4N051 B Set Vol 3 Quiz – Medication Admin & Safety

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1. Before administering any medicaiton, you are responsible for all of the following except

Explanation

As a healthcare professional responsible for administering medication, your primary concern is the safety and well-being of the patient. Ensuring that A1C Jones is available for work the next day is not directly related to medication administration. The other options, such as performing all steps in the modified six medication rights, being knowledgeable of side effects, and verifying possible interactions, are essential steps to ensure the safe and effective administration of medication.

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About This Quiz
Pharmacy Quizzes & Trivia

This 4N051 B Set Volume 3 Quiz is designed for Aerospace Medical Service (4N0X1) trainees preparing for CDCs or real-world medical responsibilities. It focuses on critical topics including medication administration routes, technician roles, six rights of medication, patient safety, legal/ethical considerations, and drug interactions.

Whether you're reviewing before you... see moreEOC exam or brushing up for clinical practice, this quiz ensures you understand your responsibilities and limitations in delivering safe, effective care.

Disclaimer: This quiz is for study and reinforcement purposes only. It is not officially affiliated with the U. S. Air Force or Air Education and Training Command (AETC). see less

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2. The method of parenteral medication administration that involves injecting a drug into a muscle is

Explanation

The method of parenteral medication administration that involves injecting a drug into a muscle is intramuscular (IM). This method is commonly used for medications that need to be absorbed slowly or that cannot be given orally. The drug is injected into a muscle, typically the thigh or buttocks, where it is absorbed into the bloodstream. This route allows for faster absorption compared to subcutaneous injection, but slower absorption compared to intravenous injection. Intramuscular injections are often used for vaccines, antibiotics, and certain pain medications.

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3. Which statement is not considered one of the patients' legal and ethical rights?

Explanation

The statement "choose the method of administration" is not considered one of the patients' legal and ethical rights. While patients have the right to be informed of a drug's name, purpose, and receive clearly labeled medication containers, they do not have the right to choose the method of administration. This decision is typically made by healthcare professionals based on medical guidelines, safety considerations, and the patient's specific condition.

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4. Penicillin administered to treat an infection is an example of what category of drugs?

Explanation

Penicillin is a type of antibiotic that is used to treat bacterial infections. Antibiotics work by killing or inhibiting the growth of bacteria, thus helping to cure the infection. Therefore, penicillin administered to treat an infection falls under the category of curative drugs.

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5. What type of medication would you expect a patient with season allergies to take on a regular basis?

Explanation

Patients with seasonal allergies commonly experience symptoms such as sneezing, itching, and a runny nose due to an overactive immune response to allergens. Antihistamines are medications specifically designed to block the effects of histamine, a chemical released by the immune system during an allergic reaction. By taking antihistamines regularly, patients can effectively manage their symptoms and reduce the body's allergic response. Therefore, antihistamines would be the appropriate type of medication for a patient with seasonal allergies to take on a regular basis.

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6. Which statement is true regarding the role of a medical service technician in medication administration?

Explanation

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7. Which one of these is not included in the "five rights" of medication administration?

Explanation

The "five rights" of medication administration include the right time, right dose, right route, and right patient. Right documentation is not included in the "five rights" because it is not directly related to the administration of medication itself. However, it is still an important aspect of medication administration as it involves recording and documenting the details of the medication given, which is crucial for maintaining accurate medical records and ensuring patient safety.

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8. What type of medication order states that a medication is to be administered immediately and only once?

Explanation

A "stat" medication order indicates that a medication needs to be administered immediately and only once. This type of order is commonly used in emergency situations or when a medication is needed urgently. It ensures that the medication is given without delay to address the immediate medical need of the patient.

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9. Drug administration is controlled primarily by

Explanation

Drug administration is primarily controlled by federal law because the federal government has the authority to regulate and enforce laws related to drug safety, efficacy, and distribution across the entire country. Federal laws, such as the Federal Food, Drug, and Cosmetic Act, the Controlled Substances Act, and the Drug Enforcement Administration regulations, establish standards for drug approval, manufacturing, labeling, and distribution. These laws ensure that drugs are safe, effective, and properly regulated to protect public health. State laws may also play a role in drug administration, but they must comply with and cannot override federal laws.

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10. Narcotics, such as codeine, cocaine, and amphetamines, that have high potential for abuse but have acceptable medical uses are classified as

Explanation

Narcotics like codeine, cocaine, and amphetamines have acceptable medical uses but also a high potential for abuse. They are classified as schedule II drugs. This classification indicates that they have a high potential for abuse, may lead to severe psychological or physical dependence, but can still be prescribed by healthcare professionals in certain situations.

