Multiple Choice questions Flashcards
Mophine Sulfate is classified as a
a. Schedule 1
b. Schedule 2
c. Schedule 4
d. Schedule 8
d. Schedule 8
The schedule a drug is classified into depends upon
a. its toxiicity
b. its strength/dose
c. its potential for abuse
d. all of the above
d. all of the above
when a drug is ready to be administered to numerous patients under experienced clinical investigators, this phase of clinical trial is known as:
a. Phase I
b. Phase II
c. Phase III
d. Phase IV
c. Phase III
A drug may appear in more than one schedule
a. true
b. false
a. true
The half life of a drug
a. is determined by a balance of all pharmockentic processes
b. is a constant factor for all drugs taken by a person
c. is influenced by the fat distribution of the person
d. can be calculated with the use of body surface memogram
a. is determined by a balance of all pharmockentic processes
A patient is being discharged from hospital with a nebuliser for self administration of inhalation medication, which statement made by patient indicated to the nurse that client education has been successful?
a. inhaled medications should only be taken in the morning
b. doses for inhaled medications are larger than those taken orally
c. medicines taken by inhalation produce a very rapid response
d. inhaled drugs are often rendered inactive by hepatic metabloic reaction
c. medicines taken by inhalation produce a very rapid response
If the half-life of intravenous mophine sulfate is 20-30 minutes this means that?
a. in 60 minutes all of the drug will be eleminated
b. in 20-30 minutes, 50% of the drug concentration will be eliminated
c. the peak of the geant is 40 minutes
d. all doses should be reduced by 50% to prevent adverse effects
b. in 20-30 minutes, 50% of the drug concentration will be eliminated
A client has developed severe diarrhoea following four days of self-administered antacid preparation. The nurse suspects that the diarrhoea may be cause by which antacid?
a. Aluminium compounds
b. Magnesium compounds
c. Calcium compounds
d. Sodium compounds
b. Magnesium compounds
A nurse taking care of a person who is recieving a proton pump inhibitor should teach the person to
a. take the drug after every meal
b. chew or crush the tablet to increase their absoption
c. swallow tablets of capsules whole
d. stop taking the drug after 3 weeks of therapy
c. swallow tablets or capsules whole
H2 receptors are found throughout the body including
a. in the nasal passages, upper airways and stomache
b. in the CNS and upper airways
c. in the respiratory tract and the heat
d. in the heart, CNS and stomach
d. in the heart, CNS and stomach
Most antiemetics work with the CNS to decrease the activity of
a. the medulla
b. the chemoreceptor trigger zone
c. the respiratory centre
d. the sympathetic nervous system
b. the chemoreceptor trigger zone (CTZ)
The 5-HT3 receptor blockers including ondanestrone and granisetron are particularly effective in decreasing the nausea and vomiting associated with
a. vestibular problems
b. cancer chemotherapy
c. pregnancy
d. severe pain
b. cancer chemotherapy
Osmotic laxatives are drugs that are used to
a. increase the quantity of wastes excreted
b. speed the passage of the intestinal contents through the GI tract
c. increase digestion of intestinal contents
d. increase the water content of the intestinal contents
d. increase the water content of the intestinal contents
Cathartic dependence can occur when
a. people do not use laxatives routinely and experience severe bouts of constipation
b. chronic laxative use leads to reliance on the intense stimulation of laxatives
c. people maintain a nutritious high-fibre diet
d. people start an excercise program to promote bowel elimination
b. chronic laxative use leads to reliance on the intense stimulation of laxatives
The nurse should inform the client who is prescribed a nebuliser treatment with that a common adverse effect is
a. an increase heart rate with palpitation
b. a predisposition to infection
c. sedation
d. temporary dyspnoea
a. an increase heart rate with palpitation
The nurse understands that ipratropium bromide is an effective bronchodilator because it
a. enhances the action of acetylcholine
b. stimulates the beta-adrenergic cells in the bronchi
c. antagonises the action of acetylcholine
d. blocks the histamine receptor in the bronchi
c. antagonises the action of acetylcholine
Examples of preventor respiratory medications are
a. sympathaminetics and IGE monoclonal
b. methlaxanthines and corticosteroids
c. mast cell stabilisers and corticosteroids
d. antimuscarinics and leukotriene receptor antagonists
c. mast cell stabilisers and corticosteroids
Examples of corticosteroids use in treatment of asthma are
a. fluticason, budesonide and aminophylline
b. beclamethason, salbutamol and iphatopium
c. ephedrine, eformetrol and theophylline
d. budesonide, fluticasone and beclamethasone
d. budesonide, fluticasone and beclamethasone
Symbicort is an example of a combination medication preparation containing.
