NUR 115 | NUR115 Pharm Exam 1 Unit 1 – Module’s 1-5 Quizzes, Answered Correctly.

Pharm Exam 1 Unit 1 – Module’s 1-5 Practice Quiz Unit 1 – Module 1 Question 1: Match the Phases of New Drug Development: 1. Phase I 2. Phase II 3. Phase III 4. Phase IV A. the drug company evaluates the drug's metabolism and the effects on healthy humans B. the drug company evaluates the drug's therapeutic effects and dose ranges on patients with a specific disease process C. the drug company evaluates the drug's safety and effectiveness on patient's in hospitals and clinics D. the FDA evaluates the drug's effect on the general public Question 2: Drugs regulated by the Controlled Substances Act of 1970 are classified by Schedules. Match the Schedule number with it's description: 1. Schedule I 2. Schedule II 3. Schedule III 4. Schedule IV 5. Schedule V A. less abuse potential and limited dependence liability. Examples include some sedatives, anxiolytics, and nonnarcotic analgesics B. High abuse potential with severe dependence liability. Examples include narcotics (including hydrocodone), amphetamines, and some barbiturates C. limited abuse potential. Examples include small amounts of narcotics such as codeine, used as antidiarrheals or antitussives. D. High abuse potential and no accepted medical use. Examples include heroin, Ecstasy, & LSD E. less abuse potential with moderate dependence liability. Examples include nonbarbiturate sedatives, nonamphetamine stimulants, anabolic steroids, and limited amount of certain narcotics Question 3: Identify the nursing implications regarding drug regulation. (Select two that apply.) A. nurses must be aware of their institution's policy regarding drug regulation B. only the FDA can approve a drug for "off label" use C. it is the patient's responsibility to ask the nurse questions about the drugs they are receiving D. nurses must be knowledgeable of state and federal regulations regarding drugs E. the healthcare practitioner (HCP) has the final control on drug useQuestion 4: Match the term with its definition: 1. any chemical that can affect living processes 2. the medical use of drugs 3. the study of drugs and their interactions with living systems 4. the study of drugs in humans 5. father of American pharmacology 6. involves use of natural plant extracts, herbs, vitamins, supplements, biofeedback, acupuncture, and massage 7. study of how genetic differences change typical drug effects A. drug B. therapeutics C. John Jacob Abel D. pharmacogenetics E. complementary alternative therapies F. Pharmacology G. Clinical Pharmacology Question 5: As of June 2015, the FDA changed their previous risk to a pregnancy letter system (A, B, C, D, & X) to what type of system? A. a system similar to the Scheduled Drug System which uses Roman numerals VI, VII, VIII, IX, & X indicating increasing risk to the fetus or infant B. a black box warning system which indicates a significant risk C. the pregnant or nursing woman must request of their healthcare provider written information regarding the risks to their fetus or infant so they can make an educated decision D. healthcare providers determine the risk versus the benefits on an individual basis for the pregnant or nursing woman Question 6: The student nurse is preparing for the first pharmacology exam. In planning for this exam, what is most important for the student nurse to remember about the Food, Drug, and Cosmetic Act of 1938? A. designated official standards for drugs B. It legally defined the term "narcotic" C. prevented the marketing of drugs if they had not been thoroughly tested D. prevented fraudulent claims for therapeutic effectUnit 1 - Module 2/3 Question 1: Safe administration of drugs requires nurses follow the six rights of drug administration. Identify the six rights. Right: 1. Drug 2. Dose 3. Route 4. Time 5. Patient 6. Documentation Question 2: Identify the property of an ideal drug that the nurse considers in the following situation. The nurse reassesses the patient 20-30 minutes after administering an opiate analgesic. (no capitalization; please put a space between words, if needed) Choose one: Effectiveness Safety Selectivity Reversible Action Predictability Ease of Administration Freedom from Drug Interactions Low Cost Question 3: Identify several major factors affecting drug distribution. Select 3 responses. A. areas with limited blood flow increases distribution B. tumors or abscesses decrease absorption C. a decreased albumin level decreases drug distribution D. drugs that are ionized can cross the placental barrier E. the blood brain barrier requires