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Pharmacology Midterm Review

Total questions: 56

Worksheet time: 29mins

Name
Class
Date
1.

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?"

a)

Rectum

b)

Deltoid

c)

Cheek

d)

Vagina

2.

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?

a)

Insulin Needle

b)

Spinal Needle

c)

Filter Needle

d)

Blunt-tip Needle

3.

Imagine Scarlett just took her medicine. Which term describes how that medication travels from where she took it into her bloodstream?


a)

Metabolism

b)

Excretion

c)

Absorption

d)

Distribution

4.

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?

a)

Heart

b)

Lungs

c)

Liver

d)

Kidneys

5.

Scarlett and Ethan are learning how to mix insulins in the same syringe. Which insulin should they withdraw from the vial first?

a)

The cloudy insulin

b)

The longer acting insulin

c)

The shorter acting insulin

d)

You should never mix insulins

6.

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?

a)

5 degrees

b)

35 degrees

c)

15 degrees

d)

75 degrees

7.

Aria and Jackson are studying pharmacokinetics. They wonder: during which phase might protein-binding play a key role?

a)

Absorption

b)

Distribution

c)

Metabolism

d)

Excretion

8.

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?

a)

QD

b)

SC

c)

IU

d)

PO

9.

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?

a)

This medication makes it easier for you to cough out secretions

b)

This medication draws water into your lungs to break up your secretions

c)

This medication kills the bacteria causing your cough

d)

This medication works to suppress your need to cough

10.

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?

a)

Diphenhydramine

b)

Loratadine

c)

Fexofenadine

d)

Cetirizine

11.

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?

a)

Advair

b)

Albuterol

c)

Acetylcysteine

d)

Atropine

12.

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?

a)

Atropine

b)

Salmeterol

c)

Albuterol

d)

Fluticasone propionate

13.

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?

a)

Bradycardia

b)

Hypotension

c)

Seizures

d)

Rebound congestion

14.

Aria is taking guaifenesin for her cough. What important tip should the nurse share with her to help the medicine work best?

a)

Drink a full glass of water

b)

Remain NPO for 2 hours

c)

Avoid driving

d)

Take it 4 hours apart from other medications

15.

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.

a)

Megaloblastic anemia

b)

Macrocytic anemia

c)

Pernicious anemia

d)

Prevent neural tube defects during pregnancy

e)

Prevent iron deficiency anemia

16.

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?

a)

Protein

b)

Vitamin K

c)

Carbohydrates

d)

Calcium

17.

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. 

a)

Dark green/black stools are a common harmless side effect

b)

Flushing of the face may occur 1 hour after administration

c)

Increase fiber and fluid intake, as iron supplements can cause constipation

d)

Drink with a straw to prevent teeth staining

18.

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?

a)

Vitamin B1 (thiamin)

b)

Vitamin B2 (riboflavin)

c)

Vitamin B3 (niacin)

d)

Vitamin B6 (pyridoxine)

e)

Vitamin B7 (biotin)

19.

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?

a)

You are experiencing a GI bleed

b)

You need to call the prescribing doctor immediately

c)

You should start taking your iron with milk

d)

This is a common, harmless side effect

20.

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?

a)

Oxycodone

b)

Naproxen

c)

Ibuprofen

d)

Acetaminophen

21.

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?

a)

Malignant hypertension

b)

Severe skin rashes

c)

Respiratory depression

d)

Insomnia

22.

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?

a)

Flumazenil

b)

Naloxone

c)

Acamprotase

d)

Naltrexone

23.

Abigail visits her doctor and is prescribed celecoxib to help manage her symptoms. Based on this, which condition is Abigail most likely dealing with?

a)

Kawasaki disease

b)

Fibromyalgia

c)

Opioid withdrawal

d)

Osteoarthritis

24.

William and Charlotte are curious: Why should children like them avoid taking aspirin when they have a fever?

a)

It can cause Reye's syndrome

b)

They're at risk for blood clots

c)

It doesn't work well

d)

It is not used as a fever reducer

25.

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?

a)

1.5 grams

b)

4 grams

c)

6 grams

d)

8 grams

26.

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?

a)

Multiple sclerosis

b)

Chronic gout

c)

Muscular dystrophy

d)

Acute gout

27.

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?

a)

Allopurinol

b)

Probenecid

c)

Colchicine

d)

Febuxostat

28.

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?

a)

Liothyronine

b)

Levothyroxine

c)

Propylthiouracil

d)

Thyrotropin alfa

29.

