Pharmacology for Nurses Practice Exam
Course Introduction
Pharmacology for Nurses is designed to introduce nursing students to the principles and applications of pharmacology within the healthcare setting. The course explores the basic mechanisms of drug action, pharmacokinetics, pharmacodynamics, and the therapeutic implications of various drug classes. Emphasizing patient safety, nurses learn to assess, administer, and monitor medications while considering individual patient factors, side effects, and potential drug interactions. Through case studies and clinical scenarios, students gain practical skills to ensure effective medication management and patient education, equipping them to play a vital role in optimizing pharmacological care in their nursing practice.
Recommended Textbook
Introduction to Clinical Pharmacology 7th Edition by Marilyn Edmunds
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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
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22201
Sample Questions
Q1) The statement,"The patient will be able to self-administer an aerosol nebulizer treatment by the date of discharge," is an example of which of the following steps of the nursing process?
A) Implementation
B) Diagnosis
C) Evaluation
D) Planning
Answer: D
Q2) As an LVN/LPN,the nurse's role in the nursing process is to gather information and work with the patient.In carrying out this role,which of the following tasks can be delegated to the LPN/LVN nurse?
A) Interviewing the patient on admission
B) Planning and evaluating the patient's care
C) Checking vital signs and medication response
D) Carrying out all steps of the nursing process
Answer: C
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Chapter 2: Patient Teaching and Health Literacy
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/22202
Sample Questions
Q1) Researchers in patient education have suggested that which of the following efforts are useful for nurses to follow to increase a patient's medication compliance?
A) Short verbal responses are easy to learn.
B) Limited visual material with more verbal responses may be helpful.
C) Flash cards are very useful for visualization.
D) A variety of teaching methods,including written information and audiotapes,are useful.
Answer: D
Q2) The LPN is teaching a patient about the side effects of her hypertension medication.Research has shown that the nurse should tell the patient about all the side effects of this medication for which of the following reasons?
A) Medications are hard to recognize by color and shape only.
B) Patients want to be able to discuss their medications.
C) Patients must be able to recognize side effects correctly.
D) Medication names are easier to pronounce.
Answer: C
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4
Chapter 3: Legal Aspects Affecting the Administration of Medications
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Enactment of which of the following major federal drug regulations required that new drug products be proven both safe and effective before they could be approved for sale in the U.S.?
A) Federal Food,Drug,and Cosmetic Act (FD&C Act),1938
B) Comprehensive Drug Abuse Prevention and Control Act (Controlled Substances Act),1970
C) Durham-Humphrey Amendment to the FD&C Act,1951
D) Kefauver-Harris Amendment to the FD&C Act,1962
Answer: D
Q2) As the nurse is coming on duty to take over the day shift,the night nurse tells the nurse that she has already counted the controlled drugs for the day shift.Which of the following will the nurse do in this situation?
A) Do nothing;this is standard procedure.
B) Accept the keys and recount the drugs.
C) Recount the drugs with another nurse.
D) Count the drugs at the end of your shift.
Answer: C
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Page 5
Chapter 4: Foundations and Principles of Pharmacology
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22204
Sample Questions
Q1) A patient is on a cardiac medication and has been drinking alcohol every evening while watching television.On a visit to the clinic,he tells the nurse this information and asks if this is all right.Which of the following should be the nurse's response?
A) "Limit your alcohol use to 8 ounces a day with a meal."
B) "Alcohol and drugs may alter the drug's ability to work."
C) "There is no alteration with alcohol and drugs if you eat."
D) "The effects of alcohol and drugs only alter sometimes."
Q2) In writing the trade name and generic name of a drug,the nurse would do which of the following?
A) Capitalize both trade and generic names.
B) Capitalize the trade name but not the generic name.
C) Capitalize only the generic name.
D) The trade name is not capitalized.
Q3) Which of the following can affect the half-life of a drug?
A) Patient age
B) Liver dysfunction
C) Cardiac disease
D) Smoking
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6
Chapter 5: Lifespan and Cultural Modifications
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/22205
Sample Questions
Q1) A mother comes to the clinic with her 7-year-old son who has had a cold for 2 days.She has been giving the child an over-the-counter preparation for his cough.The mother tells the nurse the child has been very hyperactive since his illness.The nurse assessing this patient would tell the mother which of the following?
A) "Keep him busy.He will soon get tired and fall asleep."
B) "All children act this way when they are ill and want attention."
C) "Over-the-counter medication may cause reactions in children."
D) "Over-the-counter medication is not strong enough to cause a reaction."
Q2) Nurses working with older adult patients must remember which of the following factors about their kidney function and administration of their medications? (Select all that apply. )
A) Older adult patients are all alike with regard to kidney function and medications.
