,Chapter 1. History of Pharmacology Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been eff
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ective if the patient includes which of the following foods in his daily menus?
s l s l s l s l s l s l s l s l s l s l s l s l s l
A. Broccoli and kiwi sl sl
B. Oranges and sweet potatoes sl sl sl
C. Kale and cucumbers D. Bananas and melon sl sl sl s l sl sl
2. A client newly diagnosed with diabetes tells the nurse, —I can’t take any insulin made from pigs or cows
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
.‖ Which of the following responses by the nurse is best?
sl sl sl sl sl sl sl sl sl sl
A. —Most insulin comes from animal sources, but I’m sure alternative options are available.‖ sl sl sl sl sl sl sl sl sl sl sl sl
B. —
Medications that are derived from animals are typically less expensive than synthetic medic ations sl sl sl sl sl sl sl sl sl sl sl sl s l
, but synthetic insulin is commonly available.‖
sl sl sl sl sl sl
C. —Most insulin is synthetic now to help reduce the risk of disease transmission.‖ sl sl sl sl sl sl sl sl sl sl sl sl
D. —The animals aren’t hurt in the production of medications, so you don’t need to worry.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochl ori
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
de and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
sl sl sl sl sl sl sl sl sl sl sl s l sl sl sl
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
sl sl sl sl sl sl sl
B. A 55-year-old African American female diagnosed with hypertension
sl sl sl sl sl sl sl
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
sl sl sl sl sl sl sl sl
D. A 64-year-old African American male diagnosed with heart failure
sl sl sl sl sl sl sl sl
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) a
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
s ordered 30 minutes pre-
sl sl sl sl
operatively. The nurse knows that teaching has been effective by which of the following client statements
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?
A. —The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
B. —This is a palliative medication to help ease the pain from surgery.‖ sl sl sl sl sl sl sl sl sl sl sl
C. —
This medication will replace vitamins and minerals that may be lost due to bleeding during surger
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
y.‖
D. —This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following me
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
dications to be included in the patient’s medication list?
sl sl sl sl sl sl sl sl
A. Levothyroxine sodium (Synthroid) sl sl
B. Estrogen (Estradiol) sl
C. Iodine 131 sl
D. Carbimazole (Methimazole) sl
,6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestina
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
l tract. Which of the following statements would the nurse include in the client’s teaching?
s l s l s l s l s l s l s l s l s l s l s l s l s l s l
A. —
You will need to drink a large amount of prep to clear out your system before the test.‖
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B. —
It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
C. —
You will be asked to drink a barium contrast about 30 minutes before the test to help highli ght
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
any digestive problems.‖ sl sl
D. —You will be given a sedative to help make you sleepy during the testing procedure.‖ sl sl sl sl sl sl sl sl sl sl sl sl sl sl
7. A student nurse is providing care for a 29-year-
s l s l s l s l s l s l s l s l
old patient with advanced cervical cancer who was recently admitted with metastatic disease. Whi
s l s l s l s l s l s l s l sl sl sl sl sl sl
le reviewing the patient’s medication list, the stude nt would categorize which of the following m
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edications as palliative in nature? s l s l sl s l
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 sl sl sl sl sl sl sl sl sl
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days sl sl sl sl sl sl sl sl sl
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy sl sl sl sl sl sl sl
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain sl sl sl sl sl sl sl sl sl sl sl sl
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Whic
sl sl sl sl sl sl sl sl sl sl sl sl sl
h of the following statements by the individual indicates an understanding of the medication’s origin?
s l s l s l s l s l s l s l s l s l s l s l s l s l s l
A. —I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖ sl sl sl sl sl sl sl sl sl sl sl sl sl sl
B. —I was told the medication is actually derived from the urine of pregnant horses.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl
C. —Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ sl sl sl sl sl sl sl sl sl sl sl sl
D. —I think harvesting medicines from cows seems rather odd.‖ sl sl sl sl sl sl sl sl
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
-year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tom
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l sl sl
ography (CAT) scan sl sl
B. Magnetic resonance imaging (MRI) s l s l sl sl sl
C. Colonoscopy s l s l
D. Thyroid scan s l sl
Multiple Response s l
Identify one or more choices that best complete the statement or answer the question.
sl sl sl s l sl sl s l sl sl sl sl sl sl
1. While working with patients in home care, a nurse becomes interested in additional ways to su pp
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
ort patient healing and comfort. Which of the following is recognized as an alternative therap y
s l s l s l s l s l s l s l sl s l s l s l s l s l s l sl
? (Select all that apply.)
