ECPI NUR 138 Pharmacology Exam 1
Questions and Answers
The iipatient iiis iito iireceive iioral iiguaifenesin ii(Mucinex) iitwice iia iiday. iiToday, iithe iinurse
iiwas iibusy iiand iigave iithe iimedication ii2 iihours iiafter iithe iischeduled iidose iiwas iidue.
iiWhat iitype iiof iiproblem iidoes iithis iirepresent?
ii
A. ii"Right iiroute"
B. ii"Right iimedication"
C. ii"Right iidose"
D. ii"Right iitime" ii- iiAnswers ii-D. ii"Right iitime"
Rationale: ii"Right iitime" iiis iicorrect iibecause iithe iimedication iiwas iigiven iimore iithan ii30
iiminutes iiafter iithe iischeduled iidose iiwas iidue. ii"Dose" iiis iiincorrect iibecause iithe iidose
iiis iinot iirelated iito iithe iitime iithe iimedication iiadministration iiis iischeduled. ii"Route" iiis
iiincorrect iibecause iithe iiroute iiis iinot iiaffected. ii"Medication" iiis iiincorrect iibecause iithe
iimedication iiordered iiwill iinot iichange.
The iinurse iiis iiadministering iiparenteral iidrugs. iiWhich iistatement iiis iitrue iiregarding
iiparenteral iidrugs?
A. iiParenteral iidrugs iibypass iithe iifirst-pass iieffect.
B. iiAbsorption iiof iiparenteral iidrugs iiis iiaffected iiby iireduced iiblood iiflow iito iithe
iistomach. ii
C. iiAbsorption iiof iiparenteral iidrugs iiis iifaster iiwhen iithe iistomach iiis iiempty.
D. iiParenteral iidrugs iiexert iitheir iieffects iiwhile iicirculating iiin iithe iibloodstream. ii-
iiAnswers ii-A. iiParenteral iidrugs iibypass iithe iifirst-pass iieffect.
Rationale: iiDrugs iigiven iiby iithe iiparenteral iiroute iibypass iithe iifirst-pass iieffect.
iiReduced iiblood iiflow iito iithe iistomach iiand iithe iipresence iiof iifood iiin iithe iistomach
iiapply iito iienteral iidrugs ii(taken iiorally), iinot iito iiparenteral iidrugs. iiParenteral iidrugs
iimust iibe iiabsorbed iiinto iicells iiand iitissues iifrom iithe iicirculation iibefore iithey iican iiexert
iitheir iieffects: iithey iido iinot iiexert iitheir iieffects iiwhile iicirculating iiin iithe iibloodstream.
The iinurse iiis iiadministering iimedications iito iithe iipatient iiwho iiis iiin iirenal iifailure
iiresulting iifrom iiend-stage iirenal iidisease. iiThe iinurse iiis iiaware iithat iipatients iiwith
iikidney iifailure iiwould iimost iilikely iihave iiproblems iiwith iiwhich iipharmacokinetic iiphase?
A. iiExcretion
B. iiAbsorption
C. iiMetabolism
D. iiDistribution ii- iiAnswers ii-A. iiExcretion
,Rationale: iiThe iikidneys iiare iithe iiorgans iithat iiare iimost iiresponsible iifor iidrug
iiexcretion. iiRenal iifunction iidoes iinot iiaffect iithe iiabsorption iiand iidistribution iiof iia iidrug.
iiRenal iifunction iimay iiaffect iimetabolism iiof iidrugs iito iia iismall iiextent.
The iipatient iiis iicomplaining iiof iia iiheadache iiand iiasks iithe iinurse iiwhich iiover-the-
counter iimedication iiform iiwould iiwork iithe iifastest iito iihelp iireduce iithe iipain. iiWhich
iimedication iiform iiwill iithe iinurse iisuggest?
ii
A. iiA iitablet
B. iiA iicapsule
C. iiA iipowder ii
D. iiAn iienteric-coated iitablet ii- iiAnswers ii-C. iiA iipowder
Rationale: iiOf iithe iitypes iiof iioral iimedications iilisted, iithe iipowder iiform iiwould iibe
iiabsorbed iithe iifastest, iithus iihaving iia iifaster iionset. iiThe iitablet, iithe iicapsule, iiand,
iifinally, iithe iienteric-coated iitablet iiwould iibe iiabsorbed iinext, iiin iithat iiorder.
