1.
A specialist who can guide a provider in prescribing drugs is best defined as a
Correct Answer
C. Clinical pHarmacist
Explanation
A clinical pharmacist is the best definition for a specialist who can guide a provider in prescribing drugs. This is because a clinical pharmacist has specialized knowledge and training in medication therapy management and can provide guidance to healthcare providers on the appropriate use of medications for individual patients. They work closely with healthcare teams to optimize medication regimens, ensure patient safety, and improve patient outcomes.
2.
Out of the several names given each medication, which of these drug names is given by the manufacturer?
Correct Answer
A. Trade name
Explanation
The trade name is given by the manufacturer. This is the name under which a specific medication is marketed and sold. It is usually a brand name that is easily recognizable and may be protected by trademark. The trade name helps to differentiate the medication from other similar products in the market.
3.
Which statement is true regarding the role of a medical service technician in medication administration
Correct Answer
C. Technicians are permitted to administer medications under the supervision of a nurse or pHysician
Explanation
The correct answer states that technicians are permitted to administer medications under the supervision of a nurse or physician. This means that technicians are allowed to give medications to patients, but they must do so under the direct supervision of a nurse or physician. This ensures that there is proper oversight and accountability in the medication administration process. It also ensures that technicians are following the correct protocols and providing safe and effective care to patients.
4.
Which statement is not considered one of the patients' legal and ethical rights?
Correct Answer
C. Choose the method of administration
Explanation
The statement "choose the method of administration" is not considered one of the patients' legal and ethical rights. While patients have the right to be informed about a drug's name, purpose, and receive clearly labeled medication containers, they do not have the right to choose the method of administration. This decision is typically made by healthcare professionals based on the patient's condition and medical needs.
5.
Which of these is not included in the "five rights" of medication administration?
Correct Answer
D. Right documentation
Explanation
The "five rights" of medication administration include the right patient, right medication, right dose, right route, and right time. Right documentation is not included in the "five rights" as it is not directly related to the actual administration of the medication. However, documentation is still an important aspect of medication administration to ensure accurate record-keeping and to provide a comprehensive history of the patient's medication use.
6.
What type of medication order states that a medication is to be administered immediately and only once?
Correct Answer
A. Stat
Explanation
A stat medication order indicates that a medication should be administered immediately and only once. This type of order is commonly used in emergency situations or when a medication needs to be administered urgently. It ensures that the medication is given without delay to address the immediate medical need of the patient.
7.
A provider can initiate a drug order in how many ways?
Correct Answer
B. Two
Explanation
A provider can initiate a drug order in two ways. This suggests that there are two different methods or processes through which a provider can request or initiate the ordering of a drug.
8.
Drug administration is controlled primarily by
Correct Answer
C. Federal law
Explanation
Drug administration is controlled primarily by federal law because the regulation and oversight of drugs, including their approval, manufacturing, labeling, and distribution, is primarily governed by federal agencies such as the Food and Drug Administration (FDA) in the United States. Federal laws establish the framework for drug regulation and ensure consistency and uniformity across states. State laws may also play a role in drug administration, but they generally operate within the boundaries set by federal law.
9.
What classification of drugs is not acceptable for medical use?
Correct Answer
A. Schedule I
Explanation
Schedule I drugs are classified as substances with a high potential for abuse and no accepted medical use. These drugs are considered the most dangerous and harmful, with a high risk of addiction and severe physical and psychological effects. They are strictly regulated and illegal to possess or distribute, even for medical purposes. Examples of Schedule I drugs include heroin, LSD, and marijuana (in some jurisdictions). Due to their potential for abuse and lack of medical benefits, Schedule I drugs are not acceptable for medical use.
10.
Narcotics, such as codeine, cocaine, and amphetamines, that have a high potential for abuse but have acceptable medical uses are classified as
Correct Answer
B. Schedule II
Explanation
Narcotics such as codeine, cocaine, and amphetamines have a high potential for abuse but also have acceptable medical uses. These substances are classified as schedule II drugs. This classification indicates that they have a high potential for abuse, can lead to severe psychological or physical dependence, and have a currently accepted medical use with severe restrictions. Schedule II drugs are considered to be less dangerous than schedule I drugs but still carry a significant risk for abuse and addiction.
