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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

  • 26. 
    The nurse understand the adverse pharmacokinetic excretion process when the nurse states:
    • A. 

      Renal failure decreases amount of drug in the system.

    • B. 

      Low function kidneys will push medication out into urine before Na.

    • C. 

      Kidney disease increases excretion and decreases drug action

    • D. 

      Kidney disease decreases excretion and increases drug action.

  • 27. 
    Luis is on dialysis.  Would the nurse give his meds before or after Luis's dialysis treatment and would Luis need a higher or lower dose?
    • A. 

      Before/Higher

    • B. 

      Before/Lower

    • C. 

      After/Higher

    • D. 

      After/Lower

  • 28. 
    The SN is asked to discuss Peak and Trough to the Nurse Instructor.  The SN shows their knowledge by stating that onset:
    • A. 

      Onset is the beginning phases of the disease.

    • B. 

      Onset is the time the drug reaches a maximum effective concentration in the body.

    • C. 

      Onset is the time the drug reaches a minimum effective concentration in the body.

    • D. 

      Onset is is the moment medication is given.

  • 29. 
    The SN is asked to discuss Peak and Trough to the Nurse Instructor.  The SN shows their knowledge by stating that Peak:
    • A. 

      Peak is when the patient feels the best.

    • B. 

      Peak is the time for the drug to reach highest plasma concentration and maximum therapeutic affect.

    • C. 

      Peak is the strongest point of infection for the patient.

    • D. 

      Peak is the time for the drug to reach lowest plasma concentration and maximum therapeutic affect.

  • 30. 
    The SN is asked to discuss Peak and Trough to the Nurse Instructor.  The SN shows their knowledge by stating that trough:
    • A. 

      Length of time the drug has a pharmacologic effect.

    • B. 

      The beginning of recovery for an infectious patient.

    • C. 

      Length of time the drug has to completely be excreted from the system.

    • D. 

      Length of time the drug has a sedation affect for the patient.

  • 31. 
    What are the two factors that determine half-life of a medication:
    • A. 

      Absorption, Excretion

    • B. 

      Transportation, Metabolism

    • C. 

      Metabolism, Excretion

    • D. 

      Transportation, Excretion

  • 32. 
    The nurse understand the impact of "steady state" when he says:
    • A. 

      The patient has a return to normal VS.

    • B. 

      Loading doses should be repeated on a regular basis.

    • C. 

      Regularly scheduled doses of medication are always important.

    • D. 

      When patients are removed from ICU and transferred to Med Surg.

  • 33. 
    A drugs half-life is affects a drugs steady state.  The nurse understands this by stating:
    • A. 

      Once a drug has gone through one half-life, another dose will need to be given to keep the steady state.

    • B. 

      First Pass affects a drugs half life the most.

    • C. 

      High excretion lessens a drugs half life.

    • D. 

      Half-life is constant and consistent in every patient except those with renal failure.

  • 34. 
    A loading dose is understood by a nurse when the nurse states:
    • A. 

      A loading dose is used in all IV meds.

    • B. 

      Loading doses are used to reach a maximum effective concentration rapidly.

    • C. 

      Loading doses should be repeated q 30 minutes until desired outcome has been met.

    • D. 

      Loading doses need extra care as the minimum effective concentration can happen quickly.

  • 35. 
    Peak and Troughs are important tools used by nurses.  The nurse understands this by stating:
    • A. 

      When a patient is on certain drugs that have a narrow therapeutic index, it is the nurses responsibility to order and monitor a peak and trough through the lab.

    • B. 

      A trough is the minimum therapeutic level of a drug while the peak is the point that toxicity happens.

    • C. 

      Peaks determine the safe level of drug by keeping the therapeutic level lower than the toxic level and trough's ensure that the patient has adequate therapeutic levels.

    • D. 

      Peak and trough are drawn on medications that have a wide therapeutic index to ensure that maximum amounts of drug are available to the patient.

  • 36. 
    A nurse understands Peak and Trough draw times when the nurse states.
    • A. 