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11. What method of administration delivers medication directly into a patient's digestive system?

Explanation

The correct answer is oral. This method of administration involves delivering medication through the mouth and into the digestive system. It is the most common and convenient way to administer medications, as it can be easily swallowed and absorbed into the bloodstream.

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12. The purpose of most drug therapy is to

Explanation

The purpose of most drug therapy is to maintain a constant level of the drug in the body. This is important because it allows the drug to be effective in treating the condition it is prescribed for. A constant level of the drug ensures that it remains at a therapeutic concentration in the body, providing the desired therapeutic effects. Fluctuations in drug levels can lead to suboptimal treatment outcomes or potential side effects. Therefore, maintaining a constant level of the drug in the body is crucial for achieving the desired therapeutic benefits.

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13. Which statement is true refarding how ambient temperature can affect drug action?

Explanation

Warmer temperatures increase circulation because they cause blood vessels to dilate. This increased blood flow allows drugs to be delivered more quickly to their target sites, resulting in rapid drug action.

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14. What type of medication is used to prevent or correct irregular heart action?

Explanation

Antiarrhythmics are a type of medication that is used to prevent or correct irregular heart action. They work by regulating the electrical signals in the heart, helping to restore a normal heart rhythm. These medications are commonly prescribed for conditions such as atrial fibrillation, ventricular tachycardia, and other types of arrhythmias. By controlling the irregular heartbeats, antiarrhythmics can help improve the overall functioning of the heart and reduce the risk of complications associated with abnormal heart rhythms.

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15. To prevent contamination and accidental spills, liquid medications being administered to inpatients are usually poured at what location?

Explanation

Liquid medications are usually poured at the patient's bedside to prevent contamination and accidental spills. This ensures that the medication is administered directly to the patient without any risk of contamination during transfer. Pouring the medication at the patient's bedside also allows for proper monitoring and immediate administration if any adjustments or changes are required. It provides convenience and efficiency in delivering the medication to the patient while minimizing the chances of errors or mishaps.

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16. Out of the several names given each medication, which of these drug names is given by the manufacturer?

Explanation

The trade name of a medication is the name given by the manufacturer. This name is used for marketing and branding purposes. It is usually a catchy and easy-to-remember name that helps in promoting the medication in the market. The trade name is different from the official name, generic name, and chemical name of the drug. The official name is the name approved by regulatory authorities, the generic name is the non-proprietary name of the drug, and the chemical name describes the chemical composition of the drug.

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17. To administer ear drops in a patient under 3 years of age, you gently pull the earlobe

Explanation

To administer ear drops in a patient under 3 years of age, gently pulling the earlobe down helps to straighten the canal. This allows for easier access to the ear canal and ensures that the drops are properly administered. By straightening the canal, the drops can reach the affected area more effectively, increasing the chances of the medication being absorbed and providing the desired therapeutic effect.

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18. What law requires a periodic inventory of all conrolled substances?

Explanation

The Controlled Substances Act is a law that requires a periodic inventory of all controlled substances. This act was passed in order to regulate and control the manufacturing, distribution, and dispensing of drugs that have the potential for abuse or addiction. The periodic inventory ensures that these substances are properly accounted for and helps prevent diversion or illegal use of controlled substances.

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19. Why are oral medications that are taken before meals generally faster acting?

Explanation

Oral medications that are taken before meals are generally faster acting because they have a lower digestive system content. When the stomach is empty, there is less food and other substances that need to be broken down and absorbed by the body. This allows the medication to be quickly absorbed into the bloodstream and distributed throughout the body, leading to faster onset of action. On the other hand, medications taken after meals may take longer to be absorbed as they have to compete with the digestion process and the presence of food in the stomach.

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20. Which of these is a common refernce source for drugs?

Explanation

The Physician Desk Reference (PDR) is a commonly used reference source for drugs. It is a comprehensive guide that provides information on prescription drugs, including their indications, dosages, side effects, and interactions. It is widely used by healthcare professionals, including physicians, to ensure accurate prescribing and to stay updated on the latest drug information. The PDR is considered a reliable and authoritative source in the field of medicine.

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21. Which of the following vaccines should not be administered to individuals allergic to eggs or egg products?

Explanation

Influenza vaccine should not be administered to individuals allergic to eggs or egg products because most influenza vaccines are produced using eggs. The manufacturing process involves growing the influenza virus in eggs, which can cause a reaction in individuals with egg allergies. Therefore, it is important to avoid administering the influenza vaccine to individuals with known egg allergies to prevent any adverse reactions.

