

Pharmacotherapeutics Exam Questions

Course Introduction
Pharmacotherapeutics is the study of the use of drugs in the prevention and treatment of disease. This course explores the principles of drug action, the selection of appropriate drug therapy, and the monitoring of therapeutic outcomes. Students will learn about drug classifications, mechanisms of action, therapeutic indications, side effects, drug interactions, and issues related to patient safety. Emphasis is placed on evidence-based decision-making, patient-centered care, and the integration of pharmacological knowledge into clinical practice to optimize treatment outcomes and minimize risks.
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) A patient states that he occasionally takes an over-the-counter laxative for constipation.This information is an example of which of the following?
A) Objective data
B) Inspection
C) Subjective data
D) Alternative therapy
Answer: C
Q2) 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
Q3) Which of the following represents the correct order of the steps of the nursing process?
A)Assessment,diagnosis,planning,implementation,evaluation
B)Planning,assessment,diagnosis,implementation,evaluation
C)Assessment,planning,implementation,diagnosis,evaluation
D)Diagnosis,planning,implementation,evaluation,assessment
Answer: A
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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) A patient is a newly diagnosed diabetic who has been incorrectly taking the medication prescribed.Which of the following is the most likely reason?
A) The patient feels the dose of medication is not enough.
B) The patient feels the dose of medication is too much.
C) The patient does not understand the medication dosage.
D) The patient cannot swallow the medication.
Answer: C
Q2) There are three patients in the class the nurse is teaching about insulin injections.Two of the patients have demonstrated the ability to draw up and inject the insulin correctly.One patient has problems drawing up the insulin and injecting the medication after it is in the syringe.Which of the following represents the next step the nurse could take to meet this patient's learning needs?
A) Teach a family member to do the injections.
B) Teach each activity separately on different days.
C) Show the patient a film on giving injections.
D) Let the patient read about each activity,then do the procedures together. Answer: C
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Page 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 health care professionals is licensed to prescribe controlled substances?
A) LPN/LVN
B) Physical therapist
C) Pharmacist
D) Physician
Answer: D
Q2) To identify medication errors in a patient's orders,a nurse can do which of the following? (Select all that apply. )
A) Clarify any unreadable or ambiguous orders with the prescribing physician.
B) Check the order in a medication Kardex.
C) Ask the patient about the medication.
D) Identify the medication with an old medication record.
Answer: A,B
Q3) Which of the following medications is an example of a controlled substance?
A) Birth control pills
B) An antibiotic
C) Codeine
D) A laxative
Answer: C
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Chapter 4: Foundations and Principles of Pharmacology
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following is the effect that takes place when one drug interferes with the action of another drug?
A) Antagonistic
B) Displacement
C) Interference
D) Incompatibility
Q2) Which of the following is always true regarding the generic name for a drug?
A) It is capitalized when written.
B) It is the same in any country.
C) It is assigned by a specific manufacturer.
D) It is similar to the chemical name.
Q3) 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
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Chapter 5: Lifespan and Cultural Modifications
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following actions by a breastfeeding mother who takes medication would decrease the amount of the drug the baby receives in breast milk?
A) Always using sustained-release medications
B) Taking medication just before breastfeeding
C) Taking medication in the morning
D) Expressing and discarding milk when feedings are skipped
Q2) Which of the following people would be at the highest risk for drug noncompliance?
A) A 2-year-old in a day care center
B) A 10-year-old receiving antibiotics for an ear infection
C) A 65-year-old on a fixed income taking five different medications
D) A 95-year-old in a long-term care facility
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
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22206
Sample Questions
Q1) During a nurse's assessment of a clinic patient,the patient asks if it is important to read OTC medication instructions.Which of the following represents the nurse's answer?
A) "It's all right if you don't read the instructions,because the drugs are safer."
B) "Chemicals in the product might pose a risk."
C) "There isn't much for you to read on these OTC product labels."
D) "Reading isn't important if the product is purchased from a pharmacy."
Q2) Which of the following herbs is considered unsafe?
A) Rose hips
B) Goldenseal
C) Royal jelly
D) Ginkgo
Q3) A patient asks the nurse what the difference is between an OTC sleeping product and a sleeping pill prescribed by a physician.Which of the following is the best response?
A) "The OTC sleeping product is safer."
B) "The OTC sleeping product is commonly used."
C) "The OTC sleeping product is easy to swallow."
D) "The OTC sleeping product has smaller tablets."
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Page 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) Which of the following represents a step in the process of changing 2/5 to a percentage of 40%? (Select all that apply. )
A) Add a percent sign.
B) 5 ÷ 2.
C) 2 ÷ 5.
D) Multiply by 100.
Q2) 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
Q3) Which of the following correctly represents the mixed number 6 3/4 expressed as an improper fraction?
A) 27/4
B) 24/3
C) 22/4
D) 18/4
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9

