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Quiz 1 - questions and answers

Pharmacology In Nursing (Ohio University)

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Pharm Quiz #1

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. The patient’s ability to swallow
b. The patient’s height
c. The patient’s last meal
d. The patient’s allergies

____ 2. When administering a new medication to a patient, the nurse reads that it
is highly protein bound. Assuming that the patient’s albumin levels are normal, the nurse
would expect which result, as compared to a medication that is not highly protein bound?
a. Renal excretion will be faster.
b. The drug will be metabolized quickly.
c. The duration of action of the medication
will be shorter.
d. The duration of action of the medication
will be longer.

____ 3. The nurse is administering medications to the patient who is in liver

failure resulting from end-stage cirrhosis. The nurse is aware that patients with liver
failure would most likely have problems with which pharmacokinetic phase?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion

____ 4. An 83-year-old woman has been given a thiazide diuretic to treat mild
heart failure. She and her daughter should be told to watch for which problems?
a. Constipation and anorexia
b. Fatigue, leg cramps, and dehydration
c. Daytime sedation and lethargy
d. Edema, nausea, and blurred vision

____ 5. When given a scheduled morning medication, the patient states, “I haven’t
seen that pill before. Are you sure it’s correct?” The nurse checks the medication
administration record and verifies that it is listed. Which is the nurse’s best response?
a. “It’s listed here on the medication sheet,
so you should take it.”
b. “Go ahead and take it, and then I’ll check
with your doctor about it.”
c. “It wouldn’t be listed here if it were not

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c. “It wouldn’t be listed here if it were not

ordered for you!”
d. “Let me check on the order first before
you take it.”

____ 6. When taking a telephone order for a medication, which action by the nurse
is most appropriate?
a. Verify the order with the charge nurse.
b. Call back the prescriber to review the
order.
c. Repeat the order to the prescriber before
hanging up the telephone.
d. Ask the pharmacist to double-check the
order.

____ 7. When the nurse teaches a skill such as self-injection of insulin to the
patient, what is the best way to set up the teaching/learning session?
a. Provide written pamphlets for instruction.
b. Show a video, and allow the patient to
practice as needed on his own.
c. Verbally explain the procedure, and
provide written handouts for
reinforcement.
d. After demonstrating the procedure, allow
the patient to do several return
demonstrations.

____ 8. The patient has been taking an over-the-counter (OTC) acid-reducing drug
because he has had “stomach problems” for several months. He tells the nurse that the
medicine helps as long as he takes it, but once he stops it, the symptoms return. Which
statement by the nurse is the best advice for this patient?
a. “The over-the-counter drug has helped
you, so you should continue to take it.”
b. “The over-the-counter dosage may not be
strong enough. You should be taking
prescription-strength for best effects.”
c. “For best results, you need to watch what
you eat in addition to taking this drug.”
d. “Using this drug may relieve your
symptoms, but it does not address the
cause. You should be seen by your health
care provider.”

____ 9. The nurse is administering an intravenous (IV) push medication through

an IV lock. After injecting the medication, which action will be taken next?
a. Flushing the lock
b. Regulating the IV flow

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b. Regulating the IV flow

c. Clamping the tubing for 10 minutes
d. Holding the patient’s arm up to improve
blood flow

____ 10. While the nurse is assisting a patient in taking his medications, the
medication cup falls to the floor, spilling the tablets. What is the nurse’s best action at this
time?
a. Discarding the medications and repeating
preparation
b. Asking the patient if he will take the
medications
c. Waiting until the next dose time, and then
giving the medications
d. Retrieving the medications and
administering them to avoid waste
Pharm Quiz #1
Answer Section

MULTIPLE CHOICE

1. ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
may be affected by the timing of the last meal. The patient’s ability to swallow, height,
and allergies are not factors to consider regarding the timing of the drug’s administration.

PTS: 1 DIF: COGNITIVE LEVEL: Understanding (Comprehension)

REF: p. 13 TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. ANS: D
Drugs that are bound to plasma proteins are characterized by longer duration of action.
Protein binding does not make renal excretion faster, does not speed up drug metabolism,
and does not cause the duration of action to be shorter.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 26 TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. ANS: C
The liver is the organ that is most responsible for drug metabolism. Decreased liver
function most strongly affects the metabolism of a drug. Liver function does not affect
the absorption and distribution of a drug. Excretion is affected only because decreased
liver function may not transform drugs into water-soluble substances for elimination via
the kidneys, but that is not the best answer for this question.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 27 TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

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4. ANS: B
Electrolyte imbalance, leg cramps, fatigue, and dehydration are common complications
when thiazide diuretics are given to elderly patients. The other options do not describe
complications that occur when these drugs are given to the elderly.

PTS: 1 DIF: COGNITIVE LEVEL: Understanding (Comprehension)

REF: p. 45 TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. ANS: D
When giving medications, the nurse should always listen to and honor any concerns or
doubts expressed by the patient. If the patient doubts an order, the nurse should check the
written order and/or check with the prescriber. The other options illustrate that the nurse
is not listening to the patient’s concerns.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 69 TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. ANS: C
For telephone or verbal orders, repeat the order back to the prescriber before hanging up
the telephone. The other options are incorrect.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 69 TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. ANS: D
Return demonstration allows the nurse to evaluate the patient’s newly learned skills. The
techniques in the other options are incorrect because those suggestions do not allow for
evaluation of the patient’s technique.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 75 TOP: NURSING PROCESS: Implementation | NURSING PROCESS:
Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. ANS: D
The use of OTC drugs may postpone effective management of chronic disease states and
may delay treatment of serious or life-threatening disorders because these drugs may
relieve symptoms without necessarily addressing the cause of the disorder. The other
options do not address the need to investigate the cause of the symptoms and are
incorrect.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: pp. 85-86 TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
9. ANS: A
IV locks are to be flushed before and after each use; either heparin or saline flush is used,
depending on the individual institution’s policy. The other actions are not appropriate.

PTS: 1 DIF: COGNITIVE LEVEL: Applying (Application)

REF: p. 126 TOP: NURSING PROCESS: Implementation

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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

10. ANS: A
Medications that fall to the floor must be discarded, and the procedure must be repeated
with new medications. The other actions are not appropriate.

PTS: 1 DIF: COGNITIVE LEVEL: Analyzing (Analysis)

REF: p. 103 TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control

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