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22. Which viral disease do mosquitoes transmit?

Explanation

Mosquitoes transmit yellow fever, which is a viral disease. Yellow fever is caused by the yellow fever virus and is primarily transmitted through the bite of infected mosquitoes. The virus is then spread to humans when the infected mosquito bites them. Symptoms of yellow fever include fever, headache, muscle pain, nausea, and jaundice. In severe cases, it can lead to organ failure and death. Vaccination is available to prevent yellow fever, especially for individuals traveling to areas where the disease is endemic.

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23. A provider can initiate a drug order in how many ways?

Explanation

A provider can initiate a drug order in two ways. This suggests that there are two possible methods or channels through which a provider can place a drug order. Without further information, it is not possible to determine what these two ways are specifically, but it implies that there are multiple options available to providers when it comes to initiating a drug order.

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24. What publication contains a list of medications available from the MTF's pharmacy, recommended dispensing instructions, and administrative guidelines?

Explanation

A local facility formulary is a publication that contains a list of medications available from the MTF's pharmacy, recommended dispensing instructions, and administrative guidelines. This formulary is specific to the local facility and provides healthcare professionals with information about the medications that can be prescribed and dispensed at that particular facility. It helps ensure that healthcare providers are aware of the medications that are available and the proper guidelines for their use within the MTF.

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25. Which of the following central nervous system stimulants obtained over the counter, is frequently taken in prolonged high doses producing habituation and psychological dependence?

Explanation

Caffeine is a central nervous system stimulant that is commonly obtained over the counter. It is often taken in prolonged high doses, leading to habituation and psychological dependence. Caffeine is found in various beverages and foods such as coffee, tea, energy drinks, and chocolate. Its stimulant effects can increase alertness, energy, and focus, but excessive and prolonged use can result in tolerance, addiction, and withdrawal symptoms when discontinued.

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26. Which one of these statements is true regarding subcutaneous injections?

Explanation

Subcutaneous injections involve administering small amounts of a drug. This is because the medication is injected into the layer of tissue just beneath the skin, which has a limited capacity to absorb and hold the drug. Unlike intramuscular injections, subcutaneous injections are not intended for large volumes of medication. Therefore, the statement "only small amounts of a drug may be administered" is true regarding subcutaneous injections.

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27. Which of these elements is not required on a medication order?

Explanation

The patient's age is not required on a medication order because the dosage and administration instructions are typically based on the patient's weight, medical condition, and other factors, rather than their age. The patient's name is necessary to ensure the medication is prescribed for the correct individual. The specific time is important to indicate when the medication should be taken. The provider's signature is essential to authenticate the prescription and ensure accountability.

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28. Where are sub-cutaneous injections commonly administered?

Explanation

Sub-cutaneous injections are commonly administered in the upper arms. This area is often chosen because it has a good amount of subcutaneous fat, which allows for proper absorption of the medication. Additionally, the upper arms are easily accessible for self-administration and are a common site for healthcare professionals to administer injections.

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29. Which one of theses statements is a disadvantage of inhalation medication?

Explanation

The statement "monitoring the precise amount of drug administration is difficult" is a disadvantage of inhalation medication. This is because inhalation medication is delivered in aerosol form, making it challenging to accurately measure the exact amount of medication being administered. Unlike other forms of medication that can be measured in specific doses, inhalation medication relies on the patient's ability to inhale the aerosol effectively. This can lead to variations in the amount of medication received, potentially affecting the effectiveness of the treatment.

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30. Which vaccine do all recruits receive a booster for upon entering the Air Force?

Explanation

Upon entering the Air Force, all recruits receive a booster for tetanus vaccine. Tetanus is caused by a bacterium found in soil, dust, and animal feces. It can enter the body through cuts, wounds, or puncture injuries. The tetanus vaccine helps to prevent the potentially life-threatening infection by stimulating the immune system to produce antibodies against the bacteria. Boosting the vaccine upon entering the Air Force ensures that recruits have adequate protection against tetanus, which is particularly important in a military setting where injuries and exposure to contaminated environments are more likely to occur.

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31. Which statement is proper procedure for administering inhalations into the respiratory tract of a patient?

Explanation

Assessing the patient's vital signs before, during, and after therapy is the proper procedure for administering inhalations into the respiratory tract of a patient. This is important to monitor the patient's response to the therapy and ensure their safety. By assessing vital signs, such as pulse and blood pressure, any potential adverse reactions or complications can be identified promptly. This allows for timely intervention and appropriate notification to the healthcare team if necessary. Monitoring vital signs also helps in evaluating the effectiveness of the therapy and making any necessary adjustments.

