HESI LPN · HESI Chapter 2 pharmacologic principles
Question 1 of 50
Cross MATCH each drug to the most suitable indication: Constipation with impacted stool
A
Loperamide
B
Paraffin oil
C
Bran/ milk of magnesia
D
Bisacodyl/ Caster oil
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 2 of 50
Which of the following functional groups is most susceptible to hydrolysis?
A
R-CO-R
B
R-COOR
C
R-O-R
D
R-NH-CH₃
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 3 of 50
Cyclophosphamide:
A
Is normally used in combination with other cytotoxic agents
B
Is an alkylating agent
C
Causes granulocytopenia
D
Causes nausea and vomiting
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 4 of 50
The following are used to treat Pneumocystis carinii pneumonia (PCP) in patients with HIV infection:
A
Aztreonam
B
Intravenous co-trimoxazole
C
Rifabutin
D
Pentamidine
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 5 of 50
Tetracyclines are used to treat:
A
Infections caused by Clostridium difficile
B
Lyme disease
C
Acne vulgaris
D
Systemic lupus erythematosus
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 6 of 50
Dapsone:
A
Is used in the treatment of amoebiasis
B
Is indicated in multibacillary leprosy
C
Is used in the treatment of dermatitis herpetiformis
D
Is acetylated in the liver
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 7 of 50
Amoxicillin:
A
Unlike benzylpenicillin is not susceptible to beta-lactamases
B
Is effective against many strains of Haemophilus influenzae
C
Is ineffective in most cases of community-acquired urinary tract infections
D
Drug-related skin rashes may appear after dosing has stopped
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 8 of 50
Cross Match each of the following adverse effect to the corresponding drug: Aplastic anemia & bleeding
A
Colchicine in gout
B
Paracetamol in fever
C
Indomethacin in osteoarthritis
D
Aspirin in transient ischemic attacks
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 9 of 50
Which of the following radionuclides is generator produced?
A
â¹â¹áµÂÂTc
B
²â°¹Tl
C
â¶â·Ga
D
¹³³Xe
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 10 of 50
Which of the following is WRONGLY matched to its drug?
A
After anal surgery / Parrafin oil
B
Colonic preparation / Bisacodyl
C
Ingested poison / magnesium sulfate
D
Obesity & gall stones / Castor oil
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 11 of 50
Represents rate & extent of drug absorption as measured by area under curve
A
Systemic clearance (CLs)
B
Volume of distribution (Vd)
C
Half-life (t1/2)
D
Bioavailability (F)
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 12 of 50
Which of the following drugs may inhibit the hepatic microsomal P450 responsible for warfarin metabolism
A
Cimetidine
B
Ethanol
C
Phenobarbital
D
Procainamide
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 13 of 50
A 61-year-old man is taking over-the-counter pseudoephedrine for cold and flulike symptoms. Over the course of the next few days, he experiences improvement in his rhinitis but should be concerned about the possibility of which of the following problems?
A
Contraction of the iris causing visual changes
B
Constriction of the bronchioles causing increased pulmonary secretions
C
Erectile function improvement
D
Urinary retention
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 14 of 50
Active transport differs from facilitated transport in following ways, except
A
Carrier is involved
B
It is against concentration gradient
C
Energy is required
D
All of the above
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 15 of 50
The following drugs are effectively administered via the sublingual route:
A
Simvastatin
B
Carbamazepine
C
Ramipril
D
Buprenorphine
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 16 of 50
The colligative properties of a solution are related to the
A
pH of the solution
B
Number of ions in the solution
C
Total number of solute particles in the solution
D
Number of unionized molecules in the solution
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 17 of 50
Wrong statement concerning pharmacokinetics of H2-receptor antagonists is
A
High bioavailability.
B
50% of the dose of famotidine is decomposed by gastric acidity.
C
50% of the dose of ranitidine is destroyed by hepatic first pass effect.
D
Famotidine is excreted renally thus preferred in liver dysfunction.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 18 of 50
All the following are adverse effects of metoclopramide except
A
Drowsiness & nervousness.
