All Free Nursing Pharmacology MCQs with Answers

Every Nursing Pharmacology question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.

450 questions · page 23 of 23

  • A. Reaches the systemic circulation unchanged
  • B. Binds to plasma proteins in the blood
  • C. Is removed from the body by the kidneys
  • D. Produces the maximum therapeutic response

Explanation: Bioavailability is the fraction of an administered dose that reaches systemic circulation in an active form.

Correct answer: Reaches the systemic circulation unchanged
  • A. To reach the therapeutic concentration quickly
  • B. To prevent all adverse drug reactions
  • C. To replace a missed dose from yesterday
  • D. To maintain the concentration for several weeks

Explanation: A loading dose is larger than the usual maintenance dose and helps achieve a therapeutic blood concentration rapidly.

Correct answer: To reach the therapeutic concentration quickly
Very hard
  • A. The drug enters the blood for the first time
  • B. The average drug input equals the average drug elimination
  • C. The drug is completely removed after every dose
  • D. The patient develops an immediate allergic reaction

Explanation: Steady state occurs when the average rate of drug administration equals the average rate of elimination.

Correct answer: The average drug input equals the average drug elimination
Hard
  • A. A lower blood level of the first medicine
  • B. A higher blood level of the first medicine
  • C. A faster renal excretion of the first medicine
  • D. A complete loss of absorption of the first medicine

Explanation: Enzyme inhibition slows the metabolism of the affected medicine, so its blood concentration may rise and toxicity may occur.

Correct answer: A higher blood level of the first medicine
  • A. Administer the tablet kept in the patient's drawer
  • B. Ask the patient which tablet is usually taken
  • C. Withhold the dose and clarify the order
  • D. Give half a tablet to reduce possible harm

Explanation: An incomplete medication order must be clarified before administration because the drug and strength cannot be verified safely.

Correct answer: Withhold the dose and clarify the order
Moderate
  • A. Prepare both medicines beside the patients
  • B. Verify the medicine against the order and patient identifiers
  • C. Choose the medicine with the shorter name
  • D. Ask another patient to identify the package

Explanation: The nurse should compare the medicine with the prescription and verify the correct patient using approved identifiers before…

Correct answer: Verify the medicine against the order and patient identifiers
  • A. Repeat the dose immediately
  • B. Record the dose as fully absorbed
  • C. Assess the vomit and notify the prescriber or pharmacist
  • D. Skip every dose scheduled for the next day

Explanation: The nurse should assess whether the medicine is visible in the vomit and seek guidance before repeating the dose.

Correct answer: Assess the vomit and notify the prescriber or pharmacist
  • A. Take every dose together at bedtime
  • B. Take doses at evenly spaced times as prescribed
  • C. Take the medicine only when symptoms become severe
  • D. Double the next dose whenever one dose is late

Explanation: Evenly spaced doses help maintain the medicine within its intended therapeutic range.

Correct answer: Take doses at evenly spaced times as prescribed
Moderate
  • A. All patients absorb and eliminate medicines identically
  • B. Age, organ function and genetics can alter drug response
  • C. Drug effects depend only on the colour of the tablet
  • D. A medicine always has the same effect at every dose

Explanation: Age, liver and kidney function, genetics, nutrition and other medicines can change drug absorption, metabolism, elimination and response.

Correct answer: Age, organ function and genetics can alter drug response
Very hard
  • A. Peak concentration
  • B. Trough concentration
  • C. Loading concentration
  • D. Therapeutic response

Explanation: A trough concentration is the lowest drug level in the blood and is measured just before the next dose.

Correct answer: Trough concentration