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32. Which of the following medications' primary action is pain relief?

Explanation

The primary action of analgesics is pain relief, as they are specifically designed to reduce or eliminate pain. Sedatives and hypnotics, on the other hand, primarily work to induce sleep or relaxation. Therefore, the combination of analgesics, sedatives, and hypnotics can be used to provide pain relief while also promoting sleep and relaxation.

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33. Which of the following medications are used primarily for analgesic actions in the treatment of arthritis?

Explanation

Acetaminophen is used primarily for analgesic actions in the treatment of arthritis. It is a commonly used medication for pain relief and reducing fever. It works by inhibiting the production of certain chemicals in the body that cause pain and inflammation. Acetaminophen is often recommended for arthritis patients because it has fewer side effects compared to other pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs). Salicylates, although also used for pain relief, are primarily known for their anti-inflammatory properties and are not specifically mentioned as being used primarily for analgesic actions in arthritis treatment. Potassium is an electrolyte and not a medication used for analgesic actions. Tramadol is a strong pain medication, but it is not typically used as a first-line treatment for arthritis pain.

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34. Mr. Johnson has undergone a hip replacement and is receiving heparin treatment post surgically to prevent

Explanation

Mr. Johnson is receiving heparin treatment post-surgically to prevent deep vein thrombosis. Deep vein thrombosis is a condition where blood clots form in the deep veins of the body, usually in the legs. It is a common complication after surgery, especially in patients who are immobile for extended periods. Heparin is an anticoagulant medication that helps prevent the formation of blood clots. By receiving heparin treatment, Mr. Johnson is reducing his risk of developing deep vein thrombosis and its potentially serious complications.

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35. How many doses are given in a series of hepatitis B vaccine regiment?

Explanation

A series of hepatitis B vaccine regimen typically consists of three doses. This is because the vaccine is most effective when given in a series of doses over a period of time. The first dose is usually given at birth or during infancy, the second dose is given one to two months after the first dose, and the third dose is given six months after the first dose. These multiple doses help to ensure long-term immunity against hepatitis B.

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36. A specialist who can guide a provider in prescribing drugs is best defined as

Explanation

A clinical pharmacist is the best definition for a specialist who can guide a provider in prescribing drugs. This is because a clinical pharmacist has advanced knowledge and expertise in medication therapy management and can work closely with healthcare providers to ensure safe and effective use of medications. They can provide guidance on drug interactions, dosages, and potential side effects, helping to optimize patient outcomes. A pharmacist, on the other hand, may not have the same level of clinical training and may not be as involved in direct patient care. A pharmaceutical technician is responsible for assisting pharmacists in dispensing medications but does not have the same level of expertise in guiding providers in drug prescribing.

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37. What classification of drugs is not acceptable for medical use?

Explanation

Schedule I drugs are classified as drugs with a high potential for abuse and have no accepted medical use in treatment. These drugs are considered the most dangerous and prohibited for medical use due to their potential for addiction and severe physical and psychological effects. They are often associated with illegal substances such as heroin, LSD, and marijuana. The classification of drugs into different schedules helps regulate their availability and use, with schedule I drugs being the most strictly controlled.

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38. An oily liquid used on the skin describes a type of medication preparation called a

Explanation

A liniment is a type of medication preparation that is an oily liquid used on the skin. It is commonly used to relieve pain and inflammation in muscles and joints. Liniments are typically applied topically by rubbing them onto the affected area. They often contain ingredients such as menthol, camphor, or capsaicin, which provide a cooling or warming sensation to help alleviate discomfort. Unlike other options listed, such as spirit, paste, or tincture, liniments are specifically designed for external use on the skin.

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39. How many pounds are equal to 65 kg?

Explanation

To convert kilograms to pounds, we need to multiply the weight in kilograms by 2.2046. In this case, 65 kg multiplied by 2.2046 equals approximately 143 pounds. Therefore, the correct answer is 143.

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40. Dr. Young has ordered Mrs.Green to receive 5mg/kg of Ancef twice a day. Mrs. Green weights 65 kg. The medication Ancef is supplied in vials 50mg/mL. How many milligrams of medication will be given twice a day?

Explanation

Mrs. Green weighs 65 kg and needs to receive 5mg/kg of Ancef twice a day. Therefore, she needs to receive 65 kg * 5 mg/kg = 325 mg of Ancef twice a day.

