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Pharmacology Exam with 100% correct answers 2024
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The nurse is caring for a woman who has strong beliefs about not putting anything unnatural into her body. It is most accurate to say that most modern medications are A. Natural products derived from plants B. Natural products derived from minerals C. Synthetic products manufactured in laborato...

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  • August 19, 2024
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  • 2024/2025
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Pharmacology Exam 1

The nurse is caring for a woman who has strong beliefs about not putting anything
unnatural into her body. It is most accurate to say that most modern medications are
A. Natural products derived from plants
B. Natural products derived from minerals
C. Synthetic products manufactured in laboratories
D. Synthetic modification of natural products correct answers C. Synthetic products
manufactured in laboratories

A nurse practitioner (NP) has just changed a patient's medication from an oral form to a
patch to avoid first-pass effect. The NP has explained it to the patient, but the patient
still has questions and asks the nurse to explain it again. The most accurate explanation
would be...
A. Drugs initially bind to plasma proteins
B. Initial renal function is involved in drug excretion
C. The way drugs first reach their target cells
D. Initial metabolism of an oral drug occurs before it reaches the systemic circulation
correct answers D. Initial metabolism of an oral drug occurs before it reaches the
systemic circulation

The nurse is taking care of a man who is confused about the different medications he is
prescribed. He notes that some of the drug names have changed over the course of
time he has been taking them. When counseling him, it is important to keep the
following statement in mind:
A. A drug can belong to only one group of classification
B. A prototype drug is the standard by which similar drugs are compared
C. Drug groups and prototypes change frequently, and knowledge about the prototype
can't guide knowledge about other drugs in the same class
D. The generic name of the drug changes among manufacturers correct answers B. A
prototype drug is the standard by which similar drugs are compared

In understanding the use of controlled substances for patients, it is important that the
nurse knows that controlled drugs are
A. Categorized according to prescription or nonprescription status
B. Regulated by state and local laws more than federal laws
C. Those that must demonstrate high standards of safety
D. Scheduled according to medical use and potential for abuse correct answers D.
Scheduled according to medical use and potential for abuse

A patient is asking what the difference is between and prescription for 800 mg of a
medication that be purchased on a OTC basis as a 200-mg tablet. To address this
issue, it is important that the nurse knows that OTC drugs

,A. Are considered safe for any consumer to use
B. Are not available for treatment of most commonly occurring symptoms
C. Often differ in indications for use and recommended dosages from their prescription
version
D. Are paid for by most insurance policies correct answers C. Often differ in indications
for use and recommended dosages from their prescription version

A man is very upset with a drug recall of a medication he has been taking for a long
time. He states that he feels like he can no longer trust anyone to protect him. In
response to his questions about the process of drug development, it is important to
know that with a new drug, the FDA is responsible for
A. Testing the drug with animal
B. Testing the drug with healthy people
C. Marketing the drug to health care providers
D. Evaluating the drug for safety and effectiveness correct answers D. Evaluating the
drug safety and effectiveness

Error-reduction strategies during medication administration include
A. Quiet zone signs at entrance to the medication room
B. Protocols and checklist outlining medication administration
C. Wearing of a sash or vest to signal others to avoid interruptions of the nurse during
medication administration
D. Carrying several patients' prescanned medications on a tray correct answers B.
Protocols and checklist outlining medication administration

A nurse is reading a research report about the use of a medication that describes the
pharmacokinetics of a particular medication that a patient is taking. Pharmacokinetics
involves
A. Drug effects on human cells
B. Drug binding to receptors
C. Drug absorption, distribution, metabolism, and elimination
D. Drug stimulation of normal cell function correct answers C. Drug absorption,
distribution, metabolism, and elimination

A nurse is caring for a man who has worsening liver disease. In monitoring his
medication, it is important to know that a patient with liver disease may have impair drug
A. Absorption
B. Distribution
C. Metabolism
D. Excretion correct answers C. Metabolism