      Peak is drawn 30 minutes before next dose.

    • B. 

      Trough is drawn 30 minutes after drug administration.

    • C. 

      Peak and Trough are drawn at the same time.

    • D. 

      Peak is drawn 30 minutes after oral digestion and 30 minutes before next administration of oral drug.

    • E. 

      None of the above.

  • 37. 
    Mary is taking a medication.  She is having dry mouth and a headache.  The nurse knew that this was likely to happen.  What is Mary experiencing:
    • A. 

      Side effect

    • B. 

      Adverse effect

    • C. 

      Allergic reaction

    • D. 

      Idiosyncratic reaction

  • 38. 
    Luke has taken a medication.  He is having severe chest pain.  The nurse gave him his K without having a K lab drawn.  What is Luke experiencing?
    • A. 

      Side affect

    • B. 

      Adverse affect

    • C. 

      Allergic reaction

    • D. 

      Idiosyncratic response

  • 39. 
    Mr. Johnson has an allergy to eggs, they make him nauseated.  He have a TIV shot and begins to complain of feeling nauseated.  What is Mr. Johnson experiencing.
    • A. 

      Side effect

    • B. 

      Adverse effect

    • C. 

      Allergic reaction

    • D. 

      Idiosyncratic response

  • 40. 
    Claire takes benydryl.  She is unable to sleep and doesn't want to stop moving.  What is Claire experiencing?
    • A. 

      Side effect

    • B. 

      Adverse effect

    • C. 

      Allergic effect

    • D. 

      Idiosyncratic reaction

  • 41. 
    Medication dosage for children is calculated by:
    • A. 

      Nomogram or age

    • B. 

      Nomogram or weight

    • C. 

      Nomogram or surface area calculator

    • D. 

      Age or surface area calculator

  • 42. 
    The nurse understands elderly pharmacokinetics absorption when the nurse states:
    • A. 

      Percentage of drug absorbed and rate of absorption may be slower.

    • B. 

      Rate of absorption may decrease because of increased body fat.

    • C. 

      Rate of absorption may be slower because of decreased blood flow and GI motility, but the drug percentage absorbed not changed.

    • D. 

      Increased Gastric pH in the elderly increase the rate of absorption.

  • 43. 
    The nurse understands elderly pharmacokinetics distribution when the nurse states:
    • A. 

      Elderly store more lipid-soluble drugs, have an increase of drug concentration and lower protein binding.

    • B. 

      Elderly have lower cardiac output which decreases drug concentrations.

    • C. 

      Elderly have an increase in body fat which decreases drug concentration.

    • D. 

      Elderly have lower body water but increase in body fat. This means that there is a decrease in drug concentration.

  • 44. 
    A serum albumin is not a helpful test for medication purposes in the elderly.
    • A. 

      True

    • B. 

      False

  • 45. 
    The nurse understands elderly pharmacokinetics metaolism when the nurse states:
    • A. 

      Elderly need to be dosed more frequently because half-life of certain drugs decreases.

    • B. 

      Elderly have a decrease in hepatic function which may cause half-life increase.

    • C. 

      Hepatic mass decreases to increase hepatic blood flow, keeping half-life about the same as middle adults.

    • D. 

      Rates of drug metabolism may be altered decreasing half-life of certain drugs, leaving less medication in the system.

  • 46. 
    Barry weighs 275 and is 5'11''.  He has family history of CHF.  Which of these does Barry need to be evaluated for regarding his medication?  *check all that apply*
    • A. 

      Body weight

    • B. 

      Disease

    • C. 

      Genetics

  • 47. 
    How does body weight influence drugs?
    • A. 

      Drug metabolism and protein binding.

    • B. 

      Drug distribution and concentration at site of action.

    • C. 

      Body weight has not influence on drugs.

    • D. 

      Drug excretion and chemical reactions.

  • 48. 
    What part of pharmacokinetics can disease effect? *check all that apply*
    • A. 

