NUR 651 FINAL EXAM QUESTIONS & ANSWERS
Which category of scheduled drug has a Low potential for abuse; limited physiologic
dependency
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 4
Prescriptive Authority for NP's is regulated by: - Answers -is regulated by the State
Board of Nursing, Board of Medicine, or Board of Pharmacy depending on the state
T/F: (OTC) without a prescription drugs need approval from the FDA for specific uses in
specific doses like prescription medications. - Answers -True
Which category of scheduled drug has a High potential for abuse and not routine
therapeutic use?
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 1
Which category of scheduled drug has the Least potential for abuse; moderate amount
of opioids?
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 5
What is the difference between prescriptive writing between schedule 2 drugs and the
others prescriptions?
1. The NPI number and signature must be present on the script.
2. The nurse must also sign the prescription with a schedule 2 drug.
3. The DEA number and signature of the prescriber must be on the script.
4. The agent of the prescriber must sign the script - Answers -3. The DEA number and
signature of the prescriber must be on the script.
For controlled substances in Schedule Two, the DEA number of the prescriber has to
be on the prescription and the prescriber must sign the prescription. For all other
prescriptions, an agent of the prescriber may sign the prescription
This is the Absorption, distribution, metabolism, excretion of drugs.
(What the body does to the drug)
,1. Pharmacodynamics
2. Pharmacokinetics
3. Therapeutics - Answers -2. Pharmacokinetics
This is the Study and measurement of responses of the body to drugs.
(What the drug does to the body)
1. Pharmacodynamics
2. Pharmacokinetics
3. Therapeutics - Answers -1. Pharmacodynamics
What is the weakest type of bond between drug and receptor?
1. Hydrogen
2. van der Waals
3. Covalent
4. Ionic - Answers -2. Van der Waals
Most drugs have molecular targets, what are the two examples of drugs that do not?
1. Opioids and NSAIDS
2. Antacids in the stomach and Volatile general anesthetics
3. OTC cold medications and inhaled Corticosteroids
4.Some Blood Pressure Medications and Laxatives - Answers -2. Antacids in the
stomach and Volatile general anesthetics
The drug Valacyclovir is absorbed in the body by which mechanism of transport?
1. Passive
2. Active
3. Facilitated - Answers -2. Active Transport
The drug valacyclovir, an antiviral, has an amino acid attached to acyclovir. This allows
for active transport of the drug from the GI tract through amino acid receptors and thus
more acyclovir gets to the site of action in the body.
Which is the most common method of absorption into the body by the oral route?
1. Facilitated Transport
2. Active Transport
3. Passive Diffusion - Answers -3. Passive Diffusion
T/F: In the blood brain barrier, capillaries have tight junctions that limit the entry of lipid
soluble substances. - Answers -False
Capillaries have tight junctions that limit the entry of WATER soluble substances.
Which enzymes are ) are responsible for drug metabolism in the liver? - Answers -The
P450 (CYP) ezymes
Alcohol consumption and smoking are liver enzyme inducers or inhibitors? - Answers -
inducers:
This can metabolize the drug more quickly resulting in a less therapeutic outcome
, Grapefruit juice is a liver enzyme inhibitor and people currently taking which drugs
should avoid drinking this. - Answers -People taking statins, "ine's", verapamil, 17 B
estradiol, and dihydropyridine calcium channel blockers should avoid grapefruit juice
because it may metabolize the drug slower which may lead to toxicity of the drug.
what do all of these drugs have in common?
azithromycin
captopril
erythromycin
fluoroquinolones (e.g., ciprofloxacin, ofloxacin)
griseofulvin
isoniazid
oral penicillins
sucralfate
tetracycline
theophylline, timed release (e.g., Theo-Dur Sprinkle, Theo-24, Uniphyl)
zidovudine - Answers -They are all to be taken on an empty stomach
Warfarin interracts negatively with foods containing:
1. Vitamin K
2. High acidity
3. Tyramine
4. Protein - Answers -1. Vitamin K
"Warfarin reacts with foods containing vitamin K.
MAO inhibitors can react with foods containing tyramine and the herb bitter orange
T/F: Acacia may impair the absorption of amoxicillin - Answers -True
T/F: Kava, lavender, and valerian may decrease the effects of antibiotics - Answers -
False:
Kava, lavender, and valerian may potentiate effects of CNS depressants such as
barbiturates and narcotics.
Kava may interfere with effects of dopamine or dopamine antagonists and is potentially
hepatotoxic.
Which Vitamin deficiency is commonly seen after undergoing stomach surgery?
