Pharm Exam 1 - chapter 1-8 lehne study
guide mc 2025 with 100% correct
answers
which patient would have the highest priority when providing nursing care to multiple patients?
a. a patient who would like to know if a newly prescribed drug is available in generic form
b. a patient who has requested a laxative because he has not had a bowel movement in 2 days
c. a patient who received oral drugs 1 hour ago and has complained of tingling around his mouth to the
nursing assistant
d. a patient who is prescribed a drug for which the nurse does not recognize the name of the drug -
correct answers ✔✔c. a patient who received oral drugs 1 hour ago and has complained of tingling
around his mouth to the nursing assistant
which nursing action would best meet thee therapeutic objective of drug therapy?
a. assessing the patient for adverse effects of drug therapy
b. prescribing a drug with the fewest adverse effects
c. prescribing a drug with the fewest serious adverse effects
d. recommending that a patient avoid taking drugs because there are possible adverse effects - correct
answers ✔✔a. assessing the patient for adverse effects of drug therapy
When preparing discharge instructions for a patient, what should the nurse do?
a. ask the patient which name he or she uses for the drug and use only that name in discharge teaching
b. explain the generic name only so the patient does not become vonfuseed
c. explain thee trade name because it is easier for the patient to. remember
,d. review the prescriptions written for discharge and include the stated trade name and generic name in
discharge teaching - correct answers ✔✔d. review the prescriptions written for discharge and include
the stated trade name and generic name in discharge teaching
A patient has been taking a brand-name drug for a chronic condition for several years. Recent changes in
his insurance plan require the use of generic drugs whenever they are available. The patient asks the
nurse if he should pay out of pocket to continue receiving the brand name drug. The nurse's response
should be based on which fact(s)?
A. That continuing of the brand-name drug will prevent confusion
B. That frequent monitoring of blood levels is important when changing from brand-name to generic
drugs for patients whose therapeutic blood level is not far from dangerous or toxic level
C. That generic drugs contain the same active ingredients as their brand-name counterparts
D. That generic drugs usually are not absorbed at the same rate as brand-name drugs
E. That brand-name drugs contain different active ingredients than generic drugs - correct answers ✔✔B.
That frequent monitoring of blood levels is important when changing from brand-name to generic drugs
for patients whose therapeutic blood level is not far from dangerous or toxic level
C. That generic drugs contain the same active ingredients as their brand-name counterparts
The nurse is teaching a patient about tamsulosin (Flomax), which has been prescribed for difficulty
voiding due to an enlarged prostate. Because the patient travels extensively and not all countries require
prescriptions to get drugs, what it is important for the nurse to teach the patient?
a.) That a drug labeled Flomax may have different active ingredients in different countries.
b.) That drugs purchased in countries other than the US and Canada are usually unsafe.
c.) That Flomax is not available anywhere except the US and Canada.
d.) That doses of Flomax in countries that use the metric system are different than doses of drugs in the
US - correct answers ✔✔a.) That a drug labeled Flomax may have different active ingredients in different
countries.
Which resource(s) most likely provide(s) current, complete positive and negative information about a
drug? (select all that apply)
a.) Drug sales representatives
b.) Drug facts and comparisons
, c.) internet search
d.) Pharmacists - correct answers ✔✔b, d
T/F: Cell membranes are composed of fat with phosphate - correct answers ✔✔True
T/F: Most drugs enter cells through channels or pores - correct answers ✔✔False - lipid soluble
T/F: P-glycoprotein transports many drugs out of cells - correct answers ✔✔True
T/F: A transport mechanism is needed for a water-soluble drug to enter a cell - correct answers ✔✔True
T/F: Ionization is a process that allows a drug to enter a cell - correct answers ✔✔False
T/F: If a quaternary ammonium compound drug is injected into a vein it will produce effects but it will
not if taken orally - correct answers ✔✔true
T/F: Polar drugs can enter fetal circulation and breast milk - correct answers ✔✔false - water soluble
drug
T/F: Acetylsalicylic acid (aspirin), like most drugs, is primarily absorbed in the SI - correct answers
✔✔False - stomach
T/F: Enteric drugs should not be crushed because crushing these preparations can cause stomach
distress or cause the acid in the stomach to alter the drug - correct answers ✔✔True
T/F: The IV route is less painful than the IM route when frequent administration of analgesic drugs is
needed for a child - correct answers ✔✔true
T/F: A depot IM injection of an antibiotic to treat syphilis will be completely effective within 24 hrs after
administration - correct answers ✔✔false - longer acting
guide mc 2025 with 100% correct
answers
which patient would have the highest priority when providing nursing care to multiple patients?
