PHARMACOLOGY

1. These are drugs that lower blood lipid levels *

a. Antihyperlipidemic
b. Antilipidemics
c. Hypolipidemics
d. Antilipemics
e. All of the Above

2. A patient came in for work up and had his blood cholesterol levels checked. Results show that the patient has
elevated total cholesterol, triglyceride and LDL, and decreased HDL levels. The patient asks the nurse what is the
difference of HDL and LDL. The nurse is correct if she/he answered *
a. There is not much difference in the two. Both are cholesterol which can contribute to cholesterol build up in the
arteries
b. LDL is the bad cholesterol and HDL is the good cholesterol. Both are still cholesterol and can contribute to
plaque build up so there isn’t much difference.
c. HDL is the protective lipoprotein because it transports cholesterol to your liver to be expelled from your body.
LDL is called the harmful lipoprotein because it takes cholesterol to your arteries, where it may collect in artery
walls
d. B and C
e. None of the Above

3. A patient with elevated lipid levels is predisposed to have what disease *

a. Deep Vein Thrombosis
b. Diabetes Mellitus
c. Varicosities
d. Hyperlipidemia
e. Coronary Artery Disease

4. A patient was advised to take antihyperlipidemics as his maintenance drug. Which of the following statements
show that the patient understood the teaching plan on this kind of drug? *
a. If I skip a dose, I would double the dose the next day to compensate for the skipped dose yesterday.
b. I will maintain drinking the medication as prescribed by my doctor.
c. I will change my lifestyle and have regular exercise and high fat diet.
d. I will drink the medication early morning to boost my body’s energy.
e. I will drink the medication when my lipid profile is elevated.

5. The target enzyme of the “statin” drugs which is necessary for hepatic production of cholesterol. *
a. Hepatic 3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase
b. Niemann-Pick C1-Like 1 (NPC1L1)
c. cyclic adenosine monophosphate (cAMP)
d. A nd C
e. None of the Above

6. Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to
her physician? *
a. A change in the pattern of her pain
b. Pain during sex
c. Pain during an argument with her husband
d. Pain during or after an activity such as lawn mowing

7. A patient is to be discharged with a transdermal nitroglycerin patch. Which instruction will the nurse include in
the patient’s teaching plan? *
a. “Apply the patch to a non-hairy area of the upper torso or arm.”
b. “Apply the patch to the same site each day.”
c. “If you have a headache, remove the patch for 4 hours and then reapply.”
d. “If you have chest pain, apply a second patch next to the first patch.”
e. “Apply the patch once a day then remove before sleeping.”
8. A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets.
When teaching the patient how to use sublingual nitroglycerin, the nurse will include which instruction? *
a. Take up to 5 doses at 15-minute intervals for an angina attack
b. If the tablet does not dissolve quickly, chew the tablet for maximal effect
c. Wait 1 minute between doses of sublingual tablets, up to 3 doses.
d. If chest pain is experienced, call 911 immediately as it can be acute MI already.
e. If the chest pain is not relieved after one tablet, call 911 immediately. Have the other tablets ready for the
succeeding doses.

9. The patient asks the nurse how nitroglycerin should be stored while traveling. What is the nurse’s best response?
a. “You can protect it from heat by placing the bottle in an ice chest.”
b. “It’s best to keep it in its original container away from heat and light.”
c. “You can put a few tablets in a resealable bag and carry in your pocket.”
d. “It’s best to lock them in the glove compartment with ice cubes to keep them away from heat and light.”
e. “It is best to keep it in pill box.”

10. Which statement indicates to the nurse that the patient understands sublingual nitroglycerin medication
instructions? *

a. “I will take up to five doses every 3 minutes for chest pain.”

b. “I can chew the tablet for the quickest effect.”
c. “I will keep the tablets locked in a safe place until I need them.”
d. “I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness.”
e. “I should take the tab if I have elevated BP.”

11. A patient who has been taking warfarin (Coumadin) is admitted with coffee-ground emesis. What can the nurse
anticipate being prescribed for this patient? *
a. Vitamin E
b. Vitamin K
c. Protamine sulfate
d. Calcium gluconate
e. Naloxone

12. A patient is receiving warfarin (Coumadin) for a chronic condition. Which patient statement requires immediate
action by the nurse? *
a. “I will avoid contact sports.”
b. “I will increase dark-green, leafy vegetables in my diet.”
c. “I will contact my health care provider if I develop excessive bruising.”
d. “I will regularly monitor lab results that measures my bleeding tendencies as prescribed by my doctor.”
e. None of the Above

