NR 293 Pharm Exam 1 Chamberlain
QUESTION 1: NINE RIGHTS OF MEDICATION ADMINISTRATION
What are the nine rights of medication administration?
a. Right patient, dose, medication, time, route
b. Right patient, dose, medication, time, documentation, route, reason,
response, and frequency
c. Right patient, dose, medication, time, documentation, route, reason,
response
d. Right patient, dose, medication, time, route only
CORRECT ANSWER: C
QUESTION 2: METRONIDAZOLE (FLAGYL) MOA
What is the mechanism of action of metronidazole (Flagyl)?
a. Bacteriostatic
b. Bactericidal
c. Fungicidal
d. Virostatic
CORRECT ANSWER: B
QUESTION 3: METRONIDAZOLE (FLAGYL) INDICATIONS
What are the indications for metronidazole (Flagyl)?
a. Upper respiratory infections
b. Intra-abdominal and gynecological infections
c. Urinary tract infections
d. Skin infections
CORRECT ANSWER: B
QUESTION 4: METRONIDAZOLE (FLAGYL) CONTRAINDICATIONS
,What is a contraindication for metronidazole (Flagyl)?
a. Liver disease
b. Renal impairment
c. Hypertension
d. Diabetes
CORRECT ANSWER: B
QUESTION 5: METRONIDAZOLE (FLAGYL) ADVERSE EFFECTS
What is a serious adverse effect of metronidazole (Flagyl)?
a. Hypertension
b. Fatal hepatotoxicity
c. Hyperglycemia
d. Tachycardia
CORRECT ANSWER: B
QUESTION 6: VANCOMYCIN (VANCOCIN) MOA
What is the mechanism of action of vancomycin?
a. Bacteriostatic
b. Fungicidal
c. Bactericidal
d. Virostatic
CORRECT ANSWER: C
QUESTION 7: VANCOMYCIN (VANCOCIN) INDICATIONS
For what conditions is vancomycin indicated?
a. UTIs and respiratory infections
b. Meningitis and MRSA
c. Fungal infections
d. Viral infections
,CORRECT ANSWER: B
QUESTION 8: VANCOMYCIN (VANCOCIN) ADVERSE EFFECTS
What are serious adverse effects of vancomycin?
a. Hypertension and tachycardia
b. Ototoxicity, nephrotoxicity, and red man syndrome
c. Hepatotoxicity
d. Hypoglycemia
CORRECT ANSWER: B
QUESTION 9: VANCOMYCIN CONTRAINDICATIONS
What is a contraindication for vancomycin?
a. Hypertension
b. Diabetes mellitus
c. Renal or hearing impairment
d. Obesity
CORRECT ANSWER: C
QUESTION 10: VANCOMYCIN NURSING IMPLICATIONS
What is an important nursing implication when administering vancomycin?
a. Can be run with other medications
b. Must be run alone, infuse slowly to avoid red man syndrome, monitor IV site
c. Requires weekly blood work
d. Should be administered rapidly
CORRECT ANSWER: B
QUESTION 11: PROTEIN BINDING AND DRUG DURATION
When a drug is highly protein bound, what does this mean?
a. It has a shorter duration of action
, b. It has a longer duration of action
c. It is more easily excreted
d. It does not cross the blood-brain barrier
CORRECT ANSWER: B
QUESTION 12: PENICILLIN DRUG INTERACTIONS
Which medication could interact with penicillin?
a. Acetaminophen
b. Oral contraceptives
c. Vitamin C
d. Calcium supplements
CORRECT ANSWER: B
QUESTION 13: BIOAVAILABILITY
What is bioavailability?
a. The total amount of drug absorbed
b. The portion of drug that entered circulation and can have an effect
c. The rate of drug absorption
d. The time drug takes to peak
CORRECT ANSWER: B
QUESTION 14: FIRST PASS EFFECT
What is the first pass effect?
a. Initial allergic reaction to a drug
b. Drug enters GI tract and is filtered to liver where some is destroyed
c. Rapid absorption of drug in bloodstream
d. Drug bypasses the liver
CORRECT ANSWER: B
QUESTION 15: ENTERAL ROUTE
QUESTION 1: NINE RIGHTS OF MEDICATION ADMINISTRATION
What are the nine rights of medication administration?
