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WorksheetsPharmacology Midterm Review
Total questions: 56
Worksheet time: 29mins
Nurse Aria is teaching Ethan and Nora about different ways to take medicine. She asks, "If I give you a buccal medication, where should you place it?"
Rectum
Deltoid
Cheek
Vagina
Lily and Michael are in their nursing lab, and they need to remove medication from an ampule for their practice session. Which type of needle should they choose to do this safely?
Insulin Needle
Spinal Needle
Filter Needle
Blunt-tip Needle
Imagine Scarlett just took her medicine. Which term describes how that medication travels from where she took it into her bloodstream?
Metabolism
Excretion
Absorption
Distribution
Lily, Benjamin, and Aria are learning about how the body handles medications. Can you help them figure out which organ is primarily responsible for the metabolism of medications?
Heart
Lungs
Liver
Kidneys
Scarlett and Ethan are learning how to mix insulins in the same syringe. Which insulin should they withdraw from the vial first?
The cloudy insulin
The longer acting insulin
The shorter acting insulin
You should never mix insulins
Michael, Nora, and Abigail are practicing how to give subcutaneous insulin injections in their nursing class. Which angle of insertion should they use to make sure the insulin is delivered correctly?
5 degrees
35 degrees
15 degrees
75 degrees
Aria and Jackson are studying pharmacokinetics. They wonder: during which phase might protein-binding play a key role?
Absorption
Distribution
Metabolism
Excretion
Noah and Aria are studying for their pharmacy exam. They come across a list of prescription abbreviations. Which one should they confidently use, knowing it's an approved abbreviation?
QD
SC
IU
PO
Aria is about to receive an antitussive medication, and she’s curious about how it works. She asks the nurse for an explanation. How should the nurse respond to Aria?
This medication makes it easier for you to cough out secretions
This medication draws water into your lungs to break up your secretions
This medication kills the bacteria causing your cough
This medication works to suppress your need to cough
Charlotte, Aria, and Nora are studying for their pharmacology exam. Charlotte asks, "Which of the following antihistamines is known to be more sedating than the others?" Can you help her out?
Diphenhydramine
Loratadine
Fexofenadine
Cetirizine
Luna and Oliver are studying for their pharmacology exam. They come across a tricky question: Which respiratory medication can also save the day as the antidote for acetaminophen poisoning?
Advair
Albuterol
Acetylcysteine
Atropine
Nurse Mia is teaching her patient, Benjamin, about proper medication use. She says, "After taking which of the following medications should you make sure to rinse your mouth with water?" Can you help Benjamin remember?
Atropine
Salmeterol
Albuterol
Fluticasone propionate
Sophia is teaching her friend Luna about using phenylephrine nasal spray. She warns Luna to avoid using it for too long because it can lead to which tricky complication?
Bradycardia
Hypotension
Seizures
Rebound congestion
Aria is taking guaifenesin for her cough. What important tip should the nurse share with her to help the medicine work best?
Drink a full glass of water
Remain NPO for 2 hours
Avoid driving
Take it 4 hours apart from other medications
Priya and Ava are studying for their exams and come across a question about folic acid. Can you help them out? For which of the following conditions would folic acid be indicated? Select all that apply.
Megaloblastic anemia
Macrocytic anemia
Pernicious anemia
Prevent neural tube defects during pregnancy
Prevent iron deficiency anemia
Hannah is learning about warfarin in her nursing class. What should she remind her patient to keep consistent in their diet while taking this medication?
Protein
Vitamin K
Carbohydrates
Calcium
Mia and Emma are starting their nursing rotation and are helping Luna, who is about to begin taking oral iron supplements. What important and fun facts about side effects should they share with Luna to help her on her iron journey? Select all that apply.
Dark green/black stools are a common harmless side effect
Flushing of the face may occur 1 hour after administration
Increase fiber and fluid intake, as iron supplements can cause constipation
Drink with a straw to prevent teeth staining
During a lively classroom discussion, Kai suddenly remembers that one of the B vitamins can cause facial flushing, GI upset, and pruritus if taken in high doses. Can you help Kai figure out which B vitamin it is?
Vitamin B1 (thiamin)
Vitamin B2 (riboflavin)
Vitamin B3 (niacin)
Vitamin B6 (pyridoxine)
Vitamin B7 (biotin)
Grace is taking oral iron supplements and tells the nurse, "My stool has turned dark green and black! Should I be worried?" How should the nurse respond?
