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Cengage Pharmacology Chapters 8, 9, & 10

Total questions: 67

Worksheet time: 46mins

Name
Class
Date
1.

What is the name for a surgically placed gastric tube?

a)

Dysphagia

b)

Retention enema

c)

NG tube

d)

PEG tube

2.

What is the fluid form of a drug used rectally?

a)

Dysphagia

b)

Retention enema

c)

NG tube

d)

PEG tube

3.

Which of these refers to inhalation of a foreign substance or gastric contents?

a)

Dysphagia

b)

Retention enema

c)

NG tube

d)

Aspiration

4.

Which of these refers to difficulty swallowing?

a)

Dysphagia

b)

Retention enema

c)

NG tube

d)

Aspiration

5.

A tube inserted through the nasal passages to the stomach is _____.

a)

dysphagia

b)

a retention enema

c)

an NG tube

d)

aspiration

6.

Medications are administered by the gastrointestinal route more often than any other routes.

4 lines
7.

The oral route of administration is preferred over injection.

a)

True

b)

False

8.

Administration of medications by the oral route should be used in order to prevent aspiration in unconscious patients.

4 lines
9.

The rectal route of administration may not be an option due to limited availability of medications in suppository form.

a)

True

b)

False

10.

Aspiration is defined as the inhalation of a foreign substance or regurgitated gastric contents.

a)

True

b)

False

11.

Administration of liquid oral medications is preferred for children under 5 years of age.

a)

True

b)

False

12.

Patient cooperation is not required for administration of rectal medications.

4 lines
13.

One disadvantage to the oral route of administration is that it should not be used in NPO patients.

a)

True

b)

False

14.

One disadvantage to the oral route of administration is that it should not be used in NPO patients.

a)

True

b)

False

15.

A physician’s order is not required to crush pills for administration.

4 lines
16.

A nasogastric tube is always inserted solely for the purpose of administering medication.

4 lines
17.

Oral medications may not be administered to which patients?

a)

Children

b)

Elderly

c)

NPO status

d)

People with intellectual disabilities

18.

Which of the following is a disadvantage of the oral route of administration?

a)

Patient discomfort

b)

Rapid rate of absorption

c)

More costs related to oral administration

d)

Inability to use this route for unconscious patients

19.

Which of the following is the best definition for aspiration?

a)

Unintentional inhalation of a substance that may result in lung damage or infection

b)

Administration of medication via the nasogastric route

c)

Administration of a medication by breathing in via inhaler delivery

d)

Irritation of the upper GI tract

20.

For which patient is a gastric tube used for medication delivery?

a)

A patient able to tolerate oral medications

b)

A patient unable to take anything by mouth for an extended period of time

c)

A patient who is nauseated

d)

All of the above

21.

Which of the following is a disadvantage of rectal administration?

a)

Patients have difficulty retaining suppositories

b)

Incomplete or irregular absorption of the medication due to the presence of feces

c)

Irritation related to the medication being given by suppository

d)

All of the above

22.

Which of the following describes inhalation therapy?

a)

Effects limited to a particular area of the body

b)

Medications that are inhaled

c)

Injecting a small amount of medication into the skin’s dermal layer called a 'wheal'

d)

Injecting deep into large muscles

23.

Which of the following describes intradermal injections?

a)

Effects limited to a particular area of the body

b)

Medications that are inhaled

c)

Injecting a small amount of medication into the skin’s dermal layer called a 'wheal'

d)

Injecting deep into large muscles

24.

Which of the following describes intramuscular injections?

a)

Effects limited to a particular area of the body

b)

Medications that are inhaled

c)

Injecting a small amount of medication into the skin’s dermal layer called a 'wheal'

d)

Injecting deep into large muscles

25.

Which of the following describes the local route of administration?

a)

Effects limited to a particular area of the body

b)

Medications that are inhaled

c)

Injecting a small amount of medication into the skin’s dermal layer called a 'wheal'

d)

Injecting deep into large muscles

26.

Which of the following describes the parenteral route of administration?

a)

Effects limited to a particular area of the body

b)

Medications that are inhaled

c)

Injecting a small amount of medication into the skin’s dermal layer called a 'wheal'

d)

Any route other than via the gastrointestinal tract

27.

Which of the following describes the subcutaneous route?

a)

Absorbed through the skin via a patch or ointment preparation applied to the skin

b)

Effects of a medication observed throughout the body

c)

Injected beneath the skin into the fatty tissue layer

d)

Applied directly to the skin to treat skin conditions; not for systemic absorption

28.