Which iidrugs iiwould iibe iiaffected iiby iithe iifirst-pass iieffect? ii(Select iiall iithat iiapply.)
A. iiSublingual iinitroglycerin iitablets
B. iiLevothyroxine ii(Synthroid) iitablets
C. iiDiphenhydramine ii(Benadryl) iielixir
D. iiPenicillin iigiven iiby iiIV iipiggyback iiinfusion
E. iiMorphine iigiven iiby iiIV iipush iiinjection
F. iiEsomeprazole ii(Nexium) iicapsules
G. iiTransdermal iinicotine iipatches ii- iiAnswers ii-B. iiLevothyroxine ii(Synthroid) iitablets
C. iiDiphenhydramine ii(Benadryl) iielixir
F. iiEsomeprazole ii(Nexium) iicapsules
For iiaccurate iimedication iiadministration iito iipediatric iipatients, iithe iinurse iimust iitake
iiinto iiaccount iiwhich iicriteria?
ii
A. iiRenal iioutput ii
B. iiHeight
C. iiBody iitemperature
D. iiOrgan iimaturity ii- iiAnswers ii-D. iiOrgan iimaturity
Rationale: iiTo iiadminister iimedications iito iipediatric iipatients iiaccurately, iione iimust
iitake iiinto iiaccount iiorgan iimaturity, iibody iisurface iiarea, iiage, iiand iiweight. iiThe iiother
iioptions iiare iiincorrect: iirenal iioutput iiand iibody iitemperature iiare iinot iiconsiderations,
iiand iiheight iialone iiis iinot iisufficient.
During iidischarge iipatient iiteaching, iithe iinurse iireviews iiprescriptions iiwith iia iipatient.
iiWhich iistatement iiis iicorrect iiabout iirefills iifor iian iianalgesic iithat iiis iiclassified iias
iiSchedule iiC-III?
, A. iiThe iipatient iimay iihave iino iimore iithan iifive iirefills iiin iia ii6-month iiperiod.
B. iiRefills iiare iiallowed iionly iiby iiwritten iiprescription.
C. iiWritten iiprescriptions iiexpire iiin ii12 iimonths.
D. iiNo iiprescription iirefills iiare iipermitted. ii- iiAnswers ii-A. iiThe iipatient iimay iihave iino
iimore iithan iifive iirefills iiin iia ii6-month iiperiod.
Rationale: iiSchedule iiC-III iimedications iimay iibe iirefilled iino iimore iithan iifive iitimes iiin iia
ii6-month iiperiod. iiThe iipatient iishould iibe iiinformed iiof iithis iiregulation. iiNo iiprescription
iirefills iiare iipermitted iifor iiSchedule iiC-II iidrugs. iiRequiring iirefills iiby iiwritten
iiprescription iionly iiapplies iito iiSchedule iiC-II iidrugs. iiSchedule iiC-III iiprescriptions
ii(written iior iioral) iiexpire iiin ii6 iimonths.
The iinurse iiis iiassessing iian iielderly iiHispanic iiwoman iiwho iiis iibeing iitreated iifor
iihypertension. iiDuring iithe iiassessment, iiwhat iiis iiimportant iifor iithe iinurse iito iiremember
iiabout iicultural iiaspects?
ii
A. iiThe iipatient iishould iibe iidiscouraged iifrom iiusing iifolk iiremedies iiand iirituals.
B. iiThe iinurse iiwill iiremember iithat iithe iibalance iiamong iibody, iimind, iiand iienvironment
iiis iiimportant iifor iithis iipatient's iihealth iibeliefs.
C. iiThe iinurse iiwill iiexpect iithe iipatient iito iivalue iiprotective iibracelets iiand ii"root
iiworkers" iias iihealers.
