ATI Pharmacology Proctor 2023 final exam

1. What is/are the action(s) of the drug metformin?

a. Decreases Hepatic glucose production and intestinal glucose absorption
b. Increases sensitivity to insulin
c. Short term sedation
d. Both A and B - d. Both A and B

When administering the drug senna to a patient, a health care provider must
inform
2. the patient of which of the following
a. This drug is intended to lower blood pressure and is best used in
combination
with other antihypertensives
b. This drug is not intended for long term use
c. The patient must limit his/her fiber intake
d. Advise patient to change positions slowly to limit the risk of
orthostatic hypotension - b. This drug is not intended for long term use

3. When giving digoxin (Lanoxin) to a patient, the health care provider notices
various signs and symptoms of an overdose. The health care provider knows to
give which of the following to reverse digoxin toxicity
a. Naloxone
b. Vitamin K
c. Digibind
d. Fluemanzil - c. Digibind

While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient

asks
4. what the action of the drug is. As a health care provider, you explain that the
action of an ACE inhibitor is
a. To lower blood pressure by blocking the conversion of angiotensin I
to vasoconstrictor angiotensin II
b. To inhibit reabsorption of sodium back into the body, ultimately increasing
urine output and lowering blood pressure
c. To decrease heart rate and blood pressure by competing with Beta1 and
Beta2 receptors in the heart and lungs
d. To lower blood glucose by stimulating the release of insulin - a. To lower blood
pressure by blocking the conversion of angiotensin I to vasoconstrictor
angiotensin II

5. Which of the following types of insulin is "long-acting"?

a. Lispro (Humalog)
b. NPH (Humulin N)
c. Regular insulin (Humulin R)
d. Glargine (Lantus) - d. Glargine (Lantus)

6. What is the therapeutic use of metformin?

A. Lower blood pressure.
6. What is the therapeutic use of metformin?
A. Lower blood pressure.
B. To diminish seizure activity.
C. The maintenance of a person's blood glucose.
D. Increase heart rate and decrease gastrointestinal secretions. - C. The
maintenance of a person's blood glucose.

1. What is the correct definition for absorption of a drug?

A. Movement of drug from site of administration to various tissues of the
body.
B. Describes the absorption, distribution, metabolism & excretion of drugs.
C. These types of drugs can be taken over the counter.
D. This addresses how various drugs affect different forms of the body - A.
Movement of drug from site of administration to various tissues of the
body

2. What do you assess for in a patient who is on Valproate? Select all that apply.
A. Suicidal thoughts
B. Monitor for seizures.
C. Bipolar disorder.
D. Migraines.
E. Anorexia - A. Suicidal thoughts
7. B. Monitor for seizures. C. Bipolar disorder.
E. Migraines.

8. What is true about food and drug precautions? Select all that apply.
A. You must limit certain types of food or concurrent administration
of certain types of drugs.
B. Certain combinations of food and drugs can cause adverse
reactions. C. Precautions may require limiting certain types of
food or concurring drugs rather than restricting the drug itself.
C. When one drug changes the way, another drug affects that drug. -
A. You must limit certain types of food or concurrent
administration of certain types of drugs.
B. Certain combinations of food and drugs can cause adverse reactions. C.
Precautions may require limiting certain types of food or concurring drugs rather
than restricting the drug itself.

9. ACE Inhibitors are used in the treatment of all EXCEPT:

a. Hypertension
b. Heart Failure
c. Hypotension
d. Diabetic nephropathy - c. Hypotension

10. Which of the following is used to treat migraine headaches?

a. Beta-blockers
b. Cholinesterase Inhibitors
c. ACE inhibitors

d. Anti-epileptic drugs (AEDs) - a. Beta-blockers

 d. Anti-epileptic drugs (AEDs) - a. Beta-blockers

11. When administering a Serotonin Antagonist it is important to monitor for

a. Intake and output
b. Mental status changes
c. Respiratory rate
d. Anorexia - b. Mental status changes

