1. What is orthostatic hypertension?
a. Serious complications can include falls and injury
b. Symptom lightheadness, dizziness when standing up after sitting/lying down
c. Risk factors-meds for Parkinson’s Disease, antidepressants/antipsychotics
d. Is lower BO that occurs when you stand up from sitting or lying down
2. Flatulence is the passage of intestinal gas through the rectum
a. True
b. False
3. CNS depressants include
a. Alcohol
b. Ivermectin
c. Barbiturates, Benzodiazepines, Non benzodiazepines, Sedative hypnotics
d. Opioids
4. Flexeril (cyclobenzaprine)
a. Is used short term to treat muscle spasms
b. Older adults may be more sensitive to the side effects of this drug
c. May cause dizziness/drowsiness ETOH can > dizziness/drowsiness, avoid ETOH
d. Is usually used with rest and P. It works by helping to relax the muscles.
5. Adverse effect is an undocumented therapeutic/pharmacological event that is either
unforeseen or dangerous rxn to the med
a. True
b. False
6. Adverse events are unintended pharmacologic events that occur when a medication is
administered correctly
a. True
b. False
7. Medication adherence is critical to improving chronic disease outcomes and reducing
health care costs
a. True
b. False
8. Nonsteroidal anti-inflammatory drugs (NSAIDs):
a. Reduce inflammation, pain, and fever
b. Can cause ulcers in the stomach and promote bleeding
c. Include aspirin, celecoxib, ibuprofen
d. Block the COX enzymes and reduce prostaglandins throughout the body
9. What is the legal standard of measurement for pharmacy and medicine in the United
States
a. Metric System
10. Weight based dosing is the most commonly used method for calculating recommended
doses in
a. Children/Pediatrics
11. Most important strategy for detecting herb-drug interactions is to develop a trusting
relationship so pts discuss use
a. True
b. False
12. Anti-anxiety medications:
a. DO not cure disorder but can relieve symptoms of persistent worry/fear
b. Most common are benzodiazepines antidepressants, and beta blockers.
