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Pharmacology Exam#3 prep

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

The suffix "-pril" indicates which class of anti-hypertensive medication?

a)

Angiotensin II-Receptor blocker

b)

Angiotensin Converting Enzyme (ACE) Inhibitor

c)

Non-selective Beta Blocker

d)

Calcium Channel Blocker

2.

Second-generation antihistamines have what advantage over first generation antihistamines?

a)

Lower cost to patients

b)

Cause less drowsiness to patients

c)

Do not cause rebound congestion

d)

Can be taken more often during the day

3.

A patient is diagnosed with Gastroesophageal reflux disease (GERD). Which medication would the nurse expect would be prescribed?

a)

Fexofenadine, a second generation antihistamine

b)

Lisinopril, angiotensin-converting enzyme inhibitor

c)

Ranitidine, H2 antagonist

d)

Ipratropium, anticholinergic

4.

What teaching would a nurse include for a patient advised to take oxymetazoline, a nasal decongestant?

a)

Epistaxis (nose bleeds) is a common side effect

b)

Gently blow your nose after administration

c)

Do not abruptly stop taking the medication

d)

Do not use more than three days because of rebound congestion

5.

What disease process would a nurse expect to see fluticasone propionate, a nasal glucocorticoid, prescribed?

a)

Rhinitis

b)

Infection

c)

Epistaxis (bleeding)

d)

Vaccination against flu

6.

Which classes of medications would a prescription of guaifenesin/codeine belong to?

a)

Antihistamine/antitussive

b)

Vasoconstrictor/antipyretic

c)

Analgesic/expectorant

d)

Expectorant/antitussive

7.

A patient presents with wheezes and shortness of breath, the nurse should anticipate administering which medication as a neutralizer treatment?

a)

Tiotropium, anticholinergic

b)

Montelukast, leukotriene receptor antagonist

c)

Acetylcysteine, mucolytic

d)

albuterol, Beta-adrenergic

8.

Which of these statements would be most concerning to a nurse, for a patient taking a cardiac glycoside?

a)

"Everything has a yellowish tint to it"

b)

"I am always needing to pee."

c)

"I need to stand up slowly or I get dizzy"

d)

"I get a little sick to my stomach at time."

9.

Which laboratory test should be check before administering warfarin?

a)

Hemoglobin (Hgb)

b)

International normalized ratio (INR)

c)

Activated partial thromboplastin time (aPTT)

d)

Complete blood count (CBC)

10.

Which new medication would a nurse question for a patient with a deep vein thrombosis (DVT)?

a)

Protamine sulfate

b)

Heparin sodium

c)

Warfarin

d)

Rivaroxaban, Xa inhibitor

11.

Which route is typically not used in the administration of Nitrostat, a nitrate?

a)

Per Os (PO)

b)

Sublingual (SL)

c)

Transdermal patch (topical)

d)

Intravenous (IV)

12.

Which abnormal laboratory value is most commonly associated with spironolactone, a potassium-sparing diuretic?

a)

Hypernatremia

b)

Hyponatremia

c)

Hypokalemia

d)

Hyperkalemia

13.

The nurse should question the use of this drug as a treatment for nausea associated with motion sickness?

a)

Dimenhydrinate

b)

Scopolamine

c)

Meclizine hydrochloride

d)

Metoclopramide hydrochloride

14.

Which class of diuretic is typically used to decrease intracranial pressure as a results of cerebral edema?

a)

Potassium-Sparing

b)

Carbonic Anhydrase Inhibitor

c)

Osmotic

d)

Thiazides and thiazide-like

e)

Loop

15.

A patient presents with a myocardial infarction (MI) with the following vital signs: BP-145/90, HR 110, RR 20, O2Sat 88%; which three medications would the nurse expect to administer? (one minute to answer)

a)

Epinephrine, atropine, and oxygen

b)

Aspirin, diltiazem, and naloxone

c)

Oxygen, aspirin, and nitroglycerin

d)

Nitroglycerin, ATP, and atropine

16.

Which assessment finding is the least important for a patient that received alteplase, an thrombolytic?

a)

Dramatic drop in blood pressure

b)

A decrease in level of consciousness

c)

Increase in facial swelling

d)

Increase in urine output

17.

Which laxative is not advised for a patient with renal insufficiency?

a)

Magnesium hydroxide, osmotic

b)

Bisacodyl, stimulant

c)

Methylcellulose, bulk

d)

Doscusate calcium, softener

18.

A patient is diagnosed with c-difficile, which medication would be contraindicated?

a)

Metronidazil, nitroimidazole antibotic

b)

Vancomycin, glycopeptide antibotic

c)

Diphenoxylate with atropine, antidiarrheal

d)

acetaminophen, analgesic/antipyretic

19.

Which medication is not used as an antiemetic?

a)

Dimenhydrinate, antihistamine

b)

Phenothiazine, dopamine antagonists

c)

Lorazepam, benzodiazepine

d)

diaphenoxylate with atropine, opiate/antimuscarinic

20.

Which antiulcer medication should the nurse anticipate to administer before a meal?

a)

Metronidazole hydrochloride, antibiotic

b)

Sucralfate, pepsin inhibitor

c)

Pantoprazole, proton-pump inhibitor

d)

Diazepam, anxiolytic