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41. Dr. Young has ordered Mrs.Green to receive 5mg/kg of Ancef twice a day. Mrs. Green weights 65 kg. The medication Ancef is supplied in vials 50mg/mL. How many mL's of the Ancef will be given for each does?

Explanation

The correct answer is 6.5. To calculate the mL of Ancef for each dose, we need to first calculate the total mg required for each dose. Mrs. Green weighs 65 kg, so the total mg required for each dose is 5mg/kg x 65kg = 325mg. The medication Ancef is supplied in vials of 50mg/mL, so we divide the total mg required by the mg/mL concentration to get the mL required: 325mg / 50mg/mL = 6.5mL. Therefore, 6.5 mL of Ancef will be given for each dose.

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42. Opioids are contraindicated with

Explanation

Opioids are contraindicated with head injury treatment because they can mask the symptoms of a head injury, making it difficult to assess the severity of the injury and potentially delaying appropriate medical intervention. Opioids can also cause respiratory depression, which can be dangerous for individuals with head injuries. Therefore, it is important to avoid using opioids in the treatment of head injuries.

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43. Some of the symptoms associated with type II diabetes are all of the following except

Explanation

Excessive weight loss is not a symptom associated with type II diabetes. In fact, weight gain or difficulty losing weight is often observed in individuals with this condition. Polydipsia, slow healing, and vision problems are common symptoms of type II diabetes due to high blood sugar levels and the resulting damage to various organs and tissues.

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44. Into what body cavity are otic medications administered?

Explanation

Otic medications are administered into the external auditory canal. The external auditory canal is the passage that leads from the outside of the ear to the middle ear. This is where the medication needs to be applied in order to reach the affected area and provide the intended therapeutic effect. The internal auditory canal, lower conjunctival sac, and upper conjunctival sac are not appropriate sites for administering otic medications.

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45. When a patient has been prescribed Tessalon perles to help stop coughing, would patient education would be appropriate?

Explanation

Patient education would be appropriate in this case because the correct answer advises the patient not to chew the capsule. This is important information to prevent any potential adverse effects or decrease in the medication's effectiveness. It is essential for the patient to understand the proper way to take the medication to ensure optimal treatment outcomes.

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46. When administering a vaginal douche, how high above the patient's vagina do you hang the bag?

Explanation

When administering a vaginal douche, the bag should be hung 12 to 18 inches above the patient's vagina. This height allows for a gentle flow of the solution into the vagina without causing discomfort or excessive pressure. Hanging the bag too low may result in a weak flow, while hanging it too high may cause a forceful and uncomfortable flow. Therefore, the optimal height range of 12 to 18 inches ensures the appropriate administration of the douche.

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47. Acute adrenal insufficiency, shock and possibly death can results from

Explanation

Abrupt withdrawal of adrenal corticosteroid therapy can lead to acute adrenal insufficiency, shock, and possibly death. Adrenal corticosteroids are hormones produced by the adrenal glands that help regulate various bodily functions, including the response to stress. When someone is on long-term corticosteroid therapy and suddenly stops taking the medication, it can cause a sudden decrease in the body's natural production of corticosteroids, leading to adrenal insufficiency. This can result in a range of symptoms, including low blood pressure, weakness, fatigue, and potentially life-threatening complications such as shock.

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48. Selective serotonin reuptake inhibitors (SSRIs) selectively block the reabsorption of which chemical neurotransmitter?

Explanation

SSRIs, or selective serotonin reuptake inhibitors, work by blocking the reabsorption of serotonin, a chemical neurotransmitter in the brain. By preventing the reuptake of serotonin, SSRIs increase the levels of serotonin available in the brain, which can help improve mood and alleviate symptoms of depression and anxiety. This is why serotonin is the correct answer to the question.

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49. Anti-inflammatory actions are associated with

Explanation

Prostaglandins are hormone-like substances that contribute to the inflammatory response in the body. By preventing the formation of prostaglandins, anti-inflammatory actions can help reduce inflammation and associated symptoms such as pain, swelling, and redness. This can be beneficial in treating various conditions like arthritis, injuries, and certain autoimmune disorders.

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50. What type of medication has a cleansing action that produces watery evacuation of intestinal content?

Explanation

Cathartics are a type of medication that have a cleansing action on the intestines, leading to watery evacuation of intestinal content. They are commonly used to relieve constipation or prepare the bowel for certain medical procedures. Antiarrhythmics are medications used to treat irregular heart rhythms, antiemetics are used to prevent or treat nausea and vomiting, and antacids are used to neutralize stomach acid.

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51. Which of the following medications is a laxative?

