MED175 Midterm Exam Chapters 1

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American National University *

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Jan 9, 2024

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MED175 Midterm Exam Chapters 1-7 Question 1 According to your text, who is an excellent resource for you when you are unsure of your legal responsibilities with drugs or have uncertainties about drug therapy? Correct! a local pharmacist a DEA agent a pharmaceutical sales representative an attorney Question 2 After being hospitalized for heart failure, 72-year-old Donna returns home with prescription medications. With a renewed focus on her health, she also decides to start taking herbal supplements. Can this create problems? Possibly, but only if she is also taking incorrect doses of the prescription medications. Possibly, but only if she takes higher doses of the herbal supplements than recommended on the packaging. No, because manufacturers must prove that herbal supplements are safe before marketing them. Correct! Yes, because herbal supplements can interact with many medications - she should consult her physician first. Question 3 Drugs on which schedule may have prescriptions written out by a health care practitioner, but must be signed by the physician? 2 (C-II) 3 (C-III) 1 (C-I) Correct! 4 (C-IV) Question 4 Ian, a registered nurse, maintains that he is not a drug abuser, so the 1970 Controlled Substances Act has no relevance for him. Is he right?
Yes, except that his state licensing board may place additional restrictions on him. Yes, as long as he does not abuse drugs, this act does not impact him. No, as long as he is careful to avoid the appearance of impropriety and is generally responsible in his all aspects of life. Correct! No, because the act lays out his responsibilities with respect to record keeping and administration of controlled substances. Question 5 Jesse often complains about government regulation and maintains that only drugs with potential for abuse or addiction should require prescriptions. What other medications require prescriptions in the United States? Correct! Those that have the potential for serious adverse effects if taken improperly Those that are covered by insurance or other reimbursement sources Those that are still protected by patents None; only controlled substances need prescriptions in the U.S. Question 6 To which schedule do mescaline and ecstasy belong? 4 (C-IV) Correct! 1 (C-I) 3 (C-III) 2 (C-II) Question 7 What agency was established as a result of the Controlled Substances Act? Correct! The Drug Enforcement Administration The National Institute on Drug Abuse The Food and Drug Administration The United States Pharmacopeia
Question 8 Caroline asks you to explain the difference between generic and trade names for drugs. What should you tell her? Correct! The first letter of a generic name is never capitalized, whereas the trade name is always capitalized. The trade name is assigned by the USAN Council. The generic name is assigned by the FDA. The generic name is "owned" by the manufacturer. Question 9 Health care practitioners typically prefer drugs to be classified by their ____. market cost chemical structure Correct! therapeutic use risk of side effects Question 10 Lakyn is taking an antitussive. What is the primary action of this drug? To relieve anxiety To neutralize stomach acid To increase urinary output Correct! To prevent or relieve coughing Question 11 Who assigns generic names to drugs? FDA manufacturers pharmacies Correct! USAN
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Question 12 Your grandmother has just begun to take a bisphosphonate to treat her osteoporosis. She asks you whether it is safe to take her new medication along with the various herbs and other supplements she has taken for many years. Under what heading would you find this information? Correct! interactions issues adverse effects actions Question 13 Shelley is taking a diuretic. What is the primary action of this medication? To stop or relieve coughing Correct! To increase urinary output To decrease inflammation To help control pain Question 14 Under what heading would you likely find the statement that a drug should be used "for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy"? cautions Correct! indications actions contraindications Question 15 After experiencing several dangerous blood clots, Blair is prescribed an anticoagulant. She initially takes high doses to get her blood levels of the anticoagulant up as quickly as possible, and then is placed on a lower dose for the foreseeable future. This latter, lower dose is referred to as a ____. routine dose standard dose
Correct! maintenance dose loading dose Question 16 A research team recently identified a gene associated with epidermolysis bullosa, a disease that causes skin to blister and tear with even slight friction, by searching through a massive database of genetic information using powerful computers. This use of computers is an example of ____. disease DNA genetic mining bioanalysis Correct! Chemoinformatics Question 17 Drug information for prescribing a certain medication indicates that it should be used with extreme caution in patients with impaired kidney function. What drug process is likely of concern? absorption metabolism Correct! excretion distribution Question 18 Finlay has metastatic colon cancer and is taking an agent that stops the tumors from being able to form blood vessels. This type of drug is called a(n) ____. Correct! antiangiogenesis drug biologically active drug tacrine-type drug anxiolytic Question 19 Orianna's insulin was made using the DNA of two different organisms. What is this technique called?
gene therapy cloning Correct! recombinant DNA pharmacogenetics Question 20 Ozzie's doctor tells him not to take his tetracycline with dairy products because the calcium in the dairy products will form an insoluble complex with the tetracycline. What is this process called? Correct! chelation adsorption oxidation excretion Question 21 The decreased response to a drug that develops after repeated doses are given is known as ____. physical dependence dose-response paradox withdrawal Correct! tolerance Question 22 A drug administered directly into the brain via a catheter is done via an ____ route. intra-articular intracapsular intraspinal Correct! intraventricular Question 23
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After a particularly miserable spring filled with sneezing and itchy eyes, Maria decides to go for intradermal testing to identify the pollen that is causing her allergies. What type of syringe is likely to be used for these tests? oral standard insulin Correct! TB Question 24 A large volume of fluids that is administered continually into a vein, often with drugs added, is called an IV ____. piggyback push Correct! drip injection Question 25 A medication is provided in a unit dose vial. What does this indicate? The vial has been repackaged by a hospital pharmacy. Correct! Each vial contains only a single dose. The vial must contain insulin, which is measured in units. The vial contains multiple units, each of which is a single dose. Question 26 As a recovering alcoholic, you know that you should avoid taking oral medication in the form of a(n) ____. syrup solution suspension Correct!
