1.Easy
What does pharmacokinetics describe?
- AHow the price of a drug is set
- BWhat the body does to a drug: absorption, distribution, metabolism and excretion
- CHow drugs are manufactured and packaged
- DWhat a drug does to the body: its effects, receptors and mechanisms of action
2.Easy
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- AAcetylcysteine
- BVitamin K
- CFlumazenil
- DNaloxone
3.Easy
Why should a full course of some antibiotics be completed as prescribed?
- ATo reduce the chance that surviving bacteria cause relapse or resistance
- BTo prevent the antibiotic from damaging the liver
- CTo make the antibiotic taste better over time
- DBecause the body needs several days to learn to produce the antibiotic itself
4.Medium
A parent will give a liquid medicine to a child at home. Which advice is safest?
- AMix the dose into a full bottle of milk
- BUse the oral syringe or measuring cup supplied with it
- CUse any kitchen teaspoon
- DEstimate the dose by pouring the liquid into a small cup
5.Medium
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
- AEat spicy and acidic foods to stimulate healing
- BUse an alcohol-based mouthwash several times a day to kill germs
- CBrush hard with a firm toothbrush to remove debris
- DUse a soft toothbrush and rinse with saline or a bland mouthwash
6.Medium
A patient takes cholestyramine. How should other oral medicines be timed?
- AMix them into the cholestyramine drink so they are taken together
- BTake them 1 hour before or several hours after cholestyramine
- CTiming does not matter, as cholestyramine is not absorbed
- DTake them all at the same time as cholestyramine
7.Hard
A ventilated ICU patient receives vecuronium, a neuromuscular blocker. Why must sedation and pain relief also be given?
- ASedatives are needed to prevent vecuronium from causing seizures and agitation
- BNeuromuscular blockers paralyse muscles but do not cause sedation or analgesia
- CVecuronium stops working unless a sedative is also given
- DVecuronium causes severe pain at the injection site
8.Hard
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
- AIncrease the rate to improve blood flow to the area
- BStop the infusion at that site and follow the extravasation protocol
- CApply heat and massage the area, then continue the infusion
- DLeave the infusion running and recheck in 4 hours
Answer key
- 1. B · What the body does to a drug: absorption, distribution, metabolism and excretion
- 2. A · Acetylcysteine
- 3. A · To reduce the chance that surviving bacteria cause relapse or resistance
- 4. B · Use the oral syringe or measuring cup supplied with it
- 5. D · Use a soft toothbrush and rinse with saline or a bland mouthwash
- 6. B · Take them 1 hour before or several hours after cholestyramine
- 7. B · Neuromuscular blockers paralyse muscles but do not cause sedation or analgesia
- 8. B · Stop the infusion at that site and follow the extravasation protocol
Full step-by-step solutions: practise this topic on examproblems.com.