NUR 2474 Pharmacology Final Exam
1. The patient has a history of angina and migraines. The patient takes a calcium
channel blocker for angina, and the health care provider wants to start preventive
medication for migraines. Which medication will raise a concern with the nurse?
a. Acetaminophen
b. Propranolol
c. Levetiracetam
d. Butalbital
Answer: b. Propranolol
Propranolol can be used for migraines; however, it is not safe to
use when the patient is also taking a calcium channel blocker.
Bradycardia may result.
2. The patient is taking ciprofloxacin (Cipro) for an infection. When completing the
discharge teaching, what foods will the nurse advise the patient to avoid while
taking the medication?
a. Cheese
b. Grapes
c. Hamburger
d. Oatmeal
Answer: a. Cheese
Concurrent use of calcium-containing products may prevent the absorption of
some fluoroquinolones like ciprofloxacin (Cipro).
3. Before administering a medication, the nurse checks a drug reference book or
pamphlet to obtain pertinent data. Which data should the nurse note?
(Select all that apply.)
, a. Contraindications
b. Half-life
c. Maximum effective concentration
d. Protein-binding effect
e. Therapeutic range
Answer: a. Contraindications
b. Half-life
d. Protein-binding effect
e. Therapeutic range
The nurse must be completely familiar with any medication he or she is
administering. Information needs to be obtained not only on the medication, but
also on the specific patient’s history. Drug reference books, drug
pamphlets/inserts, or a pharmacist may be consulted with questions.
4. A nurse counsels a patient with diabetes who is starting therapy with an alpha-
glucosidase inhibitor. The patient should be educated about the potential for which
adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
Answer: b. Flatulence
e. Diarrhea
5. A 22-year-old woman suffering from asthma was prescribed albuterol by inhalation.
Albuterol is a bronchodilating drug with a molecular w eight of 239 daltons. Which
of the following permeation processes most likely accounted for the transfer of the
drug through the bronchial mucosa?
, a. Aqueous diffusion
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Active transport
Answer: b. Lipid diffusion - is by far the most common transport system
of drugs across cell membranes. Because albuterol has a low molecular
weight, lipid diffusion most likely accounts for the transfer of albuterol
through the bronchial mucosa.
6. Which statement is correct about the contrast between acarbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction
b. With miglitol, sucrose can be used to treat hypoglycemia
c. Miglitol is less effective in African Americans
d. Miglitol has no gastrointestinal side effects
Answer: a. Miglitol has not been associated with hepatic dysfunction
7. A 51-year-old woman suffering from hyperthyroidism was administered an oral
solution of radioactive iodine to destroy her thyroid gland. Which of the follow ing
permeation processes most likely accounted for the transfer of the drug across the
thyroid cell membrane?
a. Active transport
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Aqueous diffusion
Answer: a. Active transport –
About one fifth of the iodides ingested with foods are selectively rem oved from
the circulating blood by the Na+-dependent secondary active transport system
1. The patient has a history of angina and migraines. The patient takes a calcium
channel blocker for angina, and the health care provider wants to start preventive
medication for migraines. Which medication will raise a concern with the nurse?
a. Acetaminophen
b. Propranolol
c. Levetiracetam
d. Butalbital
Answer: b. Propranolol
Propranolol can be used for migraines; however, it is not safe to
use when the patient is also taking a calcium channel blocker.
Bradycardia may result.
2. The patient is taking ciprofloxacin (Cipro) for an infection. When completing the
discharge teaching, what foods will the nurse advise the patient to avoid while
taking the medication?
a. Cheese
b. Grapes
c. Hamburger
d. Oatmeal
Answer: a. Cheese
Concurrent use of calcium-containing products may prevent the absorption of
some fluoroquinolones like ciprofloxacin (Cipro).
3. Before administering a medication, the nurse checks a drug reference book or
pamphlet to obtain pertinent data. Which data should the nurse note?
(Select all that apply.)
, a. Contraindications
b. Half-life
c. Maximum effective concentration
d. Protein-binding effect
e. Therapeutic range
Answer: a. Contraindications
b. Half-life
d. Protein-binding effect
e. Therapeutic range
The nurse must be completely familiar with any medication he or she is
administering. Information needs to be obtained not only on the medication, but
also on the specific patient’s history. Drug reference books, drug
pamphlets/inserts, or a pharmacist may be consulted with questions.
4. A nurse counsels a patient with diabetes who is starting therapy with an alpha-
glucosidase inhibitor. The patient should be educated about the potential for which
adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
Answer: b. Flatulence
e. Diarrhea
5. A 22-year-old woman suffering from asthma was prescribed albuterol by inhalation.
Albuterol is a bronchodilating drug with a molecular w eight of 239 daltons. Which
of the following permeation processes most likely accounted for the transfer of the
drug through the bronchial mucosa?
, a. Aqueous diffusion
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Active transport
Answer: b. Lipid diffusion - is by far the most common transport system
of drugs across cell membranes. Because albuterol has a low molecular
weight, lipid diffusion most likely accounts for the transfer of albuterol
through the bronchial mucosa.
6. Which statement is correct about the contrast between acarbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction
b. With miglitol, sucrose can be used to treat hypoglycemia
c. Miglitol is less effective in African Americans
d. Miglitol has no gastrointestinal side effects
Answer: a. Miglitol has not been associated with hepatic dysfunction
7. A 51-year-old woman suffering from hyperthyroidism was administered an oral
solution of radioactive iodine to destroy her thyroid gland. Which of the follow ing
permeation processes most likely accounted for the transfer of the drug across the
thyroid cell membrane?
a. Active transport
b. Lipid diffusion
c. Facilitated diffusion
d. Endocytosis
e. Aqueous diffusion
Answer: a. Active transport –
About one fifth of the iodides ingested with foods are selectively rem oved from
the circulating blood by the Na+-dependent secondary active transport system
