Course Introduction
Clinical Pharmacology Practice Exam
Clinical Pharmacology explores the principles and applications of pharmacology in the context of patient care. This course examines the mechanisms of drug action, pharmacokinetics, pharmacodynamics, drug interactions, and adverse effects, with an emphasis on rational prescribing, dosage adjustments, and therapeutic drug monitoring. Students will develop an understanding of how drugs are selected and used to prevent, diagnose, and treat diseases in various patient populations. Real clinical cases and current guidelines will be integrated to highlight the translation of pharmacological knowledge into evidence-based medical practice.
Recommended Textbook
Introduction to Clinical Pharmacology 7th Edition by Marilyn Edmunds
Available Study Resources on Quizplus
24 Chapters
575 Verified Questions
575 Flashcards
Source URL: https://quizplus.com/study-set/1131
Page 2
Chapter 1: Pharmacology and the Nursing Process in LPN Practice
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22201
Sample Questions
Q1) Medications may come in a unit-dose package with a bar code that is scanned by a computer.Which of the following processes should the nurse perform before administering unit-dose medication?
A) Remove each medication from the packaging.
B) Check the medications in alphabetic order.
C) Read the drug label at least three times.
D) Ask the patient to name each of his or her medications.
Answer: C
Q2) An LVN/LPN works on a very busy 35-bed medical-surgical unit.The RN team leader gives you a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient.The nurse's first action is which of the following?
A) Assist the team leader by giving the medication as requested for this time only.
B) Administer the medication this time because it is an emergency.
C) Take time and prepare the medication yourself and give as prescribed.
D) You don't have to do anything;it is not your patient.
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Patient Teaching and Health Literacy
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/22202
Sample Questions
Q1) A patient begins medication therapy for hypertension.Which of the following reasons is most likely to make the scheduled teaching plan change for this patient?
A) The patient's outlook for his condition changes.
B) The patient writes down some of the information.
C) The patient has no questions after being taught.
D) The patient's systolic blood pressure falls below 60 mm Hg with therapy.
Answer: D
Q2) The nurse is planning the teaching/learning objectives for a patient who comes into the clinic to learn about hormonal therapy and is experiencing stress.Which of the following will help the patient's learning process?
A) Covering as many topics as possible at one time
B) Timing the teaching to coincide with visiting hours
C) Teaching the patient while a favorite television program is playing in the background
D) Systematic teaching in a quiet,unhurried setting
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Legal Aspects Affecting the Administration of Medications
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22203
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) The order reads,"Theochron 200 mg PO qid." The nurse understands that this is which type of medication order?
A) Priority
B) Standing
C) Flexible
D) Indefinite
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Foundations and Principles of Pharmacology
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22204
Sample Questions
Q1) Cell membranes with very small passages,such as the placental and blood-brain barriers,affect which of the following pharmacokinetic processes?
A) Absorption
B) Distribution
C) Metabolism
D) Excretion
Q2) Which of the following can affect the half-life of a drug?
A) Patient age
B) Liver dysfunction
C) Cardiac disease
D) Smoking
Q3) A patient asks why she needs to report all the over-the-counter medications she takes to her health care provider.Which of the following represents the best response to this inquiry?
A) Some medications interfere with other medications.
B) All medications need to be listed in your record.
C) Sometimes errors are made in storing over-the-counter medications.
D) Some over-the-counter medications are mislabeled.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Lifespan and Cultural Modifications
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/22205
Sample Questions
Q1) Which of the following people,as a condition of their work,are required to maintain current immunizations? (Select all that apply. )
A) People in the military
B) Chefs
C) Health care providers
D) Teachers
Q2) Which of the following statements,if made by an older adult patient,would require further teaching by the nurse?
A) "Nonprescription drugs will not interfere with my prescribed medications."
B) "I can get non-childproof lids for my pills from the pharmacist."
C) "Alcohol can affect drug action."
D) "I will report any signs of drug toxicity to my doctor."
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22206
Sample Questions
Q1) Which of the following herbs is considered unsafe?
A) Rose hips
B) Goldenseal
C) Royal jelly
D) Ginkgo
Q2) Which of the following ingredients is often hidden in cough and cold syrups?
