1. A. 2y.o. child was rushed to the hospital with a chief 6.A 35 y.o.
35 y.o. female tells you that she is currently taking
complaint of high fever ranging from 38.5-39.0 degree
centigrade. You are a nurse on duty conducting past medical
history and the physician suddenly ordered ASA 100mg PO
q4 hours. What will you do as a knowledgeable nurse?
Give the medication as prescribed
Call the attention of the prescriber
Withhold the medication untoward adverse effect
Report the incident to your Supervisor for the untoward
behavior of the physician
2. If you didn`t know the medical history of the pediatric
patient more than 2y.o. and is the febrile, it is safe to note
that the same anti-pyretic given is:
ASA
Acetanimnophen
Ibuprofen
Any medication stated above
3. It is important to note that when giving anti-pyrectic to
children, you give importance to which health education?
These medications can be purchased OTC and potential for
misure
It must be stressed that these drugs can be given every 4
hours round
It is helpful to increase oral fluid intake of the patient even
taking these medications
All of the above statements are correct
4. A pregnant mother complaining of headache ask you if
she can take medication for her symptom. You as a
knowledgeable nurse replied:
"No you can't because of the potential effect of analgesics
to your fetus"
"Let me ask the doctor I knew about your concern"
"You can take acetaminophen with caution if the symptom
is unbearable"
"You should rest in a while because your headache is due to
hormonal imbalances"
5. A 70 y.o. male complain joint pains especially at night and
in cold weather. He had a medical history of arthritis. As a
nurse, which of the following is the best action?
Tell him to consult a doctor for a prescription of NSAID's
Ask about his sleeping pattern and his ADL's
Obtain a medical history and his ability to take medication
Tell the patient to always keep warm and modify home
environment to avoid arthritic pain
NSAIDs for an inflamed wound in her thigh. She exclaimed
that the drug seems no to little effect on her. What would
be the best information be included in your assessment?
Her age being 35 y.o.
Her cultural background of being an African-American
Her hepatic profile and kidney function
Her chief complaint upon entering the health facility
7. A geriatric patient taking Aspirin for rheumatism
complains of GI discomfort. Which is the best nursing
intervention for the client?
Tell the patient that all kinds of aspirin are the same that he
can buy generic
Explore the living condition of the client and support
systems
Encourage to take small frequent meals
Report immediately to the prescribing physician for further
evaluation
8. The patient is asking you how the prescribed Aspirin can
help him with his rheumatoid arthritis.
"It can help you relieve the signs and symptoms of
inflammation in the affected joints"
"It helps cure the rheumatoid arthritis overtime with
continued use"
"Gl upset is known side-effects of Aspirin and should not be
taken lightly because it will lead to ulceration"
"Take your Aspirin as prescribed by the physician to
minimize the time recommended and avoid stomach
ulceration"
9. The patient asks you if it is normal that Aspirin had a
vinegar odor. Your reply should be:
"Give me the sample of the medication and report it to the
pharmacy"
"It is untoward for Aspirin to have a vinegar odor"
"It is a result of oxidation but still safe to take"
"You should still take your Aspirin religiously for your
rheumatoid arthritis"
10. The patient reported a black, tarry stool upon his
consultation at the ER. He reported that he is taking ASA
100mg PO OD for his arthritis for the past 2 months. Your
response should be:
Notify the physician for Aspirin misuse
Assess the vestibulo-cochlear nerve of the patient
Inform the laboratory department for fecalysis and stool
guiac
Prepare equipments for a possible gastric lavage for the
patient