11.
What law requires a periodic inventory of all controlled substances?
Correct Answer
C. Controlled Substance Act
Explanation
The Controlled Substance Act is the correct answer because it is a federal law that requires a periodic inventory of all controlled substances. This law was enacted to regulate the manufacturing, distribution, and dispensing of drugs that have the potential for abuse and dependence. The periodic inventory helps to ensure that these substances are properly accounted for and not being diverted or misused.
12.
Penicillin administered to treat an infection is an example of what category of drugs?
Correct Answer
D. Curative
Explanation
Penicillin is a type of antibiotic that is commonly used to treat bacterial infections. Antibiotics are designed to kill or inhibit the growth of bacteria, thus helping to cure the infection. Therefore, penicillin administered to treat an infection falls under the category of curative drugs, as it directly targets the cause of the illness and aims to eliminate it.
13.
The purpose of most drug therapy is to
Correct Answer
B. Maintain a constant level of drug in the body
Explanation
The purpose of most drug therapy is to maintain a constant level of drug in the body. This is important because a constant level of drug ensures that it remains effective in treating the condition it is prescribed for. If the drug level is too low, it may not have the desired therapeutic effect. On the other hand, if the drug level is too high, it can lead to toxicity and adverse side effects. Therefore, maintaining a constant level of drug in the body helps to achieve optimal therapeutic outcomes while minimizing potential harm.
14.
Why are oral medications that are taken before meals generally faster acting?
Correct Answer
D. Lower digestive system content
Explanation
Oral medications that are taken before meals are generally faster acting because there is lower digestive system content. When taken before meals, the stomach is relatively empty, allowing the medication to be quickly absorbed into the bloodstream. This results in faster onset of action compared to taking the medication after a meal, when the stomach is full and the medication may take longer to be absorbed and metabolized.
15.
Which statement is true regarding how ambient temperature can affect drug action?
Correct Answer
A. Warmer temperatures increase circulation and cause rapid drug action
Explanation
Warmer temperatures increase circulation and cause rapid drug action because heat causes blood vessels to dilate, allowing for increased blood flow. This increased circulation leads to a faster delivery of the drug to the target site, enhancing its action.
16.
Which of these is a common reference source for drugs?
Correct Answer
B. pHysician Desk Reference
Explanation
The Physician Desk Reference is a common reference source for drugs. It is a comprehensive guide that provides detailed information about prescription drugs, including their uses, dosages, side effects, and interactions. Healthcare professionals, such as physicians, rely on the Physician Desk Reference to make informed decisions about prescribing medications to their patients. It is considered a trusted and reliable source of drug information in the medical field.
17.
What publication contains a list of medications available form the MTF's pharmacy, recommended dispensing instructions, and administrative guidelines?
Correct Answer
B. Local facility formulary
Explanation
A local facility formulary is a publication that contains a list of medications available from the MTF's pharmacy, recommended dispensing instructions, and administrative guidelines. This formulary is specific to the local facility and provides healthcare professionals with information on which medications are stocked, how they should be dispensed, and any guidelines or protocols that need to be followed when prescribing or administering these medications. It serves as a valuable resource for healthcare providers to ensure safe and effective medication management within the MTF.
18.
An oily liquid used on the skin describes a type of medicaiton preparation called a
Correct Answer
D. Liniment
Explanation
A liniment is an oily liquid that is applied topically to the skin for medicinal purposes. It is commonly used to relieve pain or inflammation in muscles and joints. Liniments typically contain ingredients such as alcohol, oil, or other solvents, along with various herbs or chemicals that provide therapeutic effects. They are known for their ability to penetrate the skin quickly and provide localized relief. Liniments are often used in sports medicine or for treating conditions such as arthritis or sprains.
19.
What type of medication is used to prevent or correct irregular heart action?