13. Some common symptoms of anxiety include: nervousness, restlessness, or being tense.
Feelings of danger, panic, or dread
a. True
b. False
14. Benzodiazepines slow body&brains functions&when combined w/narcotics, tranquilzers, barbituates
cause excessive sedation
a. True
b. False
15. Depression= persistent feeling sadness/loss of interest w/changes in sleep apetite energy
level, concentration, behavior
a. True
b. False
16. Certain drugs should not be stopped suddenly due to withdrawal symptoms and/or
increased risk of serious complications
a. True
b. False
17. SSRIS:
a. Help make serotonin available by blocking the reuptake process
b. Work by enhancing function of nerve cells in brain that regulate emotion
c. Side effects for children and young adults include increase suicidal thought
d. Most common antidepressants are safe and have fewer side effects than other
antidepressants
18. MAOIS
a. Not first choice due to several dietary restrictions, safety concerns
b. Is a treatment option when all other medications are unsuccessful
c. Were the first antidepressants introduced
19. What are dietary restrictions of MAOIS
a. A low tyramine diet is needed
b. AVOID aged, dried, or pickled meats
c. AVOID pickled or smoked fish, aged cheese
20. Hypertensive crisis and serotonin syndrome can occur due to interactions between
MAOIs and foods containing tyramine
a. True
b. False
21. Tricyclic Antidepressants (TCA’s):
a. Among earliest antidepressants developed examples Nortriptyline, Desipramine
b. May be good for some people when other treatments have failed
c. Affect automatic muscle movement including secretions and digestion
d. Side effects can be difficult to tolerate
22. TCA’s can cause significant adverse effects due to their anticholinergic activity and a
lower threshold for overdose
a. True
b. False
23. What are analgesic used for
a. Opioid analgesics change the way the brain perceives pain
b. Are medications that relieve different types of pain
c. Anti-inflammatory analgesics reduce inflammation
d. Non-opioid analgesics treat mild and moderate acute and chronic pain
24. Non-steroidal anti-inflammatory drugs (NSAIDS)
a. Can cause Gi bleeding
b. Relieve symptoms of headaches, sprains, and strains, colds and flu, arthritis
c. Are used for antipyretic purposes and decrease pain, inflammation
25. What is morphine
a. Overdose effects include: slowed breathing, bradycardia, coma, and death
b. Effects include euphoria and relief of pain
c. Non-synthetic narcotic derives from opium used for the treatment of pain
26. Accurate and unique identification of patients is essential for patient care and safety,
addressing cost and resource concerns
a. True
b. False
27. Poor medication adherence claims the lives of 125,000 Americans annually and costs
health care system $300 billion a year
a. True
b. False
28. First pass effect
a. May need to monitor blood concentration of drugs to ensure pt serum drug conc
remain
b. Drug metabolized at location in body results in reduced conc of active drug
c. Associated with the liver, as this is a major site of drug metabolism
29. Where are benzodiazepines metabolized
a. Liver
30. Most important to assess when administering opioids
a. RR and LOC
31. What is preg category for animal-reproduction studies have not demonstrated a fetal risk
but no studies in preg women
a. Category B
32. What nurses’ drug should be used; any available or most recent?
a. Most recent
33. A nurse should first consult a drug guide for compatibility when 2 or more drugs are
given at the same time
a. True
b. False
34. Drug absorption is affected by the route of
a. Administration
35. Half-life is the time it takes for the amount of drug in the body to crease to ½ the peak
level previously achieved
a. True
b. False
36. Naloxone
a. Can be given as a nasal spray or it can be injected
b. Is an opioid antagonist
c. Rapidly reverses an opioid overdose
d. Can quickly restore normal breathing to a person
37. What is a large initial dose of a substance given to rapidly achieve a therapeutic
concentration in the body
a. Loading dose
38. What is an anaphylactic reaction?
a. Often begin feeling of uneasiness followed by tingling sensations and dizziness
b. Can cause hypotension, and bronchoconstriction, blocking normal breathing
c. Is a sudden widespread potentially severe and life threatening allergic rxn
d. Severe potentially life threatening allergic rxn occurring within sec or min
39. Referring to a patient on social media is an infringement of privacy and a potential
HIPAA concern
a. True
b. False
40. The nurse practice act defines nursing and regulates the nursing practice within that state
a. True
b. False
41. 2 tsp is equal to
a. 10 ml
42. Morphine
a. Oral administration of immediate-release morphine-time to peak effect = 1 hour
b. Tolerance develops to the repeated use of this drug
c. Produces respiratory depression and GI effects at therapeutic doses
d. Vasodilatory and bradycardia effects useful agent intx of myocardial infraction
43. Bar code medication administration
a. An inventory control system that uses barcodes to prevent human errors
b. Algorithms check various databases and generates realtime warnings or approvals
c. Reduce med errors by electronically verifying 5 rights of medication
administration
44. Medication holiday refers to deliberate interruption of pharmacotherapy for defined
period and for specific clinical purpose
a. True
b. False
45. Black box warnings are required by Food and Drug Administration for medications that
carry serious safety risks
a. True
b. False
46. Some medications can take up to 4-6 weeks to reach their full effect
a. True
b. False
47. Most drugs are metabolized extensively in the
a. Liver
48. Monitoring respirations is paramount in-patient safety especially when administering
opioids
a. True
b. False
49. A loading dose is a large initial dose administered to get serum drug levels to plateau
levels more quickly
a. True
b. False
50. Assessment findings in anaphylactic shock would include
a. Facial swelling
b. SOB
c. Difficulty breathing
d. Dyspnea
51. It is of paramount importance to document and report bullying behavior if it occurs
a. True
b. False
52. When is peak effect of morphine when administered through IV
a. 10 minutes
53. When is peak effect of Morphine when administered PO?
a. 1 hour
54. A pt should be encouraged to continue to take an antidepressant even if they feel better
a. True
b. False
55. The gold standard for pain assessment is self report
a. True
b. False
56. Common pain assessment tools are numerical rating scales, verbal rating scales, visual
analog scales, and faces pain scale
a. True
b. False
57. Reye syndrome
a. Focus on prevention parents taught to avoid use of salicylates in children
b. Is rare and potentially fatal pediatric illness
c. Begins days following recovery from viral illness in which aspirin was admin.
