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,Chapter 1. History of Pharmacology Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effe
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ctive if the patient includes which of the following foods in his daily menus?
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A. Broccoli and kiwi br br br
B. Oranges and sweet potatoes br br br br
C. Kale and cucumbers D. Bananas and melon br br br br br br br
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖ Wh
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ich of the following responses by the nurse is best?
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A. ―Most insulin comes from animal sources, but I’m sure alternative options are available.‖ br br br br br br br br br br br br br
B. ―Medications that are derived from animals are typically less expensive than synthetic medicatio br br br br br br br br br br br br
ns, but synthetic insulin is commonly available.‖ br br br br br br br
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ br br br br br br br br br br br br br
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖ br br br br br br br br br br br br br br br
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlorid
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e and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
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A. A 48-year-old Caucasian male diagnosed with atrial fibrillation br br br br br br br br
B. A 55-year-old African American female diagnosed with hypertension br br br br br br br br
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome br br br br br br br br br
D. A 64-year-old African American male diagnosed with heart failure br br br br br br br br br
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ord
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ered 30 minutes pre-
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operatively. The nurse knows that teaching has been effective by which of the following client statements?
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A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖ br br br br br br br br br br br br br br br br
B. ―This is a palliative medication to help ease the pain from surgery.‖ br br br br br br br br br br br br
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during surg br br br br br br br br br br br br br br br
ery.‖ br
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖ br br br br br br br br br br br br br br
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medicati
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ons to be included in the patient’s medication list?
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A. Levothyroxine sodium (Synthroid) br br br
B. Estrogen (Estradiol) br br
C. Iodine 131 br br
D. Carbimazole (Methimazole) br br
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6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
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old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal trac
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t. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the br br br br br br br br br br br br br br br br br
test.‖ br
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
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C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlight a
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ny digestive problems.‖
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, D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
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7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
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recently admitted with metastatic disease. While reviewing the patient’s medication list, the student w
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ould categorize which of the following medications as palliative in nature?
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A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 br br br br br br br br br br
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days br br br br br br br br br br
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy br br br br br br br br
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain br br br br br br br br br br br br br
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of
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the following statements by the individual indicates an understanding of the medication’s origin?
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A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
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B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
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C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ br br br br br br br br br br br br br
D. ―I think harvesting medicines from cows seems rather odd.‖ br br br br br br br br br
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
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year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tomo
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graphy (CAT) scan br br br
B. Magnetic resonance imaging (MRI) br br br br
C. Colonoscopy br
D. Thyroid scan br br
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Multiple Response br br
Identify one or more choices that best complete the statement or answer the question.
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1. While working with patients in home care, a nurse becomes interested in additional ways to support pat
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ient healing and comfort. Which of the following is recognized as an alternative therapy? (Select all t
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hat apply.) br br
A. Acupuncture br
B. Aromatherapy br
C. Therapeutic touch br br
D. Stem cell treatment br br br
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E. Vegetarianism br
F. Acupressure br
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Chapter 1. History of Pharmacology Answer
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Section
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MULTIPLE CHOICE br br
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1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
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NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water throu
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gh the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet
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potatoes, bananas, and oranges. br br br br
2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is m
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ost commonly used. This change occurred because of concern over the possible transmission of diseases from
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animals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
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3. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
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KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
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NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat Africa
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n American patients with heart failure.
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4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as an
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tibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
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5. ANS: A br br
Difficulty Level: Easy br br br
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PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLE
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X Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levot
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hyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to wome
br br br br br br br br br br br br br br br br
n once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormaliti
br br br br br br br br br br br br br br br br
es. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
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6. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Diagnostic contrast
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MSC: NCLEX Category: Reduction of Risk Potential
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NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patients s
br br br br br br br br br br br br br br br br br
wallow to help highlight digestive problems on radiograph.
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7. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Narcotics
br KEY: Analysis br br br br br
MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but the
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y make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic
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agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while o
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ndansetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.
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8. ANS: B PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Hormonal therapy
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MSC: NCLEX Category: Pharmacological Therapies
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NOT: See Sources of Drugs (p. 6): Cows and pigs are good sources of hormone replacements, but conjugated
br br br br br br br br br br br br br br br br br br
estrogen (Premarin) comes from a pregnant mare’s urine.
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9. ANS: D PTS: 1 DIF: Moderate TOP: Therapeutic Classification: NA
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KEY: Application MSC: NCLEX Category: Pharmacological Therapies
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,Chapter 1. History of Pharmacology Multiple Choice
br br br br br br br
Identify the choice that best completes the statement or answers the question.
