Pharmacotherapeutics
Exam Questions
Course Introduction
Pharmacotherapeutics is the study of the use of drugs in the prevention and treatment of disease, focusing on the principles underlying the selection, administration, and monitoring of medication therapy for optimal patient outcomes. This course examines drug actions, indications, contraindications, side effects, interactions, and patient-specific considerations, emphasizing critical thinking and evidence-based decision-making to manage acute and chronic conditions. Through case studies and clinical scenarios, students develop skills in applying pharmacological knowledge to real-world situations and interprofessional collaboration in healthcare settings.
Recommended Textbook
Introduction to Clinical Pharmacology 7th Edition by Marilyn Edmunds
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24 Chapters
575 Verified Questions
575 Flashcards
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Chapter 1: Pharmacology and the Nursing Process in LPN Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When information is reported by the patient,it is considered to be subjective data.Which of the following statements is considered to be objective data?
A) The patient tells the nurse,"I have pain in my lower back."
B) Mr.Williams tells the nurse he is having trouble catching his breath.
C) Miss Sims has told the doctor she has no history of allergies to antibiotics.
D) The patient's skin is warm and dry.
Answer: D
Q2) A medication should be withheld when which of the following is true?
A) The physician omits the trade name in the order.
B) There has been a change in the patient's condition.
C) The medication improves the patient's symptoms.
D) The patient is asleep.
Answer: B
Q3) The nurse should document drug administration at which of the following times?
A) At the end of each shift
B) As soon as possible after administration
C) Just before administration
D) Any time during the nurse's shift
Answer: B
Page 3
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Chapter 2: Patient Teaching and Health Literacy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse and other health care providers are legally obligated to provide which of the following kinds of information to the patient for the purpose of informed consent?
A) A lot of technical and scientific information
B) Legal information for the patient and family
C) Reasonable specifics
D) Information in the patient's own language and jargon
Answer: C
Q2) It is important for the nurse and the patient to communicate effectively.The inability of a patient to read and write can interfere with effective communication and place him or her in "health disparity." Which of the following factors can help the patient's treatment plan?
A) Teaching the patient to read and write
B) Teaching the patient about his or her drugs and disease process
C) Teaching the patient to call the drug company for information about prescription drugs
D) Giving instructions only in written form
Answer: B
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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) Which of the following is a drug distribution system that is commonly used when ordering medication in an agency?
A) Multidose system
B) Health care system
C) Welfare system
D) Ward stock system
Answer: D
Q2) Which of the following is a document that is considered to be a legal record and hospital property?
A) Kardex
B) Medication card
C) Armband.
D) Patient chart
Answer: D
Q3) Which of the following is an example of a Schedule I controlled substance?
A) Morphine
B) Lomotil (diphenoxylate with atropine sulfate)
C) Heroin
D) Pentobarbital
Answer: C
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Chapter 4: Foundations and Principles of Pharmacology
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Sample Questions
Q1) A drug's trade name is used in advertisements and marketing and is often easy to remember.Which of the following drug names are trade names? (Select all that apply. )
A) Dimetapp
B) Lanoxin
C) Pen-Vee K
D) Meperidine
Q2) Chemical names are different from trade or brand names because chemical names describe which of the following?
A) Atomic or molecular structure
B) Metabolic and chemical structure
C) Generic or chemical structure
D) Receptor and agonist structure
Q3) Drug metabolites can be excreted from the body in which of the following?
A) Saliva,tears,and blood
B) Urine,feces,and bone marrow
C) Feces,urine,and breast milk
D) Breast milk,blood,and urine
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6
Chapter 5: Lifespan and Cultural Modifications
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) Hormone-replacement therapy for menopausal women helps reduce the incidence of which of the following?
A) Varicose veins
B) Osteoporosis
C) Hypertension
D) Depression
Q3) 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
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and Drugs for Health Promotion
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following herbs is considered unsafe?
A) Rose hips
B) Goldenseal
C) Royal jelly
D) Ginkgo
Q2) Effects of calcium on the body include which of the following? (Select all that apply. )
A) Large doses of calcium will not harm the body when taken on a full stomach.
B) Calcium can limit the absorption of iron and other trace elements.
C) Calcium can cause constipation and reduce kidney function.
D) Calcium may prevent bone loss in older men.
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
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8
Chapter 7: Review of Mathematical Principles
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19 Verified Questions
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Sample Questions
Q1) Which of the following is a common denominator with 28?
A) 14
B) 12
C) 11
D) 13
Q2) The decimal 0.30 is expressed as what percent of 100 and as which of the following common fractions? (Select all that apply. )
A) 0.30%
B) 30%
C) 1/3
D) 3/10
Q3) Which of the following is/are equivalent expressions for the ratio 1:5?
A) 20%
B) 15%
C) 0.20
D) 1/20
E) 1/5
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Chapter 8: Mathematical Calculations Used in Pharmacology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is equal to 1500 mcg?