sl sl sl sl
A. Acupuncture
B. Aromatherapy
C. Therapeutic touch sl
D. Stem cell treatment sl sl
E. Vegetarianism
F. Acupressure
Downloaded at Knoowy - Upload your own study documents and earn money
, Chapter 1. History of Pharmacology Answe r
sl sl sl sl sl sl sl
Section
MULTIPLE CHOICE s l
1. ANS: B PTS: 1 s l s l
DIF: Moderate TOP: Therapeutic Classification: Diuretic KEY: Application
sl s l sl sl sl sl sl
MSC: NCLEX Category: Basic Care and Comfort
sl sl sl sl sl sl
NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water through
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is containe d in s
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l sl sl sl
weet potatoes, bananas, and oranges.
sl sl sl sl
2. ANS: C PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Anti-diabetic medication
sl sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Pharmacological Therapies
sl sl sl sl
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic so
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l
urc e is most commonly used. This change occurred because of concern over the possible transmission of dis eas
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
es from animals to humans. Synthetic medications are usually more inexpensive because they are mass produced
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
.
3. ANS: D PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
sl sl sl sl sl
KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
sl sl sl sl sl sl s l
NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat
s l sl sl s l sl s l sl sl sl sl s l sl s l sl sl sl sl sl sl
African American patients with heart failure. sl sl sl sl sl
4. ANS: A PTS: 1 DIF: Easy s l s l s l sl
TOP: Therapeutic Classification: Antibiotics
sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Pharmacological Therapies
sl sl sl sl
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems suc
s l sl sl sl sl s l sl sl sl sl sl s l sl
h as antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.
sl s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l
2.
5. ANS: A s l
Difficulty Level: Easy sl sl
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: N CLE
s l sl sl sl sl sl sl sl sl sl sl sl sl
X Category: Pharmacological Therapies
sl sl sl
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. L evoth
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
yroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to
s l s l sl sl sl sl s l s l sl sl s l sl sl sl sl s l
women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyr
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l sl
oid abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidi sm.
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
6. ANS: C PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Diagnostic contrast
sl sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Reduction of Risk Potential
sl sl sl sl sl sl
sl sl sl sl sl sl
Identify the choice that best completes the statement or answers the question.
sl sl sl sl s l sl sl sl sl sl sl
1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been eff
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
ective if the patient includes which of the following foods in his daily menus?
s l s l s l s l s l s l s l s l s l s l s l s l s l
A. Broccoli and kiwi sl sl
B. Oranges and sweet potatoes sl sl sl
C. Kale and cucumbers D. Bananas and melon sl sl sl s l sl sl
2. A client newly diagnosed with diabetes tells the nurse, —I can’t take any insulin made from pigs or cows
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
.‖ Which of the following responses by the nurse is best?
sl sl sl sl sl sl sl sl sl sl
A. —Most insulin comes from animal sources, but I’m sure alternative options are available.‖ sl sl sl sl sl sl sl sl sl sl sl sl
B. —
Medications that are derived from animals are typically less expensive than synthetic medic ations sl sl sl sl sl sl sl sl sl sl sl sl s l
, but synthetic insulin is commonly available.‖
sl sl sl sl sl sl
C. —Most insulin is synthetic now to help reduce the risk of disease transmission.‖ sl sl sl sl sl sl sl sl sl sl sl sl
D. —The animals aren’t hurt in the production of medications, so you don’t need to worry.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochl ori
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
de and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
sl sl sl sl sl sl sl sl sl sl sl s l sl sl sl
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation
sl sl sl sl sl sl sl
B. A 55-year-old African American female diagnosed with hypertension
sl sl sl sl sl sl sl
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome
sl sl sl sl sl sl sl sl
D. A 64-year-old African American male diagnosed with heart failure
sl sl sl sl sl sl sl sl
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) a
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
s ordered 30 minutes pre-
sl sl sl sl
operatively. The nurse knows that teaching has been effective by which of the following client statements
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
?
A. —The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
B. —This is a palliative medication to help ease the pain from surgery.‖ sl sl sl sl sl sl sl sl sl sl sl
C. —
This medication will replace vitamins and minerals that may be lost due to bleeding during surger
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
y.‖
D. —This medication will help the surgeon identify areas of bone destruction due to arthritis.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following me
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
dications to be included in the patient’s medication list?
sl sl sl sl sl sl sl sl
A. Levothyroxine sodium (Synthroid) sl sl
B. Estrogen (Estradiol) sl
C. Iodine 131 sl
D. Carbimazole (Methimazole) sl
,6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestina
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
l tract. Which of the following statements would the nurse include in the client’s teaching?
