MARYVILLE UNIVERSITY: NURS615 PHARM EXAM 1 COMPLETE QUESTIONS & n n n n n n n n
ANSWERS (100% VERIFIED SOLUTIONS)2025/2026 UPDATE n n n n n
Clinical Judgement - CORRECT ANSWER -Conclusion/opinion at which a nurse arrives following a
n n n n n n n n n n n n
process of observation, reflection, & analysis of observable or available information or data.
n n n n n n n n n n n n n
*must gather data to make diagnosis, must have diagnosis to select and start treatment
n n n n n n n n n n n n n
WHO 6-Step Model of Rational Prescribing - CORRECT ANSWER -1. Define patient's problem (diagnose)
n n n n n n n n n n n n n
2. Specify the therapeutic objective (goal) n n n n
3. Choose treatment n
4. Start treatment n
5. Educate the patient n n
6. Monitor the effectiveness n n
Criteria for choosing an effective drug
n n n n n
"I Can PresCribe A Drug" Mnemonic - CORRECT ANSWER -I=indication C=contraindication
n n n n n n n n n n
P=precautions
C=cost/compliance
E=efficacy
n
A=adverse effects n
n D=dose/duration/direction
Role of FDA - CORRECT ANSWER -Ensures the safety, efficacy, and security of human and
n n n n n n n n n n n n n n
veterinary drugs, biological products, and medical devices. As well as food, cosmetics, and products
n n n n n n n n n n n n n n
that emit radiation.
n n n
,What is the role of the FDA in regard to supplements and vitamins? - CORRECT ANSWER -Does NOT
n n n n n n n n n n n n n n n n n
protect or ensure the safety of supplements and vitamins. They have certain rules, but they aren't as
n n n n n n n n n n n n n n n n n
stringent like they are for drugs.
n n n n n n
What can St. John's wort interact with? - CORRECT ANSWER -SSRI, CNS drugs, MAOI, SSNRI, steroids,
n n n n n n n n n n n n n n n
caffeine, and anticoagulants.
n n n
Off-label prescribing - CORRECT ANSWER -medication is being used in a manner not specified in the
n n n n n n n n n n n n n n n
FDAs approved packaging label/insert.
n n n n
*different route, dose, or indication n n n n
Pharmacotherapeutics - CORRECT ANSWER -study of therapeutic uses and effects of drugs. n n n n n n n n n n n
Beneficial and adverse drug reactions.
n n n n n
Pharmacodynamics - CORRECT ANSWER -what the drug does to the body n n n n n n n n n n
Agonist - CORRECT ANSWER -binds to a receptor & produces a response/stimulates (full
n n n n n n n n n n n n
activation)
n
Antagonist - CORRECT ANSWER -Binds & blocks activity (no activation)
n n n n n n n n n
Can a drug be an agonist and antagonist? - CORRECT ANSWER -Yes. In this case, they do both actions
n n n n n n n n n n n n n n n n n n
to have less activation, versus full or no activation.
n n n n n n n n n
Pharmacokinetics - CORRECT ANSWER -what the body does to the drug (ADME) n n n n n n n n n n n
What is ADME in pharmacokinetics? - CORRECT ANSWER -absorption, distribution, metabolism,
n n n n n n n n n n
excretion
n
, Absorption - CORRECT ANSWER -first step, occurs after medication administration
n n n n n n n n n
What does absorption depend on? - CORRECT ANSWER -routes of administration, pH and
n n n n n n n n n n n n
membrane penetration
n n
What percentage of rectal drugs go through first-pass metabolism? - CORRECT ANSWER -50%
n n n n n n n n n n n n
Membrane penetration involves what? - CORRECT ANSWER -lipid solubility and ionization
n n n n n n n n n n
How does pH affect absorption? - CORRECT ANSWER -If the pH of the stomach is altered, in oral
n n n n n n n n n n n n n n n n n
medication administration, the medication can be absorbed too soon or not soon enough.
n n n n n n n n n n n n n
Why can't you crush enteric coated medications? - CORRECT ANSWER -This interferes with absorption, it
n n n n n n n n n n n n n n
will not absorb where intended.
n n n n n
Ionization - CORRECT ANSWER -the charge of the molecule/drug. Ionized
n n n n n n n n n
n = charged (polar)
n n
non-ionized = uncharged (non-polar) n n n
Lipophilic - CORRECT ANSWER -*Lipid loving, uncharged (non-polar/non-ionized), small in size.
n n n n n n n n n n
*crosses membranes more easily than hydrophilic
n n n n n
How do lipophilic drugs cross membranes? - CORRECT ANSWER -Passive diffusion. Most cell membranes
n n n n n n n n n n n n n
are lipophilic, making it easier for lipophilic drugs to cross.
