St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
Bachelor of Science in Nursing II
2nd Semester AY. 2019 – 2020
NCM 106 – PHARMACOLOGY
DIRECTIONS: Read each item carefully, choose the best answer and provide rationale why you choose
that answer. Answers without rationale are not considered. Answer sheets are to be sent to your respective
tutors in their email on or before 12:00 noon of June 4, 2020. This part is COMPUTERIZED. Please work
INDEPENDENTLY...
1. The name selected by the original manufacturer based on the chemical structure of the drug is the:
A. Chemical name
B. Drug name
C. Generic name
D. Trade name
Rationale: Generic name is the identification of the drug as named by the manufacturer basing from
the chemical structure of the drug, while chemical name is for the chemical structure of the
compound. And lastly the trade name comes from the company who produces the drug.
2. The interaction of one drug increased by the presence of a second drug is known as:
A. Potentiation
B.Addictive effects
C.Antagonist
D. Synergism
Rationale: One of the drug to drug interactions is the potentiation, this is answer is to be considered
among the rest because by definition, one drug potentiates the other, in other words the effectiveness
of one drug is being increased once combined with another.
3. When two drugs given together have an effect equal to the sum of their respective effects, the
interaction is known as:
A. Potentiated
B. Antagonized
C. Agonist
D. Additive
Rationale: From the root word itself, “Add”, by definition once two drug is being administered the
effectiveness is the sum of their respective effects.
4. When a drug is 50% protein bound, it means that:
A. 50% of the drug destroys protein
B. 50% of the dose is at work
C. 50% of the drug is excreted in the kidneys
D. Protein must be restricted in the diet
Rationale: There are many metabolic activities within the body that uses protein as a resource of a
process, however answers A,C, and D does not represent any of these actions done by a 50% protein
bound drug. What it does mean is that 50% is of the dose is at work.
5. Safety of a drug is determined by the degree between:
A. Therapeutic and toxic doses
B. Potency and efficacy
C. Subtherapeutic and toxic levels
D. Side and adverse effects
Rationale: Among the rest of the choices what mostly speaks about the safety of the drug is
, Rationale: The action of a drug that binds or connect itself in a receptor to stimulate a biological
response is called Agonist.
7. Distribution is affected by:
A. Biotransformation
B. Excretion
C. Protein binding
D. Lipid binding
Rationale: The answer is protein binding because it is the way or manner how drug is being
distributed in the body, while the other two processes, biotransformation and excretion do not affect
drug distribution.
8. An unexpected effect of the drug is known as a(n):
A. Side effect
B. Adverse effect
C. Toxic reaction
D. Allergic reaction
Rationale: Side effects are known reaction of the drugs while adverse effects are undesirable and
unpredictable reactions of a drug.
9. When performing an assessment about medication, the drug history should include:
A. Complete vital signs
B. Client’s goal of therapy
C. Reason for medication
D. Administration of OTC medications
Rationale: Choice D is the most accurate because it is needed in the assessment to inform the client
if she is currently under OTC medications that their effects are going to be minimized.
10. The volume of SC medication must be no more than:
A. 0.5 mL
B. 1.0 mL
C. 1.5 mL
D. 3.0 mL
Rationale: Drug consideration, no amount higher than 0.1mL is to be injected at the SC.
11. Which of the following muscles is a possible site for IM injections?
A. Outer aspect of the hip
B. Shoulder
C. Vastus gluteus
D. Vastus lateralis
Rationale: Aside from the deltoid muscle located in the upper outer shoulder, Vastus lateralis is also
a desirable site for IM injections.
12. When deciding on what time of day to give medications, the nurse pays closest attention to the
client’s habits regarding:
A. Eating
B. Sleeping
C. Elimination
D. Activity
Rationale: This consideration is important for this affects the drug’s efficacy and administration.
Knowing the clients eating habits or diet will allow the nurse to do necessary inteventions with
regards to drug administration.
13. The client’s ability to take oral medications will be hindered by:
, 14. Which of the following will determine nursing interventions for a client on medication?
