Pharm Exam

Front 1

Which Drug form is most rapidly absorbed by the GI tract

Back 1

suspension

Front 2

Enteric-coated tablets are absorbed from the

Back 2

Intestine

Front 3

Usually food has what effect on drug dissolution and absorption

Back 3

Intereferes with

Front 4

The sequence of the four processes of pharmacokinetics is

Back 4

absorption, distribution, metabolism and excretion

Front 5

Drugs that pass rapidly through the GI membrane include

Back 5

lipid soluble non-ionized

Front 6

The factors that most commonly affect drug action are

Back 6

poor circulation, pain, stress, hunger and fasting

Front 7

E.T is taking a drug that is highly protein bound. Several days later, ET takes a second drug that is 90% protein bound. What happens to the first drug?

Back 7

More of the first drug is released from the protein and becomes more pharmacologically active

Front 8

The major site of drug metabolism is the

Back 8

Liver

Front 9

The route for drug absorption that has the greatest bioavailability is

Back 9

intravenous

Front 10

The serum half-life of a drug is the time that

Back 10

after absorption for half of the drug to be eliminated

Front 11

Drugs with a half-life of 24-30 hours would probably be administered on a dose schedule of

Back 11

once a day

Front 12

For elimination through the kidneys to be possible, a drug must

Back 12

be water-soluble

Front 13

Mrs. T has a renal disorder. Her creatnine clearance is 40ml/min. Her drug dose should be.

Back 13

Decreased

Front 14

The biologic activity of a drug is determined by the

Back 14

fit of the drug at the receptor site

Front 15

Drugs that prevent or inhibit a response are known as

Back 15

antagonists

Front 16

A receptor located in different parts of the body may initiate a variety of responses depending on its anatomic site. The receptor is

Back 16

non specific

Front 17

The valid indicator that measures the margin of safety of the drug is its

Back 17

therapeutic index

Front 18

Drugs with narrow therapeutic ranges, such as digoxin (0.5-2mcg/ml) require plasma serum drug level monitoring to avoid toxicity when

Back 18

at periodic intervals

Front 19

After drug administration the highest plasma/serum concentration of the drug at a specific time is called

Back 19

peak level

Front 20

Before the administration of a medication the nurse should check a drug reference book or the drug pamphlet to obtain all the following pertinent data except the:

Back 20

Maximum efficacy

Front 21

Physiologic effects not related to the desired effects that can be predictable or associated with the use of a drug are called

Back 21

side effects

Front 22

When an immediate drug response is desired, a large intial dose is given rapidly to achieve an MEC in the plasma. This is called the:

Back 22

loading dose

Front 23

A time response curve evaluates three parameters of drug action, which does not include:

Back 23

The therapeutic range

Front 24

Nursing interventions concerning drug therapy include the following

Back 24

assessing for side effects of drugs, especially those that are non-selective, checking drug reference books for dosage ranges, side effects, half lifes, protein binding percentage and teaching the client to wait a week after the occurence of signs and symptoms to see if they disappear

Front 25

A low protein level in the blood decreases the number of protein biniding sites and causes an increase in amount of free drug in the plasma, potenitally resulting in drug overdose Name some examples of causes of low protein levels

Back 25

Malnutrition, elderly patients

Front 26

Which of the following statements are true: <A> Drugs are absorbed faster in acidic fluid <B> The very young have decreased gastric acidity <C> The elderly have increased gastric acidity <D> Liquid drugs are more rapidly available for GI absorption than solids <E> Tablets are 100% drug

Back 26

A, B, D

Front 27

Risk for injury is included in which phase of the nursing process

Back 27

potential nursing diagnoses

Front 28

Obtain clients weight to be used for furture comparison is included in which phase of the nursing process

Back 28

Assessment

Front 29

The client will receive adequate nutritional support through enteral feedings is included in which phase of the nursing process

Back 29

Planning

Front 30

The client will be free from hyperactivity is included in which phase of the nursing process

Back 30

planning

Front 31

Instruct the client to avoid caffeine-containing foods is included in which phase of the nursing process

Back 31

Implementation

Front 32

Evaluate effectiveness of drug therapy is included in which phase of the nursing process

Back 32

Evaluation

Front 33

Sleep pattern disturbance is included in which phase of the nursing process

Back 33

potential nursing diagnosis

Front 34

Advise client to report adverse reactions such as nausea and severe vomitting to health care provider; drug choice or dosage may need modification is included in which phase of the nursing process

Back 34

implementation

Front 35

Anxiety is included in which phase of the nursing process

Back 35

potential nursing diagnosis

Front 36

Instruct client not to discontinue medication abruptly is included in which phase of the nursing process

Back 36

implementation

Front 37

The nurse is developing a teaching plan for the client. Which of the following are suggested to be included? <A>Actively involve the client <B> Provide written instructions at appropriate level for the client <C> Consider using a variety of media <D> Discourage questions from the client and family <E> Provide time for return demonstration

Back 37

A, B, C, E

Front 38

Factors commonly resulting in nonadherence with a drug therapy plan include: <A> Forgetfullness, <B> Knowledge deficit, <C> motivation, <D> Side effects, <E> Language barrier

Back 38

A, B, D, E

Front 39

The order to give multivitamins 2 caps po daily is an example of what category of drug order

Back 39

standing

Front 40

J.T. has an order to receive Demerol 100mg, IM STAT. This is an example of what category of drug order?

Back 40

STAT

Front 41

When you calculate the dosage for J.B.'s cardiac medication, the drug dose is "large" The best initial action for you to take is

Back 41

Check your calculation

Front 42

The preferred way to correct a charting error is to

Back 42

Draw a single line through incorrect information and initial

Front 43

You read the chart that R.T is allergic to one of his prescribed medications. Your first nursing action is to

Back 43

withold the medication and call the MD

Front 44

One of A.A's medications is in a liquid form. You pour the medication with the container at eye level and read the meniscus at what point

Back 44

low part of the curve

Front 45

Your client is not wearing an ID band, What should be your first nursing action

Back 45

Report your finding and have ID band put on client

Front 46

Universal Precautions require that you do all of the following except

Back 46

do not cap needles, cap needles, wash hands, wear gloves

Front 47

Before storing unused stable solutions from open vials in the refrigerator, the nurse should write what on the label

Back 47

date and time vial opened; initials

Front 48

When a pt refuses to take a medication the nurse must

Back 48

document reason not taken