Drug Therapy and Nursing Implications
Chapter Exam Questions
Course Introduction
This course explores the principles of drug therapy and the critical role nurses play in medication management across various healthcare settings. Students will learn about pharmacological classifications, mechanisms of drug action, therapeutic effects, side effects, and potential drug interactions. Emphasis is placed on assessment, administration, monitoring, and patient education to ensure safe and effective medication use. The course also addresses legal, ethical, and cultural considerations in drug administration, preparing nursing students to make informed decisions and advocate for patient safety in clinical practice.
Recommended Textbook
Introduction to Clinical Pharmacology 7th Edition by Marilyn Edmunds
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24 Chapters
575 Verified Questions
575 Flashcards
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Page 2
Chapter 1: Pharmacology and the Nursing Process in LPN Practice
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25 Verified Questions
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Sample Questions
Q1) Which of the following nursing actions should ensure that a medication is given to the right patient?
A) Checking the patient's identification bracelet
B) Verifying the medication record with the chart
C) Verifying the room number with the chart
D) Asking the patient to state his or her birth date and Social Security number
Answer: A
Q2) When administering medication to a patient whose dose has a bar code on the medication wrapper that must be scanned by the computer,the nurse knows that which of the following protocols must be followed? (Select all that apply. )
A) Just scan the bar code with the computer;there is no need to do anything else.
B) The drug must be checked before removing it from the unit-dose cart.
C) Check the dose before preparing or measuring the medication.
D) The drug must be checked just before you open it and give it to the patient.
Answer: B,C,D
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Chapter 2: Patient Teaching and Health Literacy
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Sample Questions
Q1) A patient is a newly diagnosed diabetic who has been incorrectly taking the medication prescribed.Which of the following is the most likely reason?
A) The patient feels the dose of medication is not enough.
B) The patient feels the dose of medication is too much.
C) The patient does not understand the medication dosage.
D) The patient cannot swallow the medication.
Answer: C
Q2) The LPN is teaching a patient about the side effects of her hypertension medication.Research has shown that the nurse should tell the patient about all the side effects of this medication for which of the following reasons?
A) Medications are hard to recognize by color and shape only.
B) Patients want to be able to discuss their medications.
C) Patients must be able to recognize side effects correctly.
D) Medication names are easier to pronounce.
Answer: C
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Chapter 3: Legal Aspects Affecting the Administration of Medications
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Sample Questions
Q1) When a nurse realizes that a medication error has occurred,the nurse should take which of the following steps? (Select all that apply. )
A) Immediately check the patient and determine if the error poses a risk to the patient's condition.If so,notify the physician immediately.
B) Try to find someone to blame for the error.
C) Notify the nursing supervisor,record in the patient's chart exactly what happened,and fill out any other required (incident/medication error)reports.
D) Analyze how and why the error occurred,and how it might be avoided in the future.
E) All of the above are correct steps.
Answer: A,C,D
Q2) Which of the following health care professionals is licensed to prescribe controlled substances?
A) LPN/LVN
B) Physical therapist
C) Pharmacist
D) Physician
Answer: D
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Chapter 4: Foundations and Principles of Pharmacology
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Sample Questions
Q1) The nurse explains to a patient that water should be taken with a tablet by stating which of the following?
A) "Juice or milk can keep it from dissolving."
B) "Water is important for proper metabolism."
C) "Water keeps the medicine potent."
D) "Water helps to dissolve the medication."
Q2) A nurse is administering a patient's medication by mouth.The nurse knows that for this medication to be utilized by the body,diffusion,filtration,and osmosis must take place.Which of the following mechanisms is the first to be involved in that process?
A) Excretion
B) Metabolism
C) Distribution
D) Absorption
Q3) Medications have both trade and generic names.Which two of the following medication names represent the same drug?
A) Demerol
B) Codeine
C) Valium
D) Diazepam
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Chapter 5: Lifespan and Cultural Modifications
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Sample Questions
Q1) When performing a cultural assessment,the nurse may question the patient about which of the following? (Select all that apply. )
A) Differences in values
B) Religious practices
C) Health practices
D) Tolerance practices
Q2) An elderly woman comes into the clinic complaining of "feeling bad" since yesterday.She tells the nurse her husband gave her his medication for a headache.Which of the following represents the best response to this information?
A) "The cost of medication is high,so sharing is okay,since he has no problems."
B) "You both have the same health problems,so sharing is all right."
C) "Monitoring the drug effect is easier,since he also takes the medication."
D) "When you take his medication,it makes evaluating the effects of your medication harder."
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Sample Questions
Q1) Antioxidants are popular among the nutritional supplements.Vitamins that are considered antioxidants include which of the following? (Select all that apply. )
A) Vitamins B ,B ,and B
B) Vitamin E
C) Beta carotene
D) Ascorbic acid
Q2) Which of the following herbs is considered unsafe?