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?

a)

This medication will likely need to be taken for the rest of the patient's life

b)

Toxicity to this medication may cause bradycardia and lethargy

c)

This medication should be taken before breakfast

d)

Routine lab value monitoring is required when taking this medication

30.

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?

a)

Tendonitis

b)

Deep vein thrombosis

c)

Metabolic alkalosis

d)

Lactic acidosis

31.

Emma is taking prednisone for her treatment. Which of the following types of analgesics should she avoid?

a)

Acetaminophen

b)

NSAIDs

c)

Opiates

d)

Topical lidocaine

32.

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?

a)

Pioglitazone

b)

Metformin

c)

Glipizide

d)

Repaglinide

33.

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?

a)

Ending a prednisone taper

b)

Abrupt discontinuation of fludrocortisone

c)

Long term fludrocortisone regimen

d)

Beginning a prednisone burst

34.

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?

a)

The medication is only administered once.

b)

The medication will be given for one month then reassessed.

c)

The medication will be stopped prior to epiphyseal closure.

d)

The medication will be needed for the rest of their life.

35.

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?

a)

Stevens-Johnson syndrome

b)

Infection

c)

Phlebitis

d)

Lipohypertrophy

36.

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?

a)

Tachycardia

b)

Drowsiness

c)

Weight loss

d)

Heat intolerance

37.

Samuel, Grace, and Maya are studying for their pharmacology exam. They come across a question: Which of the following insulins is considered intermediate-acting?

a)

Insulin lispro

b)

Insulin glargine

c)

Regular Insulin

d)

NPH

38.

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?

a)

Nitroprusside

b)

Vasopressin

c)

Insulin glargine

d)

Regular insulin

39.

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?

a)

Regular insulin

b)

D5W

c)

Oral glucose gel

d)

Glucagon

40.

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?

a)

1 mg oral glucagon

b)

Glucose gel containing 15g of carbohydrates

c)

4 oz orange juice

d)

8 oz milk

41.

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?


a)

Take at bedtime

b)

Take 1 hour before meals and at bedtime

c)

Take 1 hour after meals and upon waking up

d)

Take 1 hour before meals

42.

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?

a)

Psyllium

b)

Lactulose

c)

Docusate sodium

d)

Bisacodyl

43.

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?

a)

Hirschsprung's disease

b)

Crohn's disease

c)

Ulcerative colitis

d)

GERD

44.

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?

a)

Docusate sodium

b)

Magnesium hydroxide

c)

Lactulose

d)

Magnesium citrate

45.

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?

a)

Alosetron

b)

Simethicone

c)

Lubiprostone

d)

Sulfasalazine

46.

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?

a)

Vitamin K

b)

Vitamin D

c)

Vitamin C

d)

Vitamin E

47.

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?

a)

Potassium 3.6 mEq/L

b)

Increased urinary output

c)

BP 108/70

d)

Tinnitus

48.

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?

a)

Spironolactone

b)

Indapamide

c)

Hydrochlorothiazide

d)

Furosemide

49.

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?

a)

Furosemide

b)

Mannitol

c)

Spironolactone

d)

Torsemide

50.

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?

a)

Apples

b)

Bananas

c)

Apricots

d)

Blueberries

51.

The nurse is caring for a patient taking gentamicin. Which of the following findings should be reported to the provider?

a)

The patient's heart rate dropped to 62 bpm from 84 bpm.

b)

The patient's lipase is 127 u/L

c)

The patient's urinary output is 480 mL in the last 8 hours

d)

The patient reports ringing in their ears

52.

The nurse educates a patient taking which of the following medications to monitor for signs and symptoms of tendon rupture?

a)

Ceftriaxone

b)

Penicillin

c)

Ciprofloxacin

d)

Imipenem

53.

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)

A nonhormonal method of birth control is needed during therapy

b)

Do not consume alcohol during therapy

c)

You will need to take this medication for 6 weeks

d)

Rifampin mau cause your urine and tears to turn orange

54.

Flushing of the face, neck, and trunk is a possible side effect of which of the following medications?

a)

Lidocaine

b)

Heparin

c)

Epinephrine

d)

Vancomycin

55.

During the initial assessment, a patient states they are allergic to penicillin. Which other medication should this patient not be given?

a)

Sulfamethoxazole

b)

Ciprofloxacin

c)

Metronidazole

d)

Cephalosporin

56.

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.

a)

Obtain a stool sample for laboratory testing

b)

Transfer patient to a single-patient room

c)

Use hand sanitizer upon leaving the patient's room

d)

Implement contact precautions