EVOLVE LILLEY’S PHARMACOLOGY EXAM 2024 | EVOLVE
LILLEYS PHARMACOLOGY ACTUAL EXAM 2025 QUESTIONS
AND CORRECT ANSWERS RATED A+
Chapter 1
1. In which step of the nursing process does the nurse determine the outcome of medication
administration?
Evalution
2. The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis is nonadherence
with the medication regimen related to living alone, as evidenced by uncontrolled blood pressure. What
should the nurse do next?
Enlist help of a home care nurse for pharmacotherapy.
3. Which statement is an example of objective data? (Select all that apply.)
The patient says that she feels like someone is touching her arm
The patient states that she has a headache
4. What should the nurse check when reviewing a prescription with a patient? (Select all that apply.)
The route of administration
The signature of the prescriber
5. What information should the nurse chart when documenting medication administration? (Select all
that apply.)
The dosage of medication administered
The time of administration
The route of administration
Chapter 2
1. What is the study of physiochemical properties of drugs and how drugs influence the body called?
Pharmacology
Pharmacodynamics
Pharmacokinetics
Pharmacotherapeutics
2. Which statement best describes pharmacokinetics?
Adverse effects and toxic reactions to medications
Conversion of medication into its active chemical substance
What the body does to the drug after it is administered
,Physiologic interaction between a drug and body cells
3. What is another term for biotransformation of a drug?
Metabolism
Absorption
Excretion
Dilution
4. A drug given by which route is altered by the first-pass effect?
Oral
Sublingual
Intravenous (IV)
Subcutaneous
5. Drug’s half-life is defined as the amount of time required for 50% of a drug to
be absorbed by the body.
reach a therapeutic level.
exert a response.
be eliminated by the body.
6. Which nursing action will increase the absorption of a medication administered intramuscularly?
Massaging the site after injection.
Lowering the extremity below the level of the heart.
Applying ice packs to the injection site.
Administering the medication via the Z-track method.
7. When administering two medications that are highly protein bound, the nurse understands to monitor
the patient carefully for which effect?
A short duration of medication action
Immediate improvement in the patient’s condition
Increase in the risk of drug–drug interactions
Hypovolemic shock caused by a low albumin level
8. To achieve the most rapid onset of action, the health care provider will prescribe the medication to be
administered by which route?
,Intravenous (IV)
Subcutaneous (SC)
Intramuscular (IM)
Intrathecally
9. Patients with renal failure would most likely have problems with which pharmacokinetic process?
Excretion
Absorption
Distribution
Metabolism
10. What is the ratio between a drug’s therapeutic effects and toxic effects called?
Therapeutic index
Cumulative effect
Tolerance
Affinity
11. A patient asks the nurse why the dose of IV pain medication being given is lower than that of the
patient’s previous oral medication. What is the nurse’s best response to the patient?
“Medications given intravenously are not affected by the first-pass effect.”
“Medications given orally bypass the portal circulatory system.”
“Drugs administered intravenously enter the portal system before systemic distribution.”
“A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the
liver.”
12. The nurse understands that drugs exert their actions on the body by what process? (Select all that
apply.)
Select all that apply.
Making the cell perform a new function
Interacting with receptors
Inhibiting the action of a specific enzyme
Altering metabolic chemical processes
13. The nurse knows that which factors will affect the absorption of orally administered medications?
(Select all that apply.)
, Select all that apply.
pH of the stomach
Form of drug preparation
Patient in high Fowler’s position
Time of day
Presence of food in the stomach
Chapter 3
1. What is the nurse’s role in the development of new and investigational drugs?
To identify patients who receive a placebo drug during Phase III studies
To inform patients of the specific drug they will receive during phase II studies
To monitor and report any adverse effects observed during Phase IV studies
To select healthy older adult patients to participate in Phase I studies
2. It is the professional responsibility of the nurse to do which of the following?
Use beneficence (the duty to do no harm to the patient).
Transfer the care of a patient to another professional nurse if caring for the patient would violate
personal ethical principles.
Impose personal values on the patient when doing so would help the patient.
Withhold information from the patient as requested by the family.
3. Which of the following, in respect to the patient’s cultural practices, must the nurse keep in mind
when providing drug therapy and other health practices?
Dietary habits and practices can be of little value to the care of a sick adult.
Most cultures are fairly standard in regard to the use of medication during illness.
The use of some drugs elicits varied responses depending on the patient’s cultural practice.
Regardless of the patient’s cultural background, it is crucial to adhere to recommended medical
practices.
4. New drugs must go through extensive research and testing before approval for use in humans. The
nurse knows that the average length of time a medication is researched before being prescribed for
humans is how many years?