12. Which of the following is the antidote for Heparin?

a. Protamine sulfate
b. Vitamin K
c. Naloxone
d. Toradol - a. Protamine sulfate

13. A patient has been taking hydrocodone, and opioid analgesic for their moderate
pain, and they have taken over their prescribed dose. What should you give as
the antidote if they experience toxicity?
A. Naloxone
B. N-acetylcysteine
C. Atropine
D. Digoxin immune Fab - A. Naloxone

14. A patient is being educated on taking levothyroxine, a drug used to balance

thyroid activity. What should you include in their education?
A. Don't bother your health care professionals if you experience side
effects
B. Take this at the same time every day
C. Thyroid tests are unnecessary while taking this drug
D. It is okay to take this drug if you have recently had a myocardial
infarction - B. Take this at the same time every day

15. A patient states he experiences anxiety and has panic attacks at least once a
week. What might be helpful for this patient?
A. Phenytoin (Dilantin)
B. Lithium
C. Alprazolam (Xanax)
D. Spironolactone - C. Alprazolam (Xanax)

16. Which of the following is NOT an opioid or NSAID?

A. Morphine
B. Ibuprofen
C. Hydromorphone
D. Acetaminophen - D. Acetaminophen

17. Why is it important to monitor ins and outs with patients using ACE inhibitors?
A. To assess for renal impairment
B. You must make sure the patient is receiving adequate fluid intake
C. To assess the patient for potential heart failure

D. You must assess for NSAID use

To assess for decreased blood pressure - C. To assess the
 D. You must assess for NSAID use
To assess for decreased blood pressure - C. To assess the
patient for potential heart failure

18. ) Which drug goes through extensive first-pass hepatic metabolism?

A. Heparin
B. Insulin
C. Propranolol
D. Nitroglycerine
Warfarin - C. Propranolol

19. What nursing interventions should you do when a patient is on Albuterol (select
all that apply)
A. Assess lung sounds, Pulse, and Blood pressure before
administering
B. Monitor for changes in behavior C. Observe for paradoxical
bronchospasms
C. Assess for abdominal distention E. Note sputum color and texture
- A. Assess lung sounds, Pulse, and Blood pressure before
administering
D. Observe for paradoxical bronchospasms
Note sputum color and texture

20. What patient could potentially take the drug Senna?

A. A patient with an eating disorder B. A patient who has not passed
stool in 5 days
B. A patient with anal fissures
C. A patient with a history of hemorrhoids
D. A patient who has hypersensitivity - B. A patient who has not
passed stool in 5 days

21. What is the category class of Lithium?

A. Antidiabetics, biguanides
B. Mood stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants –
B. Mood stabilizers

22. What do you need to teach your patient if they are taking sennosides? Select All
That Apply.
A. Laxatives should be used for short-term therapy
B. The medication does not cure hypothyroidism
C. The color of the urine may change to a pink, red, violet, yellow, or brown
D. Make sure other forms of bowel regulation are being used
-A. Laxatives should be used for short-term therapy
The color of the urine may change to a pink, red, violet, yellow, or brown
Make sure other forms of bowel regulation are being used

23. What is the therapeutic use of Phenytoin?

A. Replacement in hypothyroidism to restore normal hormonal
23. What is the therapeutic use of Phenytoin?
A. Replacement in hypothyroidism to restore normal hormonal
balance
B. Diminished accumulation of acid in the gastric lumen with
lessened gastroesophageal reflux
C. Diminished seizure activity, termination of ventricular arrhythmias
D. Prevention of thrombus formation, prevention of extension of
existing thrombi - C. Diminished seizure activity, termination of
ventricular arrhythmias

24. At what amount does Acetaminophen stop controlling pain?

A. Over 1,000 mg
B. 750 mg
C. Over 1,500 mg
D. 150 mg - A. Over 1,000 mg

25. When should the drug Montelukast be taken

A. Use at least two hours before exercise
B. Daily in evening
C. Use two hours before exercise or daily in evening
D. None of the above - C. Use two hours before exercise or daily in
evening

