WorksheetsPHA final practice 2
Total questions: 124
Worksheet time: 1hrs 2mins
Which of the following is the primary action of a Beta-2 adrenergic agonist?
Vasoconstriction
Bronchodilation
Decreased heart rate
Bladder contraction
True or False: The "Generic Name" of a drug is the proprietary name owned by a specific manufacturer.
True
False
A patient is prescribed Epinephrine for anaphylaxis. The nurse knows this drug acts on which receptors? (Select All That Apply)
Alpha-1
Alpha-2
Beta-1
Beta-2
Which laboratory value is most critical to monitor for a patient taking Valproic Acid?
Serum Glucose
Liver Enzymes (ALT/AST)
Creatinine Clearance
White Blood Cell Count
A patient is taking Phenytoin (Dilantin). Which statement by the patient indicates a need for further teaching?
I will use a soft toothbrush to prevent gum bleeding.
I can stop taking this medication once I haven't had a seizure for a month.
I should avoid drinking alcohol while on this medication.
I need to have my blood levels checked regularly.
What is the drug of choice for treating Status Epilepticus initially?
Oral Valproic acid
IV Diazepam or Lorazepam
IM Phenytoin
Subcutaneous Epinephrine
True or False: Tolerance occurs when a patient requires a higher dosage of a drug to achieve the same therapeutic effect.
True
False
Which of the following are common adverse effects of Anticholinergic drugs? (Select All That Apply)
Urinary retention
Excessive salivation
Blurred vision
Constipation
Diarrhea
The nurse is teaching a patient about Levodopa/Carbidopa. Which side effect should the nurse emphasize?
Hypertension
Orthostatic hypotension
Excessive hair growth
Weight gain
A patient on Lithium therapy reports a metallic taste, hand tremors, and diarrhea. The nurse suspects:
Therapeutic response
Lithium toxicity
Allergic reaction
Normal side effects
Which drug is used as the "rescue" inhaler for acute bronchospasm?
Salmeterol
Albuterol
Tiotropium
Montelukast
True or False: Vancomycin should be administered rapidly via IV push to prevent infection spread.
True
False
Which adverse effect is specifically associated with the "Red Man Syndrome"?
Penicillin
Vancomycin
Gentamicin
Tetracycline
A patient is taking an MAO Inhibitor (MAOI) for depression. Which food should they avoid?
Apples
Aged cheddar cheese
Grilled chicken
Fresh carrots
What is the primary concern when a patient is taking both a Benzodiazepine and Alcohol?
Increased heart rate
Severe CNS depression/Respiratory depression
Hypertensive crisis
Liver failure
True or False: Pharmacokinetics is the study of what the drug does to the body.
True
False
Which drug class is often used to treat the "positive" symptoms of Schizophrenia?
Mood stabilizers
Antipsychotics
Stimulants
Anticholinergics
A patient is receiving an Opioid analgesic. What is the priority nursing assessment?
Temperature
Respiratory rate
Bowel sounds
Blood glucose
Which medication is the antidote for an Acetaminophen overdose?
Naloxone
Vitamin K
Acetylcysteine
Flumazenil
True or False: NSAIDs like Ibuprofen can cause gastric ulcers by inhibiting the COX-1 enzyme.
True
False
The nurse provides teaching for a patient starting Methylphenidate (Ritalin). Which instruction is correct?
Take the medication right before bed.
Avoid caffeine while taking this drug.
You can stop the drug abruptly if you feel better.
Expect to gain weight while on this medication.
Which of the following are characteristic symptoms of Parkinson’s Disease? (Select All That Apply)
Bradykinesia
Muscle rigidity
Pill-rolling tremors
Excessive dopamine levels
The Half-life of a drug is defined as:
The time it takes for the drug to reach peak action.
The time it takes for half of the drug to be eliminated from the body.
The duration of the therapeutic effect.
The time until the first dose is metabolized.
A patient is prescribed Atropine. This drug is classified as a:
Adrenergic Agonist
Cholinergic Agonist
Anticholinergic
Beta-blocker
True or False: Epinephrine is non-selective, meaning it stimulates multiple types of adrenergic receptors.
True
False
Which of the following is a "Black Box Warning" for many antidepressants?
