1.Easy
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- APassive immunity
- BHerd immunity
- CActive immunity
- DInnate immunity
2.Easy
What does "PRN" mean on a medication order?
- AImmediately, once only
- BAs needed
- CBefore meals
- DEvery morning
3.Easy
Why is low-dose aspirin given to some people with heart disease?
- ATo reduce platelet aggregation and prevent clots
- BTo slow the heart rate
- CTo lower blood cholesterol levels and stabilise plaques
- DTo relieve chest pain immediately
4.Medium
Which group of effects would the nurse expect after a dose of an anticholinergic drug such as atropine?
- ABronchial secretions, wheeze and tearing of the eyes
- BDiarrhoea, frequent urination and sweating
- CHeavy salivation, slow heart rate and small pupils
- DDry mouth, faster heart rate and dilated pupils
5.Medium
A patient uses two different eye drops at the same time of day. What should the nurse advise?
- AUse only one of them each day
- BPut both drops in at exactly the same moment
- CWait at least 5 minutes between the two drops
- DMix the drops in one bottle first
6.Medium
A man takes finasteride. What should be explained about handling the tablets?
- AAnyone can handle the tablets, as they contain no active drug
- BThe tablets must be stored in the fridge
- CThe tablets must be crushed before swallowing
- DPregnant women should not handle crushed or broken tablets
7.Hard
For a drug with first-order elimination, doubling the dose (without changing the interval) will:
- AHalve the time to reach steady state
- BDouble the steady-state level but not change the time to reach steady state
- CLeave the steady-state level unchanged but halve the time needed to reach it
- DDouble the half-life
8.Hard
A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?
- AThe INR stays the same, as these drugs do not interact
- BThe INR rises, so closer INR monitoring is needed
- CThe INR falls, so the risk of clotting increases
- DMetronidazole replaces warfarin, so warfarin is stopped
Answer key
- 1. A · Passive immunity
- 2. B · As needed
- 3. A · To reduce platelet aggregation and prevent clots
- 4. D · Dry mouth, faster heart rate and dilated pupils
- 5. C · Wait at least 5 minutes between the two drops
- 6. D · Pregnant women should not handle crushed or broken tablets
- 7. B · Double the steady-state level but not change the time to reach steady state
- 8. B · The INR rises, so closer INR monitoring is needed
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