A. Assessment
B. Diagnoses
C. Implementation
D. Evaluation
E. Rationale: The chosen answer is the second stage to nursing process which identifies the
condition of the patient based from the gathered data from assessment, this stage outlines the
needed objectives and actions in the planning stage which will be carried out as interventions.
15. When performing an assessment to determine which medications can be used, which of the
following elements is most important?
A. Physical examination
B. Allergies
C. Presence of illness
D. Weight
Rationale: Allergies are crucial determinants to patient’s compatibility with a drug, since reactions
done by this condition can cause harmful and life threatening effect to the patient.
16. Central venous access devices are beneficial in pediatric therapy because:
A. They are difficult to see.
B. They cannot be dislodged.
C. Use of the arms is not restricted.
D. They don’t frighten children.
Rationale: The answer represents the appropriateness of site to the age of the client since arms are
not restricted and children moves their body particularly the extremities, this promotes comfort in
normal activities and functions.
17. When considering the pharmacotherapeutic effects of drugs administered to clients, the nurse
considers which property of most importance:
A. Efficacy
B. Interaction with other drugs
C. Potency
D. Toxicity
Rationale: This is to be considered the most important aspect of the drugs administered to patients
because it speaks about how effective the drug is in responding in the condition of the patient.
18. While preparing for a medication, the nurse realizes that this is her first time of encounter with
the medicine. What is the best action of the nurse for this situation?
A. Administer the drug immediately
B. Review the drug action, indication, effects and adverse effects of the drug
C. Ask another nurse what is the drug for
D. Do not give the medication
Rationale: It is within the nurse’s responsibility to be knowledgeable of the drugs being
administered to their respective client. A review of the drug’s action, indication, effects and
adverse effects will make the nurse confident and feel at ease about the drug she is
administering.
19. The nurse prepares to administer medication by the buccal route. The nurse is correct if she will
administer the drug:
A. Under the tongue
B. On the client’s skin
C. In the client’s conjunctival sac
D. Between the client’s cheek and gum
Rationale: Buccal is medical that directs the location between the cheek and gum.
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
Bachelor of Science in Nursing II
2nd Semester AY. 2019 – 2020
NCM 106 – PHARMACOLOGY
DIRECTIONS: Read each item carefully, choose the best answer and provide rationale why you choose
that answer. Answers without rationale are not considered. Answer sheets are to be sent to your respective
tutors in their email on or before 12:00 noon of June 4, 2020. This part is COMPUTERIZED. Please work
INDEPENDENTLY...
1. The name selected by the original manufacturer based on the chemical structure of the drug is the:
A. Chemical name
B. Drug name
C. Generic name
D. Trade name
Rationale: Generic name is the identification of the drug as named by the manufacturer basing from
the chemical structure of the drug, while chemical name is for the chemical structure of the
compound. And lastly the trade name comes from the company who produces the drug.
2. The interaction of one drug increased by the presence of a second drug is known as:
A. Potentiation
B.Addictive effects
C.Antagonist
D. Synergism
Rationale: One of the drug to drug interactions is the potentiation, this is answer is to be considered
among the rest because by definition, one drug potentiates the other, in other words the effectiveness
of one drug is being increased once combined with another.
3. When two drugs given together have an effect equal to the sum of their respective effects, the
interaction is known as:
A. Potentiated
B. Antagonized
C. Agonist
D. Additive
Rationale: From the root word itself, “Add”, by definition once two drug is being administered the
effectiveness is the sum of their respective effects.
4. When a drug is 50% protein bound, it means that:
A. 50% of the drug destroys protein
B. 50% of the dose is at work
C. 50% of the drug is excreted in the kidneys
D. Protein must be restricted in the diet
Rationale: There are many metabolic activities within the body that uses protein as a resource of a
process, however answers A,C, and D does not represent any of these actions done by a 50% protein
bound drug. What it does mean is that 50% is of the dose is at work.
5. Safety of a drug is determined by the degree between:
A. Therapeutic and toxic doses
B. Potency and efficacy
C. Subtherapeutic and toxic levels
D. Side and adverse effects
Rationale: Among the rest of the choices what mostly speaks about the safety of the drug is
, Rationale: The action of a drug that binds or connect itself in a receptor to stimulate a biological
response is called Agonist.