A) 0.15 mg
B) 15 mg
C) 1.5 mg
D) 1,500,000 mg
Q2) If there are 10 grams of medicine in 120 mL of solution,which of the following represents the number of grams in 720 mL?
A) 35 g
B) 50 g
C) 60 g
D) 75 g
Q3) 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
Q4) Calculate the following: 1 kg = _____g.
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Chapter 9: Calculating Drug Dosages
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Sample Questions
Q1) The order reads: Lanoxin 0.125 mg PO now.The medication is available in 0.25 mg tablets.Which of the following represents the number of tablets the nurse will give?
A) 2 tablets
B) 1/2 tablet
C) 1 1/2 tablets
D) 1/4 tablet
Q2) Which of the following represents the flow rate in drops/minute for the IV order: 1000 mL of NS over 12 hours using a 60 gtt/mL infusion set?
A) 83 gtt/min
B) 73 gtt/min
C) 63 gtt/min
D) 53 gtt/min
Q3) Place the following steps in the correct order for performing a dosage calculation.
A)Calculate the dosage.
B)Change the dosages to the same unit of measurement.
C)Use common sense.
D)Reduce to the simplest terms.
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11
Chapter 10: Preparing and Administering Medications
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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) Which of the following is done after giving medication through a nasogastric tube that is connected to suction?
A) The tube is reconnected to the suction.
B) The tube is clamped for 10 minutes then reconnected to suction.
C) The tube is clamped for 30 minutes then reconnected to suction.
D) The suction is left off for 4 hours then reconnected to suction.
Q3) When giving a medicine through a nasogastric (NG)tube,the nurse will first do which of the following?
A) Flush the tube with 30 mL of water.
B) Check placement of the tube.
C) Take the vital signs.
D) Ask the patient if the tube is painful.
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12
Chapter 11: Allergy and Respiratory Medications
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20 Verified Questions
20 Flashcards
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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) The nurse will inform a patient who is on an antitussive agent about which of the following?
A) This medication is not habit forming.
B) This medication is for children's use only.
C) This medication can be addictive.
D) This medication comes only in pill form.
Q3) 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.
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Chapter 12: Antiinfective Medications
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27 Verified Questions
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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) Treatment for active tuberculosis includes which of the following?
A) Long-term treatment with more than one drug
B) The need to develop drug-resistant organisms
C) Chemoprophylaxis with bacteriostatic medications
D) Chemotherapy in patients at high risk for developing infection
Q3) Broad-spectrum antibiotics include which of the following?
A) Tetracycline,erythromycin,and aminoglycosides
B) Streptomycin,rifampin,and isoniazid
C) Nystatin,griseofulvin,and ketoconazole
D) Quinacrine,mebendazole,and pyrantel
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Page 14
Chapter
Medications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) 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.
Q2) A patient infected with AIDS tells the nurse that she has been only partially compliant with the medications because of the side effect of nausea.The nurse's best response is which of the following?
A) "When the nausea decreases,you can take the dosage."
B) "You should stop all medicine when nauseated and call your doctor."
C) "You should always take your medicine as prescribed,or it may not be effective."
D) "Didn't you know that nausea is expected with this therapy?"
Q3) 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
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Chapter 14: Antineoplastic Medications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which of the following preparations?
A) Mitotic agent
B) Chemotherapy agent
C) Hormone
D) Neoplasm
Q2) The effectiveness of antineoplastic agents can be best evaluated by which of the following means?
A) Physical exam
B) Laboratory studies
C) Return of appetite
D) Subjective report of increased strength
Q3) Chemotherapeutic agents act on which of the following?
A) Slowing cell growth
B) Only malignant cells
C) The bacterial cell wall
D) Helper T-cell production
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Chapter 15: Cardiovascular and Renal Medications
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Procainamide was prescribed for a patient who has ventricular tachycardia.The nurse explains to the patient that adverse actions of this medication can include which of the following? (Select all that apply. )
A) Anorexia
B) Hypotension
C) Flushness in the face
D) Cool hands
Q2) A patient with hypertension for 10 years has been told by his health care provider that he has developed nephrotic syndrome,causing generalized edema.Which of the following diuretics will work in the treatment of his condition?
A) Furosemide,a loop diuretic
B) Polythiazide,a thiazide diuretic
C) Metolazone,a sulfonamide diuretic
D) Spironolactone,a potassium-sparing diuretic
Q3) Which of the following is primarily used as an antidysrhythmic drug?
A) Digitalis
B) Verapamil
C) Reserpine
D) Clonidine
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Page 17
Chapter 16: Central and Peripheral Nervous System
Medications
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Sample Questions
Q1) Long-term use of dopaminergic drugs often leads to which of the following conditions?
A) Muscle flaccidity
B) Migraine headaches
C) Incontinence
D) Tardive dyskinesia
Q2) 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
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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Sample Questions
Q1) A patient has been on hydrocodone for 6 months and asks if this medication is addictive.Which of the following would be the nurse's best response?
A) "Dependence may develop."
B) "This is not an addictive narcotic."