elixir Question 27 In preparation for abdominal surgery, Alex is given a rectally administered suspension of medication. This is known as a(n) ____. subcolonic Correct! enema suppository douche Question 28 Martin administers an injection into the fatty layer of tissue below the skin by positioning the needle and syringe at a 45-degree angle from the skin. What type of injection is this? Correct! subcutaneous intramuscular transdermal intradermal Question 29 Dr. Berry orders blood tests to be done "stat." What does stat mean? Correct! immediately when feasible as needed as requested by the patient Question 30 Henry is 18 months old and weighs 10 kilograms. How many pounds does he weigh? Correct! 22 12.2
36 4.5 Question 31 Roxanne is told by her supervisor not to use the abbreviation "SQ." Why? The use of SQ is determined by individual hospital policy. Correct! SQ on the ISMP list. SQ has been replaced by SC. Medicaid will not reimburse for this route. Question 32 The abbreviation for capsule is ____. cps c Correct! cap cp Question 33 The correct abbreviation for "every four hours" is ____. ea4h x4 Correct! q4h ea4hr Question 34 The liter is a measure of ____. Correct! volume length weight
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size Question 35 The physician's order indicates the medication is to be administered prn. What does this mean? Correct! It should be administered as needed by the patient. It should be administered according to the standard protocol. It should be administered only in an emergency. It should be administered based on the nurse's judgment. Question 36 An order calls for 300 mg of diphenhydramine and you have capsules that contain 75 mg of diphenhydramine. If you use the basic method, what is OH? total number of capsules one capsule 300 mg Correct! 75 mg Question 37 An order calls for 800 mg of ibuprofen and you have tablets that contain 200 mg of ibuprofen. If you use the basic method, what is Q? total number of capsules 200 mg Correct! one tablet 800 mg Question 38 Dosage calculations require meticulous care and ____. a working knowledge of derivatives an understanding of statistics the ability to do mathematical proofs
Correct! a working knowledge of basic arithmetic Question 39 In the basic method formula, D refers to the ____. available dose dose on hand predicted dose Correct! desired dose Question 40 In the basic method formula, Q refers to the ____. conversion factor ratio of the desired to the available dose Correct! quantity of the on hand dose quantity of the desired dose Question 41 The first step in dosage calculation is to ____. identify the age of the patient to make pediatric adjustments if needed determine whether an easier dosage is possible write the problem in equation form Correct! check to see whether all of the measures are in the same system Question 42 The order calls for one ounce of rehydration fluid per hour. On hand is a solution that contains 200 grams per liter. Your first step should be to ____. determine whether the ordered amount is reasonable round to one decimal point Correct!
convert to the same measurement system decide which computation method is most efficient Question 43 Cyndy notices that the doctor has ordered the administration of 400 mg of meperidine hydrochloride (Demerol) every two hours. She knows that the usual dose is 50 to 150 mg every three to four hours. What should she do? Administer the drug as ordered but include your concerns in your documentation. Administer the drug as ordered. Correct! Question the dose in accordance with the facility's procedures. Administer the usual dose, chart the change, and ask the doctor at rounds. Question 44 For what types of medication errors must an incident report be completed? Correct! for all medication errors only those witnessed by another health care practitioner only if there is an adverse reaction only those that are potentially dangerous Question 45 Physicians are notorious for their illegible handwriting. What innovation helps reduce errors associated with misreading prescriptions? USP/DI MedWatch Correct! CPOE PDR Question 46 Isaac, a spry and active 84-year-old, is hospitalized for a knee replacement. He finds it a bit insulting when nurses ask him his name before they give him his medications. Why are the nurses asking for this information?
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To determine whether he is mentally competent Correct! To ensure they are administering the right medicine to the right patient To ensure he will not be given too many pain killers To check his pre-surgery memory for comparison purposes Question 47 Luca, a new nurse at the nursing home, explains to you that he injured his hands over the weekend with some garage tools. He is responsible for medication administration and asks you to open all of the unit dose packages for him before he makes rounds. What should you tell him? Of course. Nurses need to be able to rely on each other. No, but I will get you a sharp blade so that you can open the packages more easily before rounds. Correct! No. Unit dose packages should only be opened when the patient is ready to take them, not before. Yes, but only for drugs that are not controlled substances. Question 48 Mrs. Chen is an older woman who can sometimes be contrary about taking her medication. One morning, she refuses to take her medication, which includes drugs for her high blood pressure, Type 2 diabetes, and seizure disorder. What should you do? Withhold her breakfast and any scheduled activities until she takes her medication. Correct! Return the medication to the medication room, make a note of her refusal in the chart, and notify the physician if appropriate. Tell her you will have to give her shots if she does not take her medication. Leave the medications on her bed table. She will eventually take them and then likely show you the empty pill cup. Question 49 Nancy is reading the doctor's orders for Ms. Brighton, a 72-year-old with COPD, congestive heart failure, Type 2 diabetes, high blood pressure, and high cholesterol. She notices that one of the newly prescribed medications has the potential for life threatening potentiation of one of Ms. Brighton's other medications. What should Nancy do? Do nothing; the physician has written the order. Document Nancy's concerns but take no further action.
Correct! Question the order and explain the potential problems. Advise Ms. Brighton to refuse to take the medication. Question 50 The medication order notes the medication is to be administered pc. What does pc mean? Correct! after meals as needed separately from other medications when requested by the patient