Chap 1 - Principles of Pharmacotherapy Test Questions with Correct Answers Graded A+
1. The nurses plan to teach a safety class to parents of toddlers about household exposure to
medication. What will the best plan of the nurse include? (Select all that apply) - Answers a. Keep all
medications locked up and stored out of reach of the toddler
b. Call the poison control center for guidance with any medication ingested
2. A nurse is planning to administer an intramuscular injection to a 3-month-old infant. Which of the
following sites should the nurse choose for the injection? - Answers a. Vastus lateralis
3. A prototype drug is a single drug in a class and can be compared with all other medications in the
class. The benefit of studying the prototype drug is that the nurse would be able to predict
characteristics of other drugs in the same class, including (Select all that apply) - Answers a. Their
therapeutic indication
b. Their adverse effects
c. Their actions
4. The nurse assesses the patient with diabetes mellitus prior to administering medications. Which
questions are important to ask the patient? (Select all that apply) - Answers a. "Are you taking any
herbal or over the counter medication"
b. "Are you allergic to any medication?"
c. "what other medications are you currently taking?"
d. "will you please tell me about the kind of diet you follow"
5. The nursing instructor teaches the student nurses about how medication errors can occur. What
information will the nursing instructor include in the presentation? (Select all that apply) - Answers a.
The nurse miscalculates the medication dose
b. The nurse misinterprets a physician's order
c. The nurse administers the incorrect drug
d. The nurse does not check the patient's identification band
6. A health care professional is speaking to a patient who is taking carbamazepine and who reports
drinking grapefruit juice. The health care professional explains the grapefruit juice inhibits an enzyme in
the liver that is used to metabolize certain drugs such as carbamazepine. The health care professional
should recognize the patient's risk for which of the following? - Answers a. Drug toxicity
, 7. Which of the following are good patient identifiers for medication administration in an adult patient
who can verbally communicate and is neurologically intact? (moderate, comprehension) - Answers a.
Patients name and date of birth
8. Which organ is most responsible for the first pass effect? - Answers liver
9. A nurse is preparing to administer medication to a 4-month-old infant. Which of the following
pharmacokinetics principles should the nurse consider when administrating medication to his client?
(Select all that apply) - Answers a. Infants have immature liver function
b. Infants have an increased ability to absorb topical medications
c. Infants blood- brain barrier is poorly developed
10. While reading a medication package insert, the nurse notes the information contained within the
"black box". What is the significance of this information to the nurse? (Select all that apply) - Answers a.
The drug can cause "special problems"
b. It identifies extreme adverse drug reactions
14. During pharmacology class, the student nurse asks the nursing instructor how students will ever
learn about the individual antibiotic drugs since there are so many? What is the best response by the
nursing instructor? - Answers a. "You will learn a representative drug from each class"
15. The physician ordered a loading dose of medication for the patient; it is to be followed by a lower
dose. When the patient receives the lower dose, she says to the nurse "I think my doctor made a
mistake; my medication dose is too low" what is the best response by the nurse? - Answers a. "You had
a larger dose initially so that the medication would work more quickly"
11. The patient is scheduled to receive a medication that is an enzyme inducer of the P450 system. What
best describes the effect of this medication on the patient. - Answers a. In time, the patient will
experience a reduced effect from this drug
16. The nurse is aware that it is most important to be accurate in which portion of the nursing process? -
Answers a. Assessment
12. The nurse is preparing medication for a group of patients. Another nurse begins telling the nurse
about her recent engagement. What is the best action by the first nurse? - Answers a. Tell the second
nurse that the conversation is distracting and must cease while medications are being prepared
13. What is the appropriate schedule for a drug with limited or no therapeutic use - Answers 1
17. The nurse administers an evening medication to the patient in the morning. The medication did go
to the correct patient. What is the nurse's best course of action currently? - Answers a. Notify the
physician about the error and complete an incident report
1. The nurses plan to teach a safety class to parents of toddlers about household exposure to
medication. What will the best plan of the nurse include? (Select all that apply) - Answers a. Keep all
medications locked up and stored out of reach of the toddler
b. Call the poison control center for guidance with any medication ingested
2. A nurse is planning to administer an intramuscular injection to a 3-month-old infant. Which of the
following sites should the nurse choose for the injection? - Answers a. Vastus lateralis
3. A prototype drug is a single drug in a class and can be compared with all other medications in the
class. The benefit of studying the prototype drug is that the nurse would be able to predict
characteristics of other drugs in the same class, including (Select all that apply) - Answers a. Their
therapeutic indication
b. Their adverse effects
c. Their actions
4. The nurse assesses the patient with diabetes mellitus prior to administering medications. Which
questions are important to ask the patient? (Select all that apply) - Answers a. "Are you taking any
herbal or over the counter medication"
b. "Are you allergic to any medication?"
c. "what other medications are you currently taking?"
d. "will you please tell me about the kind of diet you follow"
5. The nursing instructor teaches the student nurses about how medication errors can occur. What
information will the nursing instructor include in the presentation? (Select all that apply) - Answers a.
The nurse miscalculates the medication dose
b. The nurse misinterprets a physician's order
c. The nurse administers the incorrect drug
d. The nurse does not check the patient's identification band
6. A health care professional is speaking to a patient who is taking carbamazepine and who reports
drinking grapefruit juice. The health care professional explains the grapefruit juice inhibits an enzyme in
the liver that is used to metabolize certain drugs such as carbamazepine. The health care professional
should recognize the patient's risk for which of the following? - Answers a. Drug toxicity
, 7. Which of the following are good patient identifiers for medication administration in an adult patient
who can verbally communicate and is neurologically intact? (moderate, comprehension) - Answers a.
Patients name and date of birth
8. Which organ is most responsible for the first pass effect? - Answers liver
9. A nurse is preparing to administer medication to a 4-month-old infant. Which of the following
pharmacokinetics principles should the nurse consider when administrating medication to his client?
(Select all that apply) - Answers a. Infants have immature liver function
b. Infants have an increased ability to absorb topical medications
c. Infants blood- brain barrier is poorly developed
10. While reading a medication package insert, the nurse notes the information contained within the
"black box". What is the significance of this information to the nurse? (Select all that apply) - Answers a.
The drug can cause "special problems"
b. It identifies extreme adverse drug reactions
14. During pharmacology class, the student nurse asks the nursing instructor how students will ever
learn about the individual antibiotic drugs since there are so many? What is the best response by the
nursing instructor? - Answers a. "You will learn a representative drug from each class"
15. The physician ordered a loading dose of medication for the patient; it is to be followed by a lower
dose. When the patient receives the lower dose, she says to the nurse "I think my doctor made a
mistake; my medication dose is too low" what is the best response by the nurse? - Answers a. "You had
a larger dose initially so that the medication would work more quickly"
11. The patient is scheduled to receive a medication that is an enzyme inducer of the P450 system. What
best describes the effect of this medication on the patient. - Answers a. In time, the patient will
experience a reduced effect from this drug
16. The nurse is aware that it is most important to be accurate in which portion of the nursing process? -
Answers a. Assessment
12. The nurse is preparing medication for a group of patients. Another nurse begins telling the nurse
about her recent engagement. What is the best action by the first nurse? - Answers a. Tell the second
nurse that the conversation is distracting and must cease while medications are being prepared
13. What is the appropriate schedule for a drug with limited or no therapeutic use - Answers 1
17. The nurse administers an evening medication to the patient in the morning. The medication did go
to the correct patient. What is the nurse's best course of action currently? - Answers a. Notify the
physician about the error and complete an incident report