Which of the following describes the term systemic?

a)

Absorbed through the skin via a patch or ointment preparation applied to the skin

b)

Effects of a medication that are observed throughout the body

c)

Injected beneath the skin into the fatty tissue layer

d)

Applied directly to the skin to treat skin conditions; not for systemic absorption

29.

Which of the following describes the topical route?

a)

Absorbed through the skin via a patch or ointment preparation applied to the skin

b)

Effects of a medication that are observed throughout the body

c)

Injected beneath the skin into the fatty tissue layer

d)

Applied directly to the skin to treat skin conditions; not for systemic absorption

30.

Which of the following describes the transcutaneous route?

a)

Absorbed through the skin via a patch or ointment applied to the skin

b)

Effects of a medication that are observed throughout the body

c)

Injected beneath the skin into the fatty tissue layer

d)

Applied directly to the skin to treat skin conditions; not for systemic absorption

31.

Which of the following describes the intramuscular route?

a)

Absorbed through the skin via a patch or ointment preparation applied to the skin

b)

Effects of a medication that are observed throughout the body

c)

Injected beneath the skin into the fatty tissue layer

d)

Injected deep into a muscle

32.

Which of the following routes of administration has a systemic effect on the body?

a)

Sublingual

b)

Eye drops

c)

Topical application

d)

nhg

33.

Which of the following routes of administration has a local effect on the body?

a)

Topical application

b)

Inhaled

c)

Intramuscular

d)

Sublingual

34.

After administering an injection, the needle should be _____.

a)

recapped carefully

b)

cut or broken

c)

inserted into a cardboard box

d)

put in sharps box uncapped

35.

Which of the following is the route with slow onset of systemic effect?

a)

Vastus lateralis

b)

Deltoid

c)

Z-track

d)

Transdermal

36.

Which IM injection site is found on the front of the thigh toward the outside of the leg?

a)

Vastus lateralis

b)

Deltoid

c)

Z-track

d)

Transdermal

37.

Which IM injection site is found above and outside of the buttock area, on the hip?

a)

Vastus lateralis

b)

Deltoid

c)

Z-track

d)

Ventrogluteal

38.

Which IM injection site is found on the upper outer arm above the axilla?

a)

Vastus lateralis

b)

Deltoid

c)

Z-track

d)

Transdermal

39.

Which injection method is especially recommended for drugs that could be irritating to tissues?

a)

Vastus lateralis

b)

Deltoid

c)

Z-track

d)

Transdermal

40.

Which of the following are all used specifically for systemic effects?

a)

Sublingual, intramuscular, topical, inhalation

b)

Buccal, transcutaneous, eye, subcutaneous

c)

Sublingual, buccal, subcutaneous, intramuscular

d)

Ear, transcutaneous, sublingual, inhalation

41.

Which patient’s comment following education for taking sublingual or buccal medications indicates a need for further education?

a)

I will hold the tablet in place with my mouth closed until the medications is absorbed.

b)

I can have a drink of water immediately after taking my pill.

c)

I will not swallow the medication.

d)

I will not eat until the medication has completely dissolved.

42.

Which of the following is a disadvantage of sublingual and buccal administration?

a)

Medications absorbed in this way are unaffected by drug modification in the stomach, intestines, or liver

b)

Medications may have a bitter taste.

c)

Absorption via this route is quite rapid.

d)

This method offers relative ease of administration.

43.

Which of these describes sublingual administration?

a)

Chewing a tablet until the medication is released and absorbed

b)

Swallowing the medication

c)

Placing the medication beneath the tongue for absorption

d)

Placing the medication in the pouch between the cheek and the gum at the back of the mouth

44.

Which of the following is a characteristic of buccal medication administration?

a)

Administration is immediately followed by drinking a full glass of water

b)

Medication is swallowed

c)

Used less commonly than the sublingual route

d)

Medication is placed under the tongue

45.

Which conditions are most often treated with a transcutaneous delivery system?

a)

Acute angina, motion sickness, systemic allergic reaction

b)

Prevention of angina, acute pain, motion sickness

c)

Prevention of angina, motion sickness, chronic pain

d)

Acute pain, acute angina, motion sickness

46.

Nitroglycerin ointment application requires what special handling and for what reason?

a)

The use of a ruler to prevent an accidental overdose, or inadequate dose, to the patient

b)

The use of gloves to prevent the health care provider from suffering a headache

c)

Rotating the area to which it is applied to prevent local irritation

d)

All of the above

47.

Which age groups are most at risk for poisoning?

a)

Young children

b)

Adolescents

c)

Middle age

d)

Older adults

48.