s l s l s l s l s l s l s l s l s l s l s l s l s l s l
A. —
You will need to drink a large amount of prep to clear out your system before the test.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
B. —
It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
C. —
You will be asked to drink a barium contrast about 30 minutes before the test to help highli ght
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
any digestive problems.‖ sl sl
D. —You will be given a sedative to help make you sleepy during the testing procedure.‖ sl sl sl sl sl sl sl sl sl sl sl sl sl sl
7. A student nurse is providing care for a 29-year-
s l s l s l s l s l s l s l s l
old patient with advanced cervical cancer who was recently admitted with metastatic disease. Whi
s l s l s l s l s l s l s l sl sl sl sl sl sl
le reviewing the patient’s medication list, the stude nt would categorize which of the following m
sl sl sl sl sl sl sl s l s l sl s l s l s l s l sl
edications as palliative in nature? s l s l sl s l
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 sl sl sl sl sl sl sl sl sl
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days sl sl sl sl sl sl sl sl sl
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy sl sl sl sl sl sl sl
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain sl sl sl sl sl sl sl sl sl sl sl sl
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Whic
sl sl sl sl sl sl sl sl sl sl sl sl sl
h of the following statements by the individual indicates an understanding of the medication’s origin?
s l s l s l s l s l s l s l s l s l s l s l s l s l s l
A. —I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖ sl sl sl sl sl sl sl sl sl sl sl sl sl sl
B. —I was told the medication is actually derived from the urine of pregnant horses.‖
sl sl sl sl sl sl sl sl sl sl sl sl sl
C. —Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ sl sl sl sl sl sl sl sl sl sl sl sl
D. —I think harvesting medicines from cows seems rather odd.‖ sl sl sl sl sl sl sl sl
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
-year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tom
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l sl sl
ography (CAT) scan sl sl
B. Magnetic resonance imaging (MRI) s l s l sl sl sl
C. Colonoscopy s l s l
D. Thyroid scan s l sl
Multiple Response s l
Identify one or more choices that best complete the statement or answer the question.
sl sl sl s l sl sl s l sl sl sl sl sl sl
1. While working with patients in home care, a nurse becomes interested in additional ways to su pp
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
ort patient healing and comfort. Which of the following is recognized as an alternative therap y
s l s l s l s l s l s l s l sl s l s l s l s l s l s l sl
? (Select all that apply.)
sl sl sl sl
A. Acupuncture
B. Aromatherapy
C. Therapeutic touch sl
D. Stem cell treatment sl sl
E. Vegetarianism
F. Acupressure
Downloaded at Knoowy - Upload your own study documents and earn money
, Chapter 1. History of Pharmacology Answe r
sl sl sl sl sl sl sl
Section
MULTIPLE CHOICE s l
1. ANS: B PTS: 1 s l s l
DIF: Moderate TOP: Therapeutic Classification: Diuretic KEY: Application
sl s l sl sl sl sl sl
MSC: NCLEX Category: Basic Care and Comfort
sl sl sl sl sl sl
NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water through
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is containe d in s
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l sl sl sl
weet potatoes, bananas, and oranges.
sl sl sl sl
2. ANS: C PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Anti-diabetic medication
sl sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Pharmacological Therapies
sl sl sl sl
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic so
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l
urc e is most commonly used. This change occurred because of concern over the possible transmission of dis eas
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
es from animals to humans. Synthetic medications are usually more inexpensive because they are mass produced
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
.
3. ANS: D PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
sl sl sl sl sl
KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
sl sl sl sl sl sl s l
NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat
s l sl sl s l sl s l sl sl sl sl s l sl s l sl sl sl sl sl sl
African American patients with heart failure. sl sl sl sl sl
4. ANS: A PTS: 1 DIF: Easy s l s l s l sl
TOP: Therapeutic Classification: Antibiotics
sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Pharmacological Therapies
sl sl sl sl
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems suc
s l sl sl sl sl s l sl sl sl sl sl s l sl
h as antibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.
sl s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l
2.
5. ANS: A s l
Difficulty Level: Easy sl sl
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: N CLE
s l sl sl sl sl sl sl sl sl sl sl sl sl
X Category: Pharmacological Therapies
sl sl sl
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. L evoth
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
yroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to
s l s l sl sl sl sl s l s l sl sl s l sl sl sl sl s l
women once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyr
s l s l s l s l s l s l s l s l s l s l s l s l s l s l s l sl
oid abnormalities. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidi sm.
sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
6. ANS: C PTS: 1 DIF: Moderate
s l s l s l s l
TOP: Therapeutic Classification: Diagnostic contrast
sl sl sl sl
KEY: Analysis sl sl
MSC: NCLEX Category: Reduction of Risk Potential
sl sl sl sl sl sl