A) Rose hips
B) Goldenseal
C) Royal jelly
D) Ginkgo
Q3) A patient asks the nurse if synthetic vitamins are better than natural vitamins.Which of the following is the best response?
A) Synthetic vitamins cost more than natural vitamins.
B) Synthetic vitamins are better dissolved.
C) Synthetic vitamins have questionable safety records.
D) Synthetic vitamins must be taken in larger amounts.
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Page 8
Chapter 7: Review of Mathematical Principles
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Sample Questions
Q1) Which of the following is another way of expressing 40%?
A) 40/10
B) 2/5
C) 40/1000
D) 1/5.
Q2) Which of the following represents x in the proportion "10 : 100 :: 5 : x"?
A) 50
B) 25
C) 20
D) 40
Q3) Which of the following numbers is/are equally divisible by the number 9? (Select all that apply. )
A) 9
B) 81
C) 84
D) 18
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Page 9
Chapter 8: Mathematical Calculations Used in Pharmacology
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Sample Questions
Q1) A patient weighs 100 kg.In pounds,this equals which of the following?
A) 220 lb
B) 45.5 lb
C) 200 lb
D) 50 lb
Q2) A patient is on a medication that comes in a dosage of 1000 mcg.In milligrams,this dose is expressed as which of the following ?
A) 100 mg
B) 1 mg
C) 1000 mg
D) 10 mg
Q3) A patient's weight is 68 kg.Which of the following represents the patient's weight in pounds?
A) 150 lb
B) 148 lb
C) 135 lb
D) 138 lb
Q4) Calculate the following: 1 kg = _____g.
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Chapter 9: Calculating Drug Dosages
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Sample Questions
Q1) Place the following steps in the correct order for performing a dosage calculation.
A)Calculate the dosage.
B)Change the dosages to the same unit of measurement.
C)Use common sense.
D)Reduce to the simplest terms.
Q2) A doctor has ordered a dose of Synthroid of 0.15 mg daily for a patient.The nurse learns that the pharmacy only stocks 50 mcg scored tablets.Which of the following represents the correct number of 50 mcg Synthroid tablets to give this patient?
A) 1 1/2 tablets
B) 2 whole tablets
C) 3 whole tablets
D) 3/4 tablet
Q3) Parenteral medications come in different forms.Which of the following are considered parenteral medications? (Select all that apply. )
A) Prefilled syringe
B) Single-dose ampule
C) Multidose vial
D) Bottle volume pack
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Chapter 10: Preparing and Administering Medications
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Sample Questions
Q1) Injectable iron should be administered by which of the following injection methods?
A) Subcutaneous
B) Intradermal
C) Z-track intramuscular injection
D) IV piggyback
Q2) Which of the following is done after giving medication through a nasogastric tube that is connected to suction?
A) The tube is reconnected to the suction.
B) The tube is clamped for 10 minutes then reconnected to suction.
C) The tube is clamped for 30 minutes then reconnected to suction.
D) The suction is left off for 4 hours then reconnected to suction.
Q3) Which of the following represents the proper way for a nurse to administer an oral capsule?
A) Tell the patient to swallow it whole.
B) Pierce it with a needle and squeeze into the mouth.
C) Crush and dilute it in warm water.
D) Tell the patient to chew it completely.
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12
Chapter 11: Allergy and Respiratory Medications
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Sample Questions
Q1) A patient is recovering from bronchitis.He is producing large amounts of thick mucus,especially in the mornings.The physician might do which of the following?
A) Suggest he drink a glass of water with each meal.
B) Suggest he drink two glasses of orange juice daily.
C) Order an expectorant and tell the patient to force fluids.
D) Order an antitussive.
Q2) Xanthine derivatives are bronchodilators with which of the following actions in the body? (Select all that apply. )
A) Smooth-muscle relaxation
B) Kidney diuresis
C) Stimulation of the myocardium
D) Decrease in respiratory rate
Q3) Cromolyn is effective in which of the following situations? (Select all that apply. )
A) Prophylaxis for asthma
B) Management of an acute exacerbation of asthma
C) Management of allergic rhinitis
D) Management of eczema
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13
Chapter 12: Antiinfective Medications
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Sample Questions
Q1) An adult patient has a moderately severe infection and has been started on an antibiotic.The physician orders penicillin V potassium by mouth.Which of the following doses would the nurse expect the physician to prescribe?
A) 15 to 50 mg 4 times daily
B) 150 to 170 mg q6h
C) 250 to 500 mg 4 times daily
D) 1000 to 1500 mg 4 times daily
Q2) Pathogenic organisms come in a variety of different forms.Each infection must be carefully evaluated to determine the specific causative organism and the therapy that will be most effective against it.This is usually done by which of the following means?
