Pharmacology Final Exam review
(questions from ATI book and evolve)
The nurse recognizes that the administration of a drug influences cell
physiology. What is the term for this concept?
(Ans- Pharmacodynamics (drug impacts body)
Which incorrect statement by a new nurse indicates that further study is
needed?
(Ans- Drugs are defined as substances that have been FDA approved.
What are the three most important characteristics that any drug can have?
Select all that apply
(Ans-
-effectiveness (does it work or not)
-safety
-selectivity
Which statement best indicates that the nurse understands the meaning of
pharmacokinetics?
(Ans- “It explains how drugs are absorbed and distributed.”
What are the 4 process of pharmacokinetics?
(Ans-
-absorption
-distribution
-metabolism
-excretion
What does the nurse review when studying the impact a drug has on the
body?
(Ans- he drug’s pharmacodynamics
Pharmacology Final Exam review
The nurse teaches a patient not to consume alcohol with nitroglycerin,
because blood pressure often drops significantly when nitroglycerin is
taken with alcohol. Which drug property does this illustrate?
(Ans- Drug Interaction
Prior to administering drug X to treat a patient’s high blood pressure, the
nurse reviews information about the drug. The nurse finds that it reduces
blood pressure without serious harmful effects, but it also causes the
patient to have nausea and a headache. Based on this information, which
property of an ideal drug is this drug lacking?
(Ans- selectivity (more selective a drug=less side effects/adverse effects)
Characteristics unique to each patient can influence pharmacokinetic and
pharmacodynamic processes. What characteristics may determine the
patient’s response to a drug? Select all that apply.
(Ans-
-age
-weight
-gender
-genetics
Pharmacotherapeutics
(Ans- how drugs produce effects, both therapeutic, and adverse reactions,
reasons and rationales
A patient is given an opioid analgesic their RR is 8, HR is 82, and BP
120/78. What nursing intervention would you do?
(Ans- -give naloxene to reverse opiod effects because pt’s respiratory was
extremely low.
Medication error
(Ans- can harm the patient and can be potentially fatal ( you must first
assess the patient, make sure his condition is stabilized, let a supervisor
know or HCP, and file an incident report)
Pharmacology Final Exam review
If your protein(albumin) levels are low what happens to the drug in your
body?
(Ans- drug is free in body which can lead to toxicity of drug accumulation
If two drugs are competing for the same protein receptor or other receptor
what happens?
(Ans-
-the one with the stronger affinity/dose is bound to the receptor which
leads for the other drug to move freely around the body.
What are the 6 drug rights for medication administration?
(Ans1. right patient
2.right drug
- right dose
4.right route - Right time
- right documentation
7.right indication
8.right refusal
Why is it important to educate our patients about drug therapy?
(Ans- to make sure that our patient is compliant (patient care and patient
education)
What is the nurse’s role as an advocate?
(Ans- we are the last line of defense for the patient
Preadministration assessment
(Ans-
-collecting baseline data (vitals, labs, otc meds/other meds, PMH,
allergies)
-identifying high risk patients ( liver and kidney impairment, genetic factors,
drug allergies, pregnant patients, older adults, pediatric group)