A) Potassium
B) Alcohol
C) Steroids
D) Benzocaine
Q3) Glucosamine is an herbal product used for persons with which of the following conditions?
A) Severe headaches
B) Menstrual cramping
C) Joint pain
D) Gastric discomfort
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Review of Mathematical Principles
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22207
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 is the solution to this problem? 2/7 × 1/4 × 4 = ___.
A) 7/28
B) 2/7
C) 2/112
D) 16/32
Q3) The fraction 1/4 is correctly expressed as a decimal fraction by which of the following?
A) 0.02
B) 2.50
C) 0.25
D) 0.40
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Mathematical Calculations Used in Pharmacology
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/22208
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) Calculate the following: 1 kg = _____g.
Q3) A patient drinks 8 ounces of juice with his meal.Which of the following represents an equal amount in milliliters?
A) 80 mL
B) 800 mL
C) 260 mL
D) 240 mL
Q4) The nurse is recording intake and output for a patient at the end of the shift.The output was 1500 mL.Which of the following represents the metric equivalent in liters (L)?
A) 15 L
B) 150 L
C) 1.5 L
D) 0.15 L
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Calculating Drug Dosages
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/22209
Sample Questions
Q1) A child's BSA is 0.9 m².The prescribed dose of medication is 2 mg/m².Which of the following is the calculated dosage?
A) 2 mg
B) 0.5 mg
C) 1.8 mg
D) 1 mg
Q2) 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
Q3) Valium 2.5 mg is ordered PO three times daily.The medication comes in 5-mg tablets.Which of the following represents the portion of the 5-mg tablet that the nurse will administer to the patient?
A) 1/4 tablet
B) 1/3 tablet
C) 1/2 tablet
D) 3/4 tablet
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Preparing and Administering Medications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22210
Sample Questions
Q1) Which of the following is the correct needle for an intramuscular (IM)injection?
A) 18 G,1-inch
B) 20 G,1/2-inch
C) 25 G,2-inch
D) 21 G,1 1/2-inch
Q2) Metered-dose inhalers are used to deliver specific amounts of medication.The nurse gives the patient which of the following instructions?
A) Never shake the inhaler medication before use.
B) Exhale while squeezing the canister to deliver the medication.
C) Sit upright,exhale,then activate the inhaler as the next inhalation begins.
D) Hold the head back while inhaling the medication.
Q3) Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC)injections?
A) Use a 22 G,5/8-inch needle.
B) Rotate sites among the upper arm,abdomen,and anterior thigh.
C) Avoid injecting within 3 inches of a previous injection site.
D) Insert the needle at a 30-degree angle to the skin.
To view all questions and flashcards with answers, click on the resource link above.
12
Chapter 11: Allergy and Respiratory Medications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22211
Sample Questions
Q1) The physician has ordered an antihistamine for an elderly patient with allergies.The nurse would expect the physician to do which of the following?
A) Go slow and stay low in dosing.
B) Order the medication according to age and weight.
C) Only give liquid medication.
D) Give medication once a week.
Q2) A patient comes into the clinic complaining of a nonproductive cough and muscle aches that she has had for 5 days.She has no sore throat,temperature elevation,or swollen lymph nodes.She is coughing so much that she is unable to sleep at night.The physician might order which of the following?
A) Decongestant
B) Expectorant
C) Antitussive
D) Antibiotic
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Antiinfective Medications
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22212
Sample Questions
Q1) A young woman comes into the clinic with a respiratory infection.Because she has a fever of 101.6° F,the physician starts her on ampicillin 250 mg PO q6h.The patient has a history of being on birth control pills.Which of the following represents what a nurse should teach the patient about oral contraceptives with the use of antibiotics?
A) Penicillin will increase the effects of the birth control pill.
B) Use a backup method for birth control protection this month.
C) You will have a regular menstrual period;continue to take your birth control pill.
D) Birth control pills work with antibiotics if you take an antacid with them.
Q2) A patient has a history of kidney stones.He is being treated for a bladder infection with a sulfonamide drug.It is important that the nurse teaches this patient to do which of the following?
A) Eat green,leafy vegetables and drink 8 oz of cranberry juice at each meal.
B) Eat lean proteins and drink 8 oz of milk at each meal.
C) Get regular exercise and lots of sunlight daily.