B) Drugs excreted by the kidney must be assessed individually in older adults.
C) Longer dosage intervals and lower doses are generally appropriate for older adults with kidney damage.
D) With older adults,creatinine clearance values help measure kidney function.
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Therapies, and Drugs for Health Promotion
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22206
Sample Questions
Q1) An Alzheimer disease patient was started on medication for this condition,and the physician also suggested that he should take over-the-counter ginkgo.The nurse explains to the patient that this product will do which of the following?
A) Improve blood flow to the extremities.
B) Stop hot flashes and night sweats.
C) Decrease gas formation in the stomach.
D) Improve bowel movements.
Q2) A patient tells the nurse that she is taking St.John's wort and asks the nurse's opinion on herbal products.The nurse knows that this medication has not been tested for its effectiveness and that the patient is most likely taking it for which of the following conditions?
A) Depression
B) Diarrhea
C) High blood cholesterol
D) Cold symptoms
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8
Chapter 7: Review of Mathematical Principles
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22207
Sample Questions
Q1) 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
Q2) Which of the following represents x in the proportion "10 : 100 :: 5 : x"?
A) 50
B) 25
C) 20
D) 40
Q3) Which of the following represents the number 564 as written in Roman numerals?
A) CCIV
B) DMLIV
C) DLXIV
D) MLIV
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Chapter 8: Mathematical Calculations Used in Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/22208
Sample Questions
Q1) If there are 85 mg of medicine in 1 oz of solution,which of the following represents the number of grams in 8 oz?
A) 0.68 g
B) 6.8 g
C) 68 g
D) 6800 g
Q2) Which of the following represents 180 lb in kilograms (rounded to the nearest tenth)?
A) 90.0 kg
B) 81.8 kg
C) 360 kg
D) 396 kg
Q3) A patient's weight is 68 kg.Which of the following represents the patient's weight in pounds?
A) 150 lb
B) 148 lb
C) 135 lb
D) 138 lb
Q4) Calculate the following: 1 kg = _____g.
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Chapter 9: Calculating Drug Dosages
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/22209
Sample Questions
Q1) The nurse observes that there is 650 mL of IV fluid remaining in the bag,and the rate is 90 mL/hr.The drop factor on the infusion set is 60 gtt/mL.Which of the following represents how long the IV will last?
A) 6 hours and 28 minutes
B) 6 hours and 45 minutes
C) 7 hours and 13 minutes
D) 7 hours and 17 minutes
Q2) A doctor has ordered a dose of Synthroid of 0.15 mg daily for a patient.The nurse learns that the pharmacy only stocks 50 mcg scored tablets.Which of the following represents the correct number of 50 mcg Synthroid tablets to give this patient?
A) 1 1/2 tablets
B) 2 whole tablets
C) 3 whole tablets
D) 3/4 tablet
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11
Chapter 10: Preparing and Administering Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22210
Sample Questions
Q1) When a patient is experiencing a life-threatening emergency,the nurse may be given an order to administer medication via which of the following routes?
A) IV
B) IM
C) Subcutaneous
D) Rectal
Q2) In which of the following ways can a nurse prevent injury from a needlestick?
A) Recap the needle before disposal.
B) Remove the needle from the syringe.
C) Immediately discard the needle and syringe in a puncture-proof container.
D) Stick it into the patient's mattress until it can be disposed of.
Q3) When applying a topical nitroglycerin ointment,the nurse will do which of the following?
A) Massage it thoroughly into the skin.
B) Squeeze it onto the applicator paper and place it on the skin.
C) Apply it to the medial aspect of the thigh.
D) Shave the skin prior to application.
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12
Chapter 11: Allergy and Respiratory Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22211
Sample Questions
Q1) A patient asks if he can still drink coffee and cola while on bronchodilators for his COPD.Which of the following represents the best response?
A) "Caffeine-containing drinks can be used in moderation."
B) "You have no restriction when drinking coffee."
C) "Drink plenty of water to counteract the caffeine."
D) "Avoid large amounts of caffeine."
Q2) A young mother tells the nurse that her 6-month-old baby has a cough and that she is giving the baby an OTC cough and decongestant preparation.Which of the following statements represents would the nurse teach this young mother?
A) Over-the-counter medication is safe for infants.
B) These products are not safe for infants.
C) These products are safe if given diluted.
D) These products are safe in infants over 6 months.
Q3) Cromolyn is effective in which of the following situations? (Select all that apply. )
A) Prophylaxis for asthma
B) Management of an acute exacerbation of asthma
C) Management of allergic rhinitis
D) Management of eczema
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Chapter 12: Antiinfective Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22212
Sample Questions
Q1) 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.