26. How should the oral form of albuterol be taken

A. Administer with meals to minimize gastric irritation
B. Administer before meals with water
C. Administer after meals with water D. Administer in the morning
with milk - A. Administer with meals to minimize gastric irritation

27. What should a Client taking Omeprazole report to the Heath Care Provider
A. Black, tarry stools
B. Diarrhea
C. Abdominal pain
D. All of the above - D. All of the above

28. When administering an Antiulcer Agents, you should be more cautious when
administering it to
A. A healthy 27 year old patient
B. Patient with renal failure
C. Elderly patients
D. All of the above
E. Choices B & C - E. Choices B & C

29. What is the common side effect that is normal with the initial therapy of
Nitroglycerine due to increased vasodilation?
a. Abdominal cramps
b. Calf pain
c. Headache

d. Blurred vision - c. Headache

 d. Blurred vision - c. Headache

30. Two tests should be monitored for a patient currently on Warfarin. What are
those two tests? Select ALL that apply.
a. PT
b. aPTT
c. INR
d. BMP - a. PT
c. INR

31. Which of the following diuretics inhibits sodium reabsorption in the kidneys while
saving K+ and Hydrogen ions?
a. Spironolactone
b. Furosemide
c. Hydrochlorothiazide
d. Bumetanide - a. Spironolactone

32. A nurse is about to administer Propanolol to a patient. The nurse takes the
patient's apical pulse and documents it as 58 bmp. How should the nurse
continue?
a. Administer the medication as normal
b. Cut the tablet in half and administer half of the normal dose c. Give the XR
form of the medication
c. Withhold administration of the medication and notify physician –
d. d. Withhold administration of the medication and notify physician

33. Which of the following should be monitored for patients taking diuretics? (select
all that apply)
a. Daily weight
b. Intake and output
c. Amount and location of edema
d. Appetite Lung sounds - a. Daily weight
b. Intake and output
c. Amount and location of edema Lung sounds

34. Which of the following drugs has a therapeutic effect that increases cardiac
output and slows heart rate? .
a. Heparin
b. Alprazolam
c. Digoxin
d. Levothyroxine - c. Digoxin

35. Which of the following is a potassium-sparing diuretic?

a. Furosemide
b. Spironolactone
c. Hydrochlorothiazide
d. Bumetanide - b. Spironolactone

36. What is the antidote for Warfarin?

a. Vitamin D
36. What is the antidote for Warfarin?
a. Vitamin D
b. Vitamin C
c. Vitamin K
d. Vitamin B6 - c. Vitamin K

37. A nurse is completing discharge teaching for a client who has a new prescription
for transdermal patches. Which of the following statements should the nurse
identify as an indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the
patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. - C. "I will
apply the patch to an area of skin with no hair."

38. .A nurse is teaching a client who has a prescription for a long-term use of oral
prednisone for chronic asthma. The nurse should instruct the client to monitor for
which of the following adverse effects?
A. Weight Gain
B. Nervousness
C. Bradycardia
D. Constipation - A. Weight Gain

39. A nurse is caring for a patient who is taking Digoxin. The nurse should instruct
the patient to monitor and report which of the following adverse effects? ( select
all the apply)
A. Fatigue
B. Constipation
C. Anorexia
D. RashDiplopia
- A. Fatigue
C. Anorexia
E. Diplopia

40. What is the antidote for Heparin?

A. Atropine
b. Protamine sulfate
C. Calcium Carbonate
D. Ferrous Sulfate - b. Protamine sulfate

41. Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for:
A. headaches
B. cold remedy
C. neuropathic pain
D. antianxiety - C. neuropathic pain

42. When taking Digoxin, low levels of what can cause toxicity?
A. potassium
42. When taking Digoxin, low levels of what can cause toxicity?
A. potassium
B. calcium
C. sodium
D. magnesium - A. potassium