Correct Answer
A. Antiarrhythmics
Explanation
Antiarrhythmics are a type of medication used to prevent or correct irregular heart action. These medications work by regulating the electrical signals in the heart, helping to restore a normal heart rhythm. They are commonly prescribed for individuals with conditions such as atrial fibrillation, ventricular tachycardia, or other arrhythmias. Antiemetics are medications used to prevent or treat nausea and vomiting, cathartics are used to promote bowel movements, and antacids are used to relieve symptoms of heartburn or acid reflux.
20.
What type of medication has cleansing action that produces watery evacuation of intestinal content
Correct Answer
C. Cathartics
Explanation
Cathartics are a type of medication that have a cleansing action on the intestines, causing watery evacuation of intestinal content. They are commonly used to treat constipation or to prepare the bowel for medical procedures. Antiarrhythmics are used to treat irregular heart rhythms, antiemetics are used to prevent or treat nausea and vomiting, and antacids are used to neutralize stomach acid.
21.
Which of these elements is not required on a medication order?
Correct Answer
A. Patient's age
Explanation
The patient's age is not required on a medication order. The other elements listed (patient's name, specified time, provider's signature) are all necessary for a medication order. The patient's name is needed to identify who the medication is for, the specified time is necessary to indicate when the medication should be taken, and the provider's signature is required to validate the order. However, the patient's age is not typically relevant or necessary for a medication order.
22.
Before administering any medication, you are responsible for all of the following except
Correct Answer
A. For ensuring A!C Jones is available for work the next day
Explanation
The correct answer is for ensuring A!C Jones is available for work the next day. This is because as a person responsible for administering medication, your primary concern should be the safety and well-being of the patient, not their work schedule. The other options mentioned are all essential responsibilities, such as performing all steps in the modified six medication rights, being knowledgeable about the side effects of the medication, and verifying any possible interactions with current medications.
23.
How many pounds are equal to 65kg?
Correct Answer
B. 143
Explanation
The correct answer is 143. To convert kilograms to pounds, you need to multiply the weight in kilograms by 2.2046. Therefore, to convert 65 kilograms to pounds, you would multiply 65 by 2.2046, which equals approximately 143 pounds.
24.
Dr. Young has ordered Mrs.Green to receive 5mg/kg of Ancef twice a day. Mrs. Green weighs 65kg. The medication Ancef is supplied in vials 50mg/mL. How many milligrams of medication will be given twice a day?
Correct Answer
B. 325
Explanation
Mrs. Green weighs 65kg and needs to receive 5mg/kg of Ancef twice a day. This means she needs a total of 65kg * 5mg/kg = 325mg of Ancef per day. Since she needs to receive this medication twice a day, the total amount of medication given will be 325mg * 2 = 650mg. Therefore, the correct answer is 325.
25.
LtCol McNamara ordered a single dose Phenergan 12.5 mg, to be administered intramuscular to A1C jones for nausea and vomiting. The Phenergan is supplied in 50mg/2mL pre-filled syringes. How many mL's would you administer?
Correct Answer
B. 0.50
Explanation
The Phenergan is supplied in 50mg/2mL pre-filled syringes. To administer a single dose of 12.5 mg, we need to calculate the corresponding volume. Using the ratio of 50mg/2mL, we can set up a proportion to find the volume needed: 50mg/2mL = 12.5mg/x mL. Cross-multiplying and solving for x, we get x = (12.5mg * 2mL) / 50mg = 0.5 mL. Therefore, you would administer 0.50 mL of Phenergan.
26.
Dr. Young has ordered Mrs. Green to receive 5mg/kg of Ancef twice a day. Mrs. Green weighs 65kg The medicaiton Ancef is supplied in vials of 50mg/mL. How many mL's of Ancef will be given for each dose?
Correct Answer
C. 6.5
Explanation
To calculate the number of mL of Ancef that will be given for each dose, we need to find the total amount of Ancef required for each dose. Mrs. Green weighs 65kg, and the dosage is 5mg/kg. So, the total amount of Ancef required for each dose is 5mg/kg * 65kg = 325mg. The medication is supplied in vials of 50mg/mL. To find the number of mL, we divide the total amount required by the concentration of the medication: 325mg / 50mg/mL = 6.5 mL. Therefore, 6.5 mL of Ancef will be given for each dose.