D) Get regular exercise and adequate fluids daily.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter
Medications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22213
Sample Questions
Q1) Zovirax (acyclovir)is indicated in the treatment of which of the following?
A) Influenza A
B) Herpes simplex
C) Candida albicans
D) Vaginitis
Q2) Nystatin is a polyene antifungal medication used primarily for the treatment of which of the following conditions?
A) Nasal congestion
B) Common colds
C) Vaginal yeast
D) Ear wax
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Antineoplastic Medications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22214
Sample Questions
Q1) Nurses administering antineoplastic preparations should use which of the following precautions?
A) Standard precautions as always
B) Proper hand hygiene after use
C) Preparation of medication in special areas
D) Preparation in direct light under a hood
Q2) Hormones may be prescribed for a patient with cancer of which of the following organs?
A) Bone
B) Prostate
C) Brain
D) Liver
Q3) The nurse may include which of the following nursing diagnoses for a patient taking an antineoplastic medication?
A) Decreased cardiac output
B) Deficient fluid volume
C) Social isolation
D) Imbalanced nutrition: more than body requirements
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Cardiovascular and Renal Medications
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/22215
Sample Questions
Q1) Which of the following symptoms exhibited by a patient taking quinidine indicate toxicity? (Select all that apply. )
A) Headache and lightheadedness
B) Fever and vertigo
C) Tinnitus,nausea,and vomiting
D) Hypoglycemia and arthralgia
Q2) A geriatric patient is started on an antihypertensive medication.The nurse explains to the patient to be careful when changing positions.This precaution is necessary for which of the following reasons?
A) Geriatric patients have visual problems.
B) Geriatric patients have joint disease.
C) Geriatric patients' hearing problems change their balance.
D) Geriatric patients experience postural hypotension.
Q3) The LPN/LVN should have some understanding about fluid and electrolyte balance.Which of the following is a good rule to remember about this concept?
A) Sodium follows potassium,water remains in the cell.
B) Potassium leaves the cell,water remains in the cell.
C) Water remains with potassium in the cell while sodium leaves.
D) Water tends to follow sodium out of the cell.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Central and Peripheral Nervous System
Medications
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22216
Sample Questions
Q1) Long-acting barbiturates are used in the treatment of status epilepticus as well as seizures caused by which of the following? (Select all that apply. )
A) Fever
B) Tetanus
C) Drugs
D) Arthritis
Q2) A sedative-hypnotic drug may be prescribed for a patient with which of the following conditions?
A) Vertigo
B) Schizophrenia
C) Acute mania
D) A sleep disorder
Q3) Clonazepam (Klonopin),a benzodiazepine,is used on certain patients with which of the following disorders of the central nervous system?
A) Motion sickness
B) Parkinsonism
C) Myoclonic seizures
D) Chronic vertigo
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Medications for Pain Management and Anesthesia
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/22217
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) Narcotic agonist analgesics have several side effects,including which of the following? (Select all that apply. )
A) Hyperalertness with euphoria
B) Nausea
C) Dizziness
D) Flushing
Q3) The patient asks for pain medication after abdominal surgery.By which of the following means would the nurse determine the patient's level of pain to know how much medication to administer?
A) Have the patient rate the pain on a scale.
B) Give the medication that is ordered.
C) Start pain medication with the smallest dose possible.
D) Reposition the patient and assess the pain.
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Anti-inflammatory, Musculoskeletal, and Anti-arthritis Medications
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22218
Sample Questions
Q1) With allopurinol therapy,continued gouty attacks can occur during the initial treatment phase.Which of the following other medications can be used to prevent these attacks?
A) ASAID
B) Celebrex
C) Colchicine
D) Zanaflex
Q2) Methotrexate is used in the treatment of which of the following conditions?
A) Severe back pain
B) Chronic gout pain
C) Osteoarthritis
D) Rheumatoid arthritis
Q3) A patient was seen in the emergency department following an auto accident.He is being discharged on a muscle relaxant and antiinflammatory medications.Which of the following is the most important discharge instruction the nurse should give this patient?
A) Take medications on time.
B) Keep medications in dark bottles.
C) Get plenty of rest and sleep.
D) Avoid driving and using machinery.