A) Stool examination
B) Scraping of lesions
C) Incubation of discharge from lesions
D) Culture and sensitivity studies
Q3) Medications for malaria may be given in which of the following situations?
A) Prophylactically when people travel to areas in which malaria is common
B) Prophylactically when people return from malaria-infested areas
C) For treatment of malaria once the acute illness is over
D) Prophylactically in acute cases of malaria
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Page 14
Chapter
Medications
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Sample Questions
Q1) Which of the following dietary recommendations is given when administering the antifungal medication griseofulvin?
A) Take this medication with juice.
B) Take this medication with milk.
C) You must maintain a salt-free diet
D) Your meals should be high in fat.
Q2) Most of the antiretroviral drugs are toxic to which of the following organs or organ systems?
A) Myocardium
B) Central nervous system
C) Kidney
D) Liver
Q3) Antiretroviral agents exert their effect by which of the following means?
A) Boosting the body's T-cell production
B) Producing artificially acquired active immunity
C) Interfering with replication of the retrovirus
D) Lysing the DNA of the host cell
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Page 15
Chapter 14: Antineoplastic Medications
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Sample Questions
Q1) Common adverse reactions associated with antineoplastic drugs include which of the following?
A) Alopecia and bone marrow depression
B) Bone marrow stimulation and nausea
C) Diarrhea and blurred vision
D) Anorexia and rhinorrhea
Q2) Which of the following terms refers to a medication that interferes with metabolic functions in cells?
A) Antibiotic
B) Alkylating agent
C) Antimetabolite
D) Mitotic inhibitor
Q3) Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which of the following preparations?
A) Mitotic agent
B) Chemotherapy agent
C) Hormone
D) Neoplasm
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Page 16
Chapter 15: Cardiovascular and Renal Medications
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Sample Questions
Q1) A patient arrives in the emergency department with abdominal distention,pain,and nausea with vomiting.IV fluids with sodium and potassium are started for which of the following reasons?
A) To increase diarrhea and clean out the colon
B) To decrease the abdominal distention and pain
C) To prevent overhydration and maintain electrolyte balance
D) To prevent dehydration and electrolyte losses
Q2) The LPN/LVN must be aware that digitalis can cause toxicity;it can also cause hormonal effects in male patients.Which of the following hormonal problems can this medication cause a male patient?
A) Increased appetite and weight gain
B) Swelling in the legs and feet
C) Gynecomastia and tender breasts
D) Discoloration around the neck and eyes
Q3) The nurse will not give an ordered digitalis-type medication if which of the following is true?
A) The patient's head aches.
B) The patient's stool contains blood.
C) The patient's apical rate is less than 60.
D) The patient's apical rate is greater than 100.
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Chapter 16: Central and Peripheral Nervous System
Medications
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Sample Questions
Q1) Diphenhydramine (Benadryl)is an antiemetic;it is also used for which of the following other conditions?
A) Headaches
B) Edema
C) Epistaxis
D) Rash
Q2) A patient comes into the emergency department with status epilepticus in progress.The nurse expects the physician to order which of the following drugs for this condition?
A) Diazepam (Valium)
B) Clonazepam (Klonopin)
C) Ethotoin (Peganone)
D) Fosphenytoin (Cerebyx)
Q3) Which of the following medications is classified as a benzodiazepine?
A) Lorazepam (Ativan)
B) Buspirone (BuSpar)
C) Benztropine (Cogentin)
D) Chlorpromazine (Thorazine)
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Chapter 17: Medications for Pain Management and Anesthesia
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Sample Questions
Q1) Contraindications to taking nonnarcotic analgesics include which of the following conditions? (Select all that apply. )
A) Hypertension
B) Emotional problems
C) Drug abuse
D) Asthma
Q2) A patient in a motor vehicle accident was brought into the emergency department for his injuries.After x-rays were done,the patient was found to have a fractured pelvis.Which of the following drugs would the nurse expect the physician to order for this patient because of his acute pain?
A) Meperidine (Demerol)
B) Acetaminophen (Tylenol)
C) Propoxyphene (Darvon-N)
D) Morphine sulfate
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19
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Sample Questions
Q1) A patient comes into the clinic complaining of swelling,heat,and severe pain in the right great toe.The laboratory values are likely to show elevated serum levels of which of the following?
A) Calcium
B) Potassium
C) Uric acid
D) Glucose
Q2) A clinic patient was started on leflunomide.The nurse expects this medication will have which of the following effects?
A) It will decrease joint movement at first.
B) It will cause the patient to feel flushed.
