Medical Assisting Pharmacology
Question Bank
Course Introduction
Medical Assisting Pharmacology introduces students to the fundamental concepts of pharmacology as it relates to the medical assisting profession. This course covers the classification, actions, therapeutic uses, side effects, and administration routes of common medications. Emphasis is placed on understanding drug regulations, accurate medication calculation, proper documentation, safe handling practices, and patient education. Students learn about pharmacokinetics and pharmacodynamics, as well as the roles and responsibilities of medical assistants in medication management within clinical settings.
Recommended Textbook
Essentials of Pharmacology for Health Professions 7th Edition by Ruth Woodrow
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27 Chapters
675 Verified Questions
675 Flashcards
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Page 2
Chapter 1: Consumer Safety and Drug Regulations
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Sample Questions
Q1) What is the term for drugs used to treat rare diseases that,because they will be used for so few people,have low profitability?
A)low margin drugs
B)compassionate use drugs
C)generic drugs
D)orphan drugs
Answer: D
Q2) A friend of yours is complaining about the latest drug recall,which has affected her grandmother's heart medication.She asks you whether there are any standards to ensure that a medication is consistent with the claims of its label.How should you respond?
A)Sure,any reliable drug reference will do
B)Yes,the Controlled Substances Schedule
C)Possibly,but only if the physician signed a legal document
D)Yes,the United States Pharmacopeia and National Formulary
Answer: D
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Chapter 2: Drug Names and References
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Sample Questions
Q1) Your father recently had a heart attack,and has been told by his doctor to take a low dose of aspirin every day to prevent the formation of blood clots that might cause him to have another.The aspirin is being used as a(n) .
A)analgesic
B)thrombolytic agent
C)antipyretic
D)anti-inflammatory
Answer: B
Q2) While reading the label on a medicine bottle,you notice that the name of the drug is followed by an R in a circle,as follows: What does this indicate?
A)The drug is available over-the-counter.
B)The drug is a generic.
C)The drig name is trademarked.
D)The drug has been recalled.
Answer: C
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Chapter 3: Sources and Bodily Effects of Drugs
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Sample Questions
Q1) Finlay has metastatic colon cancer and is taking an agent that stops the tumors from being able to form blood vessels.This type of drug is called a(n) .
A)antiangiogenesis drug
B)biologically active drug
C)tacrine-type drug
D)anxiolytic
Answer: A
Q2) Your uncle takes nitroglycerin,a vasodilator,for angina,a type of chest pain.When he feels pain from angina,he places a nitroglycerin tablet under his tongue and lets it dissolve.This route of administration is known as .
A)subcutaneous
B)sublingual
C)buccal
D)transdermal
Answer: B
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5
Chapter 4: Medication Preparations and Supplies
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Sample Questions
Q1) A drug administered directly into the brain via a catheter is done via an route.
A)intra-articular
B)intracapsular
C)intraspinal
D)intraventricular
Q2) A large volume of fluids that is administered continually into a vein,often with drugs added,is called an IV .
A)piggyback
B)push
C)drip
D)injection
Q3) Which injection solution base will result in the slowest absorption?
A)alcohol
B)saline
C)water
D)oil
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6
Chapter 5: Abbreviations and Systems of Measurement
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Sample Questions
Q1) What measurement system is considered to be obsolete?
A)household system
B)apothecary system
C)metric system
D)crown system
Q2) The order specifies D5W.What does this mean?
A)five times per week
B)dextrose 5% in water
C)dissolve in 5 cc water
D)one part of medication in five parts of water
Q3) Henry is 18 months old and weighs 10 kilograms.How many pounds does he weigh?
A)22
B)12.2
C)36
D)4.5
Q4) The liter is a measure of .
A)volume
B)length
C)weight
D)size
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Chapter 6: Safe Dosage Preparation
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Sample Questions
Q1) The narcotics drawer contains vials of meperidine (Demerol)labeled 75 mg in 1 mL.The preoperative order reads Demerol 60 mg IM on call.If you use the basic calculation method,what is OH?
A)75 mg
B)75 mL
C)60 mg
D)1 mL
Q2) A trimethoprim/sulfamethoxazole suspension contains 40 mg / 5 mL.The order is for 120 mg.If you use the ratio and proportion method,the formula should be set up as follows: .