Risk of weight loss
Increased risk of suicidal ideation in children/young adults
Risk of permanent hearing loss
Risk of dental cavities
A patient is allergic to Penicillin. The nurse should be cautious when administering which other class of antibiotics due to cross-sensitivity?
Tetracyclines
Cephalosporins
Sulfonamides
Aminoglycosides
What is the mechanism of action for Naloxone (Narcan)?
It stimulates opioid receptors.
It blocks opioid receptors (Antagonist).
It increases serotonin levels.
It slows down metabolism.
True or False: Schedule I controlled substances have a high potential for abuse and no accepted medical use.
True
False
Which organ is primarily responsible for drug metabolism?
Kidneys
Liver
Lungs
Small intestine
A patient taking a first-generation antihistamine (like Diphenhydramine) should be warned about:
Hypertension
Drowsiness and sedation
Increased appetite
Diarrhea
Which of the following are nursing interventions for a patient on a stimulant? (Select All That Apply)
Monitor height and weight in children
Monitor blood pressure
Encourage intake of decaffeinated beverages
Administer dose at 9:00 PM
The Therapeutic Index (TI) measures:
How fast a drug works
The safety margin of a drug (ratio of toxic dose to therapeutic dose)
The price of the medication
The frequency of dosing
True or False: Agonists are drugs that bind to a receptor and block a response.
True
False
Which of the following describes "Superinfection"?
An infection that is resistant to all known drugs
A secondary infection that occurs when normal flora is destroyed by antibiotics
A viral infection that turns into a bacterial infection
An infection that requires three or more antibiotics
A patient is prescribed Albuterol and a Beclomethasone (steroid) inhaler. How should they be used?
Steroid first, then Albuterol
Albuterol first, then wait 5 minutes, then Steroid
Mix them together in the nebulizer
Use Albuterol only at night
What is a major side effect of loop diuretics (like Furosemide)?
Hyperkalemia
Hypokalemia
Hypertension
Weight gain
True or False: Aspirin should not be given to children with viral symptoms due to the risk of Reye's syndrome.
True
False
Which drug is used to treat a dry, non-productive cough?
Expectorant
Antitussive
Bronchodilator
Decongestant
A patient is taking Warfarin (Coumadin). The nurse should teach the patient to maintain a consistent intake of:
Vitamin C
Vitamin K (green leafy vegetables)
Carbohydrates
Red meat
Which medication is considered a mood stabilizer?
Sertraline
Lithium
Alprazolam
Haloperidol
True or False: First-pass effect refers to the metabolism of a drug by the liver before it reaches systemic circulation.
True
False
A patient is taking a beta-blocker (e.g., Atenolol). Which vital sign is most important to check before administration?
Temperature
Heart rate
Oxygen saturation
Respiratory rate
Symptoms of "Salicylism" (aspirin toxicity) include: (Select All That Apply)
Tinnitus (ringing in ears)
Dizziness
Bradycardia
Headache
Which drug class does Prednisone belong to?
NSAID
Opioid
Glucocorticoid
Antibiotic
True or False: Bacteriostatic drugs kill bacteria directly.
True
False
What is the primary use of Donepezil (Aricept)?
To cure Alzheimer's disease
To slow the progression of Alzheimer's symptoms
To treat Parkinson's tremors
To treat clinical depression
A patient has been taking a benzodiazepine for 10 years. What is the biggest risk if they stop suddenly?
Excessive sleep
Seizures and withdrawal
Improvement in memory
Increased appetite
Which antibiotic class is associated with potential ototoxicity and nephrotoxicity?
Penicillins
Aminoglycosides (e.g., Gentamicin)
Macrolides
Cephalosporins
True or False: Intravenous (IV) administration provides the fastest absorption of a medication.
True
False
Which drug is commonly used to treat a urinary tract infection (UTI) and requires the patient to drink plenty of fluids to prevent crystalluria?
Penicillin
Trimethoprim-Sulfamethoxazole (Bactrim)
Erythromycin
Vancomycin
True or False: A "Loading Dose" is a large initial dose given to reach the therapeutic range quickly.
True
False
What is a common side effect of Tetracycline that nurses should warn young patients about?
Orange urine
Discoloration of permanent teeth
Extreme hair loss
Hearing loss
A patient is prescribed Rifampin for Tuberculosis. What normal side effect should the nurse mention?