Explanation

Mineral oil is a laxative because it is a lubricant that helps soften and lubricate the stool, making it easier to pass through the digestive system. It is commonly used to relieve constipation and promote regular bowel movements. Kaopectate, imodium, and lactinex are not laxatives. Kaopectate is an over-the-counter medication used to relieve diarrhea. Imodium is also used to treat diarrhea by slowing down the movement of the intestines. Lactinex is a probiotic supplement used to restore the natural balance of bacteria in the digestive system.

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52. The most serious complication of thrombolytic therapy is

Explanation

Thrombolytic therapy involves the administration of medications to dissolve blood clots. While this treatment can be effective in preventing or treating conditions such as heart attacks or strokes, it also carries the risk of causing bleeding as a serious complication. The medications used in thrombolytic therapy work by breaking down blood clots, which can lead to excessive bleeding in some cases. Therefore, bleeding is the most serious complication associated with this type of therapy.

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53. Antipsychotic medications are categorized as

Explanation

Antipsychotic medications are categorized as major tranquilizers because they are primarily used to treat severe mental illnesses such as schizophrenia and bipolar disorder. These medications work by blocking certain neurotransmitters in the brain, which helps to reduce hallucinations, delusions, and other symptoms associated with psychosis. The term "major tranquilizers" is often used to describe these medications because they have a calming effect on the individual, helping to alleviate symptoms of agitation and aggression.

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54. The influenza vaccine is manufactured

Explanation

The correct answer is "with an inactive virus". This means that the influenza vaccine is made using a virus that has been rendered inactive or non-infectious. By using an inactive virus, the vaccine can stimulate the immune system to produce a response without causing illness. This allows the body to develop immunity to the virus, providing protection against the flu strain for the year.

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55. Insulin may potentiate a hypoglycemic effect when taken concomitantly with

Explanation

Insulin is a hormone that helps regulate blood sugar levels. When taken together with alcohol or salicylates, it can enhance the hypoglycemic effect, meaning it can further lower blood sugar levels. This can be dangerous for individuals with diabetes who are already at risk of hypoglycemia. It is important for individuals taking insulin to be cautious when consuming alcohol or using medications containing salicylates to avoid complications related to low blood sugar levels.

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56. LtCol McNamara ordered a single dose Phenergan 12.5 mg, to be administered intramuscular to A1C Jones for nausea and vomiting. The Phenergan is supplied in 50mg/2mL pre-filled syringes. How many mL's would you administer?

Explanation

The correct answer is 0.50 because the Phenergan is supplied in 50mg/2mL pre-filled syringes. To administer a single dose of 12.5 mg, we need to calculate the corresponding volume. Using the ratio of 50mg/2mL, we can set up a proportion: 50mg/2mL = 12.5mg/x mL. Cross-multiplying and solving for x, we find that x = (12.5mg * 2mL) / 50mg = 0.50 mL. Therefore, you would administer 0.50 mL of Phenergan.

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57. The most common side effect of antihypertensives is

Explanation

Postural hypotension refers to a sudden drop in blood pressure that occurs when a person changes position from lying down to standing up. This is a common side effect of antihypertensive medications, which are used to treat high blood pressure. When these medications lower blood pressure too much, it can lead to symptoms such as dizziness, lightheadedness, and even fainting upon standing. Therefore, postural hypotension is the most common side effect of antihypertensive drugs.

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58. Antacids containg aluminum or calcium carbonate have the common side effect of which of the following?

Explanation

Antacids containing aluminum or calcium carbonate commonly cause constipation as a side effect. This is because these compounds can slow down the movement of the gastrointestinal tract, leading to difficulty in passing stools.

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59. The effects of cardiac glycosides is to

Explanation

Cardiac glycosides are a type of medication that are used to treat heart failure and certain heart rhythm disorders. They work by increasing the force of contraction of the heart muscle, which in turn strengthens the heartbeat. This increased force allows the heart to pump more blood with each beat, improving circulation and reducing symptoms of heart failure. Therefore, the correct answer is "strengthen the heartbeat."

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60. Before the administration of digitalis, which of the following pulse points is it important to check?

Explanation

Before the administration of digitalis, it is important to check the apical pulse point. The apical pulse is measured by placing a stethoscope over the apex of the heart, which is located at the fifth intercostal space at the midclavicular line. This pulse point provides the most accurate assessment of the heart's rhythm and rate. Digitalis is a medication used to treat heart conditions, and checking the apical pulse helps to ensure that the medication is administered safely and effectively.

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61. When angiotension-converting enzyme (ACE) inhibitors are taken in conjunction with diuretics or vasodilators, what affect is produced?

