drug level reach plateau?
a. 2:00 AM
b. 8:00 AM
c. 2:00 PM
d. 8:00 PM
8. An adult male is 1 day postoperative after total hip re- c. 6 mg morphine sulfate
placement and reports pain rated 10/10. Which med- IV
ication should the nurse administer?
a. 60 mg morphine sulfate PO
b. 75 mg meperidine IM
c. 6 mg morphine sulfate IV
d. Fentanyl patch 50 mcg transdermal
9. A nurse explains glucuronidation to a student nurse. c. Recycled via enterohep-
The nurse knows this process allows drugs to be: atic recirculation to remain
a. Excreted in hydrolyzed form in the feces to reduce longer in the body
toxicity
b. Reabsorbed from urine into the renal circulation
c. Recycled via enterohepatic recirculation to remain
longer in the body
, Test bank for pharmacology
Study online at https://quizlet.com/_i327iv
d. Transported across the renal tubules to be excreted
in urine
10. A patient is receiving IV gentamicin. A serum drug test c. The patient is taking an-
reveals toxic levels even though the dose is correct other drug that binds to
and has been tolerated in the past. What is the prob- serum albumin.
able cause?
a. A loading dose was not given.
b. The drug was not completely dissolved in the IV
solution.
c. The patient is taking another drug that binds to
serum albumin.
d. The medication is being given at a frequency longer
than its half-life.
11. When administering medications to infants, which of B,c,d
the following are true? (Select all that apply.)
a. Breast-fed infants are more likely to develop toxicity
when given lipid-soluble drugs.
b. Immaturity of renal function causes slower drug
excretion.
c. Infants have immature livers, slowing metabolism.
d. Infants are more sensitive to CNS drugs.
e. Oral medications are contraindicated in infants.
12. A patient is receiving digoxin twice daily. Before giving a. Hold the medication
a dose, the nurse counts an apical pulse of 60 beats and notify the prescriber.
per minute and learns that the previous reading was
58. What should the nurse do?
a. Hold the medication and notify the prescriber.
b. Give the medication and monitor for toxicity.
