Pharmacology Examination

100 Questions  I  By [email protected]
Pharmacology has evolved over the years. Originally a scientific discipline that described the overt effects of biologically active chemicals, pharmacology now explores the molecular mechanisms by which drugs cause biological effects. In the broadest sense, pharmacology is the study of how chemical agents, both natural and synthetic (i. E. , drugs) affect biological systems. This encompasses investigation of the derivation, chemical properties, physiological and behavioral effects, mechanisms of action, biological transformations, and the therapeutic and non-therapeutic uses of drugs. Pharmacological studies can determine the effects of chemical agents upon subcellular, systemic, physiological or behavioral processes; focus on the treatment and prevention of diseases; or deal with the potential hazards of pesticides and herbicides.   Pharmacology is often described as a bridge science because it incorporates knowledge and skills from a number of basic science disciplines including physiology, biochemistry and cell and molecular biology. Pharmacologists are able to 'translate' such knowledge into the rational development of therapeutics. As a result of their multidisciplinary training, pharmacologists are able to offer a unique perspective in solving drug-, hormone- and chemical-related problems.   The interdisciplinary nature of the field offers pharmacologists a variety of research opportunities not found in other fields of scientific inquiry. It is this flexibility as well as the potential for the practical application of research that attracts people into becoming pharmacologists. Tips in answering the questions: 1. In calculating the drip factor of the medication, follow this format (e. G. 0. 5 ml) 2. If you are asked to fill in the blank ALWAYS answer it in lower cases 3. Medications are included in the exam, you should already have knowledge on ANTIHYPERTENSIVE AND ANTIPLATELET MEDICATIONS 4. ALWAYS assess the scenario before answering the questions provided 5. ALWAYS do the process of elimination 6. When calculating the equivalence of the medication always follow this format (e. G. 2 ml) 7. Identify the graphs and pictures provided pertaining to the procedures or processes 8. GOOD LUCK :) WELCOME TO PHARMACOLOGY EXAMINATION

  
Changes are done, please start the quiz.


Question Excerpt

Removing question excerpt is a premium feature

Upgrade and get a lot more done!
1.  The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is 
A.
B.
C.
D.
2.   One litre of Dextrose 5% in water is charted over 3 hours. The drop factor is 10. The IV has been running for 1 hour and 15 minutes. 500 mls remain. How many drops per minute are needed so that the IV finishes in the required time?
3.  The client taking digoxin,  a cardiac glycoside, has  a serum digoxin level of 4.2 ng/mL. WHich medication should the nurse anticipate the HCP prescribing?
A.
B.
C.
D.
4.  A client has been taking fosinopril (Monopril) for 2 months. The nurse determines that the client is having the intended effects of therapy if the nurse notes which of the following? 
A.
B.
C.
D.
5.  The nurse is preparing to hang the next bag of heparin to a client diagnosed with deep vein thrombosis (DVT) . The client's current laboratory values are as follows: PT: 12.7 Control: 12.9 INR: 1 PTT: 62 Control: 36 Which intervention should the nurse implement?
A.
B.
C.
D.
6.  A home care nurse provides instructions to a client taking digoxin (Lanoxin) 0.25 mg daily. Which statement by the client indcates a need for further instructions? 
A.
B.
C.
D.
7.   Walter, teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
A.
B.
C.
D.
8.  A client is ordered 50 milligrams of Amoxicillin trihydrate orally. 125 milligrams in 5 millilitres of Syrup is available. How many millilitres will you administer?
9.  The nurse is administering0.5 inch of nitro paste, a coronary vasodilator. How much paste should the nurse apply to the application paper?
A.
B.
C.
D.
10.  The nurse is preparing to administer nitroglycerin, a coronary vasodilator transdermal patch, to the client diagnosed with myocardial infarction. Which intervention should the nurse implement?
A.
B.
C.
D.
11.  A client is receiving heparin sodium by continuous intravenous infusion. The nurse monitors the client for which adverse effect of this therapy? 
A.