a. Right patient, dose, medication, time, route
b. Right patient, dose, medication, time, documentation, route, reason,
response, and frequency
c. Right patient, dose, medication, time, documentation, route, reason,
response
d. Right patient, dose, medication, time, route only
CORRECT ANSWER: C
QUESTION 2: METRONIDAZOLE (FLAGYL) MOA
What is the mechanism of action of metronidazole (Flagyl)?
a. Bacteriostatic
b. Bactericidal
c. Fungicidal
d. Virostatic
CORRECT ANSWER: B
QUESTION 3: METRONIDAZOLE (FLAGYL) INDICATIONS
What are the indications for metronidazole (Flagyl)?
a. Upper respiratory infections
b. Intra-abdominal and gynecological infections
c. Urinary tract infections
d. Skin infections
CORRECT ANSWER: B
QUESTION 4: METRONIDAZOLE (FLAGYL) CONTRAINDICATIONS
,What is a contraindication for metronidazole (Flagyl)?
a. Liver disease
b. Renal impairment
c. Hypertension
d. Diabetes
CORRECT ANSWER: B
QUESTION 5: METRONIDAZOLE (FLAGYL) ADVERSE EFFECTS
What is a serious adverse effect of metronidazole (Flagyl)?
a. Hypertension
b. Fatal hepatotoxicity
c. Hyperglycemia
d. Tachycardia
CORRECT ANSWER: B
QUESTION 6: VANCOMYCIN (VANCOCIN) MOA
What is the mechanism of action of vancomycin?
a. Bacteriostatic
b. Fungicidal
c. Bactericidal
d. Virostatic
CORRECT ANSWER: C
QUESTION 7: VANCOMYCIN (VANCOCIN) INDICATIONS
For what conditions is vancomycin indicated?
a. UTIs and respiratory infections
b. Meningitis and MRSA
c. Fungal infections
d. Viral infections
,CORRECT ANSWER: B
QUESTION 8: VANCOMYCIN (VANCOCIN) ADVERSE EFFECTS
What are serious adverse effects of vancomycin?
a. Hypertension and tachycardia
b. Ototoxicity, nephrotoxicity, and red man syndrome
c. Hepatotoxicity
d. Hypoglycemia
CORRECT ANSWER: B
QUESTION 9: VANCOMYCIN CONTRAINDICATIONS
What is a contraindication for vancomycin?
a. Hypertension
b. Diabetes mellitus
c. Renal or hearing impairment
d. Obesity
CORRECT ANSWER: C
QUESTION 10: VANCOMYCIN NURSING IMPLICATIONS
What is an important nursing implication when administering vancomycin?
a. Can be run with other medications
b. Must be run alone, infuse slowly to avoid red man syndrome, monitor IV site
c. Requires weekly blood work
d. Should be administered rapidly
CORRECT ANSWER: B
QUESTION 11: PROTEIN BINDING AND DRUG DURATION
When a drug is highly protein bound, what does this mean?
a. It has a shorter duration of action
, b. It has a longer duration of action
c. It is more easily excreted
d. It does not cross the blood-brain barrier
CORRECT ANSWER: B
QUESTION 12: PENICILLIN DRUG INTERACTIONS
Which medication could interact with penicillin?
a. Acetaminophen
b. Oral contraceptives
c. Vitamin C
d. Calcium supplements
CORRECT ANSWER: B
QUESTION 13: BIOAVAILABILITY
What is bioavailability?
a. The total amount of drug absorbed
b. The portion of drug that entered circulation and can have an effect
c. The rate of drug absorption
d. The time drug takes to peak
CORRECT ANSWER: B
QUESTION 14: FIRST PASS EFFECT
What is the first pass effect?
a. Initial allergic reaction to a drug
b. Drug enters GI tract and is filtered to liver where some is destroyed
c. Rapid absorption of drug in bloodstream
d. Drug bypasses the liver
CORRECT ANSWER: B
QUESTION 15: ENTERAL ROUTE