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br
1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effe
br br br br br br br br br br br br br br br br br
ctive if the patient includes which of the following foods in his daily menus?
br br br br br br br br br br br br br br
A. Broccoli and kiwi br br br
B. Oranges and sweet potatoes br br br br
C. Kale and cucumbers D. Bananas and melon br br br br br br br
2. A client newly diagnosed with diabetes tells the nurse, ―I can’t take any insulin made from pigs or cows.‖ Wh
br br br br br br br br br br br br br br br br br br br
ich of the following responses by the nurse is best?
br br br br br br br br br br
A. ―Most insulin comes from animal sources, but I’m sure alternative options are available.‖ br br br br br br br br br br br br br
B. ―Medications that are derived from animals are typically less expensive than synthetic medicatio br br br br br br br br br br br br
ns, but synthetic insulin is commonly available.‖ br br br br br br br
C. ―Most insulin is synthetic now to help reduce the risk of disease transmission.‖ br br br br br br br br br br br br br
D. ―The animals aren’t hurt in the production of medications, so you don’t need to worry.‖ br br br br br br br br br br br br br br br
3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochlorid
br br br br br br br br br br br br br br
e and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients?
br br br br br br br br br br br br br br br br
A. A 48-year-old Caucasian male diagnosed with atrial fibrillation br br br br br br br br
B. A 55-year-old African American female diagnosed with hypertension br br br br br br br br
C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome br br br br br br br br br
D. A 64-year-old African American male diagnosed with heart failure br br br br br br br br br
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ord
br br br br br br br br br br br br br br br br
ered 30 minutes pre-
br br br
operatively. The nurse knows that teaching has been effective by which of the following client statements?
br br br br br br br br br br br br br br br br
A. ―The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.‖ br br br br br br br br br br br br br br br br
B. ―This is a palliative medication to help ease the pain from surgery.‖ br br br br br br br br br br br br
C. ―This medication will replace vitamins and minerals that may be lost due to bleeding during surg br br br br br br br br br br br br br br br
ery.‖ br
D. ―This medication will help the surgeon identify areas of bone destruction due to arthritis.‖ br br br br br br br br br br br br br br
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medicati
br br br br br br br br br br br br br br br br br
ons to be included in the patient’s medication list?
br br br br br br br br br
A. Levothyroxine sodium (Synthroid) br br br
B. Estrogen (Estradiol) br br
C. Iodine 131 br br
D. Carbimazole (Methimazole) br br
br
br
br
6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-
br br br br br br br br br br br br br br br br
old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal trac
br br br br br br br br br br br br br br br br br
t. Which of the following statements would the nurse include in the client’s teaching?
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A. ―You will need to drink a large amount of prep to clear out your system before the br br br br br br br br br br br br br br br br br
test.‖ br
B. ―It is important that you be given a prophylactic medication to prevent aspiration during the test.‖
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r
C. ―You will be asked to drink a barium contrast about 30 minutes before the test to help highlight a
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ny digestive problems.‖
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, D. ―You will be given a sedative to help make you sleepy during the testing procedure.‖
br br br br br br br br br br br br br br br
7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was
br br br br br br br br br br br br br br br br
recently admitted with metastatic disease. While reviewing the patient’s medication list, the student w
br br br br br br br br br br br br br
ould categorize which of the following medications as palliative in nature?
br br br br br br br br br br br
A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 br br br br br br br br br br
B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days br br br br br br br br br br
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy br br br br br br br br
D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain br br br br br br br br br br br br br
8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of
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the following statements by the individual indicates an understanding of the medication’s origin?
r br br br br br br br br br br br br br
A. ―I’m against animal cruelty, so I don’t want to take anything made from animal flesh.‖
br br br br br br br br br br br br br br br
B. ―I was told the medication is actually derived from the urine of pregnant horses.‖
br br br br br br br br br br br br br br
C. ―Because I’m Jewish, I can’t take the medication since it comes from pigs.‖ br br br br br br br br br br br br br
D. ―I think harvesting medicines from cows seems rather odd.‖ br br br br br br br br br
9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-
br br br br br br br br br br br br br br br br br
year-
old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tomo
br br br br br br br br br br br br br br br br br br
graphy (CAT) scan br br br
B. Magnetic resonance imaging (MRI) br br br br
C. Colonoscopy br
D. Thyroid scan br br
br
Multiple Response br br
Identify one or more choices that best complete the statement or answer the question.
