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Nursing Pharmacology Lilley Test 1 Ch 1, 2, 45, 55 reviewed questions with correct answers.
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Nursing Pharmacology Lilley Test 1 Ch1, 2, 45, 55 reviewed questions with
correct answers.
Ch 2
A nurse is administering a drug to clients who have the disease for which a drug is designed to treat. The
nurse is most likely participating in which of the following?
a) Phase III study
b) Phase I study
c) Phase II study
d) Preclinical trial ANS - C
Number the following drug forms in order of speed
of dissolution and absorption, with (1) being the fastest
and (5) being the slowest:
_____ a. Capsules
_____ b. Enteric-coated tablets
_____ c. Elixirs
_____ d. Powders
_____ e. Orally disintegrating tablets ANS - E, C, D, A, B
What are the elements of the pharmacokinetic phase of drug activity? Select all that apply.
a) Biotransformation
b) First-pass effect
c) Alterations in cellular environment
,d) Half-life
e) Active transport ANS - A, B, D, E
• First-pass effect
• Active transport
• Half-life
• Biotransformation
The nurse is administering Tylenol to a patient with a fever. The patient says that she usually takes
acetaminophen for fever and pain. What should the nurse explain to the patient about the name of the
drug?
a) "The name 'Tylenol' is the trade name for acetaminophen."
b) "Tylenol and acetaminophen are not the same medication."
c) "The name 'Tylenol' is a generic name and is the same as acetaminophen."
d) "The name 'Tylenol' is the chemical name for acetaminophen." ANS - A
The patient is complaining of a headache and asks the nurse which over-the-counter medication form
would work the fastest to help reduce the pain. Which medication form will the nurse suggest?
a. A capsule
b. A tablet
c. An enteric-coated tablet
d. A powder ANS - D
A patient has just received a prescription for an entericcoated stool softener. When teaching the
patient, the nurse
should include which statement?
a "Take the tablet with 2 to 3 ounces of orange juice."
b "Avoid taking all other medications with any entericcoated
tablet."
, c "Crush the tablet before swallowing if you have problems
with swallowing."
d "Be sure to swallow the tablet whole without chewing it." ANS - D
If a drug binds with an enzyme and thereby prevents
the enzyme from binding to its normal target cell, it
will produce which effect?
a. Receptor interaction
b. Enzyme affinity
c. Enzyme interaction
d. Nonspecific interaction ANS - C
Which drugs would be affected by the first-pass effect? (Select all that apply.)
a. Morphine given by IV push injection
b. Sublingual nitroglycerin tablets
c. Diphenhydramine (Benadryl) elixir
d. Levothyroxine (Synthroid) tablets
e. Transdermal nicotine patches
f. Esomeprazole (Nexium) capsules
g. Penicillin given by IV piggyback infusion ANS - C, D, F
When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by
selective enzyme interaction. This process occurs when the drug
a. alters cell membrane permeability.
b. enhances its effectiveness within the cell walls of the target tissue.
c. is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor.
d. binds to an enzyme molecule and inhibits or enhances the enzyme's action with the normal target
cell. ANS - D
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