NCM 106 PHARMACOLOGY 1st SEMESTER MIDTERM REVIEWER
NCM 106 PHARMACOLOGY 1st SEMESTER MIDTERM REVIEWER
NCM 106 PHARMACOLOGY 1st SEMESTER MIDTERM REVIEWER
Q: A patient calls the clinic to talk to the nurse. The patient states that he or she saw
the physician "last week" and was prescribed penicillin for a strep throat. The patient
goes on to say that they feel so much better they stopped taking the drug "today,"
even though there are "a few pills left." What is the nurse's best response?
A: "It is important that you take all the medication, so all the germs are killed.
Otherwise, they could come right back and be even stronger."
Q: A patient asks the nurse how an anti-infective produces a therapeutic effect. What
key point will the nurse explain to this patient?
A: The goal of anti-infectives is to interfere with normal functioning of the organism.
Q: A patient is told that he or she will have to undergo extensive dental surgery. The
dentist prescribes a course of antibiotic therapy before beginning the procedures and
continuing for 5 days after the procedure. What is this is an example of?
A: Prophylaxis
Q: The nursing student learns about anti-infectives in class and demonstrates the
need to study more when making what statement about how anti-infectives work?
A: Some anti-infectives interfere with ribonucleic acid (RNA) synthesis in the cell
leading to cell death.
Q: The pharmacology instructor is explaining combination drugs to the nursing class.
The instructor tells the students that a combination of anti-infective agents may be
used for several reasons. What is one of them?
A: Some drugs are synergistic
Q: The nurse has provided patient teaching for a patient who will be discharged to
home on an anti-infective. What statement made by the patient indicates the nurse
needs to provide additional teaching concerning the use of anti-infectives?
A: "I will stop taking the antibiotic as soon as I feel better."
Q: A nurse collects a culture sample of infected tissue. What does the result of
testing the culture contribute to the patient's care?
A: Identifies the specific organism causing the infection
POST TEST
Q: The nurse attends a class on preventing resistance to anti-infectives and learns
that the critical concept in preventing the development of resistant strains of
microbes is what?
A: The duration of drug use
Q: The nursing student learns about anti-infectives in class and demonstrates the
need to study more when making what statement about how anti-infectives work?
A: Some anti-infectives interfere with ribonucleic acid (RNA) synthesis in the cell
leading to cell death
Q: The nurse administers a drug to treat Neisseria gonorrhoeae that works on no
other bacteria. How would the nurse describe this drug?
A: Narrow spectrum
Q: A patient asks the nurse if he or she should use a topical antifungal. The nurse is
aware that the most important contraindication to topical antifungals is what?
A: Known allergy to any of the antifungal drugs
Q: The nurse explains why viruses are so difficult to treat when making what
statement?
A: Viruses are contained inside the human cell and cannot be destroyed without
destroying the cell
Q: A patient calls the clinic to talk to the nurse. The patient states that he or she saw
the physician "last week" and was prescribed penicillin for a strep throat. The patient
goes on to say that they feel so much better they stopped taking the drug "today,"
even though there are "a few pills left." What is the nurse's best response?
A: "It is important that you take all the medication, so all the germs are killed.
Otherwise, they could come right back and be even stronger."
Q: While calculating the drug dose of antiviral medications for children who have
AIDS a pediatric nurse uses what?
A: The child’s weight
Q: What would be a priority nursing action related to the care of a patient taking
albendazole (Albenza)?
A: Monitor renal function
Q: The pharmacology instructor is explaining combination drugs to the nursing class.
The instructor tells the students that a combination of anti-infective agents may be
used for several reasons. What is one of them?
A: Some drugs are synergistic
Q: A nurse collects a culture sample of infected tissue. What does the result of
testing the culture contribute to the patient's care?
A: Identifies the specific organism causing the infection
Q: A clinic nurse is caring for a 66-pound child who has acute otitis media. The
physician has ordered ceftibuten (Cedax) 9 mg/kg per day PO for 10 days. The drug
comes in an oral suspension of 90 mg/5 mL. How many mL will the nurse
administer?
A: 15 mL
Q: The nurse has provided patient teaching for a patient who will be discharged to
home on an anti-infective. What statement made by the patient indicates the nurse
needs to provide additional teaching concerning the use of anti-infectives?
A: "I will stop taking the antibiotic as soon as I feel better."
Q: A patient asks the nurse how an anti-infective produces a therapeutic effect. What
key point will the nurse explain to this patient?