A)5 mL : 120 mg : 40 mg : X mL
B)120 mg : 40 mg = 5 mL : X mL
C)40 mg : X mL = 120 mg : 5 mL
D)40 mg : 5 mL = 120 mg : X mL
Q3) When calculating dosages for children,you should remember that .
A)the physiology of children is virtually the same as that of adults
B)children are essentially miniature adults
C)you can typically give half of the adult dose safely
D)the pediatric dosages in drug inserts are a good reference
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Page 8
Chapter 7: Responsibilities and Principles of Drug Administration
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Sample Questions
Q1) Nancy is reading the doctor's orders for Ms.Brighton,a 72-year-old with COPD,congestive heart failure,Type 2 diabetes,high blood pressure,and high cholesterol.She notices that one of the newly prescribed medications has the potential for life threatening potentiation of one of Ms.Brighton's other medications.What should Nancy do?
A)Do nothing;the physician has written the order.
B)Document Nancy's concerns but take no further action.
C)Question the order and explain the potential problems.
D)Advise Ms.Brighton to refuse to take the medication.
Q2) Logan,who has terminal cancer,has a prn order for an anxiolytic injection.When it is administered,the hospice nurse should note dose,time,route,location of injection,and .
A)assessment of need
B)likely survival time
C)effectiveness
D)likelihood of substance abuse
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Chapter 8: Administration by the Gastrointestinal Route
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Sample Questions
Q1) Your patient confesses that he can't swallow pills and usually crushes and mixes them in his coffee.He has been prescribed a sustained release analgesic.Is it safe for him to crush the pill and add it to his coffee?
A)Maybe,depending on whether the medication has an interaction with coffee.
B)No,sustained release formulations should not be crushed.
C)Yes,although he may experience gastrointestinal discomfort.
D)Yes;crushing the pill is fine,although it may taste bitter.
Q2) How should a suppository be prepared for insertion?
A)The suppository should be warmed to body temperature.
B)The tapered end should be lubricated with a water-soluble lubricant.
C)The suppository should be inserted exactly as supplied.
D)The tapered end should be lubricated with an oil-based lubricant.
Q3) What is the term for medication in liquid form that is administered rectally?
A)retention enema
B)rectal suspension
C)enteric enema
D)suppository
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Chapter 9: Administration by the Parenteral Route
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Sample Questions
Q1) The nitroglycerin ointment used for transcutaneous administration should be measured using a(n) .
A)scale
B)syringe
C)Appli-Ruler
D)medicine cup
Q2) Metered-dose inhalers deliver the medication via .
A)a propellant gas
B)mechanical pressure
C)the force of inspiration
D)pressurized liquid
Q3) Why is site selection particularly important when giving IM injections?
A)Once a particular site has been used,it can never be used again.
B)The needles used are so short that they must be precisely placed.
C)Medications given IM are typically more prone to causing infections.
D)There are more large blood vessels and nerves in deep tissue.
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11
Chapter 10: Poison Control Part II: Drug Classifications
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Sample Questions
Q1) Three-year-old Mack has swallowed a skin cleaner that contains iodine.If Mack is made to vomit,he .
A)may asphyxiate
B)may have convulsions
C)will have severe tissue damage
D)will not have any side effects
Q2) External poisons should be flushed from the eyes using a continuous stream of water for .
A)10 minutes
B)5 minutes
C)30 minutes
D)20 minutes
Q3) Derek is preparing a talk on poisoning and because his time is limited,wants to cover only the most common route.On what route should he focus?
A)injection
B)absorption
C)inhalation
D)ingestion
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12
Chapter 11: Vitamins, Minerals, and Herbs
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Sample Questions
Q1) Alba has heard that vitamin D deficiency is common and has begun taking high dose supplements.What is a sign of vitamin D overdose?
A)osteomalacia
B)tetany
C)heart rhythm abnormalities
D)osteoporosis
Q2) The fat soluble vitamins are .
A)A,C,E
B)C,D,K,and folate
C)the B vitamins
D)A,D,E,and K
Q3) Megan has been taking 65,000 units of vitamin A per day.What is she risking with this dosage?
A)night blindness
B)joint and muscle pain
C)impaired immunity
D)delayed wound healing
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13
Chapter 12: Skin Medications
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Sample Questions
Q1) Hayden has painful plantar warts on his foot and his doctor prescribes medication to destroy them.Hayden should ____.
