Pharmacology Exam 1 Practice Questions
And Answers
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. - A
A nurse is to administer a dose of furosemide (Lasix). The nurse is aware that
Lasix is the ________ for the drug.
•
A.generic name
B.chemical name
C.nonproprietary name
D.brand name - D
When assessing older adults and those with renal dysfunction, the nurse would
expect the creatinine clearance to be which of the following?
A. substantially increased.
B. slightly increased.
C. decreased.
D. in the normal range. - C
A patient sustains significant burns to the skin and is experiencing fluid shift
associated with edema in the fluid overload phase. The nurse would anticipate
that this will interfere most with which phase of pharmacodynamics?
•
A. Absorption
B. Distribution
C. Metabolism
Excretion - 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 serum peak and trough levels - D
What is the primary site of metabolism for most drugs?
A. kidney.
B. small intestine.
C. liver.
D. brain. - C
Children have higher metabolic rates than adults. The nurse realizes that this
affects administration 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. - D
A toddler requires an oral medication. It is most appropriate for the 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. - C
Older adults are at risk for taking many medications together. This is known as
•
A.tachyphylaxis.
B.drug interaction.
C.polypharmacy.
,tolerance. - 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 glomerular filtration rate
D.Lower cardiac output - D
When assessing older adults' renal function, which laboratory value will the nurse
monitor?
•
A.Liver enzymes
B.Serum electrolytes
C.Complete blood count
D.Blood urea nitrogen and creatinine - D
The nurse caring for a patient who is taking an adrenergic agent will expect
which side effects?
(Select all that apply)
A. Dilated pupils
B. Increased heart rate
C. Increase gastrointestinal motility
D. Vasodilation
E. Bronchospasm
F. Relaxed uterine muscles - A, B, F
Stimulation of which adrenergic receptor results in dilation of vessels and
decrease in blood pressure?
•
A.Alpha1
B.Alpha2
C.Beta1
D.Beta2 - B
The nurse is teaching the patient about the side effects of atenolol. These include
, •
A.pupillary constriction.
B.blood vessel dilation.
C.bronchospasm.
D.tachycardia. - B
A nurse has just administered atropine to a patient. It is most important for the
nurse to assess the patient for the development of which effect?
A.Nausea
B.Tachycardia
C.Rales
D.Hypotension - B
A patient is ordered to receive bethanechol chloride for urinary retention. Which
health condition would serve as a contraindication for this medication?
•
A.Asthma
B.Hypertension
C.Diabetes mellitus
D.Chronic allergies - A
A patient is prescribed scopolamine. It is most important for the nurse to assess
the patient for a history of which condition?
●
A.Diabetes mellitus
B.Glaucoma
C.Allergy to penicillin
D.Gastric ulcer - B
•A patient has an allergy to sulfa drugs but she receives sulfamethoxazole
accidentally. She becomes flushed and short of breath. Her heart rate is normal
but her blood pressure is dropping. You first administer:
•
A.Epinephrine
B.Diphenhydramine
C.Albuterol
And Answers
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. - A
A nurse is to administer a dose of furosemide (Lasix). The nurse is aware that
Lasix is the ________ for the drug.
•
A.generic name
B.chemical name
C.nonproprietary name
D.brand name - D
When assessing older adults and those with renal dysfunction, the nurse would
expect the creatinine clearance to be which of the following?
A. substantially increased.
B. slightly increased.
C. decreased.
D. in the normal range. - C
A patient sustains significant burns to the skin and is experiencing fluid shift
associated with edema in the fluid overload phase. The nurse would anticipate
that this will interfere most with which phase of pharmacodynamics?
•
A. Absorption
B. Distribution
C. Metabolism
Excretion - 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 serum peak and trough levels - D
What is the primary site of metabolism for most drugs?
A. kidney.
B. small intestine.
C. liver.
D. brain. - C
Children have higher metabolic rates than adults. The nurse realizes that this
affects administration 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. - D
A toddler requires an oral medication. It is most appropriate for the 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. - C
Older adults are at risk for taking many medications together. This is known as
•
A.tachyphylaxis.
B.drug interaction.
C.polypharmacy.
,tolerance. - 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 glomerular filtration rate
D.Lower cardiac output - D
When assessing older adults' renal function, which laboratory value will the nurse
monitor?
•
A.Liver enzymes
B.Serum electrolytes
C.Complete blood count
D.Blood urea nitrogen and creatinine - D
The nurse caring for a patient who is taking an adrenergic agent will expect
which side effects?
(Select all that apply)
A. Dilated pupils
B. Increased heart rate
C. Increase gastrointestinal motility
D. Vasodilation
E. Bronchospasm
F. Relaxed uterine muscles - A, B, F
Stimulation of which adrenergic receptor results in dilation of vessels and
decrease in blood pressure?
•
A.Alpha1
B.Alpha2
C.Beta1
D.Beta2 - B
The nurse is teaching the patient about the side effects of atenolol. These include
, •
A.pupillary constriction.
B.blood vessel dilation.
C.bronchospasm.
D.tachycardia. - B
A nurse has just administered atropine to a patient. It is most important for the
nurse to assess the patient for the development of which effect?
A.Nausea
B.Tachycardia
C.Rales
D.Hypotension - B
A patient is ordered to receive bethanechol chloride for urinary retention. Which
health condition would serve as a contraindication for this medication?
•
A.Asthma
B.Hypertension
C.Diabetes mellitus
D.Chronic allergies - A
A patient is prescribed scopolamine. It is most important for the nurse to assess
the patient for a history of which condition?
●
A.Diabetes mellitus
B.Glaucoma
C.Allergy to penicillin
D.Gastric ulcer - B
•A patient has an allergy to sulfa drugs but she receives sulfamethoxazole
accidentally. She becomes flushed and short of breath. Her heart rate is normal
but her blood pressure is dropping. You first administer:
•
A.Epinephrine
B.Diphenhydramine
C.Albuterol