43. When taking Nitroglycerine (transdermal), you should have how many hours
nitrate free each day?
A. 1-2 hours
B. 5-10 hours
C. 3-4 hours
D. 10-12 hours - D. 10-12 hours

44. Lithium is used to?

A. Lower blood glucose
B. slow the heart rate
C. stabilize mood
D. heal ulcers - C. stabilize mood

45. When administering Phenytoin you should monitor?

A. behavior
B. therapeutic blood levels
C. for Steven Johnson syndrome
D. all of the above - D. all of the above

46. Angiotensin II receptor agents medications usually end in?

A. sar-tan
B. ase
C. olol
D. pril - A. sar-tan

47. What is the Therapeutic Effects of Lithium?

A.) Prevents/decreases incidence of acute manic episodes
B.) Maintenance of blood glucose C.) Control of hyperglycemia
in diabetic patients
C.) Diminished seizure activity - A.) Prevents/decreases the
incidence of acute manic episodes

48. What is the action of Metformin?

A.)Decrease intestinal glucose absorption
B.) Increase sensitivity to insulin
C.) Decrease hepatic glucose production
D.) All of the above - D.) All of the above

49. What is the medication effectiveness of Propranolol? Select all that apply.
A.) Decrease in BP
B.) Prevention of MI
C.) Decrease tremors

D.) Decrease in GI pain and irritation - A.) Decrease in BP

B.) Prevention of MI
 D.) Decrease in GI pain and irritation - A.) Decrease in BP
B.) Prevention of MI
C.) Decrease tremors

50. What is a common side effect of Albuterol?

A.)Paradoxical Bronchospasm
B.)Diarrhea
C.) Seizures
D.) Vision loss - A.)Paradoxical Bronchospasm

51. What is the therapeutic use of Albuterol? •

A) Bronchodilation •
B) Anti-coagulant •
C) Anti-arrhythmic •
D) Proton-pump inhibitor - A) Bronchodilation •

52. What medication is a contraindication to Nitroglycerin •

A) Hydrochloroquinone
B) Methylprednisolone
C) Phenazopyridine
D) Erectile dysfunction drugs - D ) Erectile dysfunction drugs

53. What is the classification of Ondansetron?

a. Antihypertensive
b. Antiarrthymia
c. Antiemetic
d. Antiulcer agent - c. Antiemetic

54. Before administering Digoxin, the nurse should complete which task?
A. Obtain an ECG
B. Count apical Pulse for 1 minute
C. Take temperature
D. Obtain I/O - B. Count apical Pulse for 1 minute

55. What serious adverse reaction can occur with the loop diuretic Furosemide?
A. Stevens-Johnsons syndrome
B. GI bleeding
C. Hypertension
D. Bradycardia - A. Stevens-Johnsons syndrome

56. If a patient is taking an ACE inhibitor, the nurse should monitor for signs of
angioedema which include?
A. Vomiting
B. Dyspnea
C. Constipation
D. Epistaxis - B. Dyspnea

57. Ace Inhibitors often end in?

A) -ale
57. Ace Inhibitors often end in?
A) -ale
B) -olol
C) -pril
D) -ide - C) -pril

58. What is a side effect for Phenytoin?

a) Suicidal thoughts
b) Dry mouth
c) Blood in urine
d) Tremor - a) Suicidal thoughts

59. A patient with_____ should stop taking NSAIDs

A. Peptic Ulcers
B. Headaches
C. Cramps
D. Nausea - A. Peptic Ulcers

60. When administering the opioid Morphine to a patient, it is given in doses of

a. 2-5 mg every 3-4 hours
b. 10-12 mg every 4 hours
c. 1-2mg every 8 hours
d. 25 mg every 6 hours - a. 2-5 mg every 3-4 hours

61. If you are treating a patient that has renal failure, what type of pain medications
should you avoid?
a. Opioids
b. NSAIDs
c. Nonopioids
d. Short-acting analgesics - b. NSAIDs

62. A common side effect of Angiotensin-Converting Enzyme (ACE) Inhibitors is

a. Suicidal thoughts
b. Toxic epidermal necrosis
c. Heart failure
d. cough - d. cough