A)stop using the medication as soon as he sees improvement
B)tightly wrap his foot with gauze soaked in the medication
C)avoid getting the medication on surrounding tissue
D)soak his entire foot in the medication
Q2) Yasmine suffers a second degree burn on her arm in a kitchen accident.The doctor at the emergency room gives her a prescription for silver sulfadiazine cream.What is the action of this cream?
A)decreasing itchiness
B)infection prevention and treatment
C)reducing scar formation
D)pain control
Q3) Docosanol is approved to .
A)treat impetigo caused by Staphylococcus aureus
B)shorten the healing time and duration of cold sore symptoms
C)treat fungal infections such as thrush
D)prevent the transmission of genital herpes
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Chapter 13: Autonomic Nervous System Drugs
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Sample Questions
Q1) Edward has been given medication to dilate his pupils for a medical procedure.To what category is this drug likely to belong?
A)alpha blocker
B)anticholinergic
C)beta blocker
D)cholinergic
Q2) Isabella carries an Epi-Pen at all times.She most likely carries it because she has .
A)severe allergies that may cause anaphylaxis
B)high blood pressure.
C)angina pectoris
D)migraine headaches
Q3) What side effects might Yestin experience as a result of the cholinergic drug he is taking for glaucoma?
A)hypertension
B)tachycardia
C)constipation
D)nausea and vomiting
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15
Chapter 14: Antineoplastic Drugs
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Sample Questions
Q1) The chemotherapeutic agent paclitaxel that is used as second-line or subsequent therapy in patients with metastatic breast or ovarian carcinoma refractory on conventional chemotherapy is .
A)so well-tolerated that it is often taken in pill form at home
B)a type of alkylating agent
C)structurally different from other available antineoplastic agents
D)rarely associated with serious adverse events
Q2) Caoimhe is being treated for breast cancer with a drug that is only administered IV under constant supervision of an oncologist,with frequent monitoring of vital signs,and facilities available for emergency interventions if required.What drug is she receiving?
A)cyclophosphamide
B)cisplatin
C)vincristine
D)paclitaxel
Q3) Cheyanne has melanoma and is being treated with interferon to .
A)prevent nausea and vomiting
B)boost her immune system response
C)halt tumor growth
D)prevent proliferation of cancer cells
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Page 16
Chapter 15: Urinary System Drugs
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Sample Questions
Q1) Parker is given colchicine during his acute grout attack.What is the action of colchicine?
A)It decreases uric acid clearance.
B)It relieves inflammation.
C)It decreases pain.
D)It increases uric acid production.
Q2) Earl has chronic gout and takes probenecid,a uricosuric agent.How do uricosuric agents act?
A)By reducing both pain and inflammation
B)By promoting urinary excretion of uric acid
C)By increasing formation of uric acid
D)By reducing inflammation
Q3) Phillip,who has cirrhosis,is being treated with a diuretic.What diuretic is he most likely being given?
A)spironolactone
B)metolazone
C)hydrochlorothiazide
D)torsemide
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17
Chapter 16: Gastrointestinal Drugs
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Sample Questions
Q1) Oran is taking a bulk-forming laxative for constipation.Bulk-forming laxatives work by .
A)promoting secretion of water into the intestinal lumen
B)moistening the stool through a detergent action
C)softening and coating the stool with a lubricant
D)softening the stool by absorbing water and increasing fecal mass to facilitate defecation
Q2) Emilee will start chemotherapy for cancer next week.She knows the agents she will be given typically produce severe nausea and vomiting.What type of antiemetic is indicated for prevention and treatment of chemotherapy- induced nausea and vomiting?
A)anticholinergics
B)serotonin receptor antagonists
C)meclizine and related drugs
D)antidopaminergics
Q3) Agnes has heartburn,which is also called .
A)IBS
B)dyspepsia
C)GERD
D)pyrosis
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Chapter 17: Anti-Infective Drugs
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Sample Questions
Q1) Your friend is being treated for gonorrhea,a sexually transmitted infection,and a cephalosporin has been prescribed.This is likely a -generation drug.
A)first
B)fourth
C)third
D)second
Q2) Jeremy,a healthy 30-year-old,is spring cleaning his garage and sees clear signs of mice having spent the winter months inside.Several weeks later,he experiences severe muscle pain,headache,and fever,and his symptoms progress to include a disconcerting inability to catch his breath.He is hospitalized and diagnosed with Hantavirus Pulmonary Syndrome.What antiviral might save his life?