You are experiencing a GI bleed
You need to call the prescribing doctor immediately
You should start taking your iron with milk
This is a common, harmless side effect
Michael, who has a history of peptic ulcer disease, comes to the clinic and tells Nurse Abigail that he has a headache rated 4/10 on the pain scale. Which medication should Nurse Abigail plan to give Michael?
Oxycodone
Naproxen
Ibuprofen
Acetaminophen
During a lively classroom discussion, Avery asks, "Which critical symptom should we watch out for as a side effect of buprenorphine?" Can you help Avery find the answer?
Malignant hypertension
Severe skin rashes
Respiratory depression
Insomnia
Emma, a nurse, is caring for Benjamin, who just had surgery and received hydromorphone. Suddenly, Benjamin's respiratory rate drops to 6 breaths per minute, and he becomes very hard to wake up. What medication should Emma quickly give to help Benjamin?
Flumazenil
Naloxone
Acamprotase
Naltrexone
Abigail visits her doctor and is prescribed celecoxib to help manage her symptoms. Based on this, which condition is Abigail most likely dealing with?
Kawasaki disease
Fibromyalgia
Opioid withdrawal
Osteoarthritis
William and Charlotte are curious: Why should children like them avoid taking aspirin when they have a fever?
It can cause Reye's syndrome
They're at risk for blood clots
It doesn't work well
It is not used as a fever reducer
Nora, Samuel, and Priya are studying for their pharmacology exam. They come across a question: What is the maximum daily dose of acetaminophen for otherwise healthy adults?
1.5 grams
4 grams
6 grams
8 grams
Olivia is reviewing her pharmacology notes and comes across a patient named Ethan who is prescribed allopurinol. As a nurse, what condition does Olivia expect Ethan is being treated for?
Multiple sclerosis
Chronic gout
Muscular dystrophy
Acute gout
Sophia is experiencing a sudden, painful flare-up of gout and needs quick relief. Which medication is most likely to be used to treat her acute gout episode?
Allopurinol
Probenecid
Colchicine
Febuxostat
Nurse Olivia is teaching her patient, Avery, who has just been diagnosed with Graves' disease. Which medication will Avery most likely start taking as part of her treatment plan?
Liothyronine
Levothyroxine
Propylthiouracil
Thyrotropin alfa
Scarlett is starting her levothyroxine journey! As her nurse, you want to make sure she knows all the important facts. Which of the following is NOT something you should tell Scarlett about her new medication?
This medication will likely need to be taken for the rest of the patient's life
Toxicity to this medication may cause bradycardia and lethargy
This medication should be taken before breakfast
Routine lab value monitoring is required when taking this medication
Maya is learning about diabetes medications and wants to help her friend Ethan, who just started taking metformin. The nurse tells Maya to remind Ethan to report symptoms like nausea, fatigue, and muscle cramps to the provider. What serious complication is the nurse most concerned about with metformin?
Tendonitis
Deep vein thrombosis
Metabolic alkalosis
Lactic acidosis
Emma is taking prednisone for her treatment. Which of the following types of analgesics should she avoid?
Acetaminophen
NSAIDs
Opiates
Topical lidocaine
Abigail and Nora are reviewing antidiabetic medications before a radiology procedure. Which medication should they remember to withhold for 48 hours after the administration of contrast dye?
Pioglitazone
Metformin
Glipizide
Repaglinide
Sophia and Liam are studying for their endocrinology exam. Sophia asks, "Hey Liam, which of the following situations is most likely to cause someone to experience an Addisonian crisis?" Can you help them figure it out?
Ending a prednisone taper
Abrupt discontinuation of fludrocortisone
Long term fludrocortisone regimen
Beginning a prednisone burst
Nurse Sophia is teaching Avery and their parents about somatropin. Avery's parents are curious and ask, "How long will Avery need to take this medicine?" What is the best response Nurse Sophia should give?
The medication is only administered once.
The medication will be given for one month then reassessed.
The medication will be stopped prior to epiphyseal closure.
The medication will be needed for the rest of their life.
Mia and William are learning how to self-administer insulin. Their nurse reminds them to rotate their injection sites. What complication are they trying to avoid by doing this?
Stevens-Johnson syndrome
Infection
Phlebitis
Lipohypertrophy
During a classroom quiz, Elijah, Scarlett, and Aiden are discussing the symptoms of levothyroxine toxicity. Which of the following is NOT a symptom that they should watch out for?
Tachycardia
Drowsiness
Weight loss
Heat intolerance
Samuel, Grace, and Maya are studying for their pharmacology exam. They come across a question: Which of the following insulins is considered intermediate-acting?