      Absorption

    • B. 

      Distribution

    • C. 

      Metabolism

    • D. 

      Excretion

    • E. 

      Chemical Reaction

  • 49. 
    Medications that interact with one another always have negative consequences.
    • A. 

      True

    • B. 

      False

  • 50. 
    A drug may _____ or ______ the action of another drug.
    • A. 

      Potentiate, inhibit

    • B. 

      Enhance, kill

    • C. 

      Potentiate, help

    • D. 

      Stop, inhibit

  • 51. 
    All medications should be taken with food to increase the absorption of medication.
    • A. 

      True

    • B. 

      False

  • 52. 
    Kimberly is in pain.  The nurse offers her a vicodin.  Kimberly says she is allergic to vicodin.  What does the nuse say to show and understanding of the situation.
    • A. 

      "Thank you. I will look for another type of pain reliever."

    • B. 

      "What type of reaction did you have to vicodin previously"

    • C. 

      "This is what the doctor prescribed, so you should trust the doctor."

    • D. 

      "You must have an allergy to narcotics. That will narrow the pain reliever you can have. Would you like a tylenol?"

  • 53. 
    What is the most important principle to remember regarding medication and your patient?
    • A. 

      When giving K, get serum K levels first.

    • B. 

      Right dose, right time, right route, right person, right medication, right documentation

    • C. 

      Patient can refuse medication.

    • D. 

      It is the nurses obligation and responsibility to question orders.

    • E. 

      All the above.

  • 54. 
    Billy was having "bad thoughts" about the time his mother passed away.  He has drawn into himself and blames him self for the death of his mother.  Which group does Billy belong to?
    • A. 

      Toddler

    • B. 

      Preschool

    • C. 

      School age

    • D. 

      Adolescent

  • 55. 
    Lindsey tells her mother that it's ok that Grandma died because she is going to bring her back with her magic wand.  Which group does Lindsey belong to?
    • A. 

      Toddler

    • B. 

      Preschool

    • C. 

      School age

    • D. 

      Adolescent

  • 56. 
    Nick understands that his dog Bucket has died and is not coming back.  He is now fearful that he is going to die as well.  What group does Nick belong to?
    • A. 

      Toddler

    • B. 

      Preschool

    • C. 

      School age

    • D. 

      Adolescent

  • 57. 
    A man has lost his wife to cancer.  They have a young daughter who is grieving.  What nursing interventions would be appropriate to discuss with the father?
    • A. 

      Have a friend of the family take the child somewhere when the family is crying and grieving the most.

    • B. 

      Tell the child what her dead mother will look like in the casket.

    • C. 

      Keep her away from emotional family member during the service.

    • D. 

      Discuss what happens physiologically, in medical terms, what happens to a body when it dies.

    • E. 

      Help her to feel comfortable with her own guilt for her mother dying. By helping her to see that her actions were part of the complications of her mothers death encourages her to behave better in the future.

  • 58. 
    Tammy and Martin talk to their son about the death of the family cat.  The child states that they know death is permanent, has a sense that people in his life will die, but is not concerned that it will happen to him, and knew that the reason the cat died was because she was sick.  What group does the son belong to?
    • A. 

      Preschool

    • B. 

      School age

    • C. 

      Adolescent

    • D. 

      Young Adult

  • 59. 
    Explaining that drugs and alcohol will kill them is an adequate way to keep adolescents from starting these bad habits?
    • A. 

      True

    • B. 

      False

  • 60. 
    Harry states that he wants his wife to be with him when he dies.  He is somewhat prepared for his mother to die but was shattered when their young son died in an accident.  Harry doesn't want to die, but realizes that it will happen if he wants it to or not.  What group does Harry belong to?
    • A. 

      Adult

    • B. 

      Elderly

    • C. 

      Adolsecent

  • 61. 
    Mary's oldest daughter is in the military and she is preparing her son to go to college.  What can be expected of Mary?
    • A. 

      Turn the oldest daughters room into a sewing room.