B
Extrapyramidal adverse reactions.
C
Increases prolactin, galactorrhea, gynecomastia, impotence.
D
Constipation
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 19 of 50
Cross Match: Venlafaxine
A
Norepinephrine serotonin reuptake inhibitor
B
Inhibitor of dopamine & NE reuptake
C
Agonist/Partial 5HT1A agonist
D
Selective serotonin reuptake inhibitor
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 20 of 50
Foscarnet:
A
Is indicated in cytomegalovirus (CMV) retinitis in acquired immune deficiency syndrome (AIDS) patients
B
Aciclovir-resistant herpes simplex virus infections
C
Is nephrotoxic
D
Causes fits
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 21 of 50
The pharmacokinetic 'elimination half-life' of the following drugs mirrors their pharmacodynamic duration and intensity of action:
A
Salbutamol
B
Phenelzine
C
Dobutamine
D
Omeprazole
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 22 of 50
Urticaria that appears rapidly after the ingestion of food usually indicates which type of hypersensitivity reaction?
A
Type I
B
Type II
C
Type III
D
Type IV
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 23 of 50
Flurazepam has pKa of 8.2. What percentage of flurazepam will be ionized at a urine pH of 5.2 ?
A
0.10%
B
1%
C
50%
D
99%
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 24 of 50
The following concerning naloxone is not correct:
A
Has a shorter half life than its agonist.
B
Given orally.
C
Given in anesthesia to reverse CNS depression of its agonist.
D
It is a specific antagonist to opioid receptors.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 25 of 50
Cross MATCH each drug to its specific feature in management of diarrhea: Diphenoxylate
A
Provide protective coat & adsorb toxins
B
Bulk forming decreasing stool liquidity
C
Opioid- related combined with atropine
D
Direct antimicrobial & decrease PG synthesis
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 26 of 50
Which of the following agents is a prodrug that is much less toxic in mammals than in insects?
A
Acetylcholine
B
Bethanechol
C
Physostigmine
D
Pilocarpine
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 27 of 50
A 59-year-old man with decreased urinary stream and hypertension is prescribed doxazosin in hopes that both problems will be treated. He begins dose escalation with $1 \mathrm{mg}$ given for one week, $2 \mathrm{mg}$ given for 2 weeks, and $4 \mathrm{mg}$ given for maintenance. He returns to his primary care physician saying that this medication is not helping. To determine whether or not the patient is taking the medication, it would be useful to look at the excreted concentration of medication in which of the following areas?
A
Blood
B
Feces
C
Liver hepatocyte extract
D
Urine
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 28 of 50
A 59-year-old female with diabetes presents to her primary care physician for routine follow-up. Her current medications include insulin. Her fasting blood sugars are in the range of 80 to $120 \mathrm{mg} / \mathrm{dL}$. The intracellular effects of this medication are likely caused by which of the following mechanisms of action?
A
Changes in ionic concentration within the cell
B
Changes in membrane potential
C
Protein phosphorylation
D
Protein and receptor phosphorylation
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 29 of 50
In vomiting due to motion sickness, the following is (are) used
A
Hyoscine
B
Metoclopramide
C
Ondansetron
D
Diphenhydramine
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 30 of 50
Most serious adverse effect/s of morphine
A
Dependence.
B
Respiratory depression.
C
Hypertension.
D
A and B
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 31 of 50
The sugar that is inherent in the nucleic acids RNA and DNA is
A
Glucose
B
Sucrose
C
Ribose
D
Digitoxose
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 32 of 50
The renal clearance of insulin is used as a measurement of
A
Effective renal blood flow
B
Rate of renal drug excretion
C
Intrinsic enzyme activity
D
Glomerular filtration rate (GFR)
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 33 of 50
Lopinavir, an HIV-protease inhibitor, is associated with the following:
A
Lipodystrophy syndrome
B
Hyperglycaemia
C
Peripheral neuropathy
D
Lactic acidosis
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 34 of 50
Which of the following is preferred for treatment of anxiety with panic attacks:
A
Buspirone.