Severe diarrhea
Orange-red discoloration of urine and tears
Insomnia
Which of the following are adverse effects of Gentamicin? (Select All That Apply)
Ototoxicity
Nephrotoxicity
Hypertension
Hyperglycemia
True or False: Patients taking Metronidazole (Flagyl) must avoid alcohol to prevent a disulfiram-like reaction (severe vomiting).
True
False
Which drug is the "rescue" medication for an acute asthma attack?
Montelukast
Albuterol
Tiotropium
Fluticasone
The nurse is teaching a patient about Theophylline. Which substance should the patient avoid?
Apple juice
Caffeine
Leafy greens
Dairy products
Which medication is an example of an Inhaled Anticholinergic used for COPD?
Albuterol
Ipratropium (Atrovent)
Salmeterol
Guaifenesin
True or False: Glucocorticoids (Steroids) can cause blood glucose levels to rise (Hyperglycemia).
True
False
A patient with a productive cough and thick secretions should be encouraged to take:
Codeine
Guaifenesin (Mucinex)
Diphenhydramine
Benzonatate
What is the mechanism of action for a Proton Pump Inhibitor (PPI) like Pantoprazole?
Neutralizes existing stomach acid
Blocks the final step of acid production
Coats the stomach lining
Increases GI motility
Which laxative is considered a "Bulk-forming" laxative and is safest for long-term use?
Bisacodyl
Psyllium (Metamucil)
Magnesium Citrate
Castor Oil
True or False: Diphenoxylate with Atropine (Lomotil) is used to treat constipation.
True
False
A patient is taking Ondansetron (Zofran). What is the primary indication for this drug?
Hypertension
Nausea and Vomiting
Bacterial infection
Pain relief
Which of the following is a common side effect of Aluminum-containing antacids?
Diarrhea
Constipation
Fluid retention
Increased heart rate
True or False: Sucralfate should be taken on an empty stomach to allow it to coat the gastric ulcer.
True
False
When administering Digoxin, the nurse must monitor for "Digoxin Toxicity." Signs include: (Select All That Apply)
Yellow/Green halos in vision
Bradycardia
Nausea/Vomiting
Tachycardia
Which lab value must be monitored for a patient on Heparin therapy?
PT/INR
aPTT
Liver enzymes
Hemoglobin A1C
True or False: The antidote for Warfarin (Coumadin) is Vitamin K.
True
False
Which drug is an HMG-CoA Reductase Inhibitor used to lower cholesterol?
Furosemide
Atorvastatin
Lisinopril
Metoprolol
What is a potentially life-threatening side effect of ACE Inhibitors (e.g., Lisinopril)?
Tachycardia
Angioedema (swelling of face/tongue)
Hypokalemia
Constipation
True or False: Nitroglycerin sublingual tablets should be swallowed with a full glass of water.
True
False
A patient is taking Spironolactone. The nurse should monitor for which electrolyte imbalance?
Hypokalemia
Hyperkalemia
Hyponatremia
Hypocalcemia
Which medication is the first-line treatment for Type 2 Diabetes?
Insulin Lispro
Metformin
Glucagon
Dexamethasone
True or False: Glargine (Lantus) insulin is long-acting and has no peak.
True
False
Which type of insulin is administered IV for the treatment of Diabetic Ketoacidosis (DKA)?
NPH
Regular (Humulin R)
Lantus
Levemir
Signs of Hypoglycemia (low blood sugar) include: (Select All That Apply)
Shakiness/Tremors
Sweating (Diaphoresis)
Extreme thirst
Confusion
True or False: Levothyroxine (Synthroid) should be taken at bedtime with food.
True
False
What is the primary risk of taking broad-spectrum antibiotics for a long period?
Weight gain
Development of C. difficile (Superinfection)
Hypertension
Improved immunity
Which of the following is the antidote for Benzodiazepine overdose?
Naloxone
Flumazenil
Atropine
Digoxin immune fab
True or False: Aminoglycosides (like Amikacin) can be given orally to treat systemic infections.
True
False
A patient is taking Phenazopyridine (Pyridium) for a UTI. What should the nurse teach?
This drug will cure the infection.
It may turn urine reddish-orange.
Take it only once a week.
Stop taking it if your skin turns yellow.
What is the primary purpose of a "Peak and Trough" level?