11. Psoriatic arthritis are different from rheumatoid arthritis
in which the former is an autoimmune disease that runs in
families. With the difference of the two kinds of arthritis,
psoriatic type is often:
All the joints of the body are destroyed
Somewhat leads to degeneration unlike rheumatoid
People often have gluten sensitivity
There is actually no difference with the two
12. Anti-neoplastic drugs are also used to modify the
disease process in rheumatoid arthritis. Which of the
following drugs is also used as DMARD's?
Etanercept
Methotrexate
Penicillamine
Anakinra
13. You have a patient with rheumatoid arthritis and was
taking a Tumor Necrosis Factor blocker DMARD's. Which of
the following drugs are a TNF blocker?
Etanercept
Methotrexate
Penicillamine
Anakinra
14. You know that TNF blockers act to decrease the effects
of a locally released cytokine that stimulate a wide range of
proinflammatory activities that is why it is used in a wide
range of arthritis. As a knowledgeable nurse, which of the
following is the best intervention related to drug
administration?
Check the patency of the IV site to prevent extravasation
Teach patient the various sites he can inject the drug
subcutaneously
Take the drug every after meal since it is known for GI
discomfort
Ensure that the patient has a routine cancer screening and
regular follow-up
15. Your patient diagnosed with rheumatoid arthritis and
prescribed with Aspirin verbalized his concern that he had a
fixed income and no other sources. Which of the following
will be the therapeutic response to the patient?
"I understand your concern about your finances, but you
should buy the brand the physician prescribed"
"You can ask the doctor who prescribed the drug to switch
for another NSAID's which is cheaper"
"Adherence to the prescribed medication is important. You
should have another source of income"
"Branded Aspirin is had the same effect with generic. You
should buy generic to for drug compliance"
17. A 7-year old child is taking an IV Cloxacillin 500mg q6
hours for cellulitis for 10 days when you noticed a white
patches in the oral mucosa. You suspect this as: (1/1 Point)
Adverse reaction of the drug
A beginning sign of a superinfection
A result of decrease oral care of the child
A remnant of the child's meal
18. You are caring for a 6-year old child with a history of
flood wading with a resultant infection in the lower
extremities. He was given PO Doxycycline 4mg/kg/day in 4
divided doses. Which of the following is the best nursing
intervention?
Use a straw In giving oral doses
Give with a full glass of water
Give the drug in between meals
Administer the medication on time
19. A 25-year old female report to you and told you that she
just finished her antibiotic therapy for her ear infection. She
added that she purchased an excess of 6 capsules. You tell
her that:
"You should keep it for future use"
"You should ask the prescriber if you can take the remaining
drugs"
"Immediately discard the medications once you are cleared"
"Let me first assess your ear and see if you can continue the
medication"
20. A 70-year old male was admitted to your unit and was
prescribed an IV antibiotic of Metronidazole 500mg/100ml
IV q8 hours to run for 30mins as piggy back to his mainline
of PNSS 1L x KVO. What would be the rate of the drug if you
are using a microset?
5-10 gtts/min
10 mgtts/min
6-7 mggts/min
Unable to compute due to unknown drop factor
21. A post cholecystectomy patient was prescribed with
Unasyn 750mg IV q8 hours. As a knowledgeable nurse, you
know that Unasyn is a beta-lactam antibiotic which is a
combination of: (0/1 Point)
Piperacillin + Tazobactam
Ampicillin + Sulbactam
Amoxicillin + Cluvalanic acid
Ticarcillin + Cluvalanic acid
22. Your friend asked you about a inflamed area in her
thigh. Upon history, she said that the inflammation started
two weeks ago about 1 centimeter in diameter and she was
prescribed Amoxicillin 500mg TID which she took for 1
week. You tell your friend to:
Check a surgeon and suggest a biopsy
Consult a doctor for possible culture and sensitivity
Shift the medication to Cloxacillin 500mg q6 hours PO since
it is more effective
Tell your friend that there is a possible infection in the area
23. Which of the following diseases will not respond to any
antibiotic therapy?
Warts
Community acquired pneumonia
Tuberculosis
Chicken pox
24. Aminoglycosides are drugs used to treat strains of gram-
negative bacteria when patients are allergic to penicillins.
Which of the following aminoglycoside is used as
combination for the treatment of tuberculosis?
Tobramycin
Gentamicin
Streptomycin
Amikacin
25. Gentamicin have a synergistic bactericidal effect when
given penicillins. Which among the following penicillins are
most commonly used together with Gentamicin? (0/1 Point)
Amoxicillin
Ampicillin
Penicillin G
Cloxacillin
Part 2
1. As a nurse, you know that all pharmaceutical products
sold legally in the market is:
FDA approved
Passed the standards for controlled substances
Passed the evaluation conducted by the Department of
Health
Manufactured by a company with proven track record
2. You know that drugs that have low benefit-to-risk ratio
are dropped into which phase of the drug studies?
Pre-clinical studies
Phase I drug studies
Phase Il drug studies
Phase III drug studies
3. You are looking for a certain drug in a pharmacy and
happen to see a drug with label "NO APPROVED
THERAPEUTIC CLAIMS". Which of the following will be your
action?
Ask the pharmacist regarding the origin of the drug
Contact the FDA and report the pharmacy
Never mind the drug on display
Warn consumers of the drug
4. A patient hands you a prescription of Codeiene 60mg/tab
for cough. Which of the following
statements will you give to the patient?
"You should take the drug in the evening before you sleep"
"Drug such as that should not be prescribed because it has
severe adverse effect"
"Talk to your prescribing physician on the legality of
codeine"
"You probably had a yellow slip for that prescription"
5. Your Professor in Nursing Pharmacology tells you about
pharmacotherapeutics. Which of the statements are true of
pharmacotherapeutics?
It is the same with both pharmacokinetics and
pharmacodynamics
It tackles on how the drug affects the body
