Test 5 Prep

87 Questions | Total Attempts: 37

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Pharmacology Quizzes & Trivia

This quiz is only for Pharmacology & Death and Dying. There will be an additional test for the rest of the content.


Questions and Answers
  • 1. 
    Kelly has had a reaction to a new medication. The reaction was from the new medication interacting with her current medication. Her reaction to the medication was one that was not seen in clinical trials and was not published.  Kelly's nurse recognized the reaction to the medication on a reassessment of Kelly shortly after the medication was given.  Should the nurse be concerned that she gave the medication in error?
    • A. 

      Yes. Any reaction that is negative is the responsibility of the nurse.

    • B. 

      No. Nurses are only responsible for published interactions.

    • C. 

      No. Nurses are not responsible for reaction. The Dr. and Pharmacists are the final say on interactions.

  • 2. 
    Dr. Gangley is known to be confrontational.  The nurse is given a list of meds to give to his patient.  The nurse notices that there could be a possible interaction in the medications.  Because Dr. Gangley is known for losing his temper, the nurse decides that the risk of upsetting the doctor is greater than the potential risk.  He gives the meds to his patient and the patient has anaphalatic shock and almost dies.  The nurse is suspended until a review can be done.  Should the nurse be surprised?
    • A. 

      No. The nurse has a responsibility to question orders that present with a potential interaction that will will adversely affect the patient.

    • B. 

      No. Dr. Gangley is big on passing the buck.

    • C. 

      Yes. Dr. Gangley should have known the possible interactions along with the Pharmacist. It is ultimately their responsibility.

    • D. 

      Yes. The nurse could not have known with certainty that the medications would have interacted in such a bad way.

  • 3. 
    During an interview for a RN position, the head of HR feels good about the nurse applicant when she states:
    • A. 

      It is not wise to question the doctors orders.

    • B. 

      Patients using their own meds save the hospital money and resources.

    • C. 

      Controlled substances, although not preferable, can be discarded as long as she notes the chart.

    • D. 

      Patients must always be reassessed for effectiveness, side effects, adverse reactions to medications and indications of drug interactions.

  • 4. 
    Controlled substances require:  Check all that apply
    • A. 

      Accurate accounting of all drugs.

    • B. 

      A counter signature to administer.

    • C. 

      Records to be kept.

    • D. 

      No documentation for wasting but requires documentation for discarding.

  • 5. 
    Which is the correct six rights?
    • A. 

      Right drug, Right dose, Right route, Right Time, Right Documentation, Right Reaction

    • B. 

      Right drug, Right dose, Right patient, Right Time, Right Documentation, Right Reaction

    • C. 

      Right drug, Right dose, Right Patient, Right Route, Right Time, Right Documentation

    • D. 

      Right drug, Right Patient, Right Route, Right Time, Right Documentation, Right Reaction

  • 6. 
    Is there anything wrong with this order?Michael Smith, Tylenol 65mg x2 po bid
    • A. 

      No

    • B. 

      Yes

  • 7. 
    Calley needs to give Mrs. Johnston her 0800 meds.  She notices that she needs to give 25mg of a medication po to Mrs. Johnston.  The pill is not scored and is EC and is 50 mg.  Can Calley use the pill cutter to give Mrs. Johnston her meds?
    • A. 

      No

    • B. 

      Yes

  • 8. 
    Nick has just received a stat order for a medication for his patient in RM 102.  He also promised RM 103 he would be in to give a bed bath and the lab's will be coming back on patient in RM 104 for a possible GI bleed.  What should Nick do?
    • A. 

      Ask the CNA to give the patient in 102 his med. It's only a lasix and not a controlled substance.

    • B. 

      Nick shouldn't go anywhere until the GI bleed lab comes back.

    • C. 

      Ask the CNA to give the patient in RM 103 a bed bath, give 102 their med, and then check back in on the lab work.

    • D. 

      Give the med in RM 102 and then wait on the GI bleed lab. Patient in RM 103 will have to wait.

  • 9. 
    A nurse shows understanding of why nurses are held to such a high level of responsibility when administering medications when the nurse says:
    • A. 

      The six rights of the patient are our most important guideline.

    • B. 

      Signing out and counting narcotics must be done in every case.

    • C. 

      We do the last safety check based on our education, judgment, and resources.

    • D. 

      Nurses are held accountable for all interactions.

  • 10. 
    A nurse understands first pass affect when the nurse states:
    • A. 

      EC medications are designed to have better first pass than non EC medications.

    • B. 

      Topicals are absorbed into the blood stream and have a minimal first pass affect.

    • C. 

      IV drugs and Oral drugs are not given in the same strength.

    • D. 

      First Pass affect only applies to medications that are a Class IV medication.

  • 11. 
    A nurse understands Topical drugs when the nurse states:
    • A. 

      Topical drugs give a consistent, time released stream of medication.

    • B. 

      Topical drugs have an unpredictable rate of absorption and bypass first pass affect.

    • C. 

      Patch medication can be cut for lower doses.

    • D. 

      Topicals are never applied to compromised skin.