To see how much the drug costs.
To ensure the drug level is therapeutic and not toxic.
To check for allergic reactions.
To measure the patient's heart rate.
Which drug class is used to treat "Dry Eyes" and "Dry Mouth" symptoms in Sjögren's, but is generally avoided in patients with Glaucoma?
Cholinergic agonists
Beta-blockers
Anticholinergics
Loop diuretics
True or False: Nystatin is commonly used as a "swish and swallow" for oral candidiasis (thrush).
True
False
Which drug is a Potassium-sparing diuretic?
Hydrochlorothiazide
Furosemide
Spironolactone
Mannitol
What is the priority nursing action if a patient complains of itching and hives during an IV antibiotic infusion?
Slow the infusion down.
Stop the infusion immediately.
Administer an antipyretic.
Tell the patient this is a normal side effect.
True or False: Aspirin inhibits platelet aggregation for the life of the platelet (7–10 days).
True
False
A patient is prescribed Iron supplements (Ferrous Sulfate). The nurse should advise them to:
Take it with milk.
Take it with Orange Juice (Vitamin C) to increase absorption.
Expect bright red stools.
Lie flat for 30 minutes after taking it.
Which medication is used to treat Herpes Simplex Virus (HSV) or Varicella-Zoster?
Amoxicillin
Acyclovir
Fluconazole
Metronidazole
True or False: Allopurinol is used to treat an acute gout attack.
True
False
Which of the following is an adverse effect of inhaled corticosteroids?
Tachycardia
Oral Candidiasis (Thrush)
Hypoglycemia
Diarrhea
The "Three Ps" of Diabetes (Hyperglycemia) are: (Select All That Apply)
Polyuria (increased urination)
Polydipsia (increased thirst)
Polyphagia (increased hunger)
Polyneuropathy
What is the mechanism of action for Heparin?
Dissolves existing clots.
Prevents the formation of new clots.
Increases platelet count.
Constricts blood vessels.
True or False: Furosemide (Lasix) should be administered in the evening to help the patient sleep.
True
False
Which medication is used as a mood stabilizer for Bipolar Disorder?
Haloperidol
Lithium
Lorazepam
Fluoxetine
A patient has an order for "NPO." This means the patient should:
Take meds only with water.
Take nothing by mouth.
Take meds only via IV.
Eat only clear liquids.
True or False: Trough levels are drawn 30 minutes before the next dose is administered.
True
False
Which of the following is a symptom of "Extrapyramidal Symptoms" (EPS) from antipsychotics?
Hypertension
Acute Dystonia (muscle spasms)
Excessive sleeping
Diarrhea
Respiratory depression is the most life-threatening effect.
True
False
COX-1 protects the stomach lining.
True
False
Caffeine increases stimulatory effects.
True
False
Bradykinesia, muscle rigidity, and pill-rolling tremors are hallmark motor symptoms.
True
False
Atropine is the prototype anticholinergic.
True
False
Cephalosporins have a similar ring structure.
True
False
Antagonists block receptors while agonists produce a response.
True
False
Antibiotic-associated superinfections can include Clostridioides difficile infections or oral thrush.
True
False
When both are ordered for inhalation therapy, give the bronchodilator first to "open the door" for the steroid.
True
False
Furosemide wastes potassium.
True
False
Antitussive means "against cough."
True
False
Sudden changes in vitamin K intake affect clotting time.
True
False
Common adverse effects can include tinnitus, dizziness, and headache.
True
False
Bacteriostatic agents inhibit growth, while bactericidal agents kill.
True
False
Withdrawal can lead to status epilepticus.
True
False
Ototoxicity and nephrotoxicity are notable risks with some medications.
True
False
Caffeine is a xanthine, like theophylline.
True
False
Aluminum salts tend to cause constipation, while magnesium salts tend to cause diarrhea.
True
False
Yellow or green halos, bradycardia, and nausea/vomiting are classic toxicity signs.
True
False
Sublingual tablets must dissolve under the tongue.
True
False
Shakiness, sweating, and confusion are common signs of low blood glucose.
True
False
Diuretics are typically given in the morning to prevent nocturia.
True
False
In suspected anaphylaxis, first stop the source of exposure.
True
False
Polyuria, polydipsia, and polyphagia are classic symptoms seen with high blood glucose.
True
False