a. a patient who would like to know if a newly prescribed drug is available in generic form
b. a patient who has requested a laxative because he has not had a bowel movement in 2 days
c. a patient who received oral drugs 1 hour ago and has complained of tingling around his mouth to the
nursing assistant
d. a patient who is prescribed a drug for which the nurse does not recognize the name of the drug -
correct answers ✔✔c. a patient who received oral drugs 1 hour ago and has complained of tingling
around his mouth to the nursing assistant
which nursing action would best meet thee therapeutic objective of drug therapy?
a. assessing the patient for adverse effects of drug therapy
b. prescribing a drug with the fewest adverse effects
c. prescribing a drug with the fewest serious adverse effects
d. recommending that a patient avoid taking drugs because there are possible adverse effects - correct
answers ✔✔a. assessing the patient for adverse effects of drug therapy
When preparing discharge instructions for a patient, what should the nurse do?
a. ask the patient which name he or she uses for the drug and use only that name in discharge teaching
b. explain the generic name only so the patient does not become vonfuseed
c. explain thee trade name because it is easier for the patient to. remember
,d. review the prescriptions written for discharge and include the stated trade name and generic name in
discharge teaching - correct answers ✔✔d. review the prescriptions written for discharge and include
the stated trade name and generic name in discharge teaching
A patient has been taking a brand-name drug for a chronic condition for several years. Recent changes in
his insurance plan require the use of generic drugs whenever they are available. The patient asks the
nurse if he should pay out of pocket to continue receiving the brand name drug. The nurse's response
should be based on which fact(s)?
A. That continuing of the brand-name drug will prevent confusion
B. That frequent monitoring of blood levels is important when changing from brand-name to generic
drugs for patients whose therapeutic blood level is not far from dangerous or toxic level
C. That generic drugs contain the same active ingredients as their brand-name counterparts
D. That generic drugs usually are not absorbed at the same rate as brand-name drugs
E. That brand-name drugs contain different active ingredients than generic drugs - correct answers ✔✔B.
That frequent monitoring of blood levels is important when changing from brand-name to generic drugs
for patients whose therapeutic blood level is not far from dangerous or toxic level
C. That generic drugs contain the same active ingredients as their brand-name counterparts
The nurse is teaching a patient about tamsulosin (Flomax), which has been prescribed for difficulty
voiding due to an enlarged prostate. Because the patient travels extensively and not all countries require
prescriptions to get drugs, what it is important for the nurse to teach the patient?
a.) That a drug labeled Flomax may have different active ingredients in different countries.
b.) That drugs purchased in countries other than the US and Canada are usually unsafe.
c.) That Flomax is not available anywhere except the US and Canada.
d.) That doses of Flomax in countries that use the metric system are different than doses of drugs in the
US - correct answers ✔✔a.) That a drug labeled Flomax may have different active ingredients in different
countries.
Which resource(s) most likely provide(s) current, complete positive and negative information about a
drug? (select all that apply)
a.) Drug sales representatives
b.) Drug facts and comparisons
, c.) internet search
d.) Pharmacists - correct answers ✔✔b, d
T/F: Cell membranes are composed of fat with phosphate - correct answers ✔✔True
T/F: Most drugs enter cells through channels or pores - correct answers ✔✔False - lipid soluble
T/F: P-glycoprotein transports many drugs out of cells - correct answers ✔✔True
T/F: A transport mechanism is needed for a water-soluble drug to enter a cell - correct answers ✔✔True
T/F: Ionization is a process that allows a drug to enter a cell - correct answers ✔✔False
T/F: If a quaternary ammonium compound drug is injected into a vein it will produce effects but it will
not if taken orally - correct answers ✔✔true
T/F: Polar drugs can enter fetal circulation and breast milk - correct answers ✔✔false - water soluble
drug
T/F: Acetylsalicylic acid (aspirin), like most drugs, is primarily absorbed in the SI - correct answers
✔✔False - stomach
T/F: Enteric drugs should not be crushed because crushing these preparations can cause stomach
distress or cause the acid in the stomach to alter the drug - correct answers ✔✔True
T/F: The IV route is less painful than the IM route when frequent administration of analgesic drugs is
needed for a child - correct answers ✔✔true
T/F: A depot IM injection of an antibiotic to treat syphilis will be completely effective within 24 hrs after
administration - correct answers ✔✔false - longer acting
