Pharmacology Exam 1 Practice Questions and Answers Graded A

Pharmacology Exam 1 Practice Questions and Answers Graded A A patient has liver and kidney disease. He is given a medication with a half -life of 30 hours. What is the expected duration of this medication? A.increase. B.decrease. C.remain unchanged. D.dissipate. - ANS- A A nurse is to administer a dose of furosemi de (Lasix). The nurse is aware that Lasix is the ________ for the drug. • A.generic name B.chemical name C.nonproprietary name D.brand name - ANS- D When assessing older adults and those with renal dysfunction, the nurse would expect the creatinine clear ance to be which of the following? A. substantially increased. B. slightly increased. C. decreased. D. in the normal range. - ANS- C A patient sustains significant burns to the skin and is experiencing fluid shift associated with edema in the fluid over load phase. The nurse would anticipate that this will interfere most with which phase of pharmacodynamics? • A. Absorption B. Distribution C. Metabolism Excretion - ANS- B Which nursing actions would be most appropriate for ensuring patient safety with a medication that has a low therapeutic index? A.Monitoring a patient's urine output B.Assessing vital signs hourly C.Maintaining strict isolation precautions D.Monitoring se rum peak and trough levels - ANS- D What is the primary site of metabolism for most drugs? A. kidney. B. small intestine. C. liver. D. brain. - ANS- C Children have higher metabolic rates than adults. The nurse realizes that this affects administratio n of medication for pain in children in all of the following ways except A.higher requirement for medication. B.increased dosage. C.decreased frequency. D.increased frequency. - ANS- D A toddler requires an oral medication. It is most appropriate for th e nurse to administer the oral medication A.in a nipple. B.dipped in a pacifier. C.via an oral syringe. D.mixed with formula in a bottle. - ANS- C Older adults are at risk for taking many medications together. This is known as • A.tachyphylaxis. B.drug interaction. C.polypharmacy. tolerance. - ANS- C Which is a physiologic change seen in the older adult that has an effect on drug administration? • A.Lower (acidic) gastric secretions B.Increased first -pass effect through the liver C.Increased glo merular filtration rate D.Lower cardiac output - ANS- D