B.
C.
D.
12.  When assessing a client, it is important for the nurse to be informed about cultural issues related to the client’s background because: 
A.
B.
C.
D.
13. 
  1. Mrs. Garvey has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your assessment after lunch, your findings are: BP 92/60, pulse 66, respirations 10, and temperature 98.8. Mrs. Garvey is crying and tells you she is still experiencing severe pain. Your action should be to 
A.
B.
C.
D.
14.  A client tells the nurse, "I have something very important to tell you if you promise not to tell." The best response by the nurse is: 
A.
B.
C.
D.
15.  The client is diagnosed with angina is prescribed nitroglycerin and tells the nurse, "I don't undertand why I can't take my Viagra. I need to take it so that I can make love to my wife." Which statement is the nurse's best response?
A.
B.
C.
D.
16.   A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive?
A.
B.
C.
D.
17.  A nurse in a physician’s office is reviewing the results of a client’s phenytoin (Dilantin) level drawn that morning. The nurse determines that the client has a therapeutic drug level if the client’s result was: 
A.
B.
C.
D.
18.  Which data would indicate to the nurse that simvastatin (Zocor), an HMG-CoA reductase inhibitor is effective?
A.
B.
C.
D.
19.  The HCP prescribed an Angiotensin-converting enzyme (ACE) inhibitor for a client diagnosed with congestive heart failure. Which instruction should the nurse provide?
A.
B.
C.
D.
20.  A client has an order to begin short-term therapy with enoxaparin (Lovenox). The nurse explains to the client that this medication is being ordered to: 
A.
B.
C.
D.
21.  A client is ordered 75 milligrams of Aminophylline intravenously. 250 milligrams in 10 millilitres of liquid for IV Injection is available. How many millilitres will you administer?  
22.  A client with anxiety disorder is taking buspirone (BuSpar) and tells the nurse that it is difficult to swallow the tablets. The nurse tells the client to: 
A.
B.
C.
D.
23.  Carol has a nasogastric tube after colon surgery. Which one of these tasks can be safely delegated to an unlicensed assistive personnel (UAP)? 
A.
B.
C.
D.
24.  James with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client’s mental status and adjustment. The appropriate response of the nurse should be which of these statements? 
A.
B.
C.
D.
25.  A nurse has formulated a nursing diagnosis of Disturbed Body Image for a client who is taking spironolactone (Aldactone). The nurse based this diagnosis on assessment of which side effect of the medication? 
A.
B.
C.
D.
26.   James Perez, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high as her niece’s, the drug will tend to: 
A.
B.
C.
D.
27.   Mrs. Jefferson is an 88-year-old client at a long-term care facility. Prior to administering any medication or treatment to this client the nurse must confirm identity by: 
A.
B.
C.
D.
28.  A client is ordered 30 milligrams of Codeine phosphate. 60 milligram tablets are available. How many tablets will you give?
29.  You are required to administer 1 litre of Normal Saline over 7 hours. The drop factor is 15. How many drops per minute are required to start the flow off at the correct rate?
30.  A client is advised to take senna (Senokot) for the treatment of constipation asks the nurse how this medication works. The nurse responds knowing that it: 
A.
B.
C.
D.
31.  You are required to administer 3 litres of IV Fluids over 12 hours. The drop factor is 10. How many drops per minute are required to start the flow off at the correct rate?
32.  One and a half litres of Normal Saline is required to be given over 4 hours. Using a giving set which delivers 10 drops/ml how many drops per minute will need to be given?
33.  The emergency department nurse received a client with multiple hematomas and has an International Normalized Ratio of 7.2. Which medication should the nurse prepare to administer?
A.
B.
C.
D.
34.  A nurse reinforces dietary instruction for the client receiving spironolactone (Aldactone). Which food would the nurse instruct the client to avoid while taking this medication? 
A.
B.
C.
D.
35.   Robin, an adult male is scheduled for exploratory surgery this morning. After he is premedicated for surgery the nurse reviews his chart and discovers that he has not signed a consent form. The nurse’s action is based on which of the following understandings? 