A)ribavirin
B)oseltamivir
C)valacyclovir
D)zidovudine
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Chapter 18: Eye Medications
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Q1) Aminoglycosides are rarely used as anti-infectives for eyes because of .
A)risk of systemic effects
B)widespread antibiotic resistance
C)toxicity to the corneal epithelium
D)the presence of gram positive organisms
Q2) Jose has angle-closure glaucoma and is about to have surgery.What IV antiglaucoma medication might he be given pre-operatively?
A)latanoprost
B)acetazolamide
C)brimonidine
D)timolol
Q3) Jeffrey has chronic dry eye that causes inflammation of his eyes and discomfort.What topical preparation might be prescribed to help relieve his symptoms?
A)cyclosporine
B)dexamethasone
C)acetazolamide
D)flurbiprofen
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Chapter 19: Analgesics, Sedatives, and Hypnotics
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Q1) Levi wonders why acetaminophen is used so frequently if it has little anti-inflammatory effect.Why is this?
A)It has fewer adverse effects than the salicylates.
B)It is less expensive than other NSAIDs.
C)It is more likely to produce a slight sedative effect.
D)It is a newer drug and hence regarded as "better."
Q2) Felicity has poorly controlled migraines and the resulting pain is not responsive to standard analgesic protocols.Her physician suggests the use of sumatriptan when she has an acute migraine.What is the mechanism of action for this drug?
A)selective serotonin reuptake inhibitor
B)serotonin norepinephrine reuptake inhibitor
C)seroronin receptor agonist
D)norepinephrine agonist
Q3) Maggie,aged 77,occasionally takes diphenhydramine to help her sleep.Is there any reason for concern?
A)Yes.Because of her age,she is much more likely to have a hypertensive crisis.
B)Yes.Because of her age,she may be more prone to side effects like confusion.
C)No.This medication is considered safe for people of any age.
D)Probably not,but she should be monitored for indications of addiction.
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Page 21
Chapter 20: Psychotropic Medications, Alcohol, and Drug Abuse
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Sample Questions
Q1) Jillian is taking an antidepressant that inhibits the reuptake of both serotonin and norepinephrine.This medication is most likely to be .
A)doxepin
B)isocarboxazid
C)venlafaxine
D)citalopram
Q2) Morris,73 years of age,has been having severe anxiety following the death of his wife.What benzodiazepine is considered to be preferable for older adults because of its relatively short half-life and inactive metabolites?
A)midazolam
B)diazepam
C)lorazepam
D)clorazepate
Q3) The Black Box warning that must be included on all antidepressants notes the increased risk of .
A)metabolic syndrome and diabetes
B)addiction
C)suicidal thinking and behavior in children and adolescents
D)profound anorexia and slowed growth
22
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Chapter 21: Musculoskeletal and Anti-Inflammatory Drugs
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Q1) Prior to orthopedic surgery,Azalea meets with the anesthesiologist who,when explaining the medications that will be used,mentions that one will paralyze all of her muscles,including her diaphragm.What agent has this effect?
A)tizanidine
B)dantrolene
C)carisoprodol
D)succinylcholine
Q2) Adam is astounded when he is diagnosed with osteoporosis,which he has always thought of as a women's disease.What agent can be prescribed that will increase GI calcium absorption and renal tubular reabsorption of calcium?
A)raloxifene
B)calcitonin-salmon
C)alendronate
D)teriparatide
Q3) The labels of non-selective NSAIDs must indicate that they .
A)should be used in strict accordance with label directions
B)are highly addictive
C)may increase risk of diabetes
D)can only be safely used for up to 60 days
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Page 23
Chapter 22: Anticonvulsants, Antiparkinsonian Drugs, and Agents for Alzheimers Disease
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Q1) Brittany has absence seizures.What is the drug of choice for managing this type of seizure?
A)clonazepam
B)lamotrigine
C)ethosuximide
D)valproic acid
Q2) Epilepsy is defined as the recurrence of .
A)unprovoked seizures
B)ocnvulsive seizures
C)febrile seizures
D)bilaterally symmetric seizures
Q3) Maeve has Parkinson's with marked bradykinesia which has not been well-controlled with medications typically prescribed for mild Parkinson's.What medication might help her?
A)Eldepryl
B)Sinemet
C)Azilect
D)Neupro
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Chapter 23: Endocrine System Drugs
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Sample Questions
Q1) In the United States,70% of diabetics die from .