63. How can Ondansetron be administered? Select all that apply.

A. PO
B. IV
C. Subcutaneous
D. IM - A. PO
B. IV
D. IM

64. Albuterol can be given in all but which of these forms:

a. extended-release
b. inhalation

c. intravenously
d. orally - c. intravenously
 c. intravenously
d. orally - c. intravenously

65. A side effect given off by omeprazole is:

a. bloody stools
b. change in stomach pH
c. thirst
d. constipation - a. bloody stools

66. The classification of digoxin is:

a. antithrombic
b. nitrates
c. antiplatelet agent
d. cardiac glycosides - d. cardiac glycosides

67. Orthostatic hypotension is a common side effect in which of these drugs (select
all that apply)?
a. ACE Inhibitors
b. Anticoagulants
c. Beta Blockers
d. Calcium Channel Blockers
e. Antidiarrheal
f. Diuretics - a. ACE Inhibitors
c. Beta Blockers
d. Calcium Channel Blockers
f. Diuretics

68. What is the effect of Beta Blockers?

a. Relief of diarrhea
b. Relief of symptoms associated with allergies
c. Decreases blood pressure and heart rate
d. Prevents constipation - c. Decreases blood pressure and heart rate

69. What is the therapeutic levels for digoxin?

a. 0.2 - 0.5 ng/mL
b. 0.5 - 2 ng/mL
c. 1.0 - 1.8 ng/mL
d. 2.0 - 5.0 ng/mL - a. 0.2 - 0.5 ng/mL

70. What is the therapeutic effect of Montelukast?

a) decreased incidence and severity of nausea
and vomiting
b) decreased frequency and severity of acute
asthma attacks
c) laxative action
d) protects ulcers with subsequent healing - b)
decreased frequency and severity of acute
asthma attacks

71. Which of these is a platelet aggregation inhibitor?

71. Which of these is a platelet aggregation inhibitor?
a) Albuterol
b) Montelukast
c) Clopidogrel
d) Ondansetron - c) Clopidogrel

72. which of these is a side effect of Sennosides? (Select all that apply.)
a) cramping
b) bruising
c) diarrhea
d) headaches
a) cramping
c) diarrhea

73. Amlodipine manages what?

a) constipation
b) hypertension
c) migraines
d) hypercholesterolemia - b) hypertension

74. At what blood pressure would you hold Digoxin in an adult?

A. <60
B. >60
C. >80
D. <80 - A. <60 (less than)

75. When administering Propranolol through an IV, what should be done

before?
A. Nothing, there is no importance
B. The patient should eat
C. The patient should drink a lot of water
D. Have a second practitioner check the original order, calculations,
and infusion pump - D. Have a second practitioner check the
original order, calculations, and infusion pump

76. A client forgot to take their Levothyroxine when directed. The client should...
A. Notify health care professional
B. Take the missed dose as soon as possible unless it is almost time
for next dose
C. Skip the dose
D. Stop taking Levothyroxine all together - B. Take the missed dose
as soon as possible unless it is almost time for next dose

77. A patient is taking Digoxin to slow his heart rate down. The nurse suggests that
he take his oral medication:
a. when awakening
b. by itself

c. in the evening
d. with meals - d. with meals
 c. in the evening
d. with meals - d. with meals

78. Common side effects of iron supplements include (select all that apply):
a. constipation
b. drowsiness
c. upset stomach
d. nausea - a. constipation
c. upset stomach
d. nausea

79. The nurse is administering Penicillin to a patient who has tested positive for strep
throat. The nurse knows to look for which of the following adverse effects as a
sign of an acute allergic reaction?
a. blurred vision
b. tinnitus
c. skin rash/hives
d. vomiting - c. skin rash/hives