    • B. 

      Waking up each morning feeling relived she has done her job well.

    • C. 

      Feelings of grief and loss.

    • D. 

      Planning to take a vacation with her husband.

  • 62. 
    Gladus has just gone to her 60 high school reunion.  The few that show up discuss all their classmates that have passed over the years and the loss of the spouses as well.  Several of her old friends talk about being fearful of dying in a state of pain while a few state that if it comes to that, they will take the matter into their own hands.  Do Gladus and her friends have a healthy approach to the end of life?
    • A. 

      True

    • B. 

      False

  • 63. 
    A good nursing intervention for a dying patient would be:
    • A. 

      Keep people away to keep the room quiet, even family.

    • B. 

      Encourage the patient to cry when you feel they aren't accepting their death.

    • C. 

      Talk about their lives and what they have done with it. Supply support to tying up loose ends.

    • D. 

      Give them a lot of stimulus so they don't fall into depression about their impending death.

  • 64. 
    A patient has just passed away in their room full of friends and family.  The patient was a 98 year old woman who had lived a long, productive life.  There has been a lot of laughter in the patients room leading up to the patient expiring. Knowing that there is a lot to be done and knowing the family is coping well, it is appropriate to ask the family to leave to prepare the body for transport.
    • A. 

      True

    • B. 

      False

  • 65. 
    Certain family members a crying and sobbing.  You talk to the doctor and the doctor suggests giving the grieving family members something to calm them down.  The nurse understands the principals when the nurse states:
    • A. 

      Giving medication that will calm them down will allow the family to make clearer decisions.

    • B. 

      Giving medication that will calm them down will allow the family to think rationally and reflect on the positives of the person who passed.

    • C. 

      Giving medication that will calm them down keeps families from grieving.

    • D. 

      A & B

  • 66. 
    As a nursing team, it is important to supply the nurse who is dealing with grieving from family members support too?
    • A. 

      True

    • B. 

      False

  • 67. 
    Gary is a nurse in his early 20's.  He has started working in a LTC facility.  For the first few weeks, Gary is very happy at his job.  On the fourth week, he loses one of his patients.  Gary becomes emotional and tells the charge nurse that he has made a huge mistake becoming a nurse.  What would the charge nurse take from Gary's statement.
    • A. 

      Gary is immature and needs to grow up.

    • B. 

      Gary does no have what it takes to be a good nurse.

    • C. 

      Gary should consider going into a different field of nursing.

    • D. 

      Gary probably hasn't experienced death of someone close and has not accepted his own mortality yet.

  • 68. 
    Bella has given an advanced directive or terminating life support for herself after 36 hours of life support and the doctors admission that chances are slim she will recover.  30 hours into her life support, the doctor tells Bella's mother that in 6 hours they will turn her life support off and let her die.  Bella's mother says no and expects the doctor to carry out her wishes.  The doctor leaves and passes off the information to the nurse.  What would the nurse say to the patient?
    • A. 

      Bella will be kept on life support until the mother decides otherwise.

    • B. 

      If the mother wants Bella to stay on life support, she will have to update Bella's insurance information to her own.

    • C. 

      Bella's life support will be turned off in 6 hours and listen to what the mother has to say. Offer support services for the mother.

    • D. 

      Bella is going to be moved to a long term care facility as the hospital is not equipped to care for long term life support patients.

  • 69. 
    With hospice, a patient is transferred to a state accredited hospice facility where comfort measures are applied but no cure is attempted.
    • A. 

      True

    • B. 

      False

  • 70. 
    Death can be pronounced when these signs are apparent:
    • A. 

      Cessation of VS.

    • B. 

      No brain activity for 24 hours.

    • C. 

      On the phone to a 911 operator when a hospice patient has died.

    • D. 

      A & B

    • E. 

      All the above

  • 71. 
    When approaching death, the body will show which of the following:
    • A. 

      Cool, clammy skin

    • B. 

      Dry warm skin.

    • C. 

      Dependent area shows blood pool darkening.