Insulin lispro
Insulin glargine
Regular Insulin
NPH
Maya and Arjun are studying for their medical exams. They come across a case where a patient is diagnosed with diabetes insipidus. Which of the following medications might the doctor prescribe to help this patient?
Nitroprusside
Vasopressin
Insulin glargine
Regular insulin
During a busy shift, Nurse Sophia is caring for an unconscious patient named William, whose blood glucose level has dropped to a dangerously low 24 mg/dL. Which medication should Nurse Sophia reach for to help William?
Regular insulin
D5W
Oral glucose gel
Glucagon
Priya, a nurse, is caring for her patient Sophia, who has diabetes and is experiencing hypoglycemia. Priya wants to quickly help Sophia feel better! Which of the following would not be the best choice for Priya to give to a conscious Sophia?
1 mg oral glucagon
Glucose gel containing 15g of carbohydrates
4 oz orange juice
8 oz milk
David is prescribed sucralfate and is a bit confused about when to take it. He asks Nurse Ava for advice. What is the best response Nurse Ava can give David?
Take at bedtime
Take 1 hour before meals and at bedtime
Take 1 hour after meals and upon waking up
Take 1 hour before meals
During a lively classroom quiz, Mason asks, "Which of the following does the nurse identify as a stimulant laxative?" Can you help him choose the right answer?
Psyllium
Lactulose
Docusate sodium
Bisacodyl
Nurse Nora is caring for Michael, who mentions he's been taking famotidine regularly. Based on this, which condition do you think Michael might have?
Hirschsprung's disease
Crohn's disease
Ulcerative colitis
GERD
Aria, a nurse, is caring for a patient who needs to lower their ammonia levels. She knows there's a special laxative for this purpose. Can you help Aria pick the right one?
Docusate sodium
Magnesium hydroxide
Lactulose
Magnesium citrate
Mia is feeling uncomfortable because she has stomach pain from too much gas in her GI tract. Which GI medication would help Mia feel better the fastest?
Alosetron
Simethicone
Lubiprostone
Sulfasalazine
Olivia is learning about medications in her health class. The nurse tells her that patients taking pantoprazole should make sure to get enough of which vitamin in their diet? Can you help Olivia answer correctly?
Vitamin K
Vitamin D
Vitamin C
Vitamin E
Nurse Harper is caring for a patient on furosemide. During her shift, she notices the following findings. Which one should she report to the provider right away?
Potassium 3.6 mEq/L
Increased urinary output
BP 108/70
Tinnitus
Emma is a nurse caring for her patient, Arjun, who has just started a new diuretic. During their conversation, Emma reminds Arjun to avoid salt substitutes in his diet. Which diuretic is Arjun most likely taking?
Spironolactone
Indapamide
Hydrochlorothiazide
Furosemide
Charlotte is caring for a patient who is experiencing cerebral edema. Which medication does the nurse anticipate will be ordered to help reduce the swelling in the brain?
Furosemide
Mannitol
Spironolactone
Torsemide
Nurse Olivia is caring for Mason, who has edema and has just been prescribed furosemide. During their conversation, Olivia wants to make sure Mason knows which foods are best to eat while on this medication. Which of the following foods should Mason choose?
Apples
Bananas
Apricots
Blueberries
The nurse is caring for a patient taking gentamicin. Which of the following findings should be reported to the provider?
The patient's heart rate dropped to 62 bpm from 84 bpm.
The patient's lipase is 127 u/L
The patient's urinary output is 480 mL in the last 8 hours
The patient reports ringing in their ears
The nurse educates a patient taking which of the following medications to monitor for signs and symptoms of tendon rupture?
Ceftriaxone
Penicillin
Ciprofloxacin
Imipenem
A nurse is providing teaching to a female patient receiving multidrug therapy for tuberculosis, including rifampin. Which of the following teaching points should be included? Select all that apply.
A nonhormonal method of birth control is needed during therapy
Do not consume alcohol during therapy
You will need to take this medication for 6 weeks
Rifampin mau cause your urine and tears to turn orange
Flushing of the face, neck, and trunk is a possible side effect of which of the following medications?
Lidocaine
Heparin
Epinephrine
Vancomycin
During the initial assessment, a patient states they are allergic to penicillin. Which other medication should this patient not be given?
Sulfamethoxazole
Ciprofloxacin
Metronidazole
Cephalosporin
A patient taking clindamycin for a skin infection is experiencing watery diarrhea and abdominal cramping. Which of the following are appropriate interventions by the nurse? Select all that apply.
Obtain a stool sample for laboratory testing
Transfer patient to a single-patient room
Use hand sanitizer upon leaving the patient's room
Implement contact precautions