2 to 4
10 to 12
LILLEYS PHARMACOLOGY ACTUAL EXAM 2025 QUESTIONS
AND CORRECT ANSWERS RATED A+
Chapter 1
1. In which step of the nursing process does the nurse determine the outcome of medication
administration?
Evalution
2. The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis is nonadherence
with the medication regimen related to living alone, as evidenced by uncontrolled blood pressure. What
should the nurse do next?
Enlist help of a home care nurse for pharmacotherapy.
3. Which statement is an example of objective data? (Select all that apply.)
The patient says that she feels like someone is touching her arm
The patient states that she has a headache
4. What should the nurse check when reviewing a prescription with a patient? (Select all that apply.)
The route of administration
The signature of the prescriber
5. What information should the nurse chart when documenting medication administration? (Select all
that apply.)
The dosage of medication administered
The time of administration
The route of administration
Chapter 2
1. What is the study of physiochemical properties of drugs and how drugs influence the body called?
Pharmacology
Pharmacodynamics
Pharmacokinetics
Pharmacotherapeutics
2. Which statement best describes pharmacokinetics?
Adverse effects and toxic reactions to medications
Conversion of medication into its active chemical substance
What the body does to the drug after it is administered
,Physiologic interaction between a drug and body cells
3. What is another term for biotransformation of a drug?
Metabolism
Absorption
Excretion
Dilution
4. A drug given by which route is altered by the first-pass effect?
Oral
Sublingual
Intravenous (IV)
Subcutaneous
5. Drug’s half-life is defined as the amount of time required for 50% of a drug to
be absorbed by the body.
reach a therapeutic level.
exert a response.
be eliminated by the body.
6. Which nursing action will increase the absorption of a medication administered intramuscularly?
Massaging the site after injection.
Lowering the extremity below the level of the heart.
Applying ice packs to the injection site.
Administering the medication via the Z-track method.
7. When administering two medications that are highly protein bound, the nurse understands to monitor
the patient carefully for which effect?
A short duration of medication action
Immediate improvement in the patient’s condition
Increase in the risk of drug–drug interactions
Hypovolemic shock caused by a low albumin level
8. To achieve the most rapid onset of action, the health care provider will prescribe the medication to be
administered by which route?
,Intravenous (IV)
Subcutaneous (SC)
Intramuscular (IM)
Intrathecally
9. Patients with renal failure would most likely have problems with which pharmacokinetic process?
Excretion
Absorption
Distribution
Metabolism
10. What is the ratio between a drug’s therapeutic effects and toxic effects called?
Therapeutic index
Cumulative effect
Tolerance
Affinity
11. A patient asks the nurse why the dose of IV pain medication being given is lower than that of the
patient’s previous oral medication. What is the nurse’s best response to the patient?
“Medications given intravenously are not affected by the first-pass effect.”
“Medications given orally bypass the portal circulatory system.”
“Drugs administered intravenously enter the portal system before systemic distribution.”
“A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the
liver.”
12. The nurse understands that drugs exert their actions on the body by what process? (Select all that
apply.)
Select all that apply.
Making the cell perform a new function
Interacting with receptors
Inhibiting the action of a specific enzyme
Altering metabolic chemical processes
13. The nurse knows that which factors will affect the absorption of orally administered medications?
(Select all that apply.)
, Select all that apply.
pH of the stomach
Form of drug preparation
Patient in high Fowler’s position
Time of day
Presence of food in the stomach
Chapter 3
1. What is the nurse’s role in the development of new and investigational drugs?
To identify patients who receive a placebo drug during Phase III studies
To inform patients of the specific drug they will receive during phase II studies
To monitor and report any adverse effects observed during Phase IV studies
To select healthy older adult patients to participate in Phase I studies
2. It is the professional responsibility of the nurse to do which of the following?
Use beneficence (the duty to do no harm to the patient).
Transfer the care of a patient to another professional nurse if caring for the patient would violate
personal ethical principles.
Impose personal values on the patient when doing so would help the patient.
Withhold information from the patient as requested by the family.
3. Which of the following, in respect to the patient’s cultural practices, must the nurse keep in mind
when providing drug therapy and other health practices?
Dietary habits and practices can be of little value to the care of a sick adult.
Most cultures are fairly standard in regard to the use of medication during illness.
The use of some drugs elicits varied responses depending on the patient’s cultural practice.
Regardless of the patient’s cultural background, it is crucial to adhere to recommended medical
practices.
4. New drugs must go through extensive research and testing before approval for use in humans. The
nurse knows that the average length of time a medication is researched before being prescribed for
humans is how many years?
2 to 4
10 to 12
