ECPI NUR 138 Pharmacology Exam 1
Questions With Correct Answers
The |patient |is |to |receive |oral |guaifenesin |(Mucinex) |twice |a |day. |Today, |the |nurse |was |busy |
and |gave |the |medication |2 |hours |after |the |scheduled |dose |was |due. |What |type |of |problem |
does |this |represent?
|
A. |"Right |route"
B. |"Right |medication"
C. |"Right |dose"
D. |"Right |time" |- |CORRECT |ANSWER✔✔-D. |"Right |time"
Rationale: |"Right |time" |is |correct |because |the |medication |was |given |more |than |30 |minutes |
after |the |scheduled |dose |was |due. |"Dose" |is |incorrect |because |the |dose |is |not |related |to |the |
time |the |medication |administration |is |scheduled. |"Route" |is |incorrect |because |the |route |is |not
|affected. |"Medication" |is |incorrect |because |the |medication |ordered |will |not |change.
The |nurse |is |administering |parenteral |drugs. |Which |statement |is |true |regarding |parenteral |
drugs?
A. |Parenteral |drugs |bypass |the |first-pass |effect.
B. |Absorption |of |parenteral |drugs |is |affected |by |reduced |blood |flow |to |the |stomach. |
C. |Absorption |of |parenteral |drugs |is |faster |when |the |stomach |is |empty.
D. |Parenteral |drugs |exert |their |effects |while |circulating |in |the |bloodstream. |- |CORRECT |
ANSWER✔✔-A. |Parenteral |drugs |bypass |the |first-pass |effect.
Rationale: |Drugs |given |by |the |parenteral |route |bypass |the |first-pass |effect. |Reduced |blood |
flow |to |the |stomach |and |the |presence |of |food |in |the |stomach |apply |to |enteral |drugs |(taken |
orally), |not |to |parenteral |drugs. |Parenteral |drugs |must |be |absorbed |into |cells |and |tissues |from
,the |circulation |before |they |can |exert |their |effects: |they |do |not |exert |their |effects |while |
|
circulating |in |the |bloodstream.
The |nurse |is |administering |medications |to |the |patient |who |is |in |renal |failure |resulting |from |
end-stage |renal |disease. |The |nurse |is |aware |that |patients |with |kidney |failure |would |most |likely
|have |problems |with |which |pharmacokinetic |phase?
A. |Excretion
B. |Absorption
C. |Metabolism
D. |Distribution |- |CORRECT |ANSWER✔✔-A. |Excretion
Rationale: |The |kidneys |are |the |organs |that |are |most |responsible |for |drug |excretion. |Renal |
function |does |not |affect |the |absorption |and |distribution |of |a |drug. |Renal |function |may |affect |
metabolism |of |drugs |to |a |small |extent.
The |patient |is |complaining |of |a |headache |and |asks |the |nurse |which |over-the-counter |
medication |form |would |work |the |fastest |to |help |reduce |the |pain. |Which |medication |form |will |
the |nurse |suggest?
|
A. |A |tablet
B. |A |capsule
C. |A |powder |
D. |An |enteric-coated |tablet |- |CORRECT |ANSWER✔✔-C. |A |powder
Rationale: |Of |the |types |of |oral |medications |listed, |the |powder |form |would |be |absorbed |the |
fastest, |thus |having |a |faster |onset. |The |tablet, |the |capsule, |and, |finally, |the |enteric-coated |
tablet |would |be |absorbed |next, |in |that |order.
, Which |drugs |would |be |affected |by |the |first-pass |effect? |(Select |all |that |apply.)
A. |Sublingual |nitroglycerin |tablets
B. |Levothyroxine |(Synthroid) |tablets
C. |Diphenhydramine |(Benadryl) |elixir
D. |Penicillin |given |by |IV |piggyback |infusion
E. |Morphine |given |by |IV |push |injection
F. |Esomeprazole |(Nexium) |capsules
G. |Transdermal |nicotine |patches |- |CORRECT |ANSWER✔✔-B. |Levothyroxine |(Synthroid) |tablets
C. |Diphenhydramine |(Benadryl) |elixir
F. |Esomeprazole |(Nexium) |capsules
For |accurate |medication |administration |to |pediatric |patients, |the |nurse |must |take |into |account
|which |criteria?
|
A. |Renal |output |
B. |Height
C. |Body |temperature
D. |Organ |maturity |- |CORRECT |ANSWER✔✔-D. |Organ |maturity
Rationale: |To |administer |medications |to |pediatric |patients |accurately, |one |must |take |into |
account |organ |maturity, |body |surface |area, |age, |and |weight. |The |other |options |are |incorrect: |
renal |output |and |body |temperature |are |not |considerations, |and |height |alone |is |not |sufficient.
During |discharge |patient |teaching, |the |nurse |reviews |prescriptions |with |a |patient. |Which |
statement |is |correct |about |refills |for |an |analgesic |that |is |classified |as |Schedule |C-III?
