Exam 1 Multiple Choice

Half life of prednisone is 3.5 hours. That statement falls under which topic of pharmacology? a.)pharmacokinetics b.) pharmacodynamics c.) Pharmacotherapeutics d.) pharmacogenetics

a. ) pharmacokinetics

A nurse suspects a patient has developed pseudomembraneous colitis based on which finding? A.) bloody diarrhea B.) Pruritis C.) Chills D.) Hives

a.) Bloody Diarrhea

After administering sulfonamides the nurse observes a patient has developed fever, cough, muscular ache, red wheals on the neck and mouth and blisters on the face in the mouth and lips. Those are signs and symptoms of a.) Stevens- Johnson Syndrom b.) Toxic Epidermal Necrolysis c.) Leukopenia d.) Thrombocytopenia

a.) Stevens-Johnson Syndrom

Psychological dependency is mostly a characteristic of a.) controlled substances b.) prophylactic drugs c.) prescription drugs d.) OTC drugs

a.) controlled substances

A patient receiving cephalosporins develops widespread sloughing of both skin and mucous membranes. That is most likely a.) toxic epidermal necrolysis b.) steven Johnsons Syndrom c.) Neurotoxicity d.) Anaphylaxis

a.) toxic epidermal necrolysis

A client taking cephalosporins presents with flushing, breathing difficulty, sweating, and vomiting. The nurse suspects disulfiram-like reaction. The nurse should ask about recent a.) Use of alcohol b.) use of grapefruit juice c.) exposure to sun d.) skin changes

a.) use of alcohol

The type of medication order labeled PRN means that it is administered a.) in the absence of primary care provider b.) as needed c.) single dose d.) one time ASAP

b.) as needed

A nurse needs to administer a cephalosporin to a client. The client informs the nurse that he is allergic to penicillin. Which action is most appropriate? a.) reassure the patient and administer the cephalosporins b.) don't administer and inform the primary care provider c.) obtain occupational history d.) obtain specimen for kidney function

b.) don't administer and inform the primary care provider

An undesirable immune reaction to a drug which is not life threatening is a.) anaphylactic shock b.)hypersensitivity reaction c.)adverse effect d.) toxic effect

b.) hypersensitivity reaction

In planning care for a patient with liver disease, nurse must consider that liver disease results in a(n) a.) increase in excretion rate of the drug b.) impaired ability to detoxify or metabolize the drug c.) need to increase the dosage of the drug d.) decrease in rate of absorption

b.) impaired ability to detoxify or metabolize the drug

Which of the following drugs has the LEAST adverse effects on and can be used for children? a.) fluoroquinolones b.) penicillins c.) tetracyclines d.) sulfonamides

b.) penicillins

In which phase of clinical trial is the drug experimented on healthy volunteers to look for adverse effects? a.) Pre-clinical b.) phase 1 c.) phase 2 d.) phase 3

b.) phase 1

Red Man's Syndrome is an adverse effect of a.) gentamycin b.) vancomycin c.) penicillin d.) cephalosporins

b.) vancomycin

The treatment of active tuberculosis a.) 6 days b.) 6 weeks c.) 6 months d.) 6 years

c.) 6 months

Which of the following classes of drug does not inhibit bacterial cell wall synthesis? a.) Penicillin b.) Cephalosporins c.) Aminoglycosides d.) carbapenem

c.) Aminoglycosides

Sulfonamides should not be used for a.) burns b.) urinary tract infections c.) Group A Beta Hemolytic Streptococcus d.) Gram Negative Bacteria

c.) Group A Beta Hemolytic Streptococcus

Which of the following adverse effects is not among the common and more serious adverse effects of aminoglycosides? a.) Nephrotoxicity b.) Neurotoxicity c.) Cardiotoxicity d.) Ototoxicity

c.) cardiotoxicity

A part of an ongoing nursing assessment for a patient receiving sulfonamides would be to monitor the urine bag for decreased urinary output and a.) blood in urine b.) light color urine c.) crystals in urine d.) red urine

c.) crystals in urine

A client asks why they developed a superinfection while receiving flouroquinolone therapy. Which response by the nurse would be most appropriate? a.) your infection was more severe than could be treated by this antibiotic b.) this usually happens when your infection clears c.) the drug disrupts your normal bacteria so it allows other organisms to grow d.) no one knows why this happens, it is a common adverse reaction to the drug and its cause is unknown

c.) the drug disrupts your normal bacteria so it allows other organisms to grow

A 35 year old male comes into the trauma center for a fractured bone. Medical history is significant for narcotic abuse. He's complaining of severe pain. The physician prescribes PRN morphine. As the patient continues to complain of pain the nurse administers pain reliever until it reaches the maximum dosage, but the patient continues to complain of pain. The amount of morphine administered is more than enough to relieve pain in the vast majority of patients with similar trauma, however he is still in pain. This phenomenon is an example of a.) physical dependency b.) physchological dependency c.) tolerance d.) non-compliance

c.) tolerance

Refer to the video to answer this question: Boniva is the a.) official non-proprietary name b.) generic name c.) trade name d.) chemical name

c.) trade name

Which of the following patients is at greatest risk of tendinitis as a result of flouroquinolones? a.) 34 year old Female b.) 22 year old Male c.) 55 year old female d.) 78 Year old Male

d.) 78 year old Male

Which of the following route of administration is not parenteral? a.) subcutaneous b.) intravenous c.) intramuscular d.) by mouth

d.) by mouth

A client diagnosed with a UTI, indicates the use of a herbal product to help prevent and relieve symptoms. That is most likely a.) ginger b.) feverfew c.) saw palmetto d.) cranberry

d.) cranberry

A client who routinely takes antacids has been prescribed tetracycline. The nurse explains to the client there's an increased risk of which effect related to this combination? a.) Increased risk of bleeding b.) increased action of neuromuscular blocking drug c.) increased profound respiratory depression d.) decreased absorption and effectiveness of tetracyclines

d.) decreased absorption and effectiveness of tetracyclines

Every time the nurse goes back to determine if the patient feels better or if he needs more pain reliever, she is preforming which aspect of the nursing intervention? a.) implementation b.) analysis c.) diagnosis d.) evaluation

d.) evaluation

A drug that causes abnormal development of the fetus is a(n) a.) Anaphylactic drug b.) prophylactic drug c.) neoplastic drug d.) teratogenic drug

d.) teratogenic drug