It tackles on how the body responds to the drug
All of the above
6. You know that drugs work in different ways such as
replacement of the missing chemicals in the body. Which of
the following drug works in conjunction with the statement?
Paracetamol
Multivitamins
Penicillin
Steroids
7. A patient is taking Amoxicillin 500mg PO q6h. As a nurse
you know that the absorption of the drug is affected by:
Perfusion of the blood flow on the tissue
Presence of foods in the stomach
The protein-binding capability of the drug
It should be taken in between meals to reduce GI distress
8. The absorption of the drug to the circulating blood is
important part of pharmacodynamics. Which of the
following drugs is the most immediately absorbed?
IV antibiotics
Inhaled anesthetics
Sublingual Anti-hypertensives
Cough syrups
9. You know that certain drugs cannot easily cross the
Blood-Brain Barrier due to the high polarity of the Schwann
cells. Which of the following is least likely to be absorbed?
A highly fat-soluble drug
A low fat-soluble drug
A highly water-soluble drug
A low water-soluble drug
10. You are caring for a patient in Surgery Ward and the
physician ordered IV Cefuroxime 1.5g, then to decrease to
750mg IV q8h. You know that Cefuroxime 1.5g IV is needed
as:
Standing Order
Now Order
Standard dose
Loading Dose
11. The large initial dose of IV antibiotics is given to:
Have an immediate effect of the drug
Attain the therapeutic range of the drug ASAP
Achieve the plasma critical concentration immediately
Have a resulting dynamic equilibrium
12. You need to consider the phases of pharmacokinetics so
that the drug regimen can be made as effective as possible.
Which of the following is not to consider in
pharmacokinetics?
The drug administered rectally had an immediate action
than oral drugs
The more protein bound the drug is, the less frequency is
it's dosage
The acidity of the urine can play an important role in drug
excretion
The binding power of the drug depends on its interaction
with receptors sites
13. You know that absorption refers to what happens to a
drug from the time it is introduced to the body until it
reaches the circulating fluids. Which of the following
statements is not true with the drug absorption?
The Drug's first-pass effect can decrease its activity
Binders or special coating in tablets can repel stomach acids
Passive and active diffusion is the most common transport
mechanism
None of the above
14. Drug dosage calculation depends on the 150-pound
male. If you have an obese client, you believe that the
dosage that will be prescribed is:
The same as a client with the same disease
Decreased due to the slower metabolism
Increase because of a large body mass
Uncertain on the doctor's order
15. You are ordered to give Ampicillin-Sulbactam (Unasyn)
750mg IV ANST to the patient. Upon skin test, the patient
manifested a breathing of 18-20 cpm and a local redness at
the site of injection. As a nurse, you interpret this as: (1/1
Point)
A normal occurrence upon skin test
A hypersensitivity reaction of the patient
An adverse reaction of the drug
Redness in the area is undetermined
16. Following the reading of the redness of the skin testing
of the IV Unasyn. Your immediate response will be? (0/1
Point)
Re-assure the patient that it is normal
Give an IV Dyphenhydramine to the patient
Standby emergency cart and oxygen tank at the bedside
Call the attention of the physician
17. Upon giving IV Dyphenhydramine to the patient, which
of the following suggest of its secondary function?
Relief of signs and symptoms of an allergic reaction
Feeling of drowsiness
Relief of cough
All of the above
18. Paracetamol allergies are uncommon, but still a threat
to patients and is a drug allergy. Which of the following drug
allergies require an immediate administration of
Epinephrine through IV?
Anaphylactic reaction
Cytotoxic reaction
Serum sickness reaction
Delayed allergic reaction
19. Accumulation of drug molecules in the body results to
toxicity. You are the nurse of the patient taking a known
hepatotoxic drug and observed an elevated liver enzymes.
Which of the following is your priority intervention?
Immediately stop the drug upon initial manifestation of
symptom
Notify the prescriber or primary caregiver
Prepare antidote to counteract effect of the drug
Offer supportive measures for client comfort
20. You are a nurse previously assigned in the Geriatric
Ward and currently at the Pediatric Ward. In giving
medications, which of the following statements are correct?
24. In an antibiotic therapy, as a nurse, you should be aware
that before starting a therapy, the primary requirement
was:
Understandabilty of the patient on the full course of
treatment
A negative skin test as reported by the medication nurse
Blood culture and sensitivity
All of the above
25. You are caring to a neonate with sepsis neonatorum. As
a knowledgeable nurse, you know that the most probable
antibiotic therapy that will be given to the neonate is a
combination of:

Drug allergies and resistant strains can be a big problem Ampicillin + Sulbactam
with pediatric patients
Ampicillin + Gentamicin
You should put the medication in a colorful containers for
the preference of your pediatric patients Amoxicillin + Cluvalanic Acid

Both geriatric and pediatric patients are potential for liver Piperacillin - Tazobactam
and nephrotoxicity.

Children have an increased susceptibility to gastrointestinal

and neurological effects than geriatric patients.

21. There are many mechanism of actions do anti-infectives

interfere to kill or neutralize microorganisms, one is to
interfere DNA synthesis in the cell. This action is best shown
by:

Penicillins

Aminoglycosides

Macrolides

Floroquinolones

22. Some of the anti-infectives directly interfere with the

biosynthesis of the bacterial cell wall, which is basically the
action of:

Penicillins

Aminoglycosides

Macrolides

Floroquinolones

23. You are a pediatric nurse assigned in the Neonatal Care

Unit (NICU). In your duty in the NICU, you are very much
familiar with certain antibiotics given to patients. Which of
your patient should not be given the drug Chloramphenicol
(generic)?

A 2-year old with otitis media

A neonate born prematurely

7-year old with boils in the thigh

4-year old with cellulitis