C) It will reduce symptoms and slow joint damage.
D) It will increase fluid in the joints.
Q3) Which of the following is the most common complication when taking NSAIDs?
A) GI upset
B) Constipation
C) Fluid overload
D) Headaches
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Chapter 19: Gastrointestinal Medications
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Sample Questions
Q1) One of the nurse's older adult patients is abusing laxatives.Which of the following would be an appropriate intervention for this patient to help reduce this chronic laxative use and dependency?
A) Advise the patient to take a laxative once weekly.
B) Stop the patient from taking any laxatives.
C) Have the patient take an enema instead of a laxative.
D) Have the patient drink 6 to 8 glasses of water each day.
Q2) A frail 67-year-old nursing-home patient is brought to the clinic for a barium enema.For the next few days following the procedure,he fails to have any bowel movements.The physician will probably order which of the following treatments?
A) Saline laxative
B) Antispasmodic to increase peristalsis
C) Emetic to relieve pressure
D) Stool softener
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Chapter 20: Hematologic Products
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Sample Questions
Q1) A patient is receiving both heparin and Coumadin (warfarin).Which of the following is most likely to be true about this case?
A) The physician has made an error.
B) The patient is being weaned from Coumadin.
C) The patient will soon be taken off heparin.
D) The patient may be experiencing a paradoxical effect to one of the medications.
Q2) Which of the following is the antidote for heparin overdose?
A) Aspirin
B) Packed red blood cells
C) Vitamin K
D) Protamine sulfate
Q3) A 50-year-old male patient is started on aspirin (ASA)80-mg tablets once daily as an antiplatelet agent.The nurse explains to this patient that ASA is the drug of choice for reducing the risk of which of the following conditions?
A) Hemorrhagic stroke
B) Ischemic stroke
C) Gastric inflammation
D) Cellular formation
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Chapter 21: Hormones and Steroids
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Sample Questions
Q1) When a patient is on hormone replacement therapy,the nurse should regularly monitor the patient for which of the following changes?
A) Weight loss
B) Increase in body hair
C) Increase in body heat
D) Weight gain
Q2) A 56-year-old patient has had late-onset type 2 diabetes (NIDDM)for the past 5 years.He has been taking a variety of oral hypoglycemic agents,but his blood sugar level is getting higher.He comes in today with blurred vision,lethargy,polyuria,polyphagia,and polydipsia.The doctor may suggest which of the following?
A) Switching to another oral hypoglycemic agent because the patient has developed insulin resistance
B) Switching to another oral hypoglycemic agent because the patient has developed Somogyi effect
C) Switching to another oral hypoglycemic agent because the patient has developed an allergy to the product
D) Switching to insulin because the oral pills have been ineffective
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Chapter 22: Immunologic Medications
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Sample Questions
Q1) A patient comes into the clinic with complaints of a cold.He is also there for a flu shot.Which of the following represents the reason a flu shot is not recommended in this case?
A) Active infection is present.
B) WBCs are too low.
C) CBCs are high.
D) Susceptibility is down.
Q2) Patients receiving immune serums should be evaluated for which of the following effects of the serums?
A) Headaches
B) Skin rash
C) Disease suppression
D) Numbness in the fingers
Q3) Protection from which of the following can be offered by routine immunization with PCV (children)or PPV (adults)vaccine?
A) Streptococcus pneumoniae
B) Typhoid
C) Cholera
D) Toxoid
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Page 24
Chapter 23: Topical Medications
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Sample Questions
Q1) The nurse explains to the patient that the medication prescribed for his glaucoma will produce an abnormal dilation of the pupil and trouble switching from near vision to far and back.This patient has which of the following conditions?
A) Conjunctivitis
B) Miosis
C) Mydriasis
D) Cataract
Q2) In glaucoma,miotic drugs such as carbachol are used for which of the following purposes?
A) To reduce intraocular pressure
B) To increase secretion in dry eyes
C) To remove redness from the eyes
D) To decrease aqueous humor inflow
Q3) Vitamin E preparations are used to do which of the following for the skin?
A) Add smoothness
B) Hydrate
C) Lighten
D) Remove marks
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25
Chapter 24: Vitamins and Minerals
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Sample Questions
Q1) Fluoride is an essential mineral that is taken into which of the following body surface areas for absorption?
A) Skin
B) Hair
C) Teeth
D) Nails
Q2) Folic acid is used in the treatment of anemia caused by folic acid deficiency.Which of the following other conditions may require folic acid? (Select all that apply. )
A) Alcoholism
B) Hepatic disease
C) Pruritus
D) Lactation
Q3) Which of the following vitamins are fat-soluble?
A) K,C,A,D
B) B ,B ,B ,B
C) B ,A,E,C
D) E,A,K,D
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