13. A nurse is preparing to administer enoxaparin sodium (Clexane) to a patient for prevention of deep vein
thrombosis. Which is an essential nursing intervention? *
a. Draw up the medication in a syringe with a 22-gauge 10cc syringe, 1½-inch needle.
b. Administer as IV push
c. Administer the medication into subcutaneous tissue.
d. Rub the administration site after injecting.
e. Administer using the Z-track technique

14. The nurse evaluates that the patient has understood discharge teaching regarding warfarin (Coumadin) based on
which statement? *
a. “I will double my dose if I forget to take it the day before.”
b. “I should keep taking ibuprofen for my arthritis.”
c. “I should decrease the dose if I start bruising easily.”
d. “I should use a soft toothbrush for dental hygiene.”
e. “I will keep protamine sulfate as my emergency drug.”
15. A client is receiving intravenous heparin therapy. The nurse ensures the availability in which of the following
medication? *
a. Acetylcysteine (Mucomyst).
b. Calcium gluconate.
c. Vitamin K (Mephyton)
d. Protamine sulfate
e. Naloxone (Narcan)

16. A patient is receiving Digoxin. Which of the following is the priority intervention for the nurse prior to
administering digoxin (lanoxin)? *
a. Palpate pedal pulses for quality and strength
b. Monitor renal function lab values
c. Auscultate the apical pulse for one full minute
d. Assess serum potassium levels
e. Check intake and output

17. A patient’s serum digoxin level is noted to be 0.4 ng/mL. What is the nurse’s priority action? *
a. Administer ordered dose of digoxin.
b. Hold future digoxin doses.
c. Administer potassium.
d. Call the health care provider.
e. Administer the prescribed dose for Digibind

18. A patient is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. The patient tells the nurse, “There
are yellow halos around the lights.” Which action will the nurse take? *
a. Evaluate digoxin levels
b. Withhold the furosemide.
c. Administer potassium.
d. Document the findings and reassess in 1 hour.
e. Check cardiac rhythm

19. An infant who is receiving cardiac glycosides has an apical pulse of 80 beats per minute. Which is the best
nursing intervention for this assessment finding? *
a. Administer drug as ordered.
b. Hold the drug and notify doctor.
c. Assess apical pulse every hour for the next five hours.
d. Decrease drug dose and administer.
e. Administer Digibind as prescribed

20. What is the therapeutic level for digoxin? *

a. 0.8 – 2.0 ng/mg
b. 0.5 – 2.0 mg/mL
c. 0.5 – 2.5 ng/mL
d. 0.8 – 2.0 mg/mL
e. 0.8 – 2.0 ng/mL

21. A test that measures electrical impulses in heart to identify the cardiac rhythym *
a. Lipid Profile
b. Echocardiocram
c. Electrocardiogram
d. Electroencephalogram
e. Auto-echocardiogram
22. The heart’s primary pacemaker *
a. Purkinjie Fibers
b. Bundle of His
c. Bundle Branches
d. Atrioventricular Node
e. Sinoatrial Node

23. Beta-blockers belong to which class of antiarrhythmics? *

a. Class Ia
b. Class Ib
c. Class II
d. Class III
e. Class IV

24. Which class of antiarrhythmics block potassium channels? *

a. Class Ia
b. Class IV
c. Class Ib
d. Class II
e. Class III

25. Drugs that restore the cardiac rhythm to normal. *

a. Anti-rhythm
b. Cardiac Arrhythmia
c. Antidysrrhytmics
d. Cardiotonic Drugs
e. None of the Above

26. A patient is prescribed 1600mg Ibuprofen PO.O divided equally into 4 doses over 24 hours. Ibuprofen is
available in 200mg tables. How many grams of ibuprofen will you give to the patient in 24 hours? *
a. 1600
b. 1.6
c. 200
d. 400
e. 160

27. A patient is prescribed 1600mg Ibuprofen PO.O divided equally into 4 doses over 24 hours. Ibuprofen is
available in 200mg tables. How many milligrams will the patient receive per dose? *
a. 100
b. 200
c. 400
d. 600
e. 800

28. A patient is prescribed 1600mg Ibuprofen PO.O divided equally into 4 doses over 24 hours. Ibuprofen is
available in 200mg tables. How many tablets of Ibuprofen will the patient be receiving per dose? *
a. 1
b. 2
c. 3
d. 4
e. 5

29. A patient is prescribed 1600mg Ibuprofen PO.O divided equally into 4 doses over 24 hours. Ibuprofen is
available in 200mg tables. How many tablets of Ibuprofen will the patient receive per day? *
a. 2
b. 4
c. 6
d. 8
e. 10
30. A patient is prescribed 1600mg Ibuprofen PO.O divided equally into 4 doses over 24 hours. Ibuprofen is
available in 200mg tables. How many should be the hours of interval before the next dose will be given? *
1 point
a. 4
b. 6
c. 8
d. 10
e. 12