    • D. 

      Heart rate increases but BP decreases.

  • 72. 
    Poor cardiac function of the dying leads to:
    • A. 

      Respiratory congestion.

    • B. 

      Increased BP.

    • C. 

      Increased GI motility

    • D. 

      Decreased creatinine in urine.

  • 73. 
    A feeding tube is always used on someone who is dying and unable to eat.
    • A. 

      True

    • B. 

      False

  • 74. 
    Which of the sense's is usually last to go?
    • A. 

      Smell

    • B. 

      Hearing

    • C. 

      Taste

    • D. 

      Vision

  • 75. 
    Mary has CHF.  What pharmacokinetic principle will be most affected?
    • A. 

      Absorption

    • B. 

      Metabolism

    • C. 

      Distribution

    • D. 

      Excretion

  • 76. 
    Lenny is an alcoholic with cirrhosis.  What pharmacokinetic principle is most likely affected?
    • A. 

      Absorption

    • B. 

      Metabolism

    • C. 

      Distribution

    • D. 

      Excretion

  • 77. 
    Ted has eaten food smuggled into the hospital by his wife.  He isn't suppose to eat before he takes his medicine.  What pharmacokinetic principle has Ted messed with?
    • A. 

      Absorption

    • B. 

      Metabolism

    • C. 

      Distribution

    • D. 

      Excretion

  • 78. 
    Pharmacodynamics includes which of the following: (HS)
    • A. 

      Teratogenic effect and idiosyncratic response

    • B. 

      Allergic reaction

    • C. 

      Physical dependence and tolerance

    • D. 

      Adverse effects, allergic reaction, side effects

    • E. 

      C & D

  • 79. 
    When is a loading dose used? (HS)
    • A. 

      When the maintenance dose has worn off

    • B. 

      When the peak is toxic and trough is not therapeutic

    • C. 

      When rapid minimum effective concentration is desired

    • D. 

      When the steady state of the drug is unstable

  • 80. 
    What is not part of an accurate and complete medication order? (HS)
    • A. 

      Frequency of administration

    • B. 

      MD signature

    • C. 

      Bed and room number of patient

    • D. 

      Date

    • E. 

      Name of drug

  • 81. 
    Which drugs can cross the blood brain barrier? (HS)
    • A. 

      Water soluble drugs

    • B. 

      Drugs administered IC, IM, or SQ

    • C. 

      Drugs that are not sustained release or enteric coated

    • D. 

      Lipid soluble drugs

  • 82. 
    What should you consider when dosing a child? (HS)
    • A. 

      Weight and body surface area

    • B. 

      Developmental age

    • C. 

      Gender

    • D. 

      A and b

    • E. 

      All of the above

  • 83. 
    Most drugs enter breast milk although amount varies. (HS)
    • A. 

      True

    • B. 

      False

  • 84. 
    -prils fall under which category? (HS)
    • A. 

      Beta blocker

    • B. 

      Peripheral vessel calcium channel blocker

    • C. 

      Ace-inhibitor

    • D. 

      Proton pump inhibitor

  • 85. 
    What effect does grapefruit juice have on the therapeutic effect of some drugs? (HS)
    • A. 

      Metabolism

    • B. 

      Absorption

    • C. 

      Excretion

    • D. 

      Toxicity

  • 86. 
    If you patient, Xavier, has just taken his morning medications and upon leaving the room you realize you administered Coumadin before looking at his PT INR.  When you realize you gave a larger dose than you should have, your primary response is: (HS)
    • A. 

      Pump his stomach

    • B. 

      Call the MD

    • C. 

      Administer O2 2L per NC

    • D. 

      Chart the dose you gave and order a stat PT INR.

    • E. 

      Hire a lawyer and call his family to explain what happened.

  • 87. 
    Factors that may alter individual response to medications. (HS)
    • A. 

      Race

    • B. 

      Gender

    • C. 

      Body Weight

    • D. 

      Disease

    • E. 

      All the above