D. iiThe iinurse's iiassessment iineeds iito iiinclude iigathering iiinformation iiregarding
iireligious iipractices iiand iibeliefs iiregarding iimedication, iitreatment, iiand iihealing. ii-
iiAnswers ii-D. iiThe iinurse's iiassessment iineeds iito iiinclude iigathering iiinformation
iiregarding iireligious iipractices iiand iibeliefs iiregarding iimedication, iitreatment, iiand
iihealing.
Rationale: iiAll iibeliefs iineed iito iibe iiconsidered iiclearly iiso iias iito iiprevent iia iiconflict
iifrom iiarising iibetween iithe iigoals iiof iinursing iiand iihealth iicare iiand iithe iidictates iiof iia
iipatient's iicultural iibackground. iiAssessing iireligious iipractices iiand iibeliefs iiis iipart iiof iia
iithorough iicultural iiassessment. iiThe iiother iioptions iiare iiincorrect. iiThe iinurse iishould
iinot iiignore iia iipatient's iicultural iipractices. iiThe iiconcept iiof iibalance iiamong iibody,
iimind, iiand iienvironment iiand iithe iivaluing iiof iiprotective iibracelets iiand iiroot iiworkers
iireflect iibeliefs iior iipractices iithat iiusually iido iinot iiapply iito iithe iiHispanic iicultural iigroup.
When iireviewing iithe iivarious iischedules iiof iicontrolled iidrugs, iithe iinurse iiknows iithat
iiwhich iidescription iicorrectly iidescribes iiSchedule iiII iidrugs?
ii
A. iiMedically iiaccepted iidrugs iithat iimay iicause iimoderate iiphysical iior iipsychologic
iidependence
B. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iido iinot iihave iiaccepted iimedical iiuse
C. iiMedically iiaccepted iidrugs iiwith iilimited iipotential iifor iicausing iiphysical iior
iipsychologic iidependence
D. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iihave iiaccepted iimedical iiuse ii- iiAnswers
ii-D. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iihave iiaccepted iimedical iiuse
Questions and Answers
The iipatient iiis iito iireceive iioral iiguaifenesin ii(Mucinex) iitwice iia iiday. iiToday, iithe iinurse
iiwas iibusy iiand iigave iithe iimedication ii2 iihours iiafter iithe iischeduled iidose iiwas iidue.
iiWhat iitype iiof iiproblem iidoes iithis iirepresent?
ii
A. ii"Right iiroute"
B. ii"Right iimedication"
C. ii"Right iidose"
D. ii"Right iitime" ii- iiAnswers ii-D. ii"Right iitime"
Rationale: ii"Right iitime" iiis iicorrect iibecause iithe iimedication iiwas iigiven iimore iithan ii30
iiminutes iiafter iithe iischeduled iidose iiwas iidue. ii"Dose" iiis iiincorrect iibecause iithe iidose
iiis iinot iirelated iito iithe iitime iithe iimedication iiadministration iiis iischeduled. ii"Route" iiis
iiincorrect iibecause iithe iiroute iiis iinot iiaffected. ii"Medication" iiis iiincorrect iibecause iithe
iimedication iiordered iiwill iinot iichange.
The iinurse iiis iiadministering iiparenteral iidrugs. iiWhich iistatement iiis iitrue iiregarding
iiparenteral iidrugs?
A. iiParenteral iidrugs iibypass iithe iifirst-pass iieffect.
B. iiAbsorption iiof iiparenteral iidrugs iiis iiaffected iiby iireduced iiblood iiflow iito iithe
iistomach. ii
C. iiAbsorption iiof iiparenteral iidrugs iiis iifaster iiwhen iithe iistomach iiis iiempty.
D. iiParenteral iidrugs iiexert iitheir iieffects iiwhile iicirculating iiin iithe iibloodstream. ii-
iiAnswers ii-A. iiParenteral iidrugs iibypass iithe iifirst-pass iieffect.