Explanation

When ACE inhibitors are taken in conjunction with diuretics or vasodilators, they can have a synergistic effect and potentiate hypotension. This means that the combination of these medications can further lower blood pressure, potentially leading to a greater decrease in blood pressure than if each medication was taken alone. This can be beneficial for individuals with high blood pressure, as it helps to further reduce their blood pressure levels. However, it is important to monitor blood pressure closely when using this combination of medications to prevent excessive lowering of blood pressure.

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62. Antianxiety medications are prescribed for

Explanation

Antianxiety medications are prescribed for the treatment of insomnia because they help to reduce anxiety and promote relaxation, which can aid in falling asleep and staying asleep. Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both, and it can be caused by various factors including anxiety and stress. Antianxiety medications can help to alleviate these symptoms and improve sleep quality for individuals with insomnia.

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63. Which medication potentiates the effects of analgesics when combined with antipsychotics?

Explanation

Phenergan is the correct answer because it is a medication that belongs to the class of antihistamines, which have been found to potentiate the effects of analgesics when combined with antipsychotics. This means that when Phenergan is taken with antipsychotics, it can enhance the pain-relieving effects of analgesics, making them more effective in managing pain. Tylenol, Haldol, and Zoloft are not known to have this potentiating effect.

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64. Hepatitis A is contracted through the transmission of

Explanation

Hepatitis A is contracted through the transmission of contaminated food or water. This means that if someone consumes food or water that has been contaminated with the Hepatitis A virus, they can become infected. This mode of transmission is common in areas with poor sanitation or hygiene practices, where the virus can easily contaminate food or water sources. It is important to practice good hygiene, such as washing hands thoroughly and consuming clean and properly cooked food, to prevent the spread of Hepatitis A.

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65. All of the following are contraindications of ventral nervous system stimulants except

Explanation

Irritability is not a contraindication of ventral nervous system stimulants because it is a symptom or a condition that can be treated with these stimulants. Ventral nervous system stimulants are commonly used to treat conditions such as attention deficit hyperactivity disorder (ADHD) and narcolepsy, which can present with symptoms of irritability. Therefore, using these stimulants can actually help alleviate irritability rather than being contraindicated.

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66. Which endocrine therapy drugs are used to prevent organ transplant rejection?

Explanation

Corticosteroids are used to prevent organ transplant rejection because they have immunosuppressive properties. These drugs suppress the immune system, which helps to prevent the body from rejecting the transplanted organ. By reducing inflammation and suppressing the immune response, corticosteroids can help to ensure the success of the transplant and prevent complications.

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67. Quinidine is used primarily as prophylactic therapy to

Explanation

Quinidine is a medication that is primarily used to maintain a normal rhythm after cardioversion. Cardioversion is a procedure used to restore a normal heart rhythm in individuals with certain types of abnormal heart rhythms. Quinidine helps to stabilize the heart's electrical activity and prevent the recurrence of abnormal rhythms after cardioversion. It does this by blocking certain channels in the heart that are responsible for abnormal electrical signals. Therefore, quinidine is an effective choice for maintaining a normal heart rhythm after cardioversion.

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68. Among the endocrine medications, what drug action category do adernal corticosteroids fall within?

Explanation

Adrenal corticosteroids fall within the supportive drug action category. This is because they provide support to the body's endocrine system by mimicking the effects of natural hormones produced by the adrenal glands. These medications help to regulate various physiological processes and reduce inflammation, providing support to the body's overall hormonal balance.

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69. The antidote for bleeding complications while under coumarin (Coumadin) therapy is to administer

Explanation

The correct answer is vitamin K. Coumarin (Coumadin) is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors. Therefore, if a patient experiences bleeding complications while on coumarin therapy, administering vitamin K can help restore the levels of these clotting factors and stop the bleeding. Protamine sulfate is used as an antidote for heparin, not coumarin. Vitamin B12 is not directly involved in the clotting process.

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70. Contraindications of nonsteroidal anti-inflammatory drugs include all of the following except

Explanation

The contraindications of nonsteroidal anti-inflammatory drugs (NSAIDs) include patients with asthma, patients taking anticoagulants, and those undergoing elective surgery. However, taking NSAIDs with dairy products is not a contraindication. This means that there are no specific warnings or precautions against consuming dairy products while taking NSAIDs.

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71. Angiotensin-converting enzyme (ACE) inhibitors lower blood presssure by

Explanation

ACE inhibitors lower blood pressure by decreasing vasoconstriction. Vasoconstriction is the narrowing of blood vessels, which increases blood pressure. ACE inhibitors work by inhibiting the production of angiotensin II, a hormone that causes vasoconstriction. By reducing the levels of angiotensin II, ACE inhibitors help to relax and widen the blood vessels, leading to a decrease in blood pressure.