lipid soluble drugs Question 4: Identify the property of an ideal drug that the nurse considers in the following situation. During discharge teaching, the nurse assesses if the patient will be able to take a prescribed drug 4 times a day as ordered. (no capitalization; please put a space between words, if necessary) Choose one: Effectiveness Safety Selectivity Reversible Action Predictability Ease of Administration Freedom from Drug Interactions Low Cost Question 5: Calculate the total daily amount to administer: ¼ or 0.25 or one quarter. Ordered: 125 mg PO 4 times a day. On hand: 2 gram tablet. (Do not include units, only type the number) Question 6: True or False The nurse would expect that an IV antibiotic prescribed for bacterial meningitis would most likely get to the site of infection if the drug is water-soluble.Question 7: A nursing student has just been assigned to a new client. When the nurse checks the medication administration record, she observes that the client is on three different medications. When determining if there are any interactions between these medications, the nursing student should be concerned if: Hint: think safety and physiologically. A. the client has difficulty swallowing whole pills and they need to be crushed. B. all are ordered to be given at different scheduled times throughout the day. C. all the medications affect the heart rate and blood pressure. D. two of the drugs cause miosis (pinpoint pupils) to occur. Question 8: A nurse is preparing a client’s medications. Which of the following are legal responsibilities of the nurse? Select three responses. A. Identifying the client’s diagnosis B. Safeguarding medications C. Maintaining skill competency D. Monitoring for adverse effects E. Determining the dosage Question 9: Identify the six essential elements of a medication order. (no capitalization; please put a space between words) A. patient's name B. date C. generic name D. dose E. frequency F. route Question 10: A patient is having difficulty remembering to take a prescribed drug ordered three times a day. Which of the following forms of drugs should the healthcare professional recommend to increase adherence? A. Liquid suspension B. Immediate-release capsule C. Extended release capsule D. Powdered form Question 11: A healthcare professional is preparing to administer a parenteral drug to a patient. Which of the following drugs are they preparing to administer? A. acetaminophen via rectal suppository B. heparin sodium via subcutaneous injection C. albuterol via inhaler D. captopril via transdermal patch Question 12: True or False P-Glycoprotein prevents prolonged fetal exposure to drugs by transporting drugs back into the maternal blood stream. Question 13: True or False A transport mechanism is needed for a water-soluble drug to enter a cell. Question 14: True or False Enteric drugs should not be crushed because crushing these preparations can cause stomach distress or cause the acid in the stomach to alter the drug.Question 15: The major barrier for a drug to pass through cells is the: A. hepatic portal vein B. tissues and blood stream C. cytoplasmic membrane D. liver Question 16: How many mL of this drug would you administer? 20 Hint: (Do not put units, only the number) Dosage on hand: Drug X is 3.5mg/10ml Administer: 7mg of Drug X Question 17: A patient with chronic back pain informs the nurse he has been receiving acupuncture in addition to his medications. This type of therapy is best classified as: A. drug-absence therapy. B. pharmacotherapy. C. biologic therapy. D. complementary alternative therapy. Question 18: A nurse is ready to administer the first dose of a new medication to a patient. The nurse states the generic name to the patient and informs them it is to lower their cholesterol level. The client states they think they took the same sounding medication five years ago and they had a reaction. What is the nurse's best action? A. Ask the patient what type of reaction they had and contact the HCP to check on their history of allergies B. Give the medication as prescribed and observe for a reaction since you remembered the medication was approved by the FDA three years ago C. Administer the prn antihistamine (Benadryl) ordered before giving the medication to prevent a potential allergic reaction D. Contact the HCP about giving the medication rectally since this will eliminate the first-pass effect Question 19: An elderly patient is admitted to the surgical floor after an injury from a fall requiring surgery the next day. The nurse requests a list from the patient and their spouse of