Rationale: iiDrugs iigiven iiby iithe iiparenteral iiroute iibypass iithe iifirst-pass iieffect.
iiReduced iiblood iiflow iito iithe iistomach iiand iithe iipresence iiof iifood iiin iithe iistomach
iiapply iito iienteral iidrugs ii(taken iiorally), iinot iito iiparenteral iidrugs. iiParenteral iidrugs
iimust iibe iiabsorbed iiinto iicells iiand iitissues iifrom iithe iicirculation iibefore iithey iican iiexert
iitheir iieffects: iithey iido iinot iiexert iitheir iieffects iiwhile iicirculating iiin iithe iibloodstream.
The iinurse iiis iiadministering iimedications iito iithe iipatient iiwho iiis iiin iirenal iifailure
iiresulting iifrom iiend-stage iirenal iidisease. iiThe iinurse iiis iiaware iithat iipatients iiwith
iikidney iifailure iiwould iimost iilikely iihave iiproblems iiwith iiwhich iipharmacokinetic iiphase?
A. iiExcretion
B. iiAbsorption
C. iiMetabolism
D. iiDistribution ii- iiAnswers ii-A. iiExcretion
,Rationale: iiThe iikidneys iiare iithe iiorgans iithat iiare iimost iiresponsible iifor iidrug
iiexcretion. iiRenal iifunction iidoes iinot iiaffect iithe iiabsorption iiand iidistribution iiof iia iidrug.
iiRenal iifunction iimay iiaffect iimetabolism iiof iidrugs iito iia iismall iiextent.
The iipatient iiis iicomplaining iiof iia iiheadache iiand iiasks iithe iinurse iiwhich iiover-the-
counter iimedication iiform iiwould iiwork iithe iifastest iito iihelp iireduce iithe iipain. iiWhich
iimedication iiform iiwill iithe iinurse iisuggest?
ii
A. iiA iitablet
B. iiA iicapsule
C. iiA iipowder ii
D. iiAn iienteric-coated iitablet ii- iiAnswers ii-C. iiA iipowder
Rationale: iiOf iithe iitypes iiof iioral iimedications iilisted, iithe iipowder iiform iiwould iibe
iiabsorbed iithe iifastest, iithus iihaving iia iifaster iionset. iiThe iitablet, iithe iicapsule, iiand,
iifinally, iithe iienteric-coated iitablet iiwould iibe iiabsorbed iinext, iiin iithat iiorder.
Which iidrugs iiwould iibe iiaffected iiby iithe iifirst-pass iieffect? ii(Select iiall iithat iiapply.)
A. iiSublingual iinitroglycerin iitablets
B. iiLevothyroxine ii(Synthroid) iitablets
C. iiDiphenhydramine ii(Benadryl) iielixir
D. iiPenicillin iigiven iiby iiIV iipiggyback iiinfusion
E. iiMorphine iigiven iiby iiIV iipush iiinjection
F. iiEsomeprazole ii(Nexium) iicapsules
G. iiTransdermal iinicotine iipatches ii- iiAnswers ii-B. iiLevothyroxine ii(Synthroid) iitablets
C. iiDiphenhydramine ii(Benadryl) iielixir
F. iiEsomeprazole ii(Nexium) iicapsules
For iiaccurate iimedication iiadministration iito iipediatric iipatients, iithe iinurse iimust iitake
iiinto iiaccount iiwhich iicriteria?
ii
A. iiRenal iioutput ii
B. iiHeight
C. iiBody iitemperature
D. iiOrgan iimaturity ii- iiAnswers ii-D. iiOrgan iimaturity
Rationale: iiTo iiadminister iimedications iito iipediatric iipatients iiaccurately, iione iimust
iitake iiinto iiaccount iiorgan iimaturity, iibody iisurface iiarea, iiage, iiand iiweight. iiThe iiother
iioptions iiare iiincorrect: iirenal iioutput iiand iibody iitemperature iiare iinot iiconsiderations,
iiand iiheight iialone iiis iinot iisufficient.
During iidischarge iipatient iiteaching, iithe iinurse iireviews iiprescriptions iiwith iia iipatient.
iiWhich iistatement iiis iicorrect iiabout iirefills iifor iian iianalgesic iithat iiis iiclassified iias
iiSchedule iiC-III?