27.
Which one of these statements is true regarding subcutaneous injections?
Correct Answer
B. Only small amounts of a drug may be administered
Explanation
Subcutaneous injections involve administering small amounts of a drug. This is because subcutaneous injections are given just below the skin, into the fatty tissue. The fatty tissue has a limited capacity to absorb the drug, so only small amounts can be administered effectively. This route of administration is commonly used for medications such as insulin.
28.
The method of parenteral medication administration that involves injection a drug into a muscle is
Correct Answer
B. Intramuscular (IM)
Explanation
The correct answer is intramuscular (IM). This method of parenteral medication administration involves injecting a drug into a muscle. This route allows for the drug to be absorbed into the bloodstream at a slower rate compared to intravenous administration. It is commonly used for medications that need to be absorbed slowly or for drugs that are not suitable for oral administration.
29.
Where are the sub-cutaneous injections commonly administered?
Correct Answer
D. Upper arms
Explanation
Sub-cutaneous injections are commonly administered in the upper arms because this area has a good blood supply and a layer of subcutaneous fat that allows for the absorption of medication. Additionally, the upper arms are easily accessible and provide a large enough area for injection. The ventral surface of the forearm, lateral hip area, and posterior hand may not be ideal sites for sub-cutaneous injections due to various reasons such as limited blood supply or discomfort during injection.
30.
What method of administration delivers medication directly into a patient's digestive system?
Correct Answer
A. Oral
Explanation
The correct answer is Oral. Oral administration is a method of delivering medication directly into a patient's digestive system by taking it through the mouth. This can be in the form of tablets, capsules, or liquids that are swallowed and then absorbed into the bloodstream through the gastrointestinal tract. Buccal administration involves placing the medication between the cheek and gum, inhalation administration involves inhaling the medication into the lungs, and sublingual administration involves placing the medication under the tongue. However, these methods do not deliver the medication directly into the digestive system as the oral method does.
31.
To prevent contamination and accidental spills, liquid medications being administered to inpatients are usually poured at what location?
Correct Answer
D. At the patient's bedside
Explanation
Liquid medications are usually poured at the patient's bedside to prevent contamination and accidental spills. This ensures that the medication is administered directly to the patient without any risk of contamination or spillage during transportation from the pharmacy or work station to the patient's location. Pouring the medication at the patient's bedside also allows for accurate dosage measurement and immediate administration, providing timely and efficient healthcare to the patient.
32.
Which of these statements is a disadvantage of inhalation medication?
Correct Answer
C. Monitoring the precise amount of drug administration is difficult
Explanation
Monitoring the precise amount of drug administration is difficult is a disadvantage of inhalation medication because it can be challenging to accurately measure the exact dosage of medication that is being delivered to the patient's lungs. Unlike other forms of medication where the dosage can be easily measured and controlled, inhalation medication can be more variable and less precise. This can lead to potential under or over-dosing, which may not provide the desired therapeutic effect or could result in adverse effects.
33.
Which statement is proper procedure for administering inhalations into the respiratory tract of a patient.
Correct Answer
C. Assess patient's vital signs before, during, and after therapy
Explanation
The proper procedure for administering inhalations into the respiratory tract of a patient is to assess the patient's vital signs before, during, and after therapy. This is important to monitor the patient's response to the therapy and ensure their safety. By assessing vital signs, healthcare providers can identify any potential complications or adverse reactions and take appropriate actions. It allows for timely intervention and ensures the patient's well-being throughout the therapy.
34.
Into what body cavity are otic medications administered?
Correct Answer
A. External auditory canal
Explanation
Otic medications are administered into the external auditory canal. The external auditory canal is the tube-like structure that connects the outer ear to the middle ear. It is the pathway through which sound waves travel to reach the eardrum. By administering otic medications directly into the external auditory canal, they can easily reach the affected area of the ear and provide targeted treatment.
35.