a. eformoterol and budesonide
b. ipratopium bromide and salbutamol
c. fluticasone and salmeterol
d. eformoterol and fluticasone
a. eformoterol and budesonide
Glucocorticoids are hormones which
a. are released in response to high glucose level
b. help to regulate electrolyte levels
c. help to regulate water levels in body
d. promote the preservation of energy through increase glucose leveles, protein breakdown and fat formation
d. promote the preservation of energy through increase glucose leveles, protein breakdown and fat formation
The primary modifiable risk factors with hypotension are
a. heredity
b. environmental factors
c. lifestyle factors
d. genetics
c. lifestyle factors
Ace inhibitors work on RAAS to prevent the conversion of Angiotension I to angiotension II, because this occurs in the cells in the lung, which is usually the site of this conversion, use of ACE inhibitors often results in
a. spontaneous pneumotharax
b. penumonia
c. unrelenting cough
d. respiratory depression
c. unrelenting cough
A person taking an ACE inhibitor is scheduled for surgery. The nurse or midwife should
a. stop the drug
b. Alert the surgeon and mark the persons chart prominently
c. cancel the surgery and consult with the presciber
d. monitor fluid levels and make sure the fluids are restricted before surgery
b. Alert the surgeon and mark the persons chart prominently
Enalapril is used to lower elevated blood pressure by
a. inhibiting beta-adrenergic receptors in the cardiac muscle
b. interfering with the conversion of angiotension I to angiotension II
c. directly dilating peripheral arterioles
d. blocking the binding angiotensin II to its receptors
b. interfering with the conversion of angiotension I to angiotension II
The nurse is caring for a client with chronic hypertension, the client is recieving lascartan daily, which client manifestations would the nurse conclude is an adverse effect of this medication
a. irritability and tremors
b. headache and dizziness
c. sleepiness and slurred speech
d. pruritus and rash
b. headache and dizziness
HMG-CoA inhibitors work in the
a. process of bile secretion
b. process of cholesterol formation in the cell
c. intestinal wall to block fat absoption
d. kidney to block fat excretion
b. process of cholesterol formation in the cell
Which of the following would the healthcare provider include when teaching a person about HMG-CoA reductase inhibitors?
a. the person will not develop CAD
b. the person might develop cataracts as a result
c. the person will not have a heart attack
d. the person might stop absorbing fat-soluble vitamins
b. the person might devlop cataracts as a result
The client taking atorvastatin reports weakness and fatigue, pain in the shoulders and aching joints. The nurse initially assess the client for which condition
a. Rhabdomyalysis
b. Renal failure
c. Rheumotoid arthritis
d. Hepatic Insufficiency
a. Rhabdomyalysis
A person with hyperglycaemia will present with
a. polyuria, polydipsia and polyphagia
b. polycythaemia, polyuria and polyphagia
c. polydenitis, polyuria and polydipsia
d. polydipsia, polycythaemia and polydenitis
a. Polyuria, polydipsia and polyphagia
Insulin is available in several forms or suspensions, which differ in their
a. effect on the pancreas
b. onset and duration of action
c. means of administration
d. tendency to cause adverse effects
b. onset and duration of action
A client with type 1 diabetes will use a combination insulin that includes NPH and regular insuline. The nurse is explaining the importance of knowing the peak times for both insulins. Why is this information important for the client to know
a. the client will be able to estimate the time for the next injection of insulin based
b. the risk of a hypoglycaemic reaction is greatest around the peak of insulins activity
c. it is best to plan activities or excerise around peak insulin times for the best utilisation of glucose
d. additional insulin may be required at the peak period to prevent hyperglycaemia
b. the risk of a hypoglycaemic reaction is greatest around the peak of insulins activity
The nurse would consider which of the following assessment findings as adverse effects to specific metformin therapy
a. hypoglycaemia
b. gastrointestinal distress
c. lactic acidosis
d. weight loss
c. lactic acidosis
When teaching a patient recieving tricylic antidepressants (TCA’S) it is important to remember the TCA’s are associated with many anticholinergic adverse effects. teaching about these drugs should include anticipation of
a. increased libido and increase appetite
b. polyuria and polydipsia
c. urinary retention, arrhythmias and constipation
d. hearing changes, cataracts and nightmares
c. urinary retention, arrhythmias and constipation
Drugs that are used to commonly treat grand mal seizures include
a. barbiturates, benzodiazepines and hydantoins
b. barbiturates, anthihistamines and local anaesthestics
c. hydantoins and phenobarbitone
d. benzodiazepines and sodium valproate
a. barbiturates, benzodiazepines and hydantoins
Halperidol is a potent antipyshcotic that is associated with
a. severe extrapyramidal effects
b. severe sedation
c. severe hypotension
d. sever anticholinergic effects
a. severe extrapyramidal effects
The nurse, who is monitoring a client who is taking phenytoin, has noted symptoms of nystagmus, confusion and ataxia. Considering these findings, the nurse would suspect that the dose of the drug should be
a. reduced
b. increased
c. maintained
d. discontinued
a. reduced
