wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Pharmacology - NRS234

Total questions: 32

Worksheet time: 17mins

Name
Class
Date
1.

Which drug best meets the criteria for a selective drug?

a)

A drug that blocks M1 and M2 receptors in the bladder

b)

A drug that blocks beta 1 and beta 2 receptors in the heart and lungs

c)

A drug that binds to alpha 1 and 2 receptors on vascular smooth muscle and beta 1 receptors in the heart

d)

A drug that blocks histamine 2 (H2) receptors on gastric parietal cells and has some effect on H2 receptors in the heart and vascular smooth muscles

2.

Which types of drugs work through physical or chemical reactions rather than through receptor binding? (select all that apply)

a)

Antacids

b)

Hormones

c)

Saline laxatives

d)

Chelating agents

e)

Regulatory molecules

3.

Which time frame is appropriate for obtaining a peak level from a patient receiving intravenous vancomycin?

a)

2 to 3 hours

b)

2 to 4 hours

c)

30 to 60 minutes

d)

Before the next dose

4.

A patient is prescribed an increased dose of a drug to improve control of their blood pressure. A week later, there is no change in the patient’s blood pressure (BP). Which phase of the dose-response curve might this reflect?

a)

Phase 1

b)

Phase 2

c)

Phase 3

d)

Phase 4

5.

When providing care for a person who has stopped taking a drug with a half-life of 4 hours, how long will it take for 94% of the drug to leave the body?

a)

8 hours

b)

12 hours

c)

16 hours

d)

20 hours

6.

Which of the four receptor families regulates protein synthesis?

a)

Transcription factors

b)

Ligand-gated ion channels

c)

G protein-coupled receptors

d)

Cell membrane-embedded enzymes

7.

Which drug(s) classes interact adversely with cheeses? (select all that apply)

a)

Tetracyclines

b)

Fluoroquinolones

c)

Theophylline

d)

Calcium channel blockers

e)

Monoamine oxidase (MAO) inhibitors

8.

Explains why oral drugs are formulated to be absorbed from small intestine

(a)  

9.

Drug that easily crosses membranes that separate it from the blood

(a)  

10.

Process where drug accumulates on side of membrane favoring its ionization

(a)  

11.

Solutions have a faster onset than capsules due to this factor

(a)  

12.

Which route of administration provides rapid onset of delivery to enhance safety and efficacy?

a)

Oral

b)

Sublingual

c)

Intravenous

d)

Intramuscular

13.

The liver metabolizes drugs into which component for renal excretion?

a)

Prodrugs

b)

Lipid-soluble drug

c)

Active metabolites

d)

Water-soluble substance

14.

14. Only ___ of the 12 closely related cytochrome P450 enzyme families metabolize drugs.

a)

3

b)

6

c)

9

d)

12

15.

Moves drugs from blood to urine

a)

Glomerular Filtration

b)

Passive Tubular Reabsorption

c)

Active Tubular Secretion

16.

Lipid-soluble drugs move back into the blood

a)

Glomerular Filtration

b)

Passive Tubular Reabsorption

c)

Active Tubular Secretion

17.

“Pumps” for organic acids and bases move drugs from blood to urine

a)

Glomerular Filtration

b)

Passive Tubular Reabsorption

c)

Active Tubular Secretion

18.

Which organ accounts for most drug excretion, thereby limiting the duration of action of many drugs?

a)

Skin

b)

Lungs

c)

Kidneys

d)

Gallbladder

19.

Drugs are excreted by which routes? (select all that apply)

a)

Feces

b)

Lungs

c)

Placenta

d)

Breast milk

e)

Lymph system

20.

Which route of drug administration is most likely to be reversible?

a)

Oral

b)

Buccal

c)

Intravenous

d)

Subcutaneous

21.

Which route of drug administration delivers drugs directly to the tissue where they exert their actions?

a)

Sublingual

b)

Inhalational

c)

Intramuscular

d)

Transdermal patch

22.

Which conditions decrease blood flow to tissues, thereby reducing the effectiveness of drug therapy? (select all that apply)

a)

Abscess

b)

Solid tumor

c)

Amputation

d)

Hemangioma

e)

Adipose tissue

23.

The nurse knows that warfarin is 99% protein bound, whereas bupropion is 84% protein bound. If both drugs are administered concurrently, which events could occur? (select all that apply)

a)

Warfarin could displace bupropion from its binding site.

b)

Bupropion could displace warfarin from its binding site.

c)

Bupropion could accumulate to toxic levels.

d)

Warfarin could accumulate to toxic levels.

e)

Warfarin and bupropion could bind to the same protein.

24.

To safely administer drugs, nurses must understand that only certain drugs can cross the blood-brain barrier (BBB), including those that are highly lipid soluble and of low molecular weight. Which drug can cross the BBB?

a)

Diazepam

b)

Atenolol

c)

Penicillin

d)

Nadolol

25.

Which routes of administration can be used to avoid the first-pass effect? (select all that apply)

a)

Oral

b)

Topical

c)

Intranasal

d)

Intravenous

e)

Inhalational

26.

Which factors alter drug metabolism in older adults? (select all that apply)

a)

Liver immaturity

b)

Decreased liver mass

c)

Decreased total body water

d)

Decreased hepatic blood flow

e)

Reduced active tubular secretion

27.

Kidney stones and urinary obstruction alter which pharmacokinetic principle?

a)

Absorption

b)

Distribution

c)

Metabolism

d)

Excretion

28.

Certain drugs must undergo which process before enterohepatic recirculation can occur?

a)

Elimination

b)

Conjugation

c)

Hydrolysis

d)

Glucuronidation

29.

Drugs with which property are excreted in breast milk?

a)

Polar

b)

Ionized

c)

Lipid soluble

d)

Protein bound

30.

Which route of drug administration bypasses the first-pass effect in the liver?

a)

Intravenous

b)

Subcutaneous

c)

Rectal

d)

Oral

31.

Which pharmacokinetic process is most affected in patients with severe liver disease?

a)

Metabolism

b)

Excretion

c)

Absorption

d)

Distribution

32.

Which property increases a drug's likelihood of being reabsorbed from the renal tubules back into the bloodstream?

a)

Large molecular size

b)

Lipid solubility

c)

High polarity

d)

Protein binding