Q2) The LPN/LVN giving primaquine must know this medication is used to treat which of the following conditions?
A) Pneumonia
B) Cardiac disease
C) Edema of the legs
D) Malaria
Q3) Which of the following are the most common adverse reactions to antiinfective medications?
A) Yeast infections,vaginal itching,and thrush
B) Superinfections,organ toxicity,and hypersensitivity
C) Ototoxicity,nephrotoxicity,and hepatotoxicity
D) Allergy,anaphylaxis,and cross-sensitivity
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Page 14
Chapter
Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22213
Sample Questions
Q1) Nystatin is used to treat which of the following?
A) Oral Candida infections
B) Fungal infections involving the nail
C) Herpes zoster
D) Respiratory syncytial virus (RSV)infections in children
Q2) Antiretroviral agents exert their effect by which of the following means?
A) Boosting the body's T-cell production
B) Producing artificially acquired active immunity
C) Interfering with replication of the retrovirus
D) Lysing the DNA of the host cell
Q3) A patient asks a nurse what an AIDS-related opportunistic infection is.Which of the following should be the nurse's reply?
A) "This infection is a first-generation metabolic infection."
B) "This infection is a toxic effect of the virus."
C) "This infection is from damage to the body's immune system."
D) "This infection is from an enlarged gallbladder."
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Page 15
Chapter 14: Antineoplastic Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22214
Sample Questions
Q1) Common adverse reactions associated with antineoplastic drugs include which of the following?
A) Alopecia and bone marrow depression
B) Bone marrow stimulation and nausea
C) Diarrhea and blurred vision
D) Anorexia and rhinorrhea
Q2) Which of the following people is qualified to prepare and administer antineoplastic drugs?
A) Any trained drug representative
B) Any medical assistant
C) An advanced practice nurse
D) An oncology nurse
Q3) Dactinomycin (Cosmegen)is an antibiotic used in the treatment of which of the following types of cancer? (Select all that apply. )
A) Pancreatic carcinoma
B) Testicular carcinoma
C) Uterine carcinoma
D) Wilms tumor
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16
Chapter 15: Cardiovascular and Renal Medications
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/22215
Sample Questions
Q1) The LPN/LVN must be aware that digitalis can cause toxicity;it can also cause hormonal effects in male patients.Which of the following hormonal problems can this medication cause a male patient?
A) Increased appetite and weight gain
B) Swelling in the legs and feet
C) Gynecomastia and tender breasts
D) Discoloration around the neck and eyes
Q2) Which of the following is primarily used as an antidysrhythmic drug?
A) Digitalis
B) Verapamil
C) Reserpine
D) Clonidine
Q3) A mother brings her 10-month-old daughter into the clinic because of diarrhea that has lasted for 8 hours.Signs of dehydration that the nurse would expect to see in this infant include which of the following?
A) Decreased respiration and pulse
B) Slight moisture on mucus membranes
C) Discoloration around the nail beds
D) Hypotension and concentrated urine
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Page 17
Chapter 16: Central and Peripheral Nervous System
Medications
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22216
Sample Questions
Q1) The desired effect of an antidepressant drug will usually occur within which of the following periods?
A) 48 to 72 hours
B) 35 days
C) 3 to 4 weeks
D) 48 weeks
Q2) The nurse instructs a patient about monoamine oxidase (MAO)inhibitors before discharge.The nurse tells the patient to avoid certain foods and beverages while she is on the MAO inhibitors because they could cause which of the following problems?
A) An increase in appetite leading to obesity
B) Severe psychosis
C) An increase in depressive behavior
D) Sudden and severe hypertension
Q3) Antipsychotic drugs are listed in which of the following similar broad categories? (Select all that apply. )
A) Phenothiazines
B) Anticholinergics
C) Thioxanthenes
D) Benzodiazepines
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Chapter 17: Medications for Pain Management and Anesthesia
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Patients receiving a narcotic agonist analgesic should be watched for which of the following signs or symptoms?
A) Severe hypertension
B) Reduced cough reflex
C) Overeating
D) Restlessness
Q2) The physician orders hydromorphone (Dilaudid).The nurse knows that this is the drug of choice because of which of the following reasons?
A) It minimizes some of the common side effects.
B) It will not make the patient sleepy.
C) It is not strong as morphine and is less addicting.
D) It can be given transdermally.
Q3) After naloxone (Narcan)is administered to a patient,the nurse would expect to see which of the following symptoms?