, A. iiThe iipatient iimay iihave iino iimore iithan iifive iirefills iiin iia ii6-month iiperiod.
B. iiRefills iiare iiallowed iionly iiby iiwritten iiprescription.
C. iiWritten iiprescriptions iiexpire iiin ii12 iimonths.
D. iiNo iiprescription iirefills iiare iipermitted. ii- iiAnswers ii-A. iiThe iipatient iimay iihave iino
iimore iithan iifive iirefills iiin iia ii6-month iiperiod.
Rationale: iiSchedule iiC-III iimedications iimay iibe iirefilled iino iimore iithan iifive iitimes iiin iia
ii6-month iiperiod. iiThe iipatient iishould iibe iiinformed iiof iithis iiregulation. iiNo iiprescription
iirefills iiare iipermitted iifor iiSchedule iiC-II iidrugs. iiRequiring iirefills iiby iiwritten
iiprescription iionly iiapplies iito iiSchedule iiC-II iidrugs. iiSchedule iiC-III iiprescriptions
ii(written iior iioral) iiexpire iiin ii6 iimonths.
The iinurse iiis iiassessing iian iielderly iiHispanic iiwoman iiwho iiis iibeing iitreated iifor
iihypertension. iiDuring iithe iiassessment, iiwhat iiis iiimportant iifor iithe iinurse iito iiremember
iiabout iicultural iiaspects?
ii
A. iiThe iipatient iishould iibe iidiscouraged iifrom iiusing iifolk iiremedies iiand iirituals.
B. iiThe iinurse iiwill iiremember iithat iithe iibalance iiamong iibody, iimind, iiand iienvironment
iiis iiimportant iifor iithis iipatient's iihealth iibeliefs.
C. iiThe iinurse iiwill iiexpect iithe iipatient iito iivalue iiprotective iibracelets iiand ii"root
iiworkers" iias iihealers.
D. iiThe iinurse's iiassessment iineeds iito iiinclude iigathering iiinformation iiregarding
iireligious iipractices iiand iibeliefs iiregarding iimedication, iitreatment, iiand iihealing. ii-
iiAnswers ii-D. iiThe iinurse's iiassessment iineeds iito iiinclude iigathering iiinformation
iiregarding iireligious iipractices iiand iibeliefs iiregarding iimedication, iitreatment, iiand
iihealing.
Rationale: iiAll iibeliefs iineed iito iibe iiconsidered iiclearly iiso iias iito iiprevent iia iiconflict
iifrom iiarising iibetween iithe iigoals iiof iinursing iiand iihealth iicare iiand iithe iidictates iiof iia
iipatient's iicultural iibackground. iiAssessing iireligious iipractices iiand iibeliefs iiis iipart iiof iia
iithorough iicultural iiassessment. iiThe iiother iioptions iiare iiincorrect. iiThe iinurse iishould
iinot iiignore iia iipatient's iicultural iipractices. iiThe iiconcept iiof iibalance iiamong iibody,
iimind, iiand iienvironment iiand iithe iivaluing iiof iiprotective iibracelets iiand iiroot iiworkers
iireflect iibeliefs iior iipractices iithat iiusually iido iinot iiapply iito iithe iiHispanic iicultural iigroup.
When iireviewing iithe iivarious iischedules iiof iicontrolled iidrugs, iithe iinurse iiknows iithat
iiwhich iidescription iicorrectly iidescribes iiSchedule iiII iidrugs?
ii
A. iiMedically iiaccepted iidrugs iithat iimay iicause iimoderate iiphysical iior iipsychologic
iidependence
B. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iido iinot iihave iiaccepted iimedical iiuse
C. iiMedically iiaccepted iidrugs iiwith iilimited iipotential iifor iicausing iiphysical iior
iipsychologic iidependence
D. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iihave iiaccepted iimedical iiuse ii- iiAnswers
ii-D. iiDrugs iiwith iihigh iipotential iifor iiabuse iithat iihave iiaccepted iimedical iiuse
