NURS323 Pharm Quiz 1 Practice Questions
A nurse 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. The nurse 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 a decreased distribution D Have increased absorption
B Accumulate
A patient who was prescribed an oral medication to be taken 4 times per day forgets 2 or 3 doses each day. Which action by the nurse is best? A Arrange for the patient to have a home healthcare nurse. B Check into a single dose per day alternative medication C Determine whether the patient is experiencing any adverse effects. D Have the patient set an alarm as a reminder to take the drug
B Check into a single dose per day alternative medication
Liver enzyme activity often is increased in the older adult A True B False
B False
The nurse is preparing a list of medications to give to a patient who is being discharged from the hospital. The nurse should use which drug name for each medication? A Chemical name B Generic name C Trade name D Classification name
B Generic name
Neonates are at risk for what kind of response to drugs? A Inadequate and short-lived response B Intense and prolonged response C Inadequate but prolonged response D Intense but short lived response
B Intense and prolonged response
Which of the following is part of pharmacokinetics? A Potency B MEC C Elimination D Affinity
C Elimination
Medications bound to protein have the following effect: A Enhancement of drug availability B Rapid distribution of the drug to receptor sites. C The more drug bound to protein, the less available for desired effect. D Increased metabolism of the drug by the liver
C The more drug bound to protein, the less available for desired effect.
A nurse has given morphine 2 mg IV to a patient after surgery and has observed the "Six rights of drug administration." What additional responsibility does the nurse have as a patient advocate? A To administer the drug as often as possible B To minimize adverse effects by reducing the next dose C To know the possible reactions to morphine D To inform visitors that the patient has received morphine
C To know the possible reactions to morphine
An adult pt has been taking drug A that is metabolized by the cytochrome P450 system. He has been on this med for 6 months. At this time he is started on a second med Drug B, that is an inducer of the cytochrome P450 system. You should monitor this pt for: A increased therapeutic effects of Drug A B increased adverse effects of Drug B C decreased therapeutic effects of Drug A D increased therapeutic effects of Drug B
C decreased therapeutic effects of Drug A
The nurse teaches a patient about a sustained-release capsule. Which statement by the patient requires an intervention by the nurse? A "The capsule may cost more than a pill." B "This medication will be absorbed slowly." C "I must swallow this medication whole." D "I will take this medication 4 times a day."
D "I will take this medication 4 times a day."
The nurse cares for an adult patient who is started on a new medication. Which statement best indicates to the nurse that the medication dose for this patient is effective? A The patient has taken the average adult dose for 10 days B The patient has not experienced serious adverse effects. C The patient takes the medication every day as prescribed. D The patient does not exhibit disease signs and symptoms
D The patient does not exhibit disease signs and symptoms
A patient is taking a Category B drug during pregnancy. Which statement by the nurse is accurate? A "The risk of harm to the fetus is remote." B "The drug is safe to take during pregnancy" C "This drug has caused congenital birth defects." D "No controlled studies have been done in humans."
A "The risk of harm to the fetus is remote."
The majority of drugs used in pediatrics have never been tested on children A True B False
A True