n n n n n n n n n n
ANSWERS (100% VERIFIED SOLUTIONS)2025/2026 UPDATE n n n n n
Clinical Judgement - CORRECT ANSWER -Conclusion/opinion at which a nurse arrives following a
n n n n n n n n n n n n
process of observation, reflection, & analysis of observable or available information or data.
n n n n n n n n n n n n n
*must gather data to make diagnosis, must have diagnosis to select and start treatment
n n n n n n n n n n n n n
WHO 6-Step Model of Rational Prescribing - CORRECT ANSWER -1. Define patient's problem (diagnose)
n n n n n n n n n n n n n
2. Specify the therapeutic objective (goal) n n n n
3. Choose treatment n
4. Start treatment n
5. Educate the patient n n
6. Monitor the effectiveness n n
Criteria for choosing an effective drug
n n n n n
"I Can PresCribe A Drug" Mnemonic - CORRECT ANSWER -I=indication C=contraindication
n n n n n n n n n n
P=precautions
C=cost/compliance
E=efficacy
n
A=adverse effects n
n D=dose/duration/direction
Role of FDA - CORRECT ANSWER -Ensures the safety, efficacy, and security of human and
n n n n n n n n n n n n n n
veterinary drugs, biological products, and medical devices. As well as food, cosmetics, and products
n n n n n n n n n n n n n n
that emit radiation.
n n n
,What is the role of the FDA in regard to supplements and vitamins? - CORRECT ANSWER -Does NOT
n n n n n n n n n n n n n n n n n
protect or ensure the safety of supplements and vitamins. They have certain rules, but they aren't as
n n n n n n n n n n n n n n n n n
stringent like they are for drugs.
n n n n n n
What can St. John's wort interact with? - CORRECT ANSWER -SSRI, CNS drugs, MAOI, SSNRI, steroids,
n n n n n n n n n n n n n n n
caffeine, and anticoagulants.
n n n
Off-label prescribing - CORRECT ANSWER -medication is being used in a manner not specified in the
n n n n n n n n n n n n n n n
FDAs approved packaging label/insert.
n n n n
*different route, dose, or indication n n n n
Pharmacotherapeutics - CORRECT ANSWER -study of therapeutic uses and effects of drugs. n n n n n n n n n n n
Beneficial and adverse drug reactions.
n n n n n
Pharmacodynamics - CORRECT ANSWER -what the drug does to the body n n n n n n n n n n
Agonist - CORRECT ANSWER -binds to a receptor & produces a response/stimulates (full
n n n n n n n n n n n n
activation)
n
Antagonist - CORRECT ANSWER -Binds & blocks activity (no activation)
n n n n n n n n n
Can a drug be an agonist and antagonist? - CORRECT ANSWER -Yes. In this case, they do both actions
n n n n n n n n n n n n n n n n n n
to have less activation, versus full or no activation.
n n n n n n n n n
Pharmacokinetics - CORRECT ANSWER -what the body does to the drug (ADME) n n n n n n n n n n n
What is ADME in pharmacokinetics? - CORRECT ANSWER -absorption, distribution, metabolism,
n n n n n n n n n n
excretion
n
, Absorption - CORRECT ANSWER -first step, occurs after medication administration
n n n n n n n n n
What does absorption depend on? - CORRECT ANSWER -routes of administration, pH and
n n n n n n n n n n n n
membrane penetration
n n
What percentage of rectal drugs go through first-pass metabolism? - CORRECT ANSWER -50%
n n n n n n n n n n n n
Membrane penetration involves what? - CORRECT ANSWER -lipid solubility and ionization
n n n n n n n n n n
How does pH affect absorption? - CORRECT ANSWER -If the pH of the stomach is altered, in oral
n n n n n n n n n n n n n n n n n
medication administration, the medication can be absorbed too soon or not soon enough.
n n n n n n n n n n n n n
Why can't you crush enteric coated medications? - CORRECT ANSWER -This interferes with absorption, it
n n n n n n n n n n n n n n
will not absorb where intended.
n n n n n
Ionization - CORRECT ANSWER -the charge of the molecule/drug. Ionized
n n n n n n n n n
n = charged (polar)
n n
non-ionized = uncharged (non-polar) n n n
Lipophilic - CORRECT ANSWER -*Lipid loving, uncharged (non-polar/non-ionized), small in size.
n n n n n n n n n n
*crosses membranes more easily than hydrophilic
n n n n n
How do lipophilic drugs cross membranes? - CORRECT ANSWER -Passive diffusion. Most cell membranes
n n n n n n n n n n n n n
are lipophilic, making it easier for lipophilic drugs to cross.
n n n n n n n n n n
