Marshalltown Community College
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1. A patient receiving antibiotics for the treatment of a bacterial wound infection develops a 
secondary fungal infection. The patient asks you to explain why the fungal infection 
developed. What is your best response? 
a. “Antibiotics can upset the balance of normal flora and allow yeast or fungus to 
grow.” 
b. “Antibiotic resistance has allowed the bacteria in your wound to become a fungus.” 
c. “Genetic changes induced by antibiotics lead to this fungal infection.” 
d. “There...
1. Which neurotransmitter has an inhibitory action within the central nervous system? 
a. Epinephrine 
b. Acetylcholine 
c. Norepinephrine 
d. Gamma-aminobutyric acid 
ANS: D 
Neurotransmitters can be excitatory or inhibitory. Excitatory neurotransmitters include 
acetylcholine (Ach), epinephrine, and norepinephrine. Inhibitory neurotransmitters include 
dopamine, some types of serotonin, and GABA (gamma-aminobutyric acid). 
DIF: Cognitive Level: Knowing REF: p. 159 
2. How does the drug tolcapo...
1. Which drug category is useful in promoting sleep among patients with insomnia? 
a. Sedatives 
b. ACE inhibitors 
c. Atypical antipsychotics 
d. Selective serotonin reuptake inhibitors 
ANS: A 
Sedatives are drugs that have the main purpose of promoting sleep by changing signals in 
the central nervous system and reducing responses to stimulation. 
DIF: Cognitive Level: Knowing REF: p. 184 
2. You are preparing to give the benzodiazepine Valium to a patient as a premedication before 
surgery. ...
1. A patient diagnosed with hypothyroidism has been prescribed treatment with a thyroid 
hormone agonist. The patient asks you how long this drug will need to be taken. What is 
your best response? 
a. “You will need to take this drug for the rest of your life.” 
b. “You will need to take this drug until your symptoms improve.” 
c. “You will need to take this drug until your thyroid hormone level normalizes.” 
d. “You will need to take this drug incrementally until you reach the ma...
1. Which drug category is useful in promoting sleep among patients with insomnia? 
a. Sedatives 
b. ACE inhibitors 
c. Atypical antipsychotics 
d. Selective serotonin reuptake inhibitors 
ANS: A 
Sedatives are drugs that have the main purpose of promoting sleep by changing signals in 
the central nervous system and reducing responses to stimulation. 
DIF: Cognitive Level: Knowing REF: p. 184 
2. You are preparing to give the benzodiazepine Valium to a patient as a premedication before 
surgery. ...
1. Which statement about antiviral drugs is true? 
a. Antiviral drugs kill viruses by altering viral DNA. 
b. Antiviral drugs work by stopping viral replication. 
c. Antiviral drugs alter the host immune system. 
d. Antiviral drugs are considered virucidal. 
ANS: B 
Antiviral drugs must enter the infected cell and act at the site of infection to be effective. 
Antivirals do not kill the virus but rather stop viral reproduction. This action means that all 
antivirals are only virustatic, not viru...
Chapter 09: Drug Therapy for Central Nervous System Problems 
Visovsky: Introduction to Clinical Pharmacology, 9th Edition 
MULTIPLE CHOICE 
1. Which neurotransmitter has an inhibitory action within the central nervous system? 
a. Epinephrine 
b. Acetylcholine 
c. Norepinephrine 
d. Gamma-aminobutyric acid 
ANS: D 
Neurotransmitters can be excitatory or inhibitory. Excitatory neurotransmitters include 
acetylcholine (Ach), epinephrine, and norepinephrine. Inhibitory neurotransmitters include 
do...
1. Which body system works with the renal/urinary system to maintain fluid balance and 
remove waste products from the body? 
a. Biliary system 
b. Cardiovascular system 
c. Central nervous system 
d. Gastrointestinal system 
ANS: B 
The renal/urinary system works together with the cardiovascular system to maintain 
adequate circulation to all parts of the body. The interactions between these two systems 
help maintain fluid balance, delivery of nutrients, and removal of waste products from cell...
Chapter 05: Anti-infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents 
Visovsky: Introduction to Clinical Pharmacology, 9th Edition 
MULTIPLE CHOICE 
1. A patient receiving antibiotics for the treatment of a bacterial wound infection develops a 
secondary fungal infection. The patient asks you to explain why the fungal infection 
developed. What is your best response? 
a. “Antibiotics can upset the balance of normal flora and allow yeast or fungus to 
grow.” 
b. “Antibioti...
Chapter 02: Legal, Regulatory, and Ethical Aspects of Drug Administration 
Visovsky: Introduction to Clinical Pharmacology, 9th Edition 
MULTIPLE CHOICE 
1. Which of the following scenarios may be a sign of possible drug diversion on a unit? 
a. A patient is dissatisfied with the drug administration schedule. 
b. A patient receiving oral antibiotics has an excess amount of pills. 
c. A patient is unaware that the nurse mixed a drug in applesauce. 
d. A patient receiving opioids reports increased...