ANGELES UNIVERSITY FOUNDATION 9.
Misoprostol is a prostaglandin that is used to:
College of Nursing
NCM 0106 Pharmacology
Quiz: GIT Drugs
MULTIPLE CHOICE. Choose the BEST answer.
1. Which is TRUE about Constipation?
A. It results from increased peristaltic activity.
B. It occurs only if one does not have a bowel mov’t at
least once a day.
C. It leads to decreased salt & water absorption from
the large intestines.
D. Symptoms can be artificially induced by increasing
the volume of the large intestines.
2. The activities of the GIT, movement and secretions
are controlled by:
A. Sympathetic nervous system
B. Parasympathetic nervous system
C. Local nerve reflexes initiated by the nerve plexus
D. Medulla
3. Acid production in the stomach is NOT stimulated by:
A. protein in the stomach
B. calcium products in the stomach
C. high levels of acid in the stomach
D. alcohol in the stomach
4. Almost all absorption occurs through the:
A. lower section of the stomach
B. top section of the large intestines
C. small intestines
D. ileum
5. Histamine 2 antagonists:
A. Block the release of gastrin.
B. Selectively block histamine receptors reducing
swelling and inflammation.
C. Selectively block H2 receptor sites resulting in
decreased gastric acid secretion.
D. Are very effective with long term use.
6. A pt. receiving intravenous Cimetidine should be
monitored for:
A. GI upset
B. Gynecomastia
C. Cardiac arrhythmias
D. Constipation
7. Frequent use of antacids is associated with many
adverse effects except:
A. systemic alkalosis
B. electrolyte imbalances
C. hyperkalemia
D. metabolic acidosis
8. H2 receptors are found:
A. in the nasal passages, upper airways, & stomach
B. in the CNS & upper airways
C. in the respiratory tract and the heart
D. in the heart, CNS, and stomach
A. Prevent uterine contractions.
B. Prevent NSAID-related ulcers in patients at high risk
C. Decrease hyperacidity with meals
D. Relieve burning associated with hiatal hernia at night
10. H2 receptor blocker of choice for a pt. with known
liver dysfunction would be:
A. Cimetidine
B. Famotidine
C. Nizatidine
D. Ranitidine
11. Which of the ff. is the rationale why Misoprostol is
contraindicated for women of child-bearing age?
A. It can cause cardiac dysrhythmias among women.
B. It can cause congenital defects on the unborn fetus.
C. It can cause spontaneous abortion.
D. It can cause fertility problems later in life.
12. Clients with duodenal ulcers will find relief with the
ff. drugs:
A. Propantheline
B. Ranitidine
C. Misoprostol
D. Aluminum hydroxide
13. Cathartic dependence can occur when:
A. Patients do not use laxatives and become very
constipated.
B. Chronic use of laxatives leads to a reliance on the
intense stimulation of laxatives to cause movement.
C. Patients maintain a good diet with fiber.
D. Patients starts an exercise program.
14. Laxatives are drugs that are used to:
A. increase the quantity of wastes excreted.
B. speed the passage of the intestinal contents through
the GIT.
C. increase digestion of intestinal contents.
D. increase the water content of the intestinal contents.
15. Which of the ff. drugs is BEST for treating traveller’s
diarrhea?
A. Loperamide
B. Opium
C. Diphenoxylate
D. Bismuth subsalicylate
16. A laxative of choice for mild stimulation is needed
to prevent straining would be:
A. Senna
B. Bisacodyl
C. Magnesium citrate
D. Lactulose
17. Which of the ff. clients is indicated for Docusate
(Colace) use?
A. Post-MI patient
B. A client who is in her 3rd trimester of pregnancy
C. A client with DM type 2
D. A client with traveller’s diarrhea
18. Calcium carbonate should be given with:
A. plain water B. Docusate sodium
B. milk C. Bisacodyl
C. orange juice D. Mineral oil
D. coffee
27. Which of the ff. is most appropriate for vertigo?
19. Client teaching for a person taking laxatives would A. Meclizine
NOT include: B. Metoclopromide
A. the importance of proper diet and fluid intake. C. Chlormpromazine
B. the need to take the drug for several weeks to get D. Dronabinol
the full effect.
C. the importance of exercise. 28. A pt. complains of constipation and requires a
D. taking advantage of natural reflexes by providing laxative. The nurse reviews which common cause of
privacy and time. constipation?
A. motion sickness
20. Most antiemetics work with the CNS to decrease B. poor dietary habits
the activity of the: C. food intolerance
A. medulla D. bacteria
B. CTZ
C. respiratory center 29. A pt. is taking esomeprazole for erosive
D. sympathetic nervous system gastroesophageal reflux disease. The nurse includes
which health teaching?
21. Photosensitivity is a common side effect with anti- A. Take the medication daily with breakfast.
emetic use. Patient should be taught to: B. Healing should occur in 1 week.
A. Avoid having their pictures taken. C. This medication decreases stomach acid secretion.
B. Cover the head at extremes of temperature. D. Kidney function tests should be done regularly.
C. Take precautions to avoid heat stroke.
D. Wear protective clothing and use sunscreen if 30. Which of the ff. is a risk factor for peptic ulcer
exposed to the sun. disease?
A. Helicobacter pylori
22. Which of the ff. is the mechanism of action of B. Hyposecretion of pepsin
Simethicone? C. Decreased HCl acid production
A. It neutralizes gastric pH, thereby preventing gas. D. Escherichia coli
B. It buffers the effects of pepsin on the gastric wall.
C. It decreases gastric acid secretion, minimizing gas.
D. It causes gas bubbles to break into smaller ones.

23. A pt. on Tetracycline PO complains of heartburn and

requests an antacid. Which nursing action is correct?
A. Give the Tetracycline, but delay the antacid for 1-2
hours.
B. Give the antacid, but delay the Tetracycline for at
least 4 hours.
C. Give both meds together.
D. Explain that the antacid cannot be given while the
pt. is on tetracycline.

24. H2 receptor antagonists may interact with:

A. Codeine
B. Penicillin
C. Phenytoin
D. Acetaminophen

25. A pt. with a history of renal problems is asking for

advice about which antacid he should use. The nurse
recommends correctly:
A. Patients with renal problems cannot use antacids.
B. Aluminum-based antacids are best for you.
C. Magnesium-based antacids are best for you.
D. Calcium-based antacids are best for you.

26. A pt. is being prepared for colonoscopy. The nurse

expects which laxative to use as preparation for this?
A. Methylcellulose