To administer ear drops in a patient under 3 years of age, you gently pull the earlobe
Correct Answer
A. Down to straighten the canal
Explanation
To administer ear drops in a patient under 3 years of age, gently pulling the earlobe down helps to straighten the canal. This allows for easier access to the ear canal and facilitates the proper administration of the ear drops. By straightening the canal, the drops can reach the affected area more effectively, ensuring that the medication is delivered properly and increasing its efficacy.
36.
When administering a vaginal douche, how high above the patient's vagina do you hang the bag
Correct Answer
C. 12 to 18 inches
Explanation
When administering a vaginal douche, the bag should be hung 12 to 18 inches above the patient's vagina. This height allows for a gentle flow of the solution into the vagina without causing discomfort or excessive pressure. Hanging the bag too low may result in a slow or insufficient flow, while hanging it too high may cause discomfort or even injury to the patient. Therefore, the recommended height range of 12 to 18 inches ensures a safe and effective administration of the vaginal douche.
37.
Which of the following medications' primary action is pain relief?
Correct Answer
B. Analgesics, sedatives and hypnotics
Explanation
The primary action of analgesics is pain relief. Sedatives and hypnotics are medications that promote relaxation and induce sleep. Therefore, all three medications listed in the answer (analgesics, sedatives, and hypnotics) have pain relief as their primary action.
38.
Opioids are contraindicated with
Correct Answer
C. Head injury treatment
Explanation
Opioids are contraindicated with head injury treatment because they can mask the symptoms of a head injury and make it difficult to accurately assess the patient's condition. Head injuries can be serious and potentially life-threatening, so it is important to closely monitor the patient's neurological status and any changes in their level of consciousness. Opioids can also depress the respiratory system, which can be dangerous for someone with a head injury. Therefore, it is best to avoid using opioids in the treatment of head injuries.
39.
Anti-inflammatory actions are associated with
Correct Answer
A. Preventing the formation of prostaglandins
Explanation
Anti-inflammatory actions are associated with preventing the formation of prostaglandins. Prostaglandins are hormone-like substances that play a role in inflammation, pain, and fever. By inhibiting the production of prostaglandins, anti-inflammatory medications can help reduce inflammation and pain. This can be beneficial in treating conditions such as arthritis, where excessive inflammation is present. By preventing the formation of prostaglandins, anti-inflammatory actions can help alleviate symptoms and promote healing.
40.
Which of the following medications are used primarily for analgesic actions in the treatment of arthritis?
Correct Answer
A. AcetaminopHen
Explanation
Acetaminophen is primarily used for analgesic actions in the treatment of arthritis. It is a commonly used medication for pain relief and fever reduction. Although it is not a nonsteroidal anti-inflammatory drug (NSAID) like salicylates, it can help alleviate pain associated with arthritis. Potassium is not used as a medication for arthritis, and while tramadol can be used for pain relief, it is not typically the first-line choice for arthritis treatment.
41.
Which statement is not true of the non-streroidal anti-inflammatory drugs?
Correct Answer
B. Raises prostaglandin levels
Explanation
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to alleviate pain and inflammation in conditions like arthritis. However, the statement that NSAIDs raise prostaglandin levels is not true. In fact, NSAIDs work by inhibiting the enzyme cyclooxygenase (COX), which is responsible for the production of prostaglandins. By blocking this enzyme, NSAIDs reduce the production of prostaglandins, resulting in decreased pain and inflammation. Therefore, the correct answer is that NSAIDs do not raise prostaglandin levels.
42.
Contraindications of nonsteroidal anti-inflammatory drugs include all of the following except
Correct Answer
A. When taken with dairy
Explanation
The contraindications of nonsteroidal anti-inflammatory drugs (NSAIDs) include patients with asthma, patients taking anticoagulants, and patients undergoing elective surgery. However, there is no contraindication specifically related to taking NSAIDs with dairy products.
43.
Which of the following central nervous system stimulants obtained over the counter, is frequently taken in prolonged high doses producing habituation and psychological dependence?