A)profound hypoglycemia
B)cancer associated with oral antidiabetic agents
C)heart attack or stroke
D)neuropathy
Q2) Bennie has hyperthyroidism due to Grave's disease.What is his likely course of treatment?
A)an antithyroid agent followed by treatment with radioactive iodine
B)treatment of radioactive iodine followed by an antithyroid agent
C)treatment with radioactive iodine followed by surgical removal of the thyroid.
D)an antithyroid agent followed by surgical removal of the thyroid
Q3) Erika has had a kidney transplant and is taking,among her many medications,corticosteroids.The corticosteroids are intended to .
A)improve immune response
B)increase red blood cells
C)prevent rejection
D)limit inflammation
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25
Chapter 24: Reproductive System Drugs
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Q1) Kara is 39 weeks pregnant and experiencing preeclampsia.Her cervix has not yet ripened.What medication might she be given to induce cervical ripening?
A)carboprost injection
B)dinoprostone intravaginal gel
C)intravenous magnesium sulfate
D)oral mifepristone
Q2) Simone has decided to take combined estrogen-progestin therapy (EPT).How long can she take it before her risk of breast cancer will increase?
A)more than 10 years
B)1 to 2 years
C)3 to 5 years
D)6 to 8 years
Q3) The Block Box warning carried by terbutaline states that prolonged use may .
A)increase the risk of premature delivery
B)cause severe uterine contractions and even uterine rupture
C)be associated with serious maternal cardiovascular events and death
D)slow the development of fetal lungs
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Chapter 25: Cardiovascular Drugs
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Q1) Huey is given adenosine to convert his PSVT.What advantage does adenosine have over diltiazem?
A)Adenosine is less likely to cause hypotension.
B)Adenosine can be used in patients with symptomatic bradycardia.
C)Adenosine can be used in patients with second- or third-degree heartblock.
D)Adenosine is an oral agent and has a rapid effect.
Q2) Nayeli has just been diagnosed with high cholesterol.What category of antilipemics is considered to be the first choice for monotherapy of high cholesterol?
A)statins
B)omega-3 fatty acids
C)fibric acid derivatives
D)bile acid sequestrants
Q3) Abdul is taken to the emergency room and is treated with a medication that is especially useful in converting and maintaining atrial fibrillation to sinus rhythm.What is this drug likely to be?
A)lidocaine
B)propafenone
C)adenosine
D)amiodarone
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Page 27
Chapter 26: Respiratory System Drugs and Antihistamines
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Q1) Percy needs an antihistamine to help with his pollen allergies,but he has some complicated mental work to do and therefore,would like to use a non-drowsy medication.What antihistamine is less likely to make Percy less drowsy?
A)chlorpheniramine
B)fexofenadine
C)azelastine
D)clemastine
Q2) Diarmuid wants to quit smoking and wonders whether smoking cessation aids are useful.Are they?
A)No.They may even make it more difficult to quit.
B)Yes.They twice as many smokers quit as going "cold turkey."
C)Yes,but only when used at higher doses than recommended
D)Possibly,but only if the smoker is highly motivated
Q3) Jean's doctor suggests that she use a decongestant but cautions her to limit her use to just a few days.What might prolonged use cause?
A)tolerance
B)rebound congestion
C)psychological dependence
D)breakdown of nasal vasculature
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Page 28
Chapter 27: Drugs and Older Adults
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Q1) Hudson,73 years of age,has severe arthritis and takes an NSAID.What is especially concerning about the use of NSAIDs in elderly individuals?
A)Elderly patients may become psychologically dependent on NSAIDs.
B)Even fatal bleeds may not be preceded by any warning signs or symptoms.
C)Elderly patients become tolerant to NSAIDs and need ever-increasing doses.
D)Because of their side effects,medication adherence is poor for elderly individuals taking NSAIDs.
Q2) It is Aileen's first day working at the nursing home as an RN.While reviewing patient charts,she notices that one patient with restless leg syndrome is receiving dangerously high doses of a dopamine agonist.What should she do?
A)Call the patient's family and let them know.
B)Nothing - she is new and should not cause trouble.
C)Cancel the medication order.
D)Talk to the appropriate authority.
Q3) Charis,age 89,has impaired circulation.What process might this affect?
A)metabolism
B)distribution
C)excretion
D)absorption
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Page 29