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WorksheetsPharmacology Week 1: Intro Part I
Total questions: 25
Worksheet time: 14mins
A nurse is collecting medication history from a patient. Which of the following should the nurse ask about to prevent drug interactions?
Prescription drugs only
Herbal supplements
Alcohol and caffeine use
Over-the-counter medications
Which step of the nursing process involves evaluating if a medication achieved the intended therapeutic effect?
Planning
Implementation
Evaluation
Diagnosis
A patient refuses their prescribed medication. What is the nurse's priority action?
Document the refusal and notify the provider
Administer the medication later
Crush the medication and mix it with food
Ignore the refusal and continue
Which law created the drug schedule classification system? (Schedules I-V)?
Pure Food and Drug Act
Durham-Humphrey Amendment
Controlled Substances Act
Harris-Kefauver Amendment
Which drug is classified as Schedule II?
Heroin
Lorazepam
Morphine
Diphenoxylate w/ atropine
Which drug schedule is considered the highest risk for abuse?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What are the CORE ethical principles?
Respect for persons
Beneficience
Justice
Informed consent
Which statement about generic drugs is correct?
They are always less effective than brand-name drugs.
They have the same active ingredient as brand-name drugs.
They are never substituted for brand drugs.
They cost more than brand-name drugs.
Which nursing process step includes ensuring the seven rights of medication administration?
Diagnosis
Assessment
Implementation
Evaluation
A patient is prescribed a drug that is highly protein bound. The patient has low serum albumin. What should the nurse anticipate?
Reduced drug effectiveness
Increased free drug and toxicity risk
Faster drug excretion
No effect
Which describes pharmacokinetics best?
Drug effects on the body
What the body does to the drug
Drug-receptor interactions
Drug potency
What are the four processes of pharmacokinetics? (SATA)
Absorption
Distribution
Excretion
Metabolism
Diffusion
Which CYP-related factor can increase drug toxicity?
CYP enzyme induction
CYP enzyme inhibition
Enhanced excretion
Faster metabolism
A nurse is teaching about half-life. Which statement shows understanding?
"It is the time it takes to eliminate half of the drug from the body."
"It is the time for the drug to begin working."
"It is when the drug reaches peak effect."
"It measures how strong a drug is."
Which term describes the maximum effect a drug can produce?
Potency
Duration
Maximal efficacy
Peak
Combining two CNS depressants can result in which pharmacodynamic interation?
Additive effect
Antagonistic effect
Potentiation
Competitive inhibition
Which nursing action aligns with pharmacodynamics principles?
Monitoring blood levels for toxicity
Teaching about how a drug works on receptors
Assessing kidney function before giving a renally excreted drug
Checking for drug-drug interactions
Which nursing intervention is most important for a drug with a narrow therapeutic index?
Encourage fluids
Administer with meals
Monitor drug levels regularly
Double the dose if missed
Which of the following are nursing roles regarding OTC drugs? (SATA)
Document OTCs on the MAR
Teach patients about possible interactions
Encourage use for chronic illnesses without provider input
Screen for OTC use during assessments
Which patient teaching is essential for all medications? (SATA)
Purpose of the drug
How and when to take it
Adverse effects to report
What to do if a dose is missed
How the drug is manufactured
A patient asks why they must avoid grapefruit while on certain medications. Which is the best response?
"It speeds up drug metabolism and causes failure."
"It slows metabolism, which can increase drug levels and toxicity."
"It has no real effect but can upset the stomach."
"It prevents drug absorption in the stomach."
Which nursing actions support safe administration of controlled substances? (SATA)
Witnessing waste of unused narcotics
Double-locking narcotics
Documenting after administation
Counting all controlled substances each shift
Which organ is the major site of drug metabolism?
Kidney
Lung
Liver
Spleen
Which organ is the major site of drug excretion?
Kidney
Lung
Spleen
Liver
Who is responsible for obtaining informed consent?
The medical provider
The nurse
The charge nurse
The aide
