Pharmacology Clear and Simple, 5th Edition (Watkins, 2025)
Chapter 1. A Brief History of Pharmacology
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MULTIPLE CHOICE km
1. Which term best describes the process of utilizing genetic information to dev
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elop pharmacological agents to treat diseases?
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a. Partially synthesized km
b. Pharmacogenetics
c. Totally synthesized km
d. Scientific metho km
d ANS:
km k m B
Feedback
A Partially synthesized refers to medications made by adding a pure chemical to
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kma natural substance.
km km
B Pharmacogenetics is the study of individual candidate genes as powerful tools km km km km km km km km km km k
mto explain interindividual variability in drug response.
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C Totally synthesized refers to medications made by combining two or more pu
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re chemicals to produce a new substance that could be used as a medication.
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D Scientific method refers to the process of using hypothesis, testing, and obser
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vation to make deductions. km km km
PTS: 1 REF: 5
2. A client has been prescribed diuretic therapy to treat fluid volume excess and wants to
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know if any dietary modifications are necessary. Which of the following responses by
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the nurse is best?
km km km
a. ―There is no need for any dietary modification as long as you eat a well-
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balanced diet.‖ km
b. ―As long as you take the medication as prescribed, there should be no di
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etary modifications needed.‖ km km
c. ―I need to verify the medication order in order to provide you with information.‖
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d. ―As long as you consume eight glasses of water a day, you will be able to r
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eplace all fluid losses.‖ km km km
ANS: kmkm C
Feedback
A There are several types of diuretic medications that have different mechanis
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ms of action; therefore, this statement is not accurate. It is critical to know
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the
km
specific type of diuretic therapy that is prescribed in order to provide a logic
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al response.
km
B Diuretic therapy is aimed at fluid reduction, and depending on the type of
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diuretic therapy, electrolyte loss can also occur. This takes place based on t
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he mechanism of action for the prescribed therapy. This is not an accurate
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mstatement.
C The nurse should verify the medication order to find out what type of diureti
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c therapy has been prescribed. For example, furosemide is a loop diuretic th
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at
1 | P a g
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e
, TestkmBankkm-
Pharmacology Clear and Simple, 5th Edition (Watkins, 2025)
leads to fluid and potassium excretion, which in turn would require potassium
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supplementation.
km
D Depending on the type of medication/mechanism of action, this is not an a
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ccurate statement, as this fluid intake will not be able to replace all fluid lo
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sses.
PTS: 1 REF: 8
3. The nurse is taking care of a patient who has thyroid disease. What type of m
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ineral medication does the nurse anticipate that the health-
km km km km km km km km
care provider will order?
km km km
a. Potassium
b. Magnesium sulfate km
c. Gold
d. Iodine
km ANS: k m
D
Feedback
A Potassium is used to regulate fluid balance, maintain cardiac function, and
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promote bone health. km km
B Magnesium sulfate is used in the treatment of constipation and eclampsia.
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C Gold is used in the treatment of arthritis.
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D Iodine is used to treat goiters.
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PTS: 1 REF: 7
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides
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mcefazolin as ordered 30 minutes preoperatively. Which statement indicates that teachin
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g has been effective?
km km km
a. ―This antibiotic is given as a prophylactic to help reduce the risk of infection
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after surgery.‖
m km
b. ―This is a palliative medication to help ease the pain from surgery.‖
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c. ―This medication will replace vitamins and minerals that may be lost due to
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bleeding during surgery.‖ km km
d. ―This medication will help the surgeon identify areas of bone destruction d
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ue to arthritis.‖
km km
ANS: kmkm A
Feedback
A This medicationkm km is an example of an antibiotic used before surgery to prevent
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infection.
km
B This medicationkm km is an antibiotic and does not provide pain relief.
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C This medicationkm km is an antibiotic and does not replace vitamins and minerals.
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D This medicationkm km is an antibiotic and does not assist in the identification of bo
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ne destruction.
km
PTS: 1 REF: 8
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Pharmacology Clear and Simple, 5th Edition (Watkins, 2025)
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of th
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e
following medications to be included in the patient’s medication list?
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a. Levothyroxine sodium km
b. Estrogen
c. Iodine 131 km
d. Carbimazole
ANS:
km k m A
Feedback
A This medication replaces thyroid hormone in individuals who have low leve
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ls due to hypothyroidism.
km km km
B This medication is used as hormone replacement, often for women in meno
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pause.
C Iodine 131 is used in the diagnosis, not treatment, of thyroid conditions.
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D Carbimazole is used to reduce thyroid hormone production in individuals who
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mexperience hyperthyroidism. km
PTS: 1 REF: 8
6. An oncology patient is admitted to the nursing unit under hospice care. Which medic
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ation should the nurse anticipate that the health-care provider will order?
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a. Prophylactic antibiotics km
b. Diagnostic medication km
c. Palliative therapy km
d. Curative therap km
y ANS:
km k m C
Feedback
A Hospice care indicates that the patient’s condition is terminal; therefore,
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prophylactic antibiotics would not be indicated. km km km km km
B Hospice care indicates that the patient’s condition is terminal; therefore, dia
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gnostic medications/procedures would not be indicated.
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C Palliative therapy is indicated for the care and treatment of terminal patients.
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D Hospice care indicates that the patient’s condition is terminal; therefore, there
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is
m
no curative therapy available.
km km km
PTS: 1 REF: 8
7. A patient is scheduled for diagnostic testing, Which medication should the nurse antic
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ipate that the health-care provider would order?
km km km km km km
a. Estrogen
b. Penicillin (PCN) km
c. Naloxone
d. Barium sulfat km
e ANS:
km k m D
Feedback
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