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WorksheetsPharmacology Exam 1 Practice Test
Total questions: 50
Worksheet time: 25mins
Choose the best answer. A nurse is preparing to administer a newly prescribed medication. Which action best ensures medication safety before administration?
Verify the client’s allergies after preparing the medication
Compare the medication label with the MAR three times
Ask another nurse to confirm the dose
Administer the medication within 2 hours of the scheduled time
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?
Brand names are always safer than generic names
Generic names indicate the drug class
Brand names describe the chemical structure
Generic names vary by manufacturer
Choose the best answer. A medication that produces the desired effect is demonstrating which property?
Potency
Efficacy
Half-life
Onset
Choose the best answer. A nurse explains first-pass metabolism to a client. Which statement is correct?
It occurs when medication is injected IM
It reduces the amount of active drug available
It increases drug bioavailability
It occurs in the kidneys
Choose the best answer. Which route of medication administration avoids first-pass metabolism?
Oral
Rectal
Intravenous
Enteral
Choose the best answer. A client taking multiple medications is at greatest risk for which complication?
Therapeutic effect
Drug tolerance
Drug interaction
Drug allergy
Choose the best answer. Which factor most affects the distribution of medications in older adults?
Increased liver size
Decreased body fat
Reduced serum albumin
Increased cardiac output
Choose the best answer. A nurse identifies that a medication has a narrow therapeutic index. What is the priority nursing implication?
Administer with meals
Monitor peak and trough levels
Teach the client about OTC drugs
Monitor intake and output
Choose the best answer. Which outcome best indicates a medication is effective?
The medication was administered on time
The client reports relief of symptoms
The nurse documented administration
The provider renews the order
Choose the best answer. A client experiences an adverse drug reaction. What is the nurse’s first action?
Notify the provider
Complete an incident report
Stop the medication
Document the reaction
Choose the best answer. Which situation represents a medication error?
Administering an ordered PRN medication
Giving medication 30 minutes early
Withholding medication due to low BP
Administering the wrong dose
Choose the best answer. A client asks about over-the-counter medications. Which statement is correct?
They are always safe
They do not interact with prescriptions
They can cause adverse effects
They require a prescription
Choose the best answer. A nurse is educating a client about medication adherence. Which strategy is most effective?
Taking all medications at bedtime
Using a pill organizer
Stopping medication if side effects occur
Doubling doses if one is missed
Choose the best answer. Which term describes the time it takes for a medication to reach its peak concentration?
Onset
Duration
Peak
Half-life
Choose the best answer. A medication order reads: Morphine 2 mg IV q2h PRN pain. Which component is missing?
Dose
Route
Frequency
Indication
Choose the best answer. Which factor increases the risk of adverse drug reactions?
Younger age
Single medication use
Polypharmacy
Short duration therapy
Choose the best answer. Which laboratory value is most important before administering NSAIDs?
Blood glucose
Liver enzymes
Renal function
Hemoglobin A1c
Choose the best answer. A client asks why medications are timed evenly. Which response is best?
To avoid side effects
To maintain therapeutic levels
To reduce cost
To improve taste
Choose the best answer. Which client is at highest risk for medication toxicity?
Young adult with asthma
Older adult with kidney disease
Middle-aged client with hypertension
Teenager with anemia
Choose the best answer. A nurse identifies a drug–drug interaction. What is the priority action?
Administer medications separately
Hold one medication and notify provider
Document the finding
Educate the client
Choose the best answer. Which statement best describes pharmacodynamics?
How the body absorbs drugs
How drugs affect the body
How drugs are eliminated
How drugs are distributed
Choose the best answer. A nurse is administering acetaminophen. Which teaching is most important?
Avoid alcohol use
Take on an empty stomach
Expect drowsiness
Monitor blood glucose
Choose the best answer. Which maximum daily dose of acetaminophen should the nurse teach an adult client?
2,000 mg
3,000–4,000 mg
5,000 mg
6,500 mg
Choose the best answer. Which adverse effect is most concerning with morphine?
Constipation
Nausea
Respiratory depression
Urinary retention
Choose the best answer. Which assessment finding requires holding morphine?
Pain rating 8/10
Respiratory rate 8/min
BP 130/80
Pulse 88/min
Choose the best answer. A client receiving opioids should also be monitored closely for which complication?
Diarrhea
Hypoglycemia
Sedation
Hypertension
Choose the best answer. Naloxone is prescribed for which purpose?
Pain control
Opioid reversal
Withdrawal prevention
Long-term maintenance
Choose the best answer. After administering naloxone, the nurse should anticipate which effect?
Prolonged analgesia
Return of pain
Increased sedation
Hypotension
Choose the best answer. Methadone is primarily used for which indication?
Acute pain
Opioid maintenance therapy
NSAID alternative
Postoperative sedation
Choose the best answer. Which property of methadone requires close monitoring?
Short half-life
High abuse potential
Which class of NSAIDs is ibuprofen?
Salicylate
Propionic acid derivative
COX-2 inhibitor
Opioid
NSAIDs primarily reduce pain and inflammation by which mechanism?
Blocking opioid receptors
Inhibiting prostaglandin synthesis
Enhancing GABA
Increasing serotonin
Which client should avoid NSAIDs?
Client with osteoarthritis
Client with peptic ulcer disease
Client with fever
Client with muscle strain
A nurse teaches a client about NSAID adverse effects. Which is correct?
Renal impairment
Hypoglycemia
Bradycardia
Bronchodilation
Which medication is considered an opioid agonist?
Naloxone
Morphine
Ibuprofen
Acetaminophen
A client taking acetaminophen also drinks alcohol daily. What is the greatest risk?
Kidney injury
Liver toxicity
GI bleeding
Respiratory depression
Which pain medication is safest for a client with peptic ulcer disease?
Aspirin
Ibuprofen
Acetaminophen
Naproxen
A nurse evaluates pain management. Which outcome indicates success?
Medication administered
Client sleeps
Client reports tolerable pain level
Vital signs normal
Which factor increases opioid overdose risk?
Slow titration
Concurrent CNS depressants
Adequate hydration
Short-acting formulations
Which teaching is priority for a client prescribed morphine?
Increase fiber intake
Avoid driving initially
Take with food
Store at room temperature
Which medication is an opioid antagonist?
Methadone
Morphine
Naloxone
Codeine
A nurse anticipates which withdrawal symptom after naloxone administration?
Euphoria
Pain and agitation
Respiratory depression
Bradycardia
Which nursing action is most important when administering IV opioids?
Flush IV line after administration
Monitor respiratory status
Administer rapidly for pain relief
Keep client NPO
Which are rights of medication administration? Select all that apply.
Right patient
Right reason
Right documentation
Right diagnosis
Right route
Which factors affect drug absorption? Select all that apply.
Blood flow
Body temperature
Route of administration
Protein binding
GI motility
Which are expected effects of opioids? Select all that apply.
Analgesia
Respiratory depression
Constipation
Hypertension
Sedation
Which findings indicate acetaminophen toxicity? Select all that apply.
Elevated liver enzymes
Jaundice
Hypoglycemia
Abdominal pain
Increased urine output
Which medications are NSAIDs? Select all that apply.
Ibuprofen
Aspirin
Acetaminophen
Naproxen
Morphine
Which teaching points apply to NSAID therapy? Select all that apply.
Take with food
Monitor for GI bleeding
Avoid alcohol
Expect sedation
Monitor kidney function
Which assessments are priority for a client receiving morphine? Select all that apply.
Respiratory rate
Pain level
Bowel sounds
Blood glucose
Level of consciousness
