wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Pharmacology Exam 1 Practice Test

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

Choose the best answer. A nurse is preparing to administer a newly prescribed medication. Which action best ensures medication safety before administration?

a)

Verify the client’s allergies after preparing the medication

b)

Compare the medication label with the MAR three times

c)

Ask another nurse to confirm the dose

d)

Administer the medication within 2 hours of the scheduled time

2.

Choose the best answer. A client asks why a medication has both a generic and brand name. Which response by the nurse is most accurate?

a)

Brand names are always safer than generic names

b)

Generic names indicate the drug class

c)

Brand names describe the chemical structure

d)

Generic names vary by manufacturer

3.

Choose the best answer. A medication that produces the desired effect is demonstrating which property?

a)

Potency

b)

Efficacy

c)

Half-life

d)

Onset

4.

Choose the best answer. A nurse explains first-pass metabolism to a client. Which statement is correct?

a)

It occurs when medication is injected IM

b)

It reduces the amount of active drug available

c)

It increases drug bioavailability

d)

It occurs in the kidneys

5.

Choose the best answer. Which route of medication administration avoids first-pass metabolism?

a)

Oral

b)

Rectal

c)

Intravenous

d)

Enteral

6.

Choose the best answer. A client taking multiple medications is at greatest risk for which complication?

a)

Therapeutic effect

b)

Drug tolerance

c)

Drug interaction

d)

Drug allergy

7.

Choose the best answer. Which factor most affects the distribution of medications in older adults?

a)

Increased liver size

b)

Decreased body fat

c)

Reduced serum albumin

d)

Increased cardiac output

8.

Choose the best answer. A nurse identifies that a medication has a narrow therapeutic index. What is the priority nursing implication?

a)

Administer with meals

b)

Monitor peak and trough levels

c)

Teach the client about OTC drugs

d)

Monitor intake and output

9.

Choose the best answer. Which outcome best indicates a medication is effective?

a)

The medication was administered on time

b)

The client reports relief of symptoms

c)

The nurse documented administration

d)

The provider renews the order

10.

Choose the best answer. A client experiences an adverse drug reaction. What is the nurse’s first action?

a)

Notify the provider

b)

Complete an incident report

c)

Stop the medication

d)

Document the reaction

11.

Choose the best answer. Which situation represents a medication error?

a)

Administering an ordered PRN medication

b)

Giving medication 30 minutes early

c)

Withholding medication due to low BP

d)

Administering the wrong dose

12.

Choose the best answer. A client asks about over-the-counter medications. Which statement is correct?

a)

They are always safe

b)

They do not interact with prescriptions

c)

They can cause adverse effects

d)

They require a prescription

13.

Choose the best answer. A nurse is educating a client about medication adherence. Which strategy is most effective?

a)

Taking all medications at bedtime

b)

Using a pill organizer

c)

Stopping medication if side effects occur

d)

Doubling doses if one is missed

14.

Choose the best answer. Which term describes the time it takes for a medication to reach its peak concentration?

a)

Onset

b)

Duration

c)

Peak

d)

Half-life

15.

Choose the best answer. A medication order reads: Morphine 2 mg IV q2h PRN pain. Which component is missing?

a)

Dose

b)

Route

c)

Frequency

d)

Indication

16.

Choose the best answer. Which factor increases the risk of adverse drug reactions?

a)

Younger age

b)

Single medication use

c)

Polypharmacy

d)

Short duration therapy

17.

Choose the best answer. Which laboratory value is most important before administering NSAIDs?

a)

Blood glucose

b)

Liver enzymes

c)

Renal function

d)

Hemoglobin A1c

18.

Choose the best answer. A client asks why medications are timed evenly. Which response is best?

a)

To avoid side effects

b)

To maintain therapeutic levels

c)

To reduce cost

d)

To improve taste

19.

Choose the best answer. Which client is at highest risk for medication toxicity?

a)

Young adult with asthma

b)

Older adult with kidney disease

c)

Middle-aged client with hypertension

d)

Teenager with anemia

20.

Choose the best answer. A nurse identifies a drug–drug interaction. What is the priority action?

a)

Administer medications separately

b)

Hold one medication and notify provider

c)

Document the finding

d)

Educate the client

21.

Choose the best answer. Which statement best describes pharmacodynamics?

a)

How the body absorbs drugs

b)

How drugs affect the body

c)

How drugs are eliminated

d)

How drugs are distributed

22.

Choose the best answer. A nurse is administering acetaminophen. Which teaching is most important?

a)

Avoid alcohol use

b)

Take on an empty stomach

c)

Expect drowsiness

d)

Monitor blood glucose

23.

Choose the best answer. Which maximum daily dose of acetaminophen should the nurse teach an adult client?

a)

2,000 mg

b)

3,000–4,000 mg

c)

5,000 mg

d)

6,500 mg

24.