A: The goal of anti-infectives is to interfere with normal functioning of the organism.
Q: The nurse, writing a care plan for a patient on an aminoglycoside, includes what
intervention to reduce the accumulation of the drug in the kidney?
A: Increase fluids
Q: The patient is having an acute malarial attack with chills and fever. The nurse
knows chills and fever are caused by what?
A: Rupture of red blood cells due to invasion of merozoites
Q: A patient is told that he or she will have to undergo extensive dental surgery. The
dentist prescribes a course of antibiotic therapy before beginning the procedures and
continuing for 5 days after the procedure. What is this is an example of?
A: Prophylaxis
UNIT TEST
Q: A patient receiving a fluoroquinolone should be cautioned to anticipate
A: Photosensitivity
Q: A patient with a severe case of athlete's foot is seen with lesions between the
toes, which are oozing blood as serum. After teaching the patient, the nurse
determines that the instruction was effective if the patient states which of the
following?
A: I should wear white socks and keep my feet clean and dry. I shouldn't use the
antifungal cream in areas where I have open lesions
Q: A patient with a systemic fungal infection has been prescribed Ketoconazole 350
mg PO daily. What assessment should the nurse prioritize after administration?
A: Review of liver enzyme levels
Q: A patient is being treated in an acute medicine unit after being diagnosed with a
tissue-invading helminthic infection. The helminth has affected the patient's muscles
and lungs. What is the patient's most likely diagnosis?
A: Trichinosis
Q: Naturally occurring substances that are released in the body in response to viral
invasion are called
A: Interferons
Q: Gram-negative bacteria
A: Are mostly found in the gastrointestinal (GI) and genitourinary tracts
Q: Which of the following would be an important teaching point for the patient
receiving an agent to treat herpes virus of CMV?
A: Drink plenty of fluids to decrease the drugs toxic effects on the kidneys
Q: Which of the following would the nurse expect to assess in a patient who is
suspected of having an Ascaris infection?
A: Cough and signs of pulmonary infestation
Q: Nursing interventions for the patient receiving anti-viral drugs for the treatment of
HIV probably would include?
A: Monitoring renal and hepatic function periodically during therapy
Q: Some properties of neoplastic cells are the same as the properties of normal
cells, including:
A: Mitosis
Q: Superinfections can occur when anti-infective agents destroy the normal flora of
the body. Candida infections are commonly associated with antibiotic use. A patient
this type of superinfection would exhibit:
A: Vaginal discharge of white patches in the mouth
Q: Herpes viruses cause a broad of conditions but have not been identified as the
causative agent in
A: Leprosy
Q: A client w/ acne has been receiving an anti-infective agent for a prolonged period.
Initially, the drug was effective, but one time its effectiveness decreased. What is the
nurse's best action?
A: Refer the client to the health care provider because the client may be
experiencing resistance
Q: A nurse is reviewing the health record of a patient for whom antimalarial therapy
is being proposed. The nurse should identify what aspect of the patient's history as
contraindication the use of antimalarials?
A: Alcoholic liver disease
Q: A parent has informed the nurse that she has been applying an OTC antifungal to
her infant's buttocks and perineal region. What questions related to safety should the
nurse ask the parent?
A: Are there any open wounds on the areas where you’re putting the ointment?
Q: The nurse is working with a patient who has a cutaneous fungal infection and who
has been prescribed a topical antifungal ointment. The patient tells the nurse, "I
bought a steroid ointment at the drugstore because I read it might help with my skin
infection." What is the nurse's best response?
A: It's best to check with your health care provider before applying any of the steroid
ointment
Q: A patient is prescribed Mebendazole. The nurse knows that this is the most
commonly used anthelmintic, being the drug of choice for treating:
A: Pinworms, roundworms, whipworms, and hookworms
Q: A nurse would note that a patient had a good understanding of his antimalarial
drug regiment if the patient reported:
A: I'll start the pills before my trip, keep taking them during the trip, and for a period
of time after I'm home
Q: When describing the various effects of antineoplastic agents, the nurse explains
that antineoplastic drugs primarily affect human cells that are rapidly multiplying,
going through the cell cycle quickly. The nurse would identify cells of what as an
example?
A: Skin
Q: Antibiotics that are used together to increase their effectiveness and limit the
associated adverse effects are said to be
A: Synergistic
Q: The nurse instructs the patient to use care when applying topical antifungal
agents to prevent systemic absorption because:
A: these drugs are too toxic to be given systemically