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72. Which statement is not true of the nonsteroidal anti-inflammatory drugs?

Explanation

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to alleviate pain in conditions like arthritis. However, the statement "raises prostaglandin levels" is not true. NSAIDs actually work by inhibiting the production of prostaglandins, which are responsible for inflammation and pain. By reducing prostaglandin levels, NSAIDs help in reducing pain and inflammation. Therefore, the correct answer is "raises prostaglandin levels" as it contradicts the mechanism of action of NSAIDs.

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73. Toxic side effects of digitalis include the following except

Explanation

Digitalis is a medication commonly used to treat heart conditions such as congestive heart failure and atrial fibrillation. It works by increasing the strength and efficiency of the heart's contractions. However, it can also have toxic side effects. Vertigo and diplopia (double vision) are known side effects of digitalis toxicity. Bradycardia (slow heart rate) is also a potential side effect, as digitalis can affect the electrical conduction system of the heart. Tachycardia (fast heart rate) is not typically associated with digitalis toxicity, so it is the exception in this list.

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74. Calcium channel blockers suppress the action of calcium during contraction of the heart by

Explanation

Calcium channel blockers work by reducing the excitability of the heart and dilating the main coronary arteries. This means that they decrease the ability of the heart to contract forcefully and also widen the blood vessels that supply oxygen to the heart. By doing so, calcium channel blockers can help to lower blood pressure, reduce the workload of the heart, and improve blood flow to the heart muscle.

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75. Contraindications for procainamide include persons with known

Explanation

Procainamide is a medication used to treat certain heart rhythm disorders. It works by blocking abnormal electrical signals in the heart. However, it is contraindicated in individuals with congestive heart failure. This is because procainamide can worsen heart failure symptoms and lead to fluid retention, which can further strain the heart. Therefore, individuals with congestive heart failure should avoid procainamide as it can potentially worsen their condition.

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76. Central-acting alpha-adrenergic inhibitors are combined with

Explanation

Central-acting alpha-adrenergic inhibitors are often combined with diuretics to treat conditions like hypertension. Diuretics help to reduce fluid retention in the body, which can help lower blood pressure. This combination therapy is effective because diuretics help to remove excess fluid from the body, while central-acting alpha-adrenergic inhibitors work by blocking the effects of certain chemicals that can cause blood vessels to narrow and increase blood pressure. Together, these medications can help to effectively manage hypertension and reduce the risk of complications.

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77. What type of laxative is sorbitol?

Explanation

Sorbitol is classified as a hyperosmotic laxative. Hyperosmotic laxatives work by drawing water into the intestines, which softens the stool and promotes bowel movements. Sorbitol is an osmotic agent that increases the osmotic pressure in the intestines, causing water to be retained in the stool. This helps to relieve constipation and facilitate regular bowel movements.

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78. Side effects of tricyclics include all of the following except

Explanation

Tricyclic antidepressants are known to cause various side effects. Urinary retention, cardiac arrhythmias, and postural hypotension are all potential side effects of these medications. However, pupil constriction is not commonly associated with tricyclics. Therefore, the correct answer is pupil constriction.

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79. Adrenergic blockers are used in low doses for patients with

Explanation

Adrenergic blockers are medications that block the effects of adrenaline, also known as epinephrine. These medications are used in low doses for patients with lung conditions that cause bronchospasm. Bronchospasm refers to the narrowing of the airways in the lungs, which can lead to difficulty in breathing. By blocking the effects of adrenaline, adrenergic blockers help to relax the smooth muscles in the airways, thereby relieving bronchospasm and improving airflow in the lungs. This can be beneficial for patients with conditions such as asthma or chronic obstructive pulmonary disease (COPD), where bronchospasm is a common symptom.

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80. Which of the following medications can interact with quinolones to potentiate cardiac arrest?

Explanation

Theophylline is a medication that can interact with quinolones to potentiate cardiac arrest. Quinolones are a class of antibiotics that can have a side effect of prolonging the QT interval, which can increase the risk of cardiac arrhythmias. Theophylline is a bronchodilator commonly used to treat asthma and chronic obstructive pulmonary disease (COPD). It can also prolong the QT interval and increase the risk of arrhythmias. Therefore, when theophylline is taken in combination with quinolones, there is an increased risk of cardiac arrest due to the additive effect on QT interval prolongation.

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