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br
1. While working with patients in home care, a nurse becomes interested in additional ways to support pat
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ient healing and comfort. Which of the following is recognized as an alternative therapy? (Select all t
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hat apply.) br br
A. Acupuncture br
B. Aromatherapy br
C. Therapeutic touch br br
D. Stem cell treatment br br br
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br
E. Vegetarianism br
F. Acupressure br
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Chapter 1. History of Pharmacology Answer
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Section
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MULTIPLE CHOICE br br
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1. ANS: B PTS: 1 DIF: Moderate TOP: Therapeutic Classification: Diuretic
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KEY: Application MSC: NCLEX Category: Basic Care and Comfort
br br br br br br br br br
NOT: See Minerals (p. 7): Diuretic drugs such as furosemide (Lasix) cause the body to lose excess water throu
br br br br br br br br br br br br br br br br br br
gh the kidneys, and potassium, a vital mineral is also excreted with the water. Potassium is contained in sweet
br br br br br br br br br br br br br br br br br br br
potatoes, bananas, and oranges. br br br br
2. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Anti-diabetic medication
br KEY: Analysis br br br br br br
MSC: NCLEX Category: Pharmacological Therapies
br br br br br
NOT: See Synthetic Medications (p. 8): Insulin can be obtained from pigs or cows, but a synthetic source is m
br br br br br br br br br br br br br br br br br br br
ost commonly used. This change occurred because of concern over the possible transmission of diseases from
br br br br br br br br br br br br br br br br
animals to humans. Synthetic medications are usually more inexpensive because they are mass produced.
br br br br br br br br br br br br br br
3. ANS: D PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Combination drug (diuretic/nitrate)
br br br br br br
KEY: Analysis MSC: NCLEX Category: Pharmacologic and Parenteral Therapy
br br br br br br br br br
NOT: See Synthetic medications (p. 8). BiDil is a combination of two generic drugs and is used to treat Africa
br br br br br br br br br br br br br br br br br br br
n American patients with heart failure.
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4. ANS: A PTS: 1 DIF: Easy
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TOP: Therapeutic Classification: Antibiotics
br KEY: Analysis br br br br br
MSC: NCLEX Category: Pharmacological Therapies
br br br br br
NOT: See Categorizing Medications (p. 8): Prophylactic medications are given to prevent problems such as an
br br br br br br br br br br br br br br br
tibiotics given before surgery to prevent infection. Example of cefazolin is listed in Table 1.2.
br br br br br br br br br br br br br br br
5. ANS: A br br
Difficulty Level: Easy br br br
br
PTS: 1 DIF: Easy TOP: Therapeutic Classification: Replacement hormones KEY: Knowledge MSC: NCLE
brbrbr br br br br br br br br br br br
X Category: Pharmacological Therapies
br br br br
NOT: See Categorizing Medications (p. 9): Replacement drugs are given to replace missing substances. Levot
br br br br br br br br br br br br br br
hyroxine sodium (Synthroid) is a drug that replaces missing thyroid hormone. Estrogen may be given to wome
br br br br br br br br br br br br br br br br
n once they enter menopause. Iodine 131 is a radioactive medication used to help diagnose thyroid abnormaliti
br br br br br br br br br br br br br br br br
es. Carbimazole is used to inhibit the production of thyroid hormone to treat hyperthyroidism.
br br br br br br br br br br br br br br
6. ANS: C PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Diagnostic contrast
br KEY: Analysis br br br br br br
MSC: NCLEX Category: Reduction of Risk Potential
br br br br br br br
NOT: See Categorizing Medications (p. 8): Some drugs help diagnose a disease such as barium that patients s
br br br br br br br br br br br br br br br br br
wallow to help highlight digestive problems on radiograph.
br br br br br br br br
7. ANS: D PTS: 1 DIF: Moderate
br br brbrbr br br br
TOP: Therapeutic Classification: Narcotics
br KEY: Analysis br br br br br
MSC: NCLEX Category: Pharmacological Therapies
br br br br br
NOT: See Categorizing Medications (p. 8): Palliative drugs, such as pain relievers, do not cure disease, but the
br br br br br br br br br br br br br br br br br
y make patients more comfortable. Morphine is listed as an example in Table 1.2. Cisplatin is an antineoplastic
br br br br br br br br br br br br br br br br br
agent and sorafenib is a biologic agent; both are designed to treat the cancer (destructive medications), while o
br br br br br br br br br br br br br br br br br br
ndansetron is given in a prophylactic measure to prevent nausea and vomiting related to the chemotherapy.
br br br br br br br br br br br br br br br br
br
br
br
8. ANS: B PTS: 1 DIF: Moderate
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TOP: Therapeutic Classification: Hormonal therapy
br KEY: Analysis br br br br br br
MSC: NCLEX Category: Pharmacological Therapies
br br br br br
NOT: See Sources of Drugs (p. 6): Cows and pigs are good sources of hormone replacements, but conjugated
br br br br br br br br br br br br br br br br br br
estrogen (Premarin) comes from a pregnant mare’s urine.
br br br br br br br br
9. ANS: D PTS: 1 DIF: Moderate TOP: Therapeutic Classification: NA
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KEY: Application MSC: NCLEX Category: Pharmacological Therapies
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