Page 20
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Gastrointestinal Medications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22219
Sample Questions
Q1) An alcoholic patient comes to the emergency department after drinking a beer.He has complaints of severe diarrhea,nausea,and vomiting.Which of the following drugs would produce this kind of reaction in the patient?
A) Cephulac (Lactulose)
B) Bisacodyl (Dulcolax)
C) Disulfiram (Antabuse)
D) Glycerin (Colace)
Q2) An elderly patient comes into the clinic.The nurse notes on her routine clinic-visit questionnaire that she has checked frequent use of a stimulant laxative.The nurse should pay close attention to which of the following laboratory values for this patient?
A) Vitamin C level
B) Phosphorus level
C) Vitamin B level
D) Potassium level
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Hematologic Products
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22220
Sample Questions
Q1) Once anticoagulation therapy has ended,the nurse would advise the patient to do which of the following?
A) Go back to using a razor for shaving as before therapy.
B) Use caution for a while after therapy has ended.
C) Remove the Medic-Alert bracelet at the end of therapy.
D) Resume alcohol consumption after therapy has ended.
Q2) The effect of anticoagulants can be potentiated by taking which of the following?
A) Vitamin K
B) Thiazide diuretics
C) Nonsteroidal antiinflammatory analgesics
D) Vitamin C
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Hormones and Steroids
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/22221
Sample Questions
Q1) A type 2 diabetic patient is learning to control his condition with diet and exercise.The patient was started on Januvia,a new incretin.The nurse expects the dose adjustment to be based on which of the following lab values?
A) CBC
B) TSH
C) Creatinine clearance
D) BUN
Q2) Laboratory findings in thyroid disease may include which of the following?
A) Elevated red blood cell count
B) Reduced free T index
C) Decreased TSH
D) Elevated phosphorus
Q3) A patient is taking insulin each morning.When the insulin peaks,the patient should be observed for which of the following signs of hypoglycemia?
A) Nervousness,hunger,weakness,pallor,and confusion
B) Tachycardia and acetone breath
C) Tachycardia,loss of consciousness,and Kussmaul respirations
D) Serum glucose greater than 150 mg/dL,hunger,and confusion
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: Immunologic Medications
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22222
Sample Questions
Q1) Which of the following may be used to relieve localized discomfort after immunization injections? (Select all that apply. )
A) Warm compresses
B) Acetaminophen
C) Antihistamines
D) Decongestants
Q2) Foreign substances in the bloodstream are removed from the body by which of the following?
A) The filtering system of the liver
B) Water in the large intestine
C) Urine moving though the ureters
D) The lymphatic system
Q3) A patient asks the nurse why she needs a booster of tetanus toxoid after she cut her finger,since she already had a shot when she was a child.The nurse would tell the patient that it is needed to produce which of the following?
A) Active immunity
B) Natural immunity
C) Protective antibodies
D) Passive immunity
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Topical Medications
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22223
Sample Questions
Q1) A patient is instructed to take an oral troche by which of the following means?
A) Dissolving it slowly in the mouth
B) Chewing and swallowing it
C) Holding it under the tongue for 1 minute
D) Swallowing it whole with 8 oz of water
Q2) Increased intraocular pressure is a sign of which of the following eye conditions?
A) Dry eye
B) Dilating pupil
C) Cataract
D) Glaucoma
Q3) An anorectal preparation may be prescribed for a person with which of the following conditions?
A) Constipation
B) Hemorrhoids
C) Bowel incontinence
D) Polyps
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Vitamins and Minerals
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22224
Sample Questions
Q1) A patient is an alcoholic and is frequently in the clinic for various illnesses,including dehydration from vomiting.He presents this time with vomiting,anorexia,and fatigue.The health care provider has ordered intravenous fluids to be started on this patient.The nurse knows that electrolytes and vitamins will be in the solution.Given the patient's history,which of the following vitamins should be included in the IV solution?
A) Ascorbic acid
B) Thiamine
C) Riboflavin
D) Pyridoxine
Q2) A patient is admitted to the hospital with complaints of blood in his stools.He says he feels weak and short of breath.His hematologic values reveal anemia.He is given two units of blood and is stabilized.Which of the following minerals will be used to treat him?
A) Iron
B) Zinc
C) Calcium
D) Magnesium
To view all questions and flashcards with answers, click on the resource link above.