Correct Answer
C. Caffeine
Explanation
Caffeine is a central nervous system stimulant that is commonly obtained over the counter. It is frequently taken in prolonged high doses, which can lead to habituation and psychological dependence. Caffeine is found in various beverages and foods, such as coffee, tea, energy drinks, and chocolate. It stimulates the central nervous system, increasing alertness and reducing fatigue. However, excessive and prolonged use of caffeine can result in tolerance, where higher doses are needed to achieve the same effects, and psychological dependence, where individuals feel the need to consume caffeine regularly to function normally.
44.
All of the following are contraindications of central nervous system stimulants except
Correct Answer
B. Irritability
Explanation
Central nervous system (CNS) stimulants are typically used to treat conditions such as attention deficit hyperactivity disorder (ADHD) and narcolepsy. They work by increasing alertness and attention. Contraindications are factors that make the use of a particular medication or treatment unsafe or inadvisable. Alcoholism, drug dependency, and eating disorders are all contraindications of CNS stimulants because these conditions can worsen with the use of stimulant medications. However, irritability is not typically considered a contraindication for CNS stimulants. In fact, CNS stimulants may help improve irritability by increasing focus and attention.
45.
Selective serotonin reuptake inhibitors (SSRIs) selectively block the reabsorption of which chemical neurotransmitter?
Correct Answer
D. Serotonin
Explanation
SSRIs selectively block the reabsorption of serotonin. Serotonin is a chemical neurotransmitter that plays a crucial role in regulating mood, emotions, and sleep. By blocking the reabsorption of serotonin, SSRIs increase the levels of serotonin in the brain, which can help alleviate symptoms of depression and anxiety. This selective action on serotonin sets SSRIs apart from other neurotransmitters like norepinephrine, adrenaline, and dopamine, which are not directly affected by SSRIs.
46.
Side effects of tricyclics include all of the following except
Correct Answer
B. Pupil constriction
Explanation
Tricyclic antidepressants are known to cause various side effects, including urinary retention, cardiac arrhythmias, and postural hypotension. However, pupil constriction is not typically associated with the use of tricyclics. Pupil constriction, also known as miosis, is more commonly seen as a side effect of opioids or certain other medications. Therefore, the correct answer is pupil constriction.
47.
Antianxiety medications are prescribed for
Correct Answer
D. The treat of insomnia
Explanation
Antianxiety medications are prescribed for the treatment of insomnia. These medications help to reduce anxiety and promote relaxation, which can aid in falling asleep and staying asleep. Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or both. It can be caused by various factors, including anxiety and stress. Antianxiety medications can help to alleviate these symptoms and improve sleep quality for individuals suffering from insomnia.
48.
Antipsychotic medications are categorized as
Correct Answer
B. Major tranquilizers
Explanation
Antipsychotic medications are categorized as major tranquilizers because they are primarily used to treat severe mental disorders such as schizophrenia and bipolar disorder. These medications work by blocking certain neurotransmitters in the brain, helping to reduce hallucinations, delusions, and other psychotic symptoms. The term "major tranquilizers" is often used to describe these medications due to their calming effect on individuals experiencing psychosis.
49.
Which medication potentiates the effects of analgesics when combined with antipsychotics?
Correct Answer
A. pHenergan
Explanation
Phenergan is the correct answer because it is a medication that belongs to the class of antihistamines and has sedative properties. When combined with antipsychotics, Phenergan can enhance the analgesic effects of the pain medications. This combination is often used to manage pain in patients who are also receiving antipsychotic treatment. Tylenol, Haldol, and Zoloft do not have the same potentiating effect on analgesics when combined with antipsychotics.
50.
The effects of cardiac glycosides to
Correct Answer
D. Strengthen the heartbeat
Explanation
Cardiac glycosides are a class of medications that are known to strengthen the heartbeat. They work by inhibiting the sodium-potassium pump, which leads to an increase in intracellular calcium levels. This increase in calcium enhances the contractility of the heart muscle, resulting in a stronger and more efficient heartbeat. The other options mentioned in the question, such as slowing vasodilation, increasing respirations, and lowering blood pressure, are not effects typically associated with cardiac glycosides.