A.
B.
C.
D.
36.  The nurse is administering 0900 medications to the following clients. To which client would the nurse question administering the medication?
A.
B.
C.
D.
37.  The client is receiving an IV infusion heparin. The bag hanging has 10,000 units of heparin in 100 mL of D5W. The HCP has ordered the medication to be delivered at 1000 units per hour. At what rate would the nurse set the IV pump?
38.  A client receives oxytocin (Pitocin) to induce labor. During the administration of the oxytocin, it is most important for the nurse to monitor: 
A.
B.
C.
D.
39.  Angelina, an R.N., reports to work looking unkempt. Maegan, another R.N., approaches when she notices her using uncoordinated movements. Angelina’s breath reeks of peppermints and Maegan suspects Angelina may be intoxicated. What is the best initial nursing action for Maegan to take? 
A.
B.
C.
D.
40.  A client is ordered 35 milligrams of Codeine phosphate by subcutaneous injection. 50 milligrams in 1 millilitre of liquid for SC Injection is available. How many millilitres will you administer?  
41.  The nurse is preparing to administer medications to the following clients. Which of the following client would the nurse question administering the medication?
A.
B.
C.
D.
42.  A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client: 
A.
B.
C.
D.
43.  The client diagnosed with arterial hypertension is receiving furosemide (Lasix), a loop diuretic. WHich data indicates the medication is effective?
A.
B.
C.
D.
44.  Client’s Name: ABCD Client’s Number: 1234567 Allergies: NKDA Diagnosis: Angina Medication 0701-1500 1501-2300 2301-0700 Regular insulin subcutaneously ac and hs 0-60: 1 amp D50   61-150: 0 units   151-300: 5 units   301-450: 10 units   >450: Call HCP 0730     1130 1630     2100   Metformin (Glucophage) 500 mg PO b.i.d 0800 1700   Atorvastatin (Lipitor) 20 mg PO every day 0900     Nitroglycerin (Nitro-Dur) 0.4 mg/hr on in A.M. 0900     Nitroglycerin (Nitro-Dur) 0.4 mg/hr off in P.M.   2100     The nurse is assessing the preprinted Medication Administration Record (MAR) for a client admitted with angina. Which of medicationorder would the nurse discuss with the pharmacist?
A.
B.
C.
D.
45.  Which of the following is not a side effect of the cholinoreceptor blocker (Atropine)?
A.
B.
C.
D.
46.  Which of the following are not treated with Hydrochlorothiazide?
A.
B.
C.
D.
47.  The nurse is teaching the client diagnosed with angina about sublingual nitroglycerin (NTG), a coronary vasodilator. Which statement indicates the client needs more medication teaching?
A.
B.
C.
D.
48.   An adult client has continued slow bleeding from the graft after repair of an abdominal aortic aneurysm. Because of the client’s unstable condition, he is in the intensive care unit where visitors are limited to the family. The client insists on having a visit from a medicine man whom the family visits regularly. How should the nurse interpret this request? 
A.
B.
C.
D.
49.  Three litres of Hartmans (Lactated Ringer's) is charted over 12 hours. The drop factor is 15. The IV has been running for 9 hours. 800 mls remain. How many drops per minute are needed so that the IV finishes in the required time?
50.  The physician orders an intramuscular injection of Demerol for the postoperativepatient’s pain. When preparing to draw up the medication, the nurse is careful to remove the correct vial from the narcotics cabinet. It is labeled 
A.
B.
C.
D.
51.  One hundred millilitres of IV Fluids is charted over 2.5 hours. The drop factor is 15. Calculate the number of drops per minute.
52.  The nurse is administering the combination medication Tenoretic (clorthalidone and atenolol), a thiazide diuretic and a beta blocker, to a client diagnosed with chronic hypertension. Which interventions should the nurse implement? Select all that apply.
A.
B.
C.
D.
E.