7. Distribution is affected by:
A. Biotransformation
B. Excretion
C. Protein binding
D. Lipid binding
Rationale: The answer is protein binding because it is the way or manner how drug is being
distributed in the body, while the other two processes, biotransformation and excretion do not affect
drug distribution.
8. An unexpected effect of the drug is known as a(n):
A. Side effect
B. Adverse effect
C. Toxic reaction
D. Allergic reaction
Rationale: Side effects are known reaction of the drugs while adverse effects are undesirable and
unpredictable reactions of a drug.
9. When performing an assessment about medication, the drug history should include:
A. Complete vital signs
B. Client’s goal of therapy
C. Reason for medication
D. Administration of OTC medications
Rationale: Choice D is the most accurate because it is needed in the assessment to inform the client
if she is currently under OTC medications that their effects are going to be minimized.
10. The volume of SC medication must be no more than:
A. 0.5 mL
B. 1.0 mL
C. 1.5 mL
D. 3.0 mL
Rationale: Drug consideration, no amount higher than 0.1mL is to be injected at the SC.
11. Which of the following muscles is a possible site for IM injections?
A. Outer aspect of the hip
B. Shoulder
C. Vastus gluteus
D. Vastus lateralis
Rationale: Aside from the deltoid muscle located in the upper outer shoulder, Vastus lateralis is also
a desirable site for IM injections.
12. When deciding on what time of day to give medications, the nurse pays closest attention to the
client’s habits regarding:
A. Eating
B. Sleeping
C. Elimination
D. Activity
Rationale: This consideration is important for this affects the drug’s efficacy and administration.
Knowing the clients eating habits or diet will allow the nurse to do necessary inteventions with
regards to drug administration.
13. The client’s ability to take oral medications will be hindered by:
, 14. Which of the following will determine nursing interventions for a client on medication?
A. Assessment
B. Diagnoses
C. Implementation
D. Evaluation
E. Rationale: The chosen answer is the second stage to nursing process which identifies the
condition of the patient based from the gathered data from assessment, this stage outlines the
needed objectives and actions in the planning stage which will be carried out as interventions.
15. When performing an assessment to determine which medications can be used, which of the
following elements is most important?
A. Physical examination
B. Allergies
C. Presence of illness
D. Weight
Rationale: Allergies are crucial determinants to patient’s compatibility with a drug, since reactions
done by this condition can cause harmful and life threatening effect to the patient.
16. Central venous access devices are beneficial in pediatric therapy because:
A. They are difficult to see.
B. They cannot be dislodged.
C. Use of the arms is not restricted.
D. They don’t frighten children.
Rationale: The answer represents the appropriateness of site to the age of the client since arms are
not restricted and children moves their body particularly the extremities, this promotes comfort in
normal activities and functions.
17. When considering the pharmacotherapeutic effects of drugs administered to clients, the nurse
considers which property of most importance:
A. Efficacy
B. Interaction with other drugs
C. Potency
D. Toxicity
Rationale: This is to be considered the most important aspect of the drugs administered to patients
because it speaks about how effective the drug is in responding in the condition of the patient.
18. While preparing for a medication, the nurse realizes that this is her first time of encounter with
the medicine. What is the best action of the nurse for this situation?
A. Administer the drug immediately
B. Review the drug action, indication, effects and adverse effects of the drug
C. Ask another nurse what is the drug for
D. Do not give the medication
Rationale: It is within the nurse’s responsibility to be knowledgeable of the drugs being
administered to their respective client. A review of the drug’s action, indication, effects and
adverse effects will make the nurse confident and feel at ease about the drug she is
administering.
19. The nurse prepares to administer medication by the buccal route. The nurse is correct if she will
administer the drug:
A. Under the tongue
B. On the client’s skin
C. In the client’s conjunctival sac
D. Between the client’s cheek and gum
Rationale: Buccal is medical that directs the location between the cheek and gum.
