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Question 1
What is/are the action(s) of the drug metformin?
A. Decreases Hepatic glucose production and intestinal glucose absorption
B. Increases sensitivity to insulin
C. Short term sedation
D. Both A and B
Answer: D
Rationale: Metformin works by decreasing hepatic glucose production, decreasing
intestinal glucose absorption, and increasing insulin sensitivity. Both A and B are
correct actions of metformin.
Question 2
When administering the drug sennosides to a patient, a health care provider must
inform the patient of which of the following?
A. This drug is intended to lower blood pressure and is best used in combination with
other antihypertensives
B. This drug is not intended for long term use
C. The patient must limit his/her fiber intake
D. Advise patient to change positions slowly to limit the risk of orthostatic hypotension
Answer: B
Rationale: Sennosides are stimulant laxatives intended for short-term use only. Long-
term use can lead to dependence and electrolyte imbalances.
Question 3
When giving digoxin (Lanoxin) to a patient, the health care provider notices various
signs and symptoms of an overdose. The health care provider knows to give which of the
following to reverse digoxin toxicity?
A. Naloxone
pg. 1
,B. Vitamin K
C. Digibind
D. Flumazenil
Answer: C
Rationale: Digibind (digoxin immune Fab) is the specific antidote for digoxin toxicity.
Naloxone reverses opioid overdose, Vitamin K reverses warfarin, and Flumazenil
reverses benzodiazepines.
Question 4
While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks
what the action of the drug is. As a health care provider, you explain that the action of an
ACE inhibitor is:
A. To lower blood pressure by blocking the conversion of angiotensin I to
vasoconstrictor angiotensin II
B. To inhibit reabsorption of sodium back into the body, ultimately increasing urine
output and lowering blood pressure
C. To decrease heart rate and blood pressure by competing with Beta1 and Beta2
receptors in the heart and lungs
D. To lower blood glucose by stimulating the release of insulin
Answer: A
Rationale: ACE inhibitors block the conversion of angiotensin I to angiotensin II, a
potent vasoconstrictor. This leads to vasodilation and decreased blood pressure.
Question 5
Which of the following types of insulin is "long-acting"?
A. Lispro (Humalog)
B. NPH (Humulin N)
C. Regular insulin (Humulin R)
D. Glargine (Lantus)
Answer: D
Rationale: Glargine (Lantus) is a long-acting insulin with a duration of action up to 24
hours. Lispro is rapid-acting, Regular insulin is short-acting, and NPH is intermediate-
acting.
pg. 2
, Question 6
What is the therapeutic use of metformin?
A. Lower blood pressure
B. To diminish seizure activity
C. The maintenance of a person's blood glucose
D. Increase heart rate and decrease gastrointestinal secretions
Answer: C
Rationale: Metformin is an antidiabetic agent used to maintain blood glucose levels in
patients with type 2 diabetes mellitus.
Question 7
What is the correct definition for absorption of a drug?
A. Movement of drug from site of administration to various tissues of the body
B. Describes the absorption, distribution, metabolism & excretion of drugs
C. These types of drugs can be taken over the counter
D. This addresses how various drugs affect different forms of the body
Answer: A
Rationale: Absorption is the movement of a drug from its site of administration into
the bloodstream and various tissues of the body.
Question 8
What do you assess for in a patient who is on Valproate? Select all that apply.
A. Suicidal thoughts
B. Monitor for seizures
C. Bipolar disorder
D. Migraines
E. Anorexia
Answer: A, B, C, D
Rationale: Valproate is used for seizures, bipolar disorder, and migraines. Patients
should be monitored for suicidal thoughts as a potential adverse effect.
Question 9
What is true about food and drug precautions? Select all that apply.
A. You must limit certain types of food or concurrent administration of certain types of
drugs
pg. 3