53.  A client is ordered 2.5 milligrams of Promethazine hydrochloride orally. 5 milligrams in 5 millilitres of elixir is available. How many millilitres will you administer?
54.  The nurse is preparing to administer warfarin (Coumadin), an anticoagulant. The client's current laboratory values are as follows: PT: 38 Control: 12.9 INR: 5.9 PTT: 39 Control: 36 Which action should the nurse implement?
A.
B.
C.
D.
55.  The nurse is aware that the following solutions is routinely used to flush an IV device before and after the administration of blood to a patient is:
A.
B.
C.
D.
56.  A nurse is caring for a client with a genitourinary tract infection receiving amoxicillin (Augmentin) 500 mg every 8 hours. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 
A.
B.
C.
D.
57.  The most important instructions a nurse can give a patient regarding the use of the antibiotic Ampicillin prescribed for her are to 
A.
B.
C.
D.
58.  The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is: 
A.
B.
C.
D.
59.  Which client would the nurse most likely suspect will require polypharmacy to control essential hypertension?
A.
B.
C.
D.
60.  The client diagnosed with essential hypertension is taking the loop diuretic bumetanide (Bunex). WHich statement by the client would warrant notifying the client's health care provider?
A.
B.
C.
D.
61.   Mandy, a patient calls the clinic today because he is taking atrovastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
A.
B.
C.
D.
62.  A client is being treated for acute congestive heart failure (CHF) and the client’s vital signs are as follows: BP 85/50 mm Hg; pulse, 96 bpm; respirations, 26 cpm. The physician prescribes digoxin (Lanoxin). To evaluate a therapeutic effectiveness of this medication, the nurse would expect which of the following changes in the client’s vital signs?
A.
B.
C.
D.
63.  The client diagnosed with DVT asks the nurse, "Why do I have to take Coumadin in the evening?" Which statement would be the nurse's best response?
A.
B.
C.
D.
64.  Diazepam (Valium) is prescribed for a client with anxiety. The nurse instructs the client to expect which side effect? 
A.
B.
C.
D.
65.  The nurse is administering an antibiotic to her pediatric patient. She checks the patient’s armband and verifies the correct medication by checking the physician’s order, medication kardex, and vial. Which of the following is not considered one of the five “rights” of drug administration? 
A.
B.
C.
D.
66.  Which of the following is not a side effect of the Ace Inhibitor (Captopril)?
A.
B.
C.
D.
67.  The client diagnosed with a myocardial infarction is receving thrombolytic therapy. Which data would warrant immediate intervention by the nurse?
A.
B.
C.
D.
68.  The nurse is administering Augmentin to her patient with a sinus infection. Which is the best way for her to insure that she is giving it to the right patient? 
A.
B.
C.
D.
69.  Antianginal agent which decreases myocardial contractility (negative inotropism):
A.
B.
C.
D.
70.  You are required to administer 500 mls of Normal Saline over 3.5 hours. The drop factor is 10. How many drops per minute are required to start the flow off at the correct rate?
71.  When counseling a patient who is starting to take MAO (monoamine oxidase) inhibitors such as Nardil for depression, it is essential that they be warned not to eat foods containing tyramine, such as: 
A.
B.
C.
D.
72.  Calculate the drip rate for 500 mls of Normal Saline to be given over 4.5 hours via a giving set which delivers 15 drops/ml.
73.  The elderly client diagnosed with coronary artery disease has been taking aspirin daily for more than a year. Whish data would warrant notifying the health  care provider?
A.
B.
C.
D.
74.   Zantac is ordered for an adult client. The nurse mistakenly administered Xanax. What is the most appropriate action for the nurse to take? 
A.
B.
C.
D.
75.  The client diagnosed with bacterial endocarditis is prescribed gentamycin intravenous piggyback (IVPB). The IVPB comes in 100 mL of fluid to be administered over 1 hour on an IV pump. At what rate should the nurse administer the medication?
76.  A nurse is caring for the client with a history of mild heart failure who is receiving diltiazem hydrochloride (Cardizem) for hypertension. The nurse would assess the client for: 
A.
