PHARM EXAM REVIEW
Missing 1-8, 16, 40
9. All of the following are true about topical adrenergic nasal decongestants except ? Ans.
Delayed onset
10. The nurse notes in a patient's medication history that he is taking benzonatate as needed.
Based on this finding the nurse interprets the patent has which problem? Ans. Dry Cough
11. Opioid antitussive should not be given to a patient who has a history of ? Ans. Respiratory
depression
12. Regarding Ethical Terms related to nursing practice, the duty not to do harm to the patient is
known as ? Ans. Nonmaleficence
13. Regarding Ethical Terms related to nursing practice, the duty not to disclose the patient
information is known as? Ans. Confidentiality
14. A new drug has been approved for use by the FDA, and the pharmaceutical company has
made it available for sale, during the first 6 month the FDA receives reports of severe adverse
effects that were not discovered during the testing and they considered withdrawing the drug,
this illustrates which phase of investigational drug studies ? Ans. Phase IV
15. A patient is receiving Cimetidine 50 mg for stomach hyperacidity, after reviewing the drug
reference manual the nurse identifies that the dose is incorrect. what is the priority action of the
nurse at this time? Ans. Hold the medication and notify the prescriber
17. The study of how various drug forms influence the way in which the drug affects the body is
known as? Ans. Pharmaceutics
18. Regarding the pregnancy risk category classification, in which category is possible fetal risk
in humans had been reported however in selected cases consideration of the potential benefit
versus risk, may warrant use of these drugs in pregnant women ? Ans. Category D
19. The nurse is giving a medication that has a high first-pass effect. The health care provider has
changed the route from PO to IV The nurse expects the IV dose to be ? Ans. Lower because
there will be no first-pass effect
20. When a drug combines with different parts of the receptor and inactivates it, agonist then has
no effect, this type of drug receptor interaction is described as? Ans. Noncompetitive Antagonist
21. Regarding pharmacokinetics, the definition of trough level is described as? Ans. Lowest
blood level of a drug
22. What type or therapy describes the administration of Intravenous plasma transfusion ? Ans.
Supportive Therapy
23. How many times the nurses need to check the medication order ? Ans. Three Times
24. The Nurse is reviewing data collected from a medication history, which one of these data is
considered as subjective data ? Ans. Pt is complaining of burning sensation during micturition
25. A nurse makes an error when administering medications to a patient. Which action by the
nurse requires the supervising nurse to intervene ? Ans. The nurse records completion of an
incident report in the medical record.
26. Which of the following drugs would be categorized as an orphan drug ? Ans. Ibuprofen
27. The nurse is caring for a patient with renal impairment, she knows what abnormalities with
which phase of pharmacokinetics may occur in this patient ? Ans. Excretion
28. All of the followings are non-sedating H1 antagonist except ? Ans. Meclizine
29. All of these medications are H2 antagonists except? Ans. Chlorpheniramine
30. The goal of palliative treatment is ? Ans. Symptomatic Relief
31. A patient is to receive a 3 ml of Cephalosporin, for UTI, which can be very irritating to the
body's tissues. What is the proper technique for administration of this drug intramuscular? Ans.
To use the Z track technique
32. The nurse has an order to administer 2 different types of insulin. How would she prepare
them for injection? Ans. Draw the clear insulin into the insulin syringe and then the cloudy
insulin into the same syringe
33. Which is the safest site for administration of an intramuscular injection to an adult? Ans.
Ventrogluteal
34. Omalizumab is categorized as ? Ans. Monoclonal Antibody Antiasthmatic
35. Maximum daily dose of Ibratropium is ? Ans. Quadruple daily (NOT SURE)
36. Which medication will the nurse teach a patient with asthma to use when experiencing an
acute asthma attack? Ans. Albuterol (Ventolin)
37. Zileuton drug is categorized as? Ans. Leukotriene Receptor antagonists
38. All of the followings are categorized as broncho dilating groups of medications except ? Ans.
Corticosteroids
39. When teaching a pregnant woman about the use or drugs during pregnancy, which statement
will the nurse include? Ans. A fetus Is at greatest risk for drug-induced developmental detects
during the first trimester of pregnancy
41. The nurse will plan to use the Z-track method of intramuscular (IM) injections for which
situation? Ans. The medication is known to be irritating to tissues
42. A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The
nurse will use which angle for the needle insertion? Ans. 90 degrees
43. The nurse will be injecting a drug into the superficial skin layers immediately underneath the
epidermal laver of skin. Which route does this describe? Ans. Intradermal
44. When given an intravenous medication, the patient says to the nurse, "I usually take pills.
Why does this medication have to be given in the arm?" What is the nurse's best answer? Ans.
"The action of the medication will begin sooner when given intravenously."
45. The nurse is administering parenteral drugs. Which statement is true regarding parenteral
drugs? Ans. Parenteral drugs bypass the first-pass effect
46. The patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin.
where does the nurse instruct the patient to place the tablet? Ans. Under the tongue
47. A 60-year-old patient is on several new medications and expresses worry that she will forget
to take her pills. Which action by the nurse would be most helpful in this situation? Ans.
Assisting the patient with obtaining and learning to use a calendar or pill container
48. When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best
way to set up the teaching/learning session ? Ans. After demonstrating the procedure, allow the
patient to do several return demonstrations
49. The nurse is developing a care plan for a patient who will be self-administering a metered
dose inhaler. Which statement reflects a measurable outcome. Ans. The patient will demonstrate
the proper technique of self-administering a metered-dose inhaler.
50. During a nursing assessment, which question by the nurse allows for greater clarification and
additional discussion with the patient? Ans. "What medications do you take?"