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) Nurses have to memorize a great deal of information in clinical practice.When trying to memorize all the different units in the apothecary and metric systems,a nurse should do which of the following? (Select all that apply. )
A) Master the familiar units.
B) Learn equivalents in two systems.
C) Memorize all information.
D) Depend on other nurses.
Q2) Which of the following is equal to 2 tablespoonfuls?
A) 30 mL
B) 15 mL
C) 10 mL
D) 5 mL
Q3) To convert grains to grams,and grams to grains,which of the following rules should a nurse apply? (Select all that apply. )
A) To convert grains to grams,divide by 15 or 16.
B) To convert grains to grams,add 15 or 16.
C) To convert grams to grains,multiply by 15 or 16.
D) To convert grams to grains,subtract by 15 or 16.
Q4) Calculate the following: 1 kg = _____g.
Page 10
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Chapter 9: Calculating Drug Dosages
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Ordered is codeine 1 gr PO;it is available in 30-mg tablets.Which of the following represents the number of tablets the patient should get?
A) 1.5 tablets
B) 1.2 tablets
C) 3 tablets
D) 2 tablets
Q2) 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
Q3) 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
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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 using the mucous membrane for percutaneous medication administration,the nurse should use an oily base for medication absorption when which of the following is true?
A) The mucous membrane is too dry,and skin will flake off.
B) The patient is allergic to oil-based preparations.
C) The medication needs a slow absorption.
D) The medication needs a rapid absorption.
Q2) An elderly patient is scheduled to take six medications each morning.The nurse administering these medications knows to do which of the following?
A) Allow extra time to administer all of the medications.
B) Allow the patient to take only the medications she can swallow.
C) Crush all of the medications before giving them.
D) Leave the medication at the bedside so the patient can take them slowly.
Q3) List the following nursing actions in the correct sequence for a patient with an infiltrated IV.
A)Contact the physician.
B)Inspect for signs of injury.
C)Apply warm,moist compresses.
D)Discontinue the infusion.
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Page 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) 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 is seen regularly for hypertension.When he comes today for his regular appointment,he asks for a decongestant,because he has a bad head cold.The physician would probably do which of the following?
A) Order a decongestant.
B) Order an antibiotic because of the possibility of infection.
C) He would not order a decongestant because that medication might increase the patient's hypertension.
D) Order an expectorant and hydrate the patient.
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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) Medications for malaria may be given in which of the following situations?
A) Prophylactically when people travel to areas in which malaria is common
B) Prophylactically when people return from malaria-infested areas
C) For treatment of malaria once the acute illness is over
D) Prophylactically in acute cases of malaria
Q2) Which of the following drugs should be taken on an empty stomach? (Select all that apply. )
A) Ciprofloxacin
B) Erythromycin
C) Lincomycin
D) Tetracycline
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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14
Chapter

Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22213
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) Which of the following instructions should the nurse provide to a patient taking an antifungal medication?
A) "Do not stop treatment when symptoms disappear."
B) "Two weeks of therapy are usually all that is needed."
C) "Keep your unused medication for up to 1 year in case you need it again."
D) "Thankfully,there are very few side effects to these drugs."
Q3) Which of the following groups of drugs limits the progression of HIV?
A) Antiretrovirals
B) Antivirals
C) Antibiotics
D) Antifungals
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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) 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
Q2) 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
Q3) A patient taking Mustargen is suffering from alopecia.The nurse should include which of the following interventions in the care plan?
A) Provide ice chips.
B) Maintain IV hydration.
C) Use emollients on the affected area.
D) Offer the use of a scarf.
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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) A patient has a history of angina and has been told to reduce his caloric intake and lose 20 pounds.Which of the following situations might this patient avoid so as to help prevent angina attacks?
A) Watching television
B) Heavy exercise
C) Using the computer
D) Walking 30 minutes
Q2) 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.
Q3) 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
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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) Which of the following is the drug of choice for status epilepticus?
A) Tegretol
B) Phenobarbital
C) Klonopin
D) Valium
Q2) The physician has ordered phenobarbital (Luminal)100 mg three times a day for a patient with seizures.To help the nurse develop an appropriate care plan for this patient,which of the following best describes the action of this drug in the body?
A) It will increase urination for 2 hours after ingestion.
B) It will cause severe thirst and dryness of the mucus membranes.
C) It has a long duration and a sedative effect on the brain.
D) It will lower the seizure threshold.
Q3) 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
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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) 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) Narcotic agonists are used to control acute pain.Common side effects that patients may develop from taking these drugs include which of the following? (Select all that apply. )
A) Hyperactivity
B) Constipation
C) Diarrhea
D) Dry mouth
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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) 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
Q2) 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.
Q3) 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
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Page 20
Chapter 19: Gastrointestinal Medications
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20 Verified Questions
20 Flashcards
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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) 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) A patient comes into the emergency department with complaints of chest pains.An ECG reveals an acute myocardial infarction taking place.You would expect the physician to take which of the following actions?
A) Send the patient directly to the cardiac unit for follow-up care.
B) Give the patient one aspirin and repeat the ECG.
C) Administer a thrombolytic agent for lysis of thrombi.
D) Administer heparin only to prevent potential bleeding of coronary arteries.
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) To reduce the risk of gastrointestinal bleeding in older adult patients,the nurse must be aware of giving anticoagulants with which of the following drugs?
A) Tylenol
B) Ibuprofen
C) Vitamin C
D) Vitamin E
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Chapter 21: Hormones and Steroids
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28 Flashcards
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Sample Questions
Q1) 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
Q2) A patient is found to have hyperthyroidism.The health care provider wants to start the patient on medication before performing surgery and would most likely prescribe which of the following medications?
A) Propylthiouracil
B) Thyroglobulin
C) Liothyronine
D) Levothyroxine
Q3) Lipodystrophy is best defined as which of the following?
A) Decrease and shrinkage of fatty tissues
B) Increase in fatty tissue in buttocks
C) Overgrowth of breast tissue
D) Increase in fatty tissue on abdomen
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Chapter 22: Immunologic Medications
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27 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following is an appropriate intervention to relieve local discomfort from an immunization?
A) Application of emollients
B) Application of ice
C) Application of lidocaine ointment
D) Acetaminophen
Q3) Protection from which of the following can be offered by routine immunization with PCV (children)or PPV (adults)vaccine?
A) Streptococcus pneumoniae
B) Typhoid
C) Cholera
D) Toxoid
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24

Chapter 23: Topical Medications
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27 Flashcards
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Sample Questions
Q1) Burow solution is used in wet soaks for inflammation of the skin.Which of the following patient teaching points would the nurse include? (Select all that apply. )
A) Use a single layer of dressings.
B) Moisten multiple layers of dressings.
C) Reapply every 15 to 30 minutes for 4 to 8 hours.
D) These dressings will promote circulation and provide warmth.
Q2) For pruritus,the patient may be treated with which of the following?
A) Benzoyl peroxide
B) Burow solution
C) A colloidal bath
D) Silver nitrate
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
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Chapter 24: Vitamins and Minerals
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Sample Questions
Q1) One of the main functions of vitamin D is to stimulate calcium and sodium reabsorption in which of the following vital organs?
A) Brain
B) Kidneys
C) Liver
D) Colon
Q2) Foods high in folic acid include which of the following?
A) Crab
B) Chicken
C) Nuts
D) Vegetables
Q3) Which of the following foods is rich in vitamin A?
A) Apples
B) Pasta
C) Dairy products
D) Nuts
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