80. What is the pharmacological action of metformin?

A. Biguanides
B. Benzodiazepines
C. Nitrates
D. Digitalis glycosides - A. Biguanides

81. What is the therapeutic use of levothyroxine?

A. Suppression of seizure activity
B. Decreased frequency of migraines
C. Replacement in hypothyroidism to restore normal hormonal
balance
D. Treatment of ulcers - C. Replacement in hypothyroidism to restore
normal hormonal balance

82. Which of the following is a common adverse effect of the bronchodilator

albuterol?
A) nausea
B) vomiting
C)stomach cramps
D)chest pain - D)chest pain

83. When teaching a patient about their new medication montelukast which of the
following statements made by the patient would indicate they are in need of
further teaching?
A) "I can skip a dose if I do not feel asthma symptoms"
B) "I should take the medication 2 hours before
exercising"
C) "I should not double the dosage"

D) D) "this medication may increase suicidal thoughts -

A) "I can skip a dose if I do not feel asthma
 D) D) "this medication may increase suicidal thoughts -
A) "I can skip a dose if I do not feel asthma
symptoms"

84. When educating a patient about Regular Insulin, you should include which
instruction:
A. Shake the vial vigorously
B. Expect the solution to appear cloudy
C. Store unopened vials at room temperature
D. Inject the insulin subcutaneously - D. Inject the insulin
subcutaneously

85. Select all the early manifestations of lithium toxicity

A. Nausea
B. Hypotension
C. Renal Failure
D. Muscle Weakness - A. Nausea Muscle Weakness

86. How would you evaluate the medical effectiveness of Metformin?

a. assess serum electrolytes. ketones, glucose, blood PH, lactate, pyruvate
levels, monitor serum glucose
b. check for resolution of hypothyroidism and normalization of hormone
levels
c. check patient for pain reduction
d. Assess patient alertness - a. assess serum electrolytes. ketones, glucose,
blood PH, lactate, pyruvate levels, monitor serum glucose

87. What are the drug natural interactions for phenytoin?

a. Echinacea
b. St.Johns Wort
c. Valerian
d. Jeff Salernos War - b. St.Johns Wort

88. What type of diuretic is furosemide?

a. Loop
b. potassium sparing
c. Thiazide
d. Hypertensive - a. Loop

89. Which of the following are complications of Warfarin? (select all that apply)
a. bleeding
b. cramps
c. fever
d. nausea
e. all of the above - e. all of the above

90. When a company develops a new drug and gives it an official name, this name is
the .

a. Brand name
b. Generic name
 a. Brand name
b. Generic name
c. prototype
d. prescription - b. Generic name

91. What is/are the major adverse/side effects of regular insulin? Select all that apply
a. hypoglycemia
b. hypokalemia
c. drowsiness
d. anaphylaxis - a. hypoglycemia
b. hypokalemia
d. anaphylaxis

92. Which of the following drugs can suppress seizure activity and decrease the
frequency of migraine headache?
a. glipizide
b. hydrochlorothiazide
c. atropine
d. valproate - d. valproate

93. Which is the only type of insulin that can be given IV?
a. Regular
b. NPH
c. Long-acting
d. Rapid-acting - a. Regular

94. Which drug is the antidote of Alprazolam?

a. Physostigmine
b. Protamine sulfate
c. Flumazenil
d. Acetylcysteine - c. Flumazenil

95. What does it mean when a medication has a half-life?

a. It only lasts for 30 mins after the medication is given
b. How long it takes for half of the dose to be eliminated from the blood
stream
c. It is the peak of how effective the medicine is
d. Drug is greatly reduced before it reaches the systemic circulation - b. How
long it takes for half of the dose to be eliminated from the blood stream

96. A patient with hypertension is taking an ACE inhibitor to lower his blood pressure.
What should the nurse tell the patient to avoid in his diet?
a. vinegar
b. apples
c. salt substitutions
d. tomatoes - c. salt substitutions

97. What is Nitroglycerin's Action?

a. Dilates the Bronchi
97. What is Nitroglycerin's Action?
a. Dilates the Bronchi
b. Reduce Blood Glucose
c. Reduce Nausea
d. Dilates Coronary Arteries - d. Dilates Coronary Arteries