A) Complete narcotic sleepiness
B) Rebound narcotic symptoms
C) Difficulty in urination
D) Increased temperature
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Chapter 18: Anti-inflammatory, Musculoskeletal, and Anti-arthritis Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22218
Sample Questions
Q1) A 67-year-old patient who weighs 285 pounds comes to the doctor's office with a history of progressive onset of pain in her knees and hips.The doctor may tell her which of the following about her treatment?
A) Nothing can be done for her because of her weight.
B) She should take two aspirins and call him in the morning.
C) She should take two aspirins four to six times per day.
D) The pain can be resolved by diet and exercise.
Q2) Older adult patients on NSAIDs should be monitored for which of the following?
A) Incidence of peptic ulcers
B) Decreased urine
C) Blood in urine
D) Night fevers
Q3) A patient has been on muscle relaxants for a few months.The physician is discontinuing this medication.Which of the following schedules should be used when stopping this medication?
A) Stop the medication after the last dose.
B) Gradually reduce the medication.
C) Refill the medication one more time.
D) Increase the dose one time,then stop taking the medication.
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Chapter 19: Gastrointestinal Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22219
Sample Questions
Q1) A patient is diagnosed as having a duodenal ulcer.Which of the following is likely to be the physician's drug of choice?
A) Maalox
B) Gelusil
C) Milk of magnesia
D) Protonix
Q2) A frail 67-year-old nursing-home patient is brought to the clinic for a barium enema.For the next few days following the procedure,he fails to have any bowel movements.The physician will probably order which of the following treatments?
A) Saline laxative
B) Antispasmodic to increase peristalsis
C) Emetic to relieve pressure
D) Stool softener
Q3) Laxatives are classified into five major categories that include which of the following? (Select all that apply. )
A) Bulk-forming agents
B) Lubricants
C) Saline solutions
D) Antispasmodics
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21
Chapter 20: Hematologic Products
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22220
Sample Questions
Q1) Protamine sulfate should be given by which of the following health care professionals?
A) A physician
B) A trained IV nurse
C) An OR nurse
D) Any trained medical professional
Q2) Thrombolytic agents have which of the following actions?
A) They prevent clot formation.
B) They lyse existing clots.
C) They increase the blood's viscosity.
D) They thin the blood.
Q3) Aside from excessive bleeding,heparin therapy may increase the risk of a patient developing which of the following conditions?
A) A decrease in urination
B) An increase in thirst
C) An increase in hypertension
D) A decrease in visual acuity
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Chapter 21: Hormones and Steroids
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/22221
Sample Questions
Q1) 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
Q2) Which of the following methods should be used to stop steroid therapy? (Select all that apply. )
A) Therapy is stopped immediately.
B) The medication is tapered gradually.
C) After shorter courses,the dosage may be reduced by 50% each day.
D) The dosage may be reduced at consistent intervals.
Q3) A patient came to the clinic for follow-up care after his last visit.His laboratory tests for serum T and TSH confirm hypothyroidism.The nurse expects that this patient will be started on which of the following medications?
A) Prednisone
B) Hydrocortisone
C) Levothyroxine
D) Danazol
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23
Chapter 22: Immunologic Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22222
Sample Questions
Q1) Infants and children are immunized to prevent which of the following diseases? (Select all that apply. )
A) Hepatitis B
B) Hepatitis C
C) Polio
D) Varicella
Q2) 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
Q3) 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
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24
Chapter 23: Topical Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22223
Sample Questions
Q1) If a preparation is labeled "otic," it is safe to use by which of the following routes?
A) By mouth
B) In the ear
C) In the eye
D) Rectally
Q2) A patient using a transdermal nicotine patch should not do which of the following?
A) Smoke
B) Drink caffeine
C) Drink alcohol
D) Go out into the sun
Q3) Acyclovir ointment is prescribed for the treatment of which of the following conditions?
A) Chickenpox
B) Eczema
C) Psoriasis
D) Herpes simplex
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Chapter 24: Vitamins and Minerals
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39 Flashcards
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Sample Questions
Q1) Women who are lactating should eat foods rich in vitamin A that include which of the following?
A) Eggs and liver
B) Hamburgers and fries
C) Apples and grapes
D) Steak and baked potatoes
Q2) The recommended daily allowance of vitamin A for adults is 750 mcg/day.A patient tells the nurse that he is taking 1000 mcg of vitamin A daily to prevent night blindness.The nurse knows that the overdose of this medication can lead to which of the following conditions?
A) Obesity
B) Fluid retention
C) Eye infection
D) Hypervitaminosis
Q3) Folic acid is used for which of the following?
A) Severe headaches
B) Reducing red blood cell synthesis
C) Red blood cell formation
D) Stool softening
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