A) / Teaching the person how to cope with the effects of the drug to ensure the best outcome
B) / Helping the person analyse the physiological and pathological effects of drugs
C) / Warning the person how most people respond to the drug therapy
D) / Encouraging the person to increase or decrease dosages
2. / You are gathering assessment data from a medication history of a 38-year-old male with four children. What assessment information would be most important in providing care for this person?
A) / The medication history of the person’s mother and/or father
B) / The name of the person’s pharmacy
C) / Insurance, financial support, and stability for the person and his family
D) / The last time the person was hospitalised
3. / During what phase of the clinical decision making process would the nurse or midwife be required to consider the efficacy of care interventions related to drug therapy?
A) / Assessment
B) / Identification of issues/problems
C) / Interventions
D) / Evaluation
4. / Drug studies generally base the recommended adult dose of a drug needed to reach a critical concentration on what measure?
A) / A 60-year-old man
B) / An average-sized woman
C) / A 70-kg adult male
D) / An obese adult
5. / You are evaluating the discharge teaching you have done with a person concerning their drug therapy. What statement from the person would indicate that teaching had been effective?
A) / “I have to take three pills each day. It doesn't matter when.”
B) / “I should take the white pill in the morning and the green pill in the afternoon. I don't know what they are called.”
C) / “I need to tell all my other doctors that I am taking this Coumadin because it could interact with other drugs.”
D) / “I think I could cut that pill in half if I wanted to.”
6. / The pharmacology students are learning about antibiotics that are known to cause photosensitivity in some people. What care measures would ensure the comfort of individuals taking these antibiotics and hopefully avoid serious adverse effects?
A) / Avoiding the use of aspirin and other over-the counter pain products
B) / Getting a wig or other head cover to avoid heat loss
C) / Avoiding exposure to sunlight or use of a sunscreen and protective clothing if exposure is inevitable
D) / Providing frequent rest periods in a dark room
7. / When taking a medication history on a person why should you ask about the use of alternative therapies?
A) / People who use new drugs are usually not compliant with medical regimens.
B) / Many drug-alternative therapy interactions can cause serious problems and should be avoided.
C) / Natural products may be more effective and the drug may not be needed.
D) / The cost of the drug and the alternative therapy may be too great for the person to handle.
8. / Medication orders are written with very specific criteria and coincide with the 7 rights of medication administration. What critical piece of information is missing from the following medication order? Amoxicillin 250 mg every 8 hours.
A) / Dose
B) / Route
C) / Frequency of administration
D) / Trade name of the drug
9. / You are the district nurse caring for a 77-year-old man with congestive heart failure. When assessing this person, in relation to their drug therapy, what is one thing that would be important for you to include in your assessment?
A) / Person’s age
B) / Required lifestyle changes
C) / Family members in the community
D) / Compliance with nutritional recommendations
10. / The students are learning to weigh people and do vital signs. Weighing a person is a care intervention that is most important for what?
A) / Dosage calculation
B) / Assessing changes in fluid balance
C) / Assessing changes in nutritional status
D) / Kilojoule needs
11. / Teaching the individual/caregiver about their medications is an important step in reducing the risk of medication errors. What is an important teaching point about medications?
A) / Speak up
B) / Store medications in a warm humid place
C) / Adjust your medication according to your weight
D) / Keep a list of your prescribed medications
12. / It is important to evaluate the efficacy of what parameter when evaluating the drug therapy of a person?
A) / Appropriateness of drug dosages
B) / Compliance
C) / Caregiver’s knowledge level
D) / Care interventions
13. / You are doing an admission assessment on a person. During the medication history portion of the assessment what would be important to assess with herbal supplements?
A) / Research them for interactions with other medications
B) / Discontinue them if taking prescription medications
C) / Take them one hour before prescription medications
D) / Take them three hours after prescription medications
14. / A 27-year-old male is admitted to the Emergency Department (ED) after a serious motorcycle accident. The man has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the ICU. The nurse who is going to care for this man in the ICU knows that one of their most important responsibilities in regard to drug therapy is what?
A) / Support vital functions
B) / Continue curative treatment
C) / Institute life-saving treatment
D) / Monitor the person’s response
15. / When assessing a person prior to starting a drug regimen it is often necessary to have a baseline kidney function study done. What might kidney impairment indicate in relation to drug therapy?
A) / Pharmacodynamics stable at the therapeutic dose
B) / Contraindication to the use of a drug
C) / Increased dosage of a drug
D) / Decreased adverse effects of a drug
16. / A nurse is caring for a 77-year-old woman. The nurse would know that a normal physiological change that must be considered when planning drug therapy, and is associated with ageing is what?
A) / Blood volume decreases
B) / Subcutaneous tissue increases
C) / Total body water increases
D) / Muscle mass increases
17. / You are caring for a person who takes several drugs. You know that those people most likely to have adverse drug reactions are who?
A) / People with coronary artery disease
B) / Non-compliant individuals
C) / People who are on the recommended dose
D) / Very young and very old people
18. / Which statement best describes drug efficacy/toxicity in children?
A) / Drug requirements for infants have been extensively studied.
B) / Drug dosage is altered by age and weight in children.
C) / Children always need smaller doses of medication than adults.
D) / Infants and children are always at greater risk for drug toxicity with any medication.
19. / A 7-year-old male fell off a wood pile while playing. He has been admitted to the ICU with multiple broken bones and internal bleeding. What should the nurse know about drug therapy in this type of person?
A) / Adverse effects may be decreased
B) / Therapeutic effects may be increased
C) / Pharmacodynamics may be altered
D) / Pharmacokinetics remain the same
20. / You are designing a drug regimen for a person. What should be considered?
A) / Quality-of-life issues
B) / Ethnicity of person
C) / Gender
D) / Quantity-of-life issues
21. / The instructor is discussing drug therapy in the older adult. What would the instructor tell the students could effect therapeutic dosing in an older adult?
A) / In older adults, drugs have decreased GI absorption.
B) / In older adults, drugs are released more quickly into circulation.
C) / In older adults, drugs are distributed to a smaller portion of the tissue.
D) / In older adults, drugs have an increased action.
22. / In today's healthcare environment there is often more contact between the person and the nurse or midwife than between the person and the doctor. What does this make the nurse and midwife in the best position to do?
A) / Assess the person’s inability to document medication taken
B) / Assess the person’s inability to communicate with caregivers
C) / Assess the therapeutic success of the drug therapy
D) / Assess the person’s reluctance to purchase the prescribed drug
23. / You are discussing a person’s drug regimen with their primary care provider. The person has seen two specialists since seeing the primary care provider and been diagnosed with renal impairment. Why would this be important information? (Mark all that apply.)
A) / To keep everyone in the loop
B) / Help prevent medication errors
C) / So the doctor can answer family questions
D) / Help prevent adverse effects
E) / Help promote a safe and effective medication regimen
24. / It is often necessary to obtain baseline data prior to initiating many forms of drug therapy. These baseline data include what? (Mark all that apply.)
A) / Education level
B) / Allergies
C) / Drug use
D) / Number of members in family
E) / Father's occupation
25. / When using the clinical decision making process in medication therapy, what does it ensure?
A) / That medications are given at the right time
B) / That there is efficient and effective care
C) / That the right dose of the drug is given to the person
D) / The right drug is given to the right person at the right time
Copyright © 2014 Wolters Kluwer Health ǀ Lippincott Williams & Wilkins Pty Ltd