Choose the best answer. Which adverse effect is most concerning with morphine?

a)

Constipation

b)

Nausea

c)

Respiratory depression

d)

Urinary retention

25.

Choose the best answer. Which assessment finding requires holding morphine?

a)

Pain rating 8/10

b)

Respiratory rate 8/min

c)

BP 130/80

d)

Pulse 88/min

26.

Choose the best answer. A client receiving opioids should also be monitored closely for which complication?

a)

Diarrhea

b)

Hypoglycemia

c)

Sedation

d)

Hypertension

27.

Choose the best answer. Naloxone is prescribed for which purpose?

a)

Pain control

b)

Opioid reversal

c)

Withdrawal prevention

d)

Long-term maintenance

28.

Choose the best answer. After administering naloxone, the nurse should anticipate which effect?

a)

Prolonged analgesia

b)

Return of pain

c)

Increased sedation

d)

Hypotension

29.

Choose the best answer. Methadone is primarily used for which indication?

a)

Acute pain

b)

Opioid maintenance therapy

c)

NSAID alternative

d)

Postoperative sedation

30.

Choose the best answer. Which property of methadone requires close monitoring?

a)

Short half-life

b)

High abuse potential

31.

Which class of NSAIDs is ibuprofen?

a)

Salicylate

b)

Propionic acid derivative

c)

COX-2 inhibitor

d)

Opioid

32.

NSAIDs primarily reduce pain and inflammation by which mechanism?

a)

Blocking opioid receptors

b)

Inhibiting prostaglandin synthesis

c)

Enhancing GABA

d)

Increasing serotonin

33.

Which client should avoid NSAIDs?

a)

Client with osteoarthritis

b)

Client with peptic ulcer disease

c)

Client with fever

d)

Client with muscle strain

34.

A nurse teaches a client about NSAID adverse effects. Which is correct?

a)

Renal impairment

b)

Hypoglycemia

c)

Bradycardia

d)

Bronchodilation

35.

Which medication is considered an opioid agonist?

a)

Naloxone

b)

Morphine

c)

Ibuprofen

d)

Acetaminophen

36.

A client taking acetaminophen also drinks alcohol daily. What is the greatest risk?

a)

Kidney injury

b)

Liver toxicity

c)

GI bleeding

d)

Respiratory depression

37.

Which pain medication is safest for a client with peptic ulcer disease?

a)

Aspirin

b)

Ibuprofen

c)

Acetaminophen

d)

Naproxen

38.

A nurse evaluates pain management. Which outcome indicates success?

a)

Medication administered

b)

Client sleeps

c)

Client reports tolerable pain level

d)

Vital signs normal

39.

Which factor increases opioid overdose risk?

a)

Slow titration

b)

Concurrent CNS depressants

c)

Adequate hydration

d)

Short-acting formulations

40.

Which teaching is priority for a client prescribed morphine?

a)

Increase fiber intake

b)

Avoid driving initially

c)

Take with food

d)

Store at room temperature

41.

Which medication is an opioid antagonist?

a)

Methadone

b)

Morphine

c)

Naloxone

d)

Codeine

42.

A nurse anticipates which withdrawal symptom after naloxone administration?

a)

Euphoria

b)

Pain and agitation

c)

Respiratory depression

d)

Bradycardia

43.

Which nursing action is most important when administering IV opioids?

a)

Flush IV line after administration

b)

Monitor respiratory status

c)

Administer rapidly for pain relief

d)

Keep client NPO

44.

Which are rights of medication administration? Select all that apply.

a)

Right patient

b)

Right reason

c)

Right documentation

d)

Right diagnosis

e)

Right route

45.

Which factors affect drug absorption? Select all that apply.

a)

Blood flow

b)

Body temperature

c)

Route of administration

d)

Protein binding

e)

GI motility

46.

Which are expected effects of opioids? Select all that apply.

a)

Analgesia

b)

Respiratory depression

c)

Constipation

d)

Hypertension

e)

Sedation

47.

Which findings indicate acetaminophen toxicity? Select all that apply.

a)

Elevated liver enzymes

b)

Jaundice

c)

Hypoglycemia

d)

Abdominal pain

e)

Increased urine output

48.

Which medications are NSAIDs? Select all that apply.

a)

Ibuprofen

b)

Aspirin

c)

Acetaminophen

d)

Naproxen

e)

Morphine

49.

Which teaching points apply to NSAID therapy? Select all that apply.

a)

Take with food

b)

Monitor for GI bleeding

c)

Avoid alcohol

d)

Expect sedation

e)

Monitor kidney function

50.

Which assessments are priority for a client receiving morphine? Select all that apply.

a)

Respiratory rate

b)

Pain level

c)

Bowel sounds

d)

Blood glucose

e)

Level of consciousness