1. Vitamin D
2. Vitamin B6
3. Vitamin C
4. Vitamin B12 - Answers -4. Vitamin B12
deficiency is common in patients undergoing stomach surgery
T/F: Burns, bone fractures, acute infections, inflammatory disease, liver disease,
malnutrition, and renal disease are all conditions that may increase plasma albumin
levels. - Answers -False
Which category of scheduled drug has a Low potential for abuse; limited physiologic
dependency
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 4
Prescriptive Authority for NP's is regulated by: - Answers -is regulated by the State
Board of Nursing, Board of Medicine, or Board of Pharmacy depending on the state
T/F: (OTC) without a prescription drugs need approval from the FDA for specific uses in
specific doses like prescription medications. - Answers -True
Which category of scheduled drug has a High potential for abuse and not routine
therapeutic use?
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 1
Which category of scheduled drug has the Least potential for abuse; moderate amount
of opioids?
1. Schedule 1
2. Schedule 2
3. Schedule 3
4. Schedule 4
5. Schedule 5 - Answers -Schedule 5
What is the difference between prescriptive writing between schedule 2 drugs and the
others prescriptions?
1. The NPI number and signature must be present on the script.
2. The nurse must also sign the prescription with a schedule 2 drug.
3. The DEA number and signature of the prescriber must be on the script.
4. The agent of the prescriber must sign the script - Answers -3. The DEA number and
signature of the prescriber must be on the script.
For controlled substances in Schedule Two, the DEA number of the prescriber has to
be on the prescription and the prescriber must sign the prescription. For all other
prescriptions, an agent of the prescriber may sign the prescription
This is the Absorption, distribution, metabolism, excretion of drugs.
(What the body does to the drug)
,1. Pharmacodynamics
2. Pharmacokinetics
3. Therapeutics - Answers -2. Pharmacokinetics
This is the Study and measurement of responses of the body to drugs.
(What the drug does to the body)
1. Pharmacodynamics
2. Pharmacokinetics
3. Therapeutics - Answers -1. Pharmacodynamics
What is the weakest type of bond between drug and receptor?
1. Hydrogen
2. van der Waals
3. Covalent
4. Ionic - Answers -2. Van der Waals
Most drugs have molecular targets, what are the two examples of drugs that do not?
1. Opioids and NSAIDS
2. Antacids in the stomach and Volatile general anesthetics
3. OTC cold medications and inhaled Corticosteroids
4.Some Blood Pressure Medications and Laxatives - Answers -2. Antacids in the
stomach and Volatile general anesthetics
The drug Valacyclovir is absorbed in the body by which mechanism of transport?
1. Passive
2. Active
3. Facilitated - Answers -2. Active Transport
The drug valacyclovir, an antiviral, has an amino acid attached to acyclovir. This allows
for active transport of the drug from the GI tract through amino acid receptors and thus
more acyclovir gets to the site of action in the body.
Which is the most common method of absorption into the body by the oral route?
1. Facilitated Transport
2. Active Transport
3. Passive Diffusion - Answers -3. Passive Diffusion
T/F: In the blood brain barrier, capillaries have tight junctions that limit the entry of lipid
soluble substances. - Answers -False
Capillaries have tight junctions that limit the entry of WATER soluble substances.
Which enzymes are ) are responsible for drug metabolism in the liver? - Answers -The
P450 (CYP) ezymes
Alcohol consumption and smoking are liver enzyme inducers or inhibitors? - Answers -
inducers:
This can metabolize the drug more quickly resulting in a less therapeutic outcome
, Grapefruit juice is a liver enzyme inhibitor and people currently taking which drugs
should avoid drinking this. - Answers -People taking statins, "ine's", verapamil, 17 B
estradiol, and dihydropyridine calcium channel blockers should avoid grapefruit juice
because it may metabolize the drug slower which may lead to toxicity of the drug.
what do all of these drugs have in common?
azithromycin
captopril
erythromycin
fluoroquinolones (e.g., ciprofloxacin, ofloxacin)
griseofulvin
isoniazid
oral penicillins
sucralfate
tetracycline
theophylline, timed release (e.g., Theo-Dur Sprinkle, Theo-24, Uniphyl)
zidovudine - Answers -They are all to be taken on an empty stomach
Warfarin interracts negatively with foods containing:
1. Vitamin K
2. High acidity
3. Tyramine
4. Protein - Answers -1. Vitamin K
"Warfarin reacts with foods containing vitamin K.
MAO inhibitors can react with foods containing tyramine and the herb bitter orange
T/F: Acacia may impair the absorption of amoxicillin - Answers -True
T/F: Kava, lavender, and valerian may decrease the effects of antibiotics - Answers -
False:
Kava, lavender, and valerian may potentiate effects of CNS depressants such as
barbiturates and narcotics.
Kava may interfere with effects of dopamine or dopamine antagonists and is potentially
hepatotoxic.
Which Vitamin deficiency is commonly seen after undergoing stomach surgery?
1. Vitamin D
2. Vitamin B6
3. Vitamin C
4. Vitamin B12 - Answers -4. Vitamin B12
deficiency is common in patients undergoing stomach surgery
T/F: Burns, bone fractures, acute infections, inflammatory disease, liver disease,
malnutrition, and renal disease are all conditions that may increase plasma albumin
levels. - Answers -False