A nurse is looking up information about the effects of a drug on different receptors.
Characteristics of receptors include which of the following?
A. They are carbohydrates located in cell membranes or inside the cell
B. They are constantly synthesized and degraded in the body
C. They bind with molecules of any drug circulating in the bloodstream

,D. They regulate the actions of all drugs correct answers D. They regulate actions of all
drugs

A patient with an overdose of an oral drug usually receives which of the following?
A. Specific antidote
B. Activated charcoal
C. Syrup of ipecac
D. Strong Laxative correct answers A. Specific Antidote

The mother of a 14-month-old girl calls a nurse working in a pediatric clinic and reports
that her daughter ingested an unknown number of sleeping pills about 4 hours ago and
is now drowsy. The mother asks what she should do. The best response to give to the
mother is
A. "Administer a dose of syrup of ipecac to ensure vomiting"
B. "Call the Poison Control Center immediately"
C. "Administer a strong laxative and observe for a response"
D. "Call 911 to transport your daughter to the nearest emergency department" correct
answers B. "Call the Poison Control Center immediately"

A physician writes an order using the abbreviations MS. The order states "MS 10 mg IV
push every 6 hours as needed for pain". According to the Joint Commission's "Do Not
Use" list, what is the potential problem in this order?
A. The order doesn't include a dosage
B. The drug could be magnesium sulfate or morphine sulfate
C. The potential problem is minimal, and the order is clear
D. The order does not include the route correct answers B. The drug could be
magnesium sulfate or morphine sulfate

A prescriber has written an order for an oral medication to a patient following a
cerebrovascular accident. Prior to administering the medication, which of the following
nursing interventions is most important?
A. Allowing the patient to take the medication with thickened liquids
B. Placing the patient in the sitting position
C. Assessing the patients BP and pulse
D. Assessing the patients ability to swallow correct answers D. Assessing the patients
ability to swallow

A nurse is administering an elixir. Which of the following measures is appropriate?
A. Microgram
B. Milligram
C. Milliliter
D. Kilogram correct answers A. Microgram

A prescriber has written an order for levothyroxine sodium 50 mg per day by mouth. The
nurse knows the standard dose is 50 mcg. What action should the nurse take?
A. Call the prescriber and question the order

, B. Administer 50 mcg instead
C. Consult the pharmacist about the order
D. Ask the patient what he or she usually takes correct answers C. Consult the
pharmacist about the order

The nurse is administering the first dose of an anti-infective agent. Which of the
following assessments should the nurse make prior to administering the anti-infective
agent?
A. Assessing temperature
B. Assessing level of consciousness
C. Assess whether the patient is allergic to any anti-infective agents
D. Assess whether the patient has taken the medication previously correct answers C.
Assess whether the patient is allergic to any anti-infective agents

Which of the following nursing actions will prevent adverse drug events?
A. Use only the trade names when documenting medications
B. Crush long-acting medications if the patient has dysphagia
C. After receiving a verbal order, administer the medications and then write down the
order
D. Use bar code technology according to institution policy correct answers D. Use bar
code technology according to institution policy

The nurse has administered lacosamide to the wrong patient. What is the first action the
nurse should take?
A. Assess the patient's vital signs and level of consciousness
B. Notify the physician
C. Fill out an incident report
D. Call the respiratory therapist for administration of oxygen correct answers A. Assess
the patient's vital signs and level of consciousness

A patient is to receive lamotrigine 300 mg by mouth two times per day. The pharmacy
has delivered 50-mg tablets. How many tablets should the nurse administer each time?
A. 2 Tablets
B. 4 Tablets
C. 6 Tablets
D. 8 Tablets correct answers C. 6 Tablets

A nurse is preparing to administer a subcutaneous injection. What size of needle should
the nurse use to administer the injection?
A. 18 gauge
B. 20 gauge
C. 23 gauge
D. 25 gauge correct answers D. 25 gauge

A patient is to receive an intramuscular injection of ketorolac. Which of the following
muscles should be avoided?

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