B
Alprazolam.
C
Haloperidol.
D
Zolpidem.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 35 of 50
Which of the following analgesic agents poses a risk in a 60 -year-old patient with a history of transient ischemic attacks
A
Paracetamol
B
Celecoxib.
C
Aspirin.
D
A and B
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 36 of 50
The following drugs undergo phase II metabolism by hepatic acetylation enzymes (N-acetyltransferases):
A
Dapsone
B
Ciclosporin
C
Gentamicin
D
Isoniazid
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 37 of 50
The following are excreted faster in basic urine
A
Weak acids
B
Strong acids
C
Weak Bases
D
None of the above
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 38 of 50
An 18-year-old college student is hanging shelves in his dorm room. He accidently hits his thumb with the hammer, which subsequently becomes swollen and red. He takes some acetaminophen for the pain. Many proteins are activated in response to injury leading to inflammation. Which of the following proteins is a transcription factor?
A
COX-2
B
HAT
C
IκB
D
NF-κB
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 39 of 50
Indomethacin is least likely to be prescribed in
A
Acute gouty arthritis.
B
Osteoarthritis
C
Patent ductus arteriosus.
D
Rheumatoid arthritis.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 40 of 50
For each description of a comminution procedure below, select the process that it best describes
A
Trituration
B
Spatulation
C
Levigation
D
Pulverization by intervention
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 41 of 50
A hospitalized patient with systemic candidiasis is receiving intravenous antifungal medications. He also has hepatic and renal insufficiency. Which of the following drug administration schemes would allow for the most steady state amount of drug in the body over a 2-week hospitalization period where medication administration will be necessary?
A
Continuous IV infusion
B
Once weekly IV injection
C
Single daily IV injection
D
Twice daily IV injection
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 42 of 50
When drug/drug interactions involve inhibition of metabolism, which of the following types of drugs are of the most concern?
A
Drugs with a narrow therapeutic index
B
Drugs with a high extraction ratio.
C
Drugs that are highly polar
D
Drugs that are highly bound to albumin
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 43 of 50
The following statements concerning renal drug handling are correct:
A
The kidneys receive approximately 20 per cent of the cardiac output
B
In healthy young adults approximately $130 \mathrm{~mL} / \mathrm{min}$ of protein-free filtrate is formed at the glomeruli
C
Non-protein-bound drug of molecular weight
D
Potentially saturable mechanisms for active secretion of both acids and bases exist in the proximal tubule
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 44 of 50
The following drugs undergo significant enterohepatic circulation:
A
Oestrogens
B
Atenolol
C
Rifampicin
D
Gentamicin
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 45 of 50
Dose dumping is a problem in the formulation of
A
Compressed tablets
B
Modified-release drug products
C
Hard gelatin capsules
D
Soft gelatin capsules
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 46 of 50
Drugs with small volume of distribution (Vd) are characterized by
A
Limited tissue uptake
B
Dialysis is useful in toxicity
C
Their Vd cannot be less than 5 liters.
D
All of the above.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 47 of 50
Indications of antidepressants do not include:
A
Convulsive disorders.
B
Eating disorders
C
Chronic neuropathic pain.
D
Obsessive-compulsive disorders.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 48 of 50
Which capsule size has the smallest capacity?
A
5
B
4
C
1
D
0
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 49 of 50
Abuse potential of buspirone is low because
A
It has a weak anxiolytic effect.
B
It has no recognizable effect on brain neurotransmitters.
C
It has a delayed onset of action.
D
Its marked sedating effect is troublesome.
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HESI LPN · HESI Chapter 2 pharmacologic principles
Question 50 of 50
Which of the following statements is/are True?
A
Bioavailability after oral administration is determined by hepatic extraction ratio
B
Dialysis is useful in toxicity of drugs with large volume of distribution
C
Propranolol increases hepatic first pass metabolism.
D
Drugs with variable bioavailability include digoxin & phenytoin.
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