all current medications including over the counter and herbal medications or the bottles of medications and completes the list including the dose/frequency for the prescriber to order in the hospital or discontinue. This safety practice is called: A. Safeguarding medications B. Monitoring for medication interactions. C. Medication reconciliation D. Maintaining skill competency Question 20: Identify the property of an ideal drug that the nurse considers in the following situation. When a patient is or could be pregnant, the nurse researches the risk versus the benefit of every drug administered. (no capitalization; please put a space between words, if neccessary)Choose one: Effectiveness Safety Selectivity Reversible Action Predictability Ease of Administration Freedom from Drug Interactions Low CostQuestion 21: Key factors affecting absorption of drugs are: Select 3 responses. A. increased blood flow decreases absorption B. lipid solubility of drugs improves absorption C. parenteral routes increase absorption D. the route of administration determines how soon affects of a drug will be seen E. a drug that undergoes slow metabolism through the liver should be given intravenously Question 22: Identify factors affecting drug excretion. Select 2 responses. A. half-life of a drug B. liver function C. the minimum effective concentration D. therapeutic drug level E. the older the patient the improved excretion Question 23: Identify the property of an ideal drug that the nurse considers in the following situations. The nurse explains that a generic form of a newly prescribed drug is available to a patient who has limited insurance coverage for drugs. (no capitalization; please put a space between words, if needed) Choose one: Effectiveness Safety Selectivity Reversible Action Predictability Ease of Administration Freedom from Drug Interactions Low Cost Question 24: True or False Adding a drug to a patient's drug regimen can cause the other drugs to be metabolized more slowly or more rapidly. Question 25: Identify the property of an ideal drug that the nurse considers in the following situation. The nurse administer ciprofloxacin (an antibiotic) through a second intravenous line separate from all other drugs. (no capitalization; please put a space between words, if necessary) Choose one: Effectiveness Safety Selectivity Reversible Action Predictability Ease of Administration Freedom from Drug Interactions Low Cost Question 26: The most common way drugs pass through cell membranes is by: A. direct penetration of membrane B. with aid of a transport mechanism C. through channels and pores D. a prodrug Question 27: True or False First-pass effect means most of the drug is activated by the liver, so it must be administered orally.Question 28: Identify some of the factors affecting drug metabolism: Select 3 responses. A. drug half-life B. age C. nutritional status D. first-pass effect E. kidney function Question 29: Which patient would be the highest priority when providing nursing care to multiple patients? A patient who: Hint: Think of signs of allergic response? A. is prescribed a drug, the name of which the nurse does not recognize B. would like to know if a newly prescribe drug is available in generic form C. has requested a laxative because he has not had a bowel movement in 2 days D. received oral drugs one hour ago and has complained of tingling around their mouthUnit 1 - Module 4 Question 1: What does NSAID stand for (fill in the blank) N: Non S: Steroidal A: Anti I: Inflammatory D: Drugs Question 2: True or False You can give Acetaminophen with Ibuprofen to reduce a fever? Question 3: True or False Acetaminophen does NOT have the same antipyretic properties as Ibuprofen? Question 4: Which of the following conditions would most likely be defined as chronic pain? a. Intermittent muscle pain 6 months after back strain injury b. Sensation of pain in fingertips 4 weeks after neck surgery c. Pain related to movement immediately after spraining an ankle d. Level of pain of 8 out of 10 on a pain scale 2 hours after abdominal surgery Question 5: The nurse is reviewing the medication list for a patient with chronic pain. Which of the following medications, found on the patient’s list, would help the patient manage chronic pain? (Select all that apply.) a. Duloxetine b. Acetaminophen c. Lisinopril d. Hydrocodone e. Gabapentin Question 6: Duloxetine is prescribed for a patient with chronic pain. Which of the following drug classifications does this medication fall under? a. Androgen b. Antitussive c. Antidepressant d. Analgesic Question 7: A patient