A. |The |patient |may |have |no |more |than |five |refills |in |a |6-month |period.
Questions With Correct Answers
The |patient |is |to |receive |oral |guaifenesin |(Mucinex) |twice |a |day. |Today, |the |nurse |was |busy |
and |gave |the |medication |2 |hours |after |the |scheduled |dose |was |due. |What |type |of |problem |
does |this |represent?
|
A. |"Right |route"
B. |"Right |medication"
C. |"Right |dose"
D. |"Right |time" |- |CORRECT |ANSWER✔✔-D. |"Right |time"
Rationale: |"Right |time" |is |correct |because |the |medication |was |given |more |than |30 |minutes |
after |the |scheduled |dose |was |due. |"Dose" |is |incorrect |because |the |dose |is |not |related |to |the |
time |the |medication |administration |is |scheduled. |"Route" |is |incorrect |because |the |route |is |not
|affected. |"Medication" |is |incorrect |because |the |medication |ordered |will |not |change.
The |nurse |is |administering |parenteral |drugs. |Which |statement |is |true |regarding |parenteral |
drugs?
A. |Parenteral |drugs |bypass |the |first-pass |effect.
B. |Absorption |of |parenteral |drugs |is |affected |by |reduced |blood |flow |to |the |stomach. |
C. |Absorption |of |parenteral |drugs |is |faster |when |the |stomach |is |empty.
D. |Parenteral |drugs |exert |their |effects |while |circulating |in |the |bloodstream. |- |CORRECT |
ANSWER✔✔-A. |Parenteral |drugs |bypass |the |first-pass |effect.
Rationale: |Drugs |given |by |the |parenteral |route |bypass |the |first-pass |effect. |Reduced |blood |
flow |to |the |stomach |and |the |presence |of |food |in |the |stomach |apply |to |enteral |drugs |(taken |
orally), |not |to |parenteral |drugs. |Parenteral |drugs |must |be |absorbed |into |cells |and |tissues |from
,the |circulation |before |they |can |exert |their |effects: |they |do |not |exert |their |effects |while |
|
circulating |in |the |bloodstream.
The |nurse |is |administering |medications |to |the |patient |who |is |in |renal |failure |resulting |from |
end-stage |renal |disease. |The |nurse |is |aware |that |patients |with |kidney |failure |would |most |likely
|have |problems |with |which |pharmacokinetic |phase?
A. |Excretion
B. |Absorption
C. |Metabolism
D. |Distribution |- |CORRECT |ANSWER✔✔-A. |Excretion
Rationale: |The |kidneys |are |the |organs |that |are |most |responsible |for |drug |excretion. |Renal |
function |does |not |affect |the |absorption |and |distribution |of |a |drug. |Renal |function |may |affect |
metabolism |of |drugs |to |a |small |extent.
The |patient |is |complaining |of |a |headache |and |asks |the |nurse |which |over-the-counter |
medication |form |would |work |the |fastest |to |help |reduce |the |pain. |Which |medication |form |will |
the |nurse |suggest?
|
A. |A |tablet
B. |A |capsule
C. |A |powder |
D. |An |enteric-coated |tablet |- |CORRECT |ANSWER✔✔-C. |A |powder
Rationale: |Of |the |types |of |oral |medications |listed, |the |powder |form |would |be |absorbed |the |
fastest, |thus |having |a |faster |onset. |The |tablet, |the |capsule, |and, |finally, |the |enteric-coated |
tablet |would |be |absorbed |next, |in |that |order.
, Which |drugs |would |be |affected |by |the |first-pass |effect? |(Select |all |that |apply.)
A. |Sublingual |nitroglycerin |tablets
B. |Levothyroxine |(Synthroid) |tablets
C. |Diphenhydramine |(Benadryl) |elixir
D. |Penicillin |given |by |IV |piggyback |infusion
E. |Morphine |given |by |IV |push |injection
F. |Esomeprazole |(Nexium) |capsules
G. |Transdermal |nicotine |patches |- |CORRECT |ANSWER✔✔-B. |Levothyroxine |(Synthroid) |tablets
C. |Diphenhydramine |(Benadryl) |elixir
F. |Esomeprazole |(Nexium) |capsules
For |accurate |medication |administration |to |pediatric |patients, |the |nurse |must |take |into |account
|which |criteria?
|
A. |Renal |output |
B. |Height
C. |Body |temperature
D. |Organ |maturity |- |CORRECT |ANSWER✔✔-D. |Organ |maturity
Rationale: |To |administer |medications |to |pediatric |patients |accurately, |one |must |take |into |
account |organ |maturity, |body |surface |area, |age, |and |weight. |The |other |options |are |incorrect: |
renal |output |and |body |temperature |are |not |considerations, |and |height |alone |is |not |sufficient.
During |discharge |patient |teaching, |the |nurse |reviews |prescriptions |with |a |patient. |Which |
statement |is |correct |about |refills |for |an |analgesic |that |is |classified |as |Schedule |C-III?
A. |The |patient |may |have |no |more |than |five |refills |in |a |6-month |period.