C) "All medications are addictive."
D) "Taking food with this medication will help."
Q2) A patient comes to the emergency department with complaints of back pain.After interviewing this patient,the nurse sees that he is a little cyanotic and has problems following the conversation.The nurse would conclude which of the following about this patient?
A) The patient is sleepy after being up all night.
B) The patient is bored with this whole process.
C) The patient has signs of being overdosed.
D) The patient is on asthma medication.
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Chapter
18: Anti-inflammatory, Musculoskeletal, and Anti-arthritis Medications
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Sample Questions
Q1) A gout patient's creatinine clearance is less than 80 mL/min.The nurse expects this patient to be started on which of the following medications?
A) ASAID
B) Allopurinol
C) ASA
D) Salicylates
Q2) A patient comes into the clinic complaining of swelling,heat,and severe pain in the right great toe.The laboratory values are likely to show elevated serum levels of which of the following?
A) Calcium
B) Potassium
C) Uric acid
D) Glucose
Q3) A patient is diagnosed with osteoarthritis.The nurse would expect the patient to be started on which of the following medications?
A) NSAIDs
B) Salicylates
C) Acetaminophen
D) Mucomyst
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Chapter 19: Gastrointestinal Medications
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Sample Questions
Q1) 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
Q2) 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
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21
Chapter 20: Hematologic Products
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Sample Questions
Q1) Which of the following statements should the nurse include when teaching a patient about anticoagulant therapy?
A) "If you are cut and bleeding persists after 10 minutes,call the doctor."
B) "Over-the-counter medications may be taken with this drug."
C) "A diet high in green,leafy vegetables is recommended."
D) "Black,tarry stools are common with this medication."
Q2) In checking the chart of an elderly female outpatient on anticoagulant therapy,the LPN/LVN notes that the patient's lab values are off.The patient says she takes her medication as prescribed,so the nurse asks about her dietary intake.Which of the following foods might have an effect on anticoagulant therapy?
A) Broccoli
B) Eggplant
C) Oranges
D) Grapes
Q3) Which of the following is the antidote for heparin overdose?
A) Aspirin
B) Packed red blood cells
C) Vitamin K
D) Protamine sulfate
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Page 22
Chapter 21: Hormones and Steroids
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Sample Questions
Q1) A patient comes in with a bad case of poison ivy.He has been scratching the red,swollen area on his arm because it itches.The arm has been getting increasingly swollen over the last 3 days.The doctor is most likely to order which of the following?
A) Somatotropin
B) A corticosteroid
C) A mineralocorticoid
D) Luteinizing hormone
Q2) When using drugs for labor induction,the intensity of uterine contractions should not be more than which of the following?
A) 50 mm Hg
B) 20 mm Hg
C) 80 mm Hg
D) 10 mm Hg
Q3) Patients taking antidiuretic hormone (ADH)need to be monitored frequently for which of the following?
A) Increase in urination
B) Urinary acidity
C) Dehydration
D) Urinary alkalinity
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Chapter 22: Immunologic Medications
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Sample Questions
Q1) TD (tetanus and diphtheria)boosters are recommended at which of the following intervals?
A) Every 5 years
B) Every 7 years
C) Every 10 years
D) Every 15 years
Q2) Which of the following circumstances indicates that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?
A) She will cry and hurt too much.
B) Her father is chronically ill at home.
C) She has another year before she needs them.
D) Her mother passed immunity to her at birth.
Q3) A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child.Which of the following would be the nurse's best response to the mother?
A) "The doctor wants the child to have the shot."
B) "We will give the injection at the next visit."
C) "More complications are caused by the disease than the immunization."
D) "Side effects are expected,and there is nothing to worry about."
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Page 24
Chapter 23: Topical Medications
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Sample Questions
Q1) Acyclovir ointment is prescribed for the treatment of which of the following conditions?
A) Chickenpox
B) Eczema
C) Psoriasis
D) Herpes simplex
Q2) A young patient comes into the clinic complaining of acne.He is started on Differin.The nurse instructs him to do which of the following?
A) Wash the face and apply gel.
B) Apply gel and do not wash off for 8 hours.
C) Apply gel and use a cold compress.
D) Use gel only no washing is necessary.
Q3) Salicylic acid is used in the treatment of which of the following conditions of the foot?
A) Ingrown toenails
B) Hammer toe
C) Bunions
D) Calluses
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Chapter 24: Vitamins and Minerals
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Sample Questions
Q1) Which of the following vitamins is important in red blood cell formation?
A) K
B) D
C) Folic acid
D) B
Q2) A patient on Coumadin therapy begins to bleed from the gums while brushing her teeth.The nurse would expect the health care provider to prescribe which of the following vitamins?
A) Vitamin A
B) Vitamin E
C) Vitamin K
D) Vitamin B
Q3) Which of the following is the fat-soluble vitamin with the least potential for toxicity?
A) Vitamin A
B) Vitamin E
C) Vitamin D
D) Vitamin K
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