is tramadol. Use of this medication should be limited for patients with a history of which of the following medical conditions? a. Suicide b. Addiction c. Confusion d. Depression Question 8: A patient is taking tramadol and cyclobenzaprine. Which of the following adverse reactions is found with both of these medications? a. Tremors b. Seizures c. Acne d. DiarrheaQuestion 9: Liver function/enzyme test levels were obtained during the scenario. Which of the following statements describes the purpose of these tests? a. The tests are necessary because some of the medications taken by the patient could be harmful to the liver b. Liver enzyme tests determine if the patient has been drinking alcohol c. The tests are needed because the patient’s liver is failing because of the combination of medications d. The tests are needed to verify the amount of acetaminophen in the liver Question 10: What are the drug classifications to treat Acute/Chronic inflammation? (Select all that apply) a. Corticosteroids b. Analegesics/Antiypretics c. Non-stabilizer Anti-Inflammatory Drugs d. Leukotriene Receptor Antagonist e. Opioid Antistabilizer f. Mast Cell Stabilizer g. Non-steroidal Anti-Inflammatory Drugs h. Anti-Fever i. Opioids j. Anti-Gout k. Opioid Antagonist Question 11: Aspirin and other NSAID's are often used to control inflammation. These anti-inflammatory drugs exert their effects by A. inhibiting prostaglandin synthesis B. promoting prostaglandin synthesis C. inhibiting the release of acute phase proteins D. promoting the formation of fistulas Question 12: Which of the following characterizes chronic inflammation? A. invasion of neutrophils B. reduced proliferation of fibroblasts C. invasion of macrophages and lymphocytes D. larger proliferation of mast cellsUnit 1 - Module 5 Question 1: A woman with breast cancer is given radiation therapy. She begins to develop nosebleeds and bruising. Her menstrual period is abnormally heavy. Why did this happen? a. the cancer is cutting off the blood supply to her thymus, and she is unable to produce clotting factors there anymore b. the radiation destroyed the megakaryocyte-forming stem cells in her pelvis c. the cancer is releasing erythropoietin, increasing her platelet count d. the radiation destroyed the platelet precursor-forming cells in the bone marrow of her sternum Question 2: _________ are due to mutations of normal growth-regulating genes, which promote the transformation of normal cells into malignant cells. a. Tumor specific antigens b. Proto-oncogenes c. Oncogenes d. Anti-oncogenes Question 3: Which one of the following is a characteristic of benign tumors? a. rapid rate of growth b. tend to metastasize c. poorly defined margins, no fibrous capsule d. resemble the tissue of origin Question 4: Which of the following do cancer cells lack? a. contact inhibition b. gap junctions c. specialization d. All of the above. Question 5: A patient is diagnosed with a fairly well-differentiated malignant meningeal sarcoma. This diagnosis shows which of the following? a. the tumor will never metastasize b. the malignant cells still resemble the original tissue cells c. this is a benign tumor d. the malignant cells don't resemble the original tissue cells and have regressed to the "blast stage" Question 6: Growth-inhibiting genes are known as __________. a. proto-oncogenes b. anti-oncogenes c. tumor-specific antigens d. oncogenes Question 7: Over the last three years, John's blood test showed high levels of PSA, then low levels of PSA, and now they are high again. What does this mean? a. He is free of prostate cancer and has no autoimmune disorder. b. He had prostate cancer, it was treated, but he may have prostate cancer again and needs further testing. c. He is having an autoimmune response to his own prostate. d. He had prostate cancer and just had a prostate transplant and is now suffering from host vs. graft disease.Question 8: Chemotherpay drugs ALWAYS calculated in? a. mL/kg b. mg/kg c. cc/kg d. mg/lb Question 9: What is the normal levels for the BUN test? a. 7-20 b. 70-200 c. 72-100 d. 700-2,000 Question 10: True or False? If a creatinine level is greater than 1.5 for a man, and 1.2 in a women then is a cause for a concern? Question 11: GFR (EGFR) is a test to determine what? a. Liver function b. Bladder function c. Kidney function d. Lung function Question 12: What test is to determine Liver function? a. EATL b. AFR c. BUN/creatinine d. ALT Question 13: True or False Sometimes Chemotherapy can cause dehydration so we give the patient IV fluids before administering the chemotherapy medications?