B.
C.
D.
77.   A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should: 
A.
B.
C.
D.
78.  Convert 93074 milligrams to grams.
79.   A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: 
A.
B.
C.
D.
80.  The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent infection. She places it in the following area of the eye: 
A.
B.
C.
D.
81.  A client with Parkinson’s disease has begun therapy with levodopa (L- dopa). The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for: 
A.
B.
C.
D.
82.  Which assessment data should the nurse obtain prior to administering a calcium channel blocker?
A.
B.
C.
D.
83.   Helen, a nurse from the maternity unit is floated to the critical care unit because of staff shortage on the evening shift. Which client would be appropriate to assign to this nurse? A client with: 
A.
B.
C.
D.
84.  A client with Guillain-Barré syndrome has been on a ventilator for three weeks, and can communicate only with eye blinks because of quadriplegia. The intensive care nursing staff sometimes have no time for this tedious communication process. The client’s family comes infrequently since they run a family-owned restaurant that does not close until visiting hours are over. How should the nurse respond to the family’s request for exemption from visiting hours? 
A.
B.
C.
D.
85.  A client is taking labetalol (Normodyne). The nurse monitors the client for which frequent side effect of the medication? 
A.
B.
C.
D.
86.  A clinic nurse is performing assessment on a client who is being seen in the clinic for the first time. When asking about the client’s medication history, the client tells the nurse that he takes nateglinide (Starlix). The nurse then questions the client about the presence of which disorder that is treated with this medication? 
A.
B.
C.
D.
87.  Which of the following is not a side effect of the Dieuretics (Loop dieuretics)?
A.
B.
C.
D.
88.  A nurse is caring for a child with CHF provides instructions to the parents regarding the administration of digoxin (Lanoxin). Which statement by the mother indicates a need for further instructions? 
A.
B.
C.
D.
89.  The nurse is preparing to administer spironolactone (Aldactone), a potassium sparing diuretic. Which priority intervention should the nurse implement?
A.
B.
C.
D.
90.  The client on telemetry is showing multifocal premature ventricular contractions. Which antidysrhythmic medication should the nurse administer?
A.
B.
C.
D.
91.  Britney is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states “I don’t think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects.” The nurse should understand that: 
A.
B.
C.
D.
92.  The client is receiving an IV infusion of heparin. The bag hanging has 20,000 units of heparin in 500 mL of D5W at 22 mL per hour via an IV pump. How many units of heparin is the client receving every hour?
93.  Mrs. Jane Gately has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your assessment after lunch, your findings are: BP 92/60, pulse 66, respirations 10, and temperature 98.8. Mrs. Gately is crying and tells you she is still experiencing severe pain. Your action should be to 
A.
B.
C.
D.
E.
94.  A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: 
A.
B.
C.
D.
95.  Using the last strip of the ECG of the patient. The client is exhibiting the following telemetry strip. Which intervention should the nurse implement? Select all that apply?
A.
B.
C.
D.
E.
96.  Calculate the drip rate for 500 mls of Dextrose 5% in water to be given over 4 hours via a giving set which delivers 15 drops/ml.  
97.  Which of the following is not a side effect of the Vasodilator (Nifedipine)?
A.
B.
C.
D.
98.  The health care provider prescribed a beta blocker for the client diagnosed with arterial hypertension. Which is the scientific rationale for administering this medication?
A.
B.
C.
D.
99.  The female client diagnosed with congestive heart failure tells the nurse that she has been taking hawthorn extract, an OTC medication, since the HCP told her that she had heart problems. Which statement by the nurse would be appropriate?
A.
B.
C.
D.
100.  A client who is taking rifampin (Rifadin) as part of the medication regimen for the treatment of tuberculosis calls the clinic nurse and reports that her urine is a red-orange color. The nurse tells the client to: 
A.
B.
C.
D.
Back to top


to post comments.

Removing ad is a premium feature

Upgrade and get a lot more done!
Take Another Quiz