NAME:_____________

DRILL ON PHARMACOLOGY

1. Dramatic decrease in systemic availability of a drug following oral administration is most likely due to:A. extreme drug instability at stomach pHB. hepatic "first-pass" effectC. drug metabolized by gut floraD. tablet does not dissolve

2. Term having to do with drug actions on the body:A. pharmacokineticsB. pharmacodynamicsC. pharmacogeneticsD. Placebo

3. Most important factor influencing drug absorption rate following intramuscular injection:A. needle diameterB. rate of administrationC. injection site blood flowD. injection volume

4. Primary site for drug metabolism:A. stomachB. small intestineC. kidneyD. liver

5. The Patient is suffering from asthma and having Salbutamol nebulization. The effect of the drug is mainly :a. relaxation of bronchial musclesb. bronchoconstrictionc. Increasing Heart Rated. Relaxing Cardiac Activity

6. The patient is suspected for Acetaminophen overdose due to emotional distress. The emergency drug treatment for Acetaminophen toxicity is:a. Mannitolb. Acetylcysteinec. Maaloxd. Epinephrine HCl

7. The patient relative is asking the nurse about their patient suffering from parkinson disease. The neuromuscular agent that is responsibe for patient suffering from parkinsonian disease is:a. celestamineb. dopaminec. acetylcholined. GABA

8. The patient is maintaining Simvastatin 40 mg/tab for 1 month. As a routinary measure to prevent organ failure, what are the laboratory test should the nurse expect to be oredered by the doctor:a. Liver Function and Creatinineb. Fasting Blood Sugar and Lipid profilec. hemoglobin and Hematocritd. Blood Uric Acid

9. The patient on emergency unit is suffering from strangulation leading to cerebral edema and respiratory acidosis. The nurse should expect the medication to be ordered for treatment of cerebral edema is:a. Mannitolb. Furosemidec. Hydrochlorothiazided. all of the above

10. As relation to question number 9, the treatment for respiratory acidosis is:a. Magsenium Sulfateb. Maaloxc. Lasixd. Sodium Bicarbonate

11 . The patient in emergency unit is compaining for severe body malaise, and unresponsive. Random Blood sugar reveals a sugar level of 56mg/dl. The nurse a should expect to administer:a.D50/50b. D5 LRSc. D10 NMd. Epoitein Alfa

12. The patient is suffering from Chronic renal failure for 3 years and is on pallative care. The relative ask the nurse on which of the following drug is a support drug:a. ketorolacb. ketaminec. ketosterild. kaladryl

13. A patient in emergency unit is having a Blood pressure 0f 170/100 and is experiencing numbness, blurring of vision and dizziness. The doctor ordered for Nifedipine soft gel capsule stat. As a smart nurse, The In taking sublingual medications, to where part of the body the drug is being dissolved.a. swallowed into the GIb. frenulumc. internal jugular veind. external jugular vein

14. The nurse giving due medication reviews the laboratory results of a patient suffering from Hypertension Stage 3, poorly controlled. The nurse will give Furosemide 10mg to a 20 year old client. The laboratory result reveal a potassium level 2.8mg/dl. The nurse will:a. Give the medicationb. Hold the medicationc. Administer potassium chlorided. A and C

15. Nurse Stap Ler is giving Mannitol 150ml/IV to a patient suffered from severe cerebral concussion. The therapeutic effect of the drug is:a. Increase urine outputb. Decrease Urine Outputc. Increase blood pressured. Decrease blood pressure

16. The 1 year old patient is having a mainline of D5IMB 1L at 50 gtts/min. The relative accidentally adjust the roller clamp resulting to fastdrip to the mainline. The nurse can determine the sign of distress to the patient by assessment.a. Bipedal Edemab. pulmonary Congestionc. phlebitisd. continuous vomiting

17. In clinical setting, the nurse are always exposed from different kinds of pathogen. The essential drugs used for nurses suspected from pulmonary tuberculosis are:a. Rifampicin and Isoniazidb. Rifampicin and Streptomycinc. Isoniazid and Streptomycind. Rifampicin and Ascorbic Acid

18. In taking NSAIDs, the primary responsibility of the nurse is to remind the client to take the drug with:a. a glass of waterb. with meals c. without mealsd. 30 minutes before meals

19. In out-patient department, the patient lost his prescription letter and ask the nurse to make a new prescription. The nurse will:a. make the requested presciptionb. request the attending physician to make new prescriptionc. instruct the patient to verbally buy the OTC drugsd . ask the pharmacists on the patient drug modality

20. The patient is suffering from stage 4 liver cancer and is in need for blood transfusion. The nurse will expect the following medications as pre-BT:a. paracetamolb. diphenhydraminec. antamind. all of the above

21. In relation to no. 20, the primary responsibility of the nurse after blood transfusion is to:a. Monitor Vital signsb. Check for any siigns of allergic reactionsc. Monitor the consistency of the bloodd. all of the above

22. The patient ingested 30 drug tablets. After 5 minutes of ingestion, the patient feels nausea and vomiting, abdominal pain, dizziness, cold clammy skin. The nurse will initiate first:a. Taking the vital signsb. History of ingestionc. perform gastric lavaged. perform fleet enema

23. The patient is on continous antibiotic therapy, as a protection for the drug to be potent, the nurse will perform the following:a. Only sterile water can be used as diluentb. put the drug in a dry, cool , dark areac. Administer the drug that have change in colord. all of the above

24. An emergency client is admitted on the emergency unit with chief complaint of alcohol intoxication, series of laboratories have been done. After treatment, the nurse will expect for the doctor to order as medical treatment is:A. Vitamin B-complexB. DisulfiramC. AntabuseD. both B and C

25. Patient who undergoes chemotherapy can receive the following visitors:A. visitor offering fresh flowersB. visitor wearing N-95 maskC. visitor who is coughing and sneezingd. none of the above