Which comment by a mother of a preschooler indicates the need for further education?

a)

I will not reuse chemical containers for other uses.

b)

I will turn on a light when preparing medications.

c)

It is acceptable to discard medications in a wastebasket.

d)

I will keep all dangerous chemicals in their original containers.

49.

Which comment by a parent of a preschooler indicates the need for further education?

a)

I will always read labels when preparing medications.

b)

I will tell Sara that the medicine is candy so she will take it without a fuss.

c)

I will look at the medication to see if it is outdated or discolored.

d)

I will keep all chemicals in areas separate from food areas.

50.

What may be included in treatment for carbon monoxide poisoning?

a)

Hyperbaric oxygen

b)

An antidote for inhaled chemicals

c)

Ventilator support

d)

All of the above

51.

Why are small children at greater risk for iron toxicity?

a)

They are smaller in size.

b)

They are more likely to think iron pills are candy.

c)

They are unable to metabolize iron at the same rate as adults.

d)

They have a smaller surface-to-weight ratio.

52.

Which of the following is not a correct step in the treatment of a snakebite?

a)

Apply ice to the site to discourage further distribution of the venom.

b)

Administer appropriate antivenin.

c)

Keep the patient quiet and transport to emergency care.

d)

Take a picture of the snake for identification.

53.

Which action should not be performed following an insect sting?

a)

Use a self-injecting epinephrine device if necessary.

b)

Remove the stinger with tweezers.

c)

Remove the stinger by scraping.

d)

Cleanse the site with soap and water after the stinger is removed.

54.

What is the recommended method for disposal of old or outdated medications?

a)

Flushing them down the toilet

b)

Putting them in the garbage and taking it outside immediately

c)

Taking them to a local pharmacy for disposal

d)

None of the above

55.

Which of the following is a drawback of using activated charcoal?

a)

Too risky to use in most poisonings

b)

Often abused by persons with anorexia or bulimia

c)

Not well tolerated by patients

d)

May interfere with the action of antidotes

56.

What is the treatment for inhalation of an insecticide?

a)

Packing with activated charcoal

b)

Using gastric lavage

c)

Inducing vomiting

d)

Administering an antidote such as atropine

57.

The pediatrician has prescribed an antibiotic suspension for 3-year-old Lianne. Lianne is excited that the antibiotic is bright pink and tastes like sweet bubble gum. What should her parents tell her?

a)

They should praise her for taking her medication like a big girl.

b)

They should not say anything to her, but ask for another medication that doesn't taste as good.

c)

They should explain that it is taken for her health and only as directed by a physician.

d)

They should express their excitement along with her.

58.

How long should you flush eyes exposed to external poisons?

a)

5 minutes

b)

30 minutes

c)

10 minutes

d)

20 minutes

59.

In preparation for a visit from your 4-year-old niece, you have securely stored all of the household cleaners, insecticides, other chemicals, and medications. In terms of poison control, are you ready for the visit?

a)

Yes, as long as you have locked up both the prescription and over-the-counter medications.

b)

No, because most poisonings in children under 6 involve personal care products and cosmetics.

c)

Yes, as long as the storage areas are someplace your niece cannot easily reach.

d)

Yes, you are ready (at least as far as poison control is concerned).

60.

Older people can be at risk for toxic reactions from medications because of _____.

a)

Improved circulation

b)

Stress incontinence

c)

Slower metabolism

d)

Visual acuity

61.

Where should chemicals be kept?

a)

Out of reach

b)

In a lower cabinet

c)

In an upper cabinet

d)

In a locked cabinet

62.

Which of the following is the best way to transport medication when traveling?

a)

In an empty food container

b)

In an unlabeled storage container

c)

In the original labeled bottle

d)

In a clean sandwich bag

63.

What is the number for Poison Control in the United States?

a)

1-800-222-1222

b)

1-800-866-9666

c)

1-800-867-5309

d)

1-800-111-1111

64.

Which of the following is the recommended way to get rid of unwanted/unused medication?

a)

Pour down the drain

b)

Flush down the toilet

c)

Mix with used coffee grounds

d)

Toss in the waste can

65.

What is sometimes used in the event of an anaphylactic reaction to a bee sting?

a)

Epinephrine

b)

Tylenol

c)

Benadryl

d)

Motrin

66.

Poisoning with CNS depressants may require all of the following except _____.

a)

Cardioversion

b)

Charcoal

c)

Symptomatic treatment

d)

Gastric lavage

67.

In case of suspected poisoning, the best policy is to _____.

a)

Induce vomiting

b)

Transport the patient to a licensed health care provider

c)

Contact the Poison Control Center directly

d)

Wait until the patient exhibits signs of poisoning