Pharmacology Examination

100 Questions | Total Attempts: 130

SettingsSettingsSettings
Please wait...
Pharmacology Examination

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 th


Questions and Answers
  • 1. 
    Which of the following is not a side effect of the cholinoreceptor blocker (Atropine)?
    • A. 

      Increased pulse

    • B. 

      Urinary retention

    • C. 

      Constipation

    • D. 

      Mydriasis

  • 2. 
    Which of the following is not a side effect of the Ace Inhibitor (Captopril)?
    • A. 

      Rash

    • B. 

      Angioedema

    • C. 

      Cough

    • D. 

      Congestion

  • 3. 
    Which of the following is not a side effect of the Vasodilator (Nifedipine)?
    • A. 

      Nausea

    • B. 

      Flush appearance

    • C. 

      Vertigo

    • D. 

      Sexual dysfunction

  • 4. 
    Which of the following is not a side effect of the Dieuretics (Loop dieuretics)?
    • A. 

      Alkalosis

    • B. 

      Nausea

    • C. 

      Hypotension

    • D. 

      Potassium deficits

  • 5. 
    Which of the following are not treated with Hydrochlorothiazide?
    • A. 

      CHF

    • B. 

      HTN

    • C. 

      Nephritis

    • D. 

      Hypercalciuria

  • 6. 
    Antianginal agent which decreases myocardial contractility (negative inotropism):
    • A. 

      Nitroglycerin

    • B. 

      Amyl nitrate

    • C. 

      Metoprolol (lopressor)

    • D. 

      Amrinone (Inocor)

  • 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. 

      Lungs

    • B. 

      Liver

    • C. 

      Kidney

    • D. 

      Adrenal glands

  • 8. 
     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. 

      Hepatitis B

    • B. 

      Inactivated polio

    • C. 

      Diphtheria, acellular pertussis, tetanus (DTaP)

    • D. 

      Mumps, measles, rubella (MMR)

  • 9. 
     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. 

      Stop taking the drug and make an appointment to be seen next week.

    • B. 

      Continue taking the drug and make an appointment to be seen next week.

    • C. 

      Stop taking the drug and come to the clinic to be seen today.

    • D. 

      Walk for at least 30 minutes and call if symptoms continue.

  • 10. 
    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. 

      0.9 % sodium chloride

    • B. 

      5% Dextrose in water

    • C. 

      Sterile water

    • D. 

      Heparin sodium

  • 11. 
    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. 

      Under the eyelid

    • B. 

      On the cornea

    • C. 

      In the lower conjunctival sac

    • D. 

      By the optic disc

  • 12. 
    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. 

      Only the nurse’s—she should have checked the allergies before administering the medication.

    • B. 

      Only the physician’s—she gave the order, the nurse is obligated to follow it.

    • C. 

      Only the pharmacist’s—he should alert the floor to possible allergic reactions.

    • D. 

      The pharmacist, physician, and nurse are all liable for the mistake

  • 13. 
     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. 

      Have a shorter half life

    • B. 

      Accumulate

    • C. 

      Have decreased distribution

    • D. 

      Have increased absorption

  • 14. 
    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. 

      Call the patient by name

    • B. 

      Read the name of the patient on the patient’s door

    • C. 

      Check the patient’s wristband

    • D. 

      Check the patient’s room number on the unit census list

  • 15. 
    The most important instructions a nurse can give a patient regarding the use of the antibiotic Ampicillin prescribed for her are to 
    • A. 

      Call the physician if she has any breathing difficulties.

    • B. 

      Take it with meals so it doesn’t cause an upset stomach.

    • C. 

      Take all of the medication prescribed even if the symptoms stop sooner.

    • D. 

      Not share the pills with anyone else.

  • 16. 
    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. 

      Roquefort, cheddar, or Camembert cheese.

    • B. 

      Grape juice, orange juice, or raisins.

    • C. 

      Onions, garlic, or scallions.

    • D. 

      Ground beef, turkey, or pork.

  • 17. 
    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. 

      give her the next ordered dose of MS.

    • B. 

      give her a back rub, put on some light music, and dim the lights in the room.

    • C. 

      report your findings to the RN, requesting an alternate medication order

    • D. 

      be obtained from the physician.

    • E. 

      Call her daughter to come and sit with her.

  • 18. 
    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. 

      Simethicone

    • B. 

      Albuterol

    • C. 

      Meperedine

    • D. 

      Ibuprofen

  • 19. 
    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. 

      Right dose

    • B. 

      Right route

    • C. 

      Right frequency

    • D. 

      Right time

  • 20. 
     A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should: 
    • A. 

      Draw up and administer the dose

    • B. 

      Shake the vial in an attempt to disperse the clumps

    • C. 

      Draw the dose from a new vial

    • D. 

      Warm the bottle under running water to dissolve the clump

  • 21. 
    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. 

      a referral is needed to the psychiatrist who is to provide the client with answers

    • B. 

      the client has a right to know about the prescribed medications

    • C. 

      such education is an independent decision of the individual nurse whether or not to teach clients about their medications

    • D. 

      clients with schizophrenia are at a higher risk of psychosocial complications when they know about their medication side effects

  • 22. 
    Carol has a nasogastric tube after colon surgery. Which one of these tasks can be safely delegated to an unlicensed assistive personnel (UAP)? 
    • A. 

      To observe the type and amount of nasogastric tube drainage

    • B. 

      Monitor the client for nausea or other complications

    • C. 

      Irrigate the nasogastric tube with the ordered irrigant

    • D. 

      Perform nostril and mouth care

  • 23. 
    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. 

      Call the supervisor and report Angelina.

    • B. 

      Confront Angelina, saying that she feels she is intoxicated, and relieve her of her nursing duties immediately.

    • C. 

      Ignore the situation.

    • D. 

      Give Angelina a lecture about substance abuse and do nothing else.

  • 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. 

      "I am sorry. Referral information can only be provided by the client’s providers"

    • B. 

      "I can never give any information out by telephone. How do I know who you are?"

    • C. 

      "Since this is a referral, I can give you this information"

    • D. 

      "I need to get the client’s written consent before I release any information to you"

  • 25. 
    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. 

      "I must document and report any important information."

    • B. 

      "I can’t make such a promise."

    • C. 

      "That depends on what you tell me."

    • D. 

      "I must report everything to the treatment team."

Back to Top Back to top