  • 12. 
    A nurse understand SQ and IM medications when the nurse states:
    • A. 

      IM and SQ meds are inconsistent, water soluble, and can also be given IV.

    • B. 

      IM and SQ meds do not cause tissue damage.

    • C. 

      IM and SQ meds, when used properly, are less likely to cause reaction.

    • D. 

      IM and SQ meds are inconsistent rate of absorption, can be water soluble, and cannot be given IV.

  • 13. 
    A nurse understands Oral meds when the nurse states:
    • A. 

      Oral meds are inexpensive, have an constant absorption rate, always has a first pass affect.

    • B. 

      Oral meds are reversible only if caught within 5 minutes or administering.

    • C. 

      Oral meds have a negative affect on the stomach and causes GERD.

    • D. 

      Oral meds are inexpensive, have an inconsistent absorption rate, may have a first pass affect, and are potentially reversible.

  • 14. 
    A nurse understands IV meds when the nurse states:
    • A. 

      IV meds have the most rapid rate of absorption, reversible, are more expensive, and may cause IV site complications.

    • B. 

      IV meds are absorbed in the system quickly and can be circulated within one minute.

    • C. 

      IV meds have the most rapid rate of absorption, not reversible, are more expensive, first pass affected, and can cause IV site complications.

    • D. 

      IV meds are pushed at a high rate to ensure therapeutic levels reach their potential as fast as possible.

  • 15. 
    A nurse understands Inhalation drugs when they state:
    • A. 

      Inhalation drugs deliver narcotics most quickly through the alveoli when pain needs immediate suppression.

    • B. 

      Inhalation drugs are most used for anesthetics.

    • C. 

      COPD must use oral or IV meds as the COPD has little success due to alveoli damage.

    • D. 

      Inhalation drugs are not dangerous when used properly.

  • 16. 
    Pharmacokinetics would be responsible for:
    • A. 

      Binding receptors

    • B. 

      Physical reaction

    • C. 

      Excretion

    • D. 

      Chemical reaction

  • 17. 
    Pharmacokinetics would be responsible for:
    • A. 

      Absorption, Excretion, Metabolism, Chemical reaction.

    • B. 

      Metabolism, Protein Binding, Excretion

    • C. 

      Absorption, Metabolism, Distribution, Excretion

    • D. 

      Absorption, Metabolism, Physical Reaction, Excretion

  • 18. 
    Pharmacodynamics would be responsible for:
    • A. 

      Receptor binding, Physical Reaction, Chemical Reaction, Excretion

    • B. 

      Receptor binding, Physical Reaction, Chemical Reaction

    • C. 

      Receptor binding, Physical Reaction, Metabolism, Excretion

    • D. 

      Receptor binding, Chemical Reaction, Absorption, Distribution

  • 19. 
    Absorption can best be described as:
    • A. 

      The rate the drug takes to leave the site of administration and reach the blood.

    • B. 

      The rate the drug takes to leave the site of administration and be taken in by cells.

    • C. 

      The rate the drug takes to leave the site of administration and be taken in by fat cells.

    • D. 

      The rate the drug takes to bind to protein.

  • 20. 
    Distribution can be best described as:
    • A. 

      The transportation of the drug by the protein to the site of action.

    • B. 

      The transportation of the drug by the blood to the site of action.

    • C. 

      The transportation of the drug through the GI to be metabolized.

    • D. 

      The transportation of the drug to the first pass affect.

  • 21. 
    Matabolism can be best described as:
    • A. 

      The chemical interaction in the first pass that sheds unwanted drug.

    • B. 

      The rate at which the drug in the gut.

    • C. 

      The biologic transformation of the drug.

    • D. 

      The rate the body prepares the excretion.

  • 22. 
    Excretion can be best describes as:
    • A. 

      The loss of drugs through the kidneys, skin pores, mucus membranes.

    • B. 

      The loss of drugs through the lungs.

    • C. 

      The loss of drugs through exertion.

    • D. 

      The loss of drugs through the kidneys.

  • 23. 
    The nurse understand the adverse pharmacokinetic absorption process when the nurse states:
    • A. 

      Route of administration, presence of food but not fluids, GI function, and dosage form.

    • B. 

      Route of administration, presence of fluids but not food, GI function and dosage form.

    • C. 

      Route of administration, presence of fluids and food, GI function, and dosage form.

    • D. 

      Route of administration, Physical reaction, GI function, and dosage form.

  • 24. 
    The nurse understand the adverse pharmacokinetic Distribution process when the nurse states:
    • A. 

      Circulation, Chemical Reaction, Blood Brain Barrier

    • B. 

      Circulation, Physical Reaction, Blood Brain Barrier

    • C. 

      Circulation, Protein Binding, Blood Brain Barrier

    • D. 

      Circulation, Hydrostatic Pressure, Blood Brain Barrier

  • 25. 
    The nurse understand the adverse pharmacokinetic Metabolic process when the nurse states:
    • A. 

      Disease, medications, first pass affect

    • B. 

      Disease, medication, blood brain barrier

    • C. 

      Disease, medication, protein binding

    • D. 

      Disease, medication, circulation