98. What does a patient need to avoid while taking Angiotensin-converting enzymes?
a. Salt substitutes
b. Foods high in potassium
c. Foods high in sodium
d. All of the above - d. All of the above

99. What is the most life threatening adverse reaction while taking Omeprazole?
a. Chest pain
b. Constipation
c. Clostridium Difficile Associated Diarrhea
d. Acute interstitial nephritis - c. Clostridium Difficile Associated Diarrhea

100. What is one therapeutic use for Nitroglycerine?

a. Relief or prevention of anginal attacks
b. Diuresis and mobilization of excess fluid
c. Decrease nausea and vomiting
d. Relief of anxiety - a. Relief or prevention of anginal attacks

101. What is the peak range of regular insulin?

a. 30 - 2 ½ hours
b. 1 - 3 hours
c. 6 - 14 hours
d. 1 - 5 hours - d. 1 - 5 hours

102. What is pharmacodynamics?

a. The medical reference summarizing standards of drug purity, strength and
directions for synthesis
b. The drugs actions at receptor site and the physiological, chemical, and
behavioral effects produced by these actions
c. The maximum response that a drug can produce
d. Movements of the drugs throughout the body - b. The drugs actions at
receptor site and the physiological, chemical, and behavioral effects
produced by these actions

103. What is Alprazolam therapeutic use?

a. Prevent thrombus formation
b. Relief of anxiety
c. Decrease risk of stroke
d. Increase urinary output - b. Relief of anxiety

104. What is the expected pharmacological action of propranolol?

a. Block stimulation of beta1

b. Alter water & electrolyte transport in the large intestine

c. Block stimulation of beta 2
 b. Alter water & electrolyte transport in the large intestine
c. Block stimulation of beta 2
d. Both A and C are correct - d. Both A and C are correct

105. What should you monitor when given a patient Clopidogrel?

a. Signs of thrombotic thrombolytic purpura
b. Bleeding during therapy
c. CBC with differential and platelet count
d. All the above - d. All the above

106. Patients should avoid what drink while taking Alprazolam?

a. Water
b. Grapefruit juice
c. Green Tea
d. Milk - b. Grapefruit juice

107. What is a high alert nursing implication for Morphine?

a. Assessing type of pain
b. Assess level of consciousness, BP, pulse, & respiration
c. Assess bowel function
d. Assess patient for confusion - b. Assess level of consciousness, BP,
pulse, & respiration

108. How would you teach a patient how to prep an inhaler?

a. Tell them to spray the inhaler 4 times and discard after 150 puffs.
b. Tell them to shake the inhaler for 5 seconds.
c. Tell them to spray the inhaler 4 times and discard after 200 puffs.
d. You do not need to prime it. - c. Tell them to spray the inhaler 4 times and
discard after 200 puffs.

109. Advise patient to avoid taking antacids or antidiarrheals for how long after
taking digoxin?
a. 30 minutes
b. 2 hours
c. 4 hours
d. 3 hours - b. 2 hours

110. What is the pharmacologic classification of Amlodipine

a. Beta blocker
b. 5-HT3 antagonist
c. Nonopioid analgesic
d. Calcium channel blocker - d. Calcium channel blocker

111. When administering the medication Spironolactone, when is the best time
to administer it?
a. Evening
b. Noon
c. At bedtime

d. Morning - d. Morning
 d. Morning - d. Morning

112. What is the theraputic classification of Atropine?

a. Antipsychotic
b. Antidepressants
c. Antiarryhthmics
d. Anticonvulsants - c. Antiarryhthmics

113. is the main glucocorticoid produced by the adrenal glands.

a. Fluticasone
b. Hydrocortisone
c. Fludrocortisone
d. Dexamethasone
e. Prednisone - b. Hydrocortisone

114. All benzodiazepines reduce and produce .

A. anxiety, sedation
B. hunger, food coma
C. sedation, anxiety
D. drowsiness, wakefulness - C. sedation, anxiety