d. Presents in children vomiting and confusion w/rapid progression to coma and
death
58. Opiate medications affect CNS causing drowsiness
a. True
b. False
59. Acetaminophen hepatotoxicity most commonly arises after a suicide attempt using more
than 7.5 grams as a single overdose
a. True
b. False
c. \
60. Acetaminophen hepatoxicity
a. Injury possible with high therapeutic doses in malnutrition and alcoholics
b. Hepatic injury starts 24-72 hours after ingestion
c. Can result in hepatic failure and in some instances death
d. Injury possible with high therapeutic doses pts with preexisting liver disease
61. Which of the following are true regarding OTC medications?
a. Many OTC medicines are not safe during pregnancy
b. OTC meds could interact with other medications or supplements
c. Some OTC meds are not right for people with certain medical conditions
d. OTC are drugs you can buy without a prescription
62. In clinical trials researchers find out if a new drug or diet or medical device is safe and
effective in people
a. True
b. False
63. Adverse effects of morphine include:
a. Apnea
b. Bradypnea
c. Severe drowsiness
d. Pinpoint pupils
64. What organ handles drug excretion
a. Kidneys
65. SSRIS inhibit 5-HT reuptake, and chronic treatment results in increased 5-HT levels
throughout the brain
a. True
b. False
66. 5-HTP works in brain and CNS by increasing production of serotonin which plays a role
in mood emotion appetite and digestion
a. True
b. False
67. Nursing assessment includes data collection of physiological, psychological,
sociocultural spiritual economic factors
a. True
b. False
68. What is the ½ life of a drug?
a. Time it takes for amt of drugs active substance in your body to reduce by ½
b. Can vary from a few hours to a few days or sometimes weeks
c. Time it takes for plasma concentration of drug to reduce ½ its original value
d. Depends on how the body processes and gets rid of the drug
69. Is taking your medications at the same time every day recommended to ensure their
efficacy?
a. Yes
70. Generic meds use same active ingredients as brand-name meds and work same way so
they have same risks and benefits
a. True
b. False
71. Generic drug facts
a. Must meet high standards to receive FDA approval
b. Approve generic medicines are sold after patients protecting brand name ends
c. Generic medications cost less than brand name medicines
d. Generic medicines work the same as brand name medicines
72. A marketed drug that has 3 names: a chemical name, a generic name, and a brand name
a. True
b. False
73. The chemical name of drug is almost never used to ID the drug but generic name of a
drug is often used to ID a drug
a. True
b. False
74. The co. that patents drug creates brand name (trademark) this IDs drug during the 17
years that the co excl right
a. True
b. False
75. Medication list should include all meds even medicine that are purchased without a
prescription like minerals and vitamins
a. True
b. False
76. What is a tetrogen
a. Can be environmental chemicals, drugs, or infections
b. Is an environmental agent that can cause abnormalities in an exposed fetus
77. The nursing diagnosis is nurses clinical judgement about clients response to
actual/potential health conditions/needs
a. True
b. False
78. Tetragenic drugs cause an abnormality following fetal exposure during pregnancy
a. True
b. False
79. Tetragenic drugs…
a. Thalidomide is a well described example
b. Cause an abnormality in fetus following fetal exposure during pregnancy
c. Admin to mothers during pregnancy have detrimental effects to fetus
d. Neurologic medications are among drugs w/ highest tetragenic potential
80. The outcome step involves nurse setting measurable and achievable short- and long-range
goals for the patient
a. True
b. False
81. Nursing care is implemented according to care plan to ensure continuity of care for pt in
hospital and prep for discharge
a. True
b. False
82. Patients’ status and effectiveness of the nursing care must be continuously evaluated and
the care plan modified as needed
a. True
b. False
83. Code areas of nursing practice are called the nursing process what are they?
a. Airway, breathing, and circulation
b. Assessment, documentation, analysis, planning, evaluation
c. Advocacy and love
d. Hypothesis, problem solving and conclusion
84. Administering medication to children
a. If weight unknown and cant be estimates use height based scale for estimate
b. Doses are weight based-mg, mcg, or mEq this allows for much safer drug admin
c. Is safe when their unique physiological and anatomical differences are considered
d. Drugs are administered in smaller but more frequent doses
85. Steps in the nursing process
a. Assessment
b. Diagnosis
c. Planning and implementation
d. Evaluation
86. How many mls are in an ounce
a. 30 ML