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Nrsg 131: Pharmacology I Question Paper
Nrsg 131: Pharmacology I
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
FACULTY : SCHOOL OF HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 131
UNIT TITLE : PHARMACOLOGY I
TIME : 3 HOURS
Instructions:
Attempt all questions in all the three parts
PART A: Choose one single best answer in the provided options in each
question (50mks)
Question one
The nurse is administering amoxicillin 500mg to a patient with an infection. Which of the following nursing actions is indicated in this situation?
Give the drug with a full glass of water with meals
Administer the drug with meals
Give the drug on an empty stomach with a full glass of water
Give the drug with a fatty meal to aid absorption
None of the above
Question Two
Which of the following statements best describes bioavailability
Relation between the physical and chemical properties of a drug and its systemic absorption Movement of a drug into the body tissue over time
Dissolution of the drug in the gastro-intestinal tract
Amount of a drug destroyed before systemic absorption form the intestinal tract occurs
Measurement of the rate and amount of therapeutically active drug that reaches systemic circulations.
Dissolution of the drug in the gastro intestinal tract
Question Three
Disadvantages of a systematic drug administration by rectal suppositories include
Unpredictable drug release and absorption
Avoidance of first pass effect
Suitability when the oral route is not feasible
Fast absorption compared to the oral route
Local irritation of the site of administration
Question Four
The route of drug administration that has the least onset of the pharmacologic effect is
Intravenous
Intramuscular
Intradermal
Subcutaneous
Oral administration
Question Five
Which of the following does not describe pharamocokinetics
Drug absorption
Drug distribution
Drug metabolism
Drug elimination
Drug activity
Question Six
Pharmacodynamics is best described as
Movement of a drug across body membranes
Drug distribution
Pharmacokinetics to the drug
None of the above
Question Seven
Which of the following may lead to a need to adjust medication dose in children
Increased rate of drug metabolism in the body
Increased rate of drug absorption
Increased total body fluid proportionate to body mass
Increased rate of drug absorption
All of the above correct
Question Eight
Physiological factors affecting drug absorption include all the following except
Weight
Age
A gender
Height
All the above
Question Nine
Saw palmetto, phytomedicine, is believed to receive the following medical conditions
Prostate cancer
Benign prostate hyperplasia (BPH)
Urinary tract infection
All the above
Question Ten
Haw Thorne, a dietary supplement. is recommended for relief of the conditions:
Cerebral deficiency
Dementia
Mild depression
Mild hypertension
Mild anaemia
Question Eleven
The nurse world recommend ginger to treat which of the following complaints by the patients
Fatigue
Cold and flue symptoms
Constipation
Nausea and vomiting
Diarrhea
Question Twelve
Which of the following laws of Kenya controls prescribing of drugs for human use?
Chap 220 of the laws of Kenya
Chap 230 of the laws of Kenya
Chap 244 of the laws of Kenya
Chap 245 of the laws of Kenya
Chap 255 of the laws of Kenya
Question Thirteen
The narcotics and psychotropic substances act regulates which of the following substances
Pain killers
Opiates
Oral contraceptives
Cough syrups
Question Fourteen
A brand medicine is
Imitation medicine
Trade mark medicine
Patent medicine
A generic medicine
A counterfeit medicine
Question Fifteen
All medicines in use in Kenya must be
Registered by Kenya medical association
registered by pharmaceutical society of Kenya
Registered by nursing council of Kenya
Registered by the pharmacy and poisons board
Registered by ministry of medical services
Question Sixteen
Alternative medicine herbal products are
A defined as medicines
Can make therapeutic substitutes
Are defined as dietary supplements
Are safe and side effect free
Are not regulated in Kenya
Question Seventeen
Which of the following would be appropriate client education concerning herbal products
They are not effective for acute illness
They take longer to work
Client should obtain complete history and physical examination before starting
One herb at a time is recommended
All the above
Question Eighteen
Essential medicines
Are meant to be used in dispensaries and health centres
Are drug that must be in all public health facilities all the time
They address the medicinal needs of the most of the citizens
Are drugs recommended by the World Health Organizations
Question Nineteen
The sublingual route of drug administration
Is suitable for drugs that are not absorbed from the lungs
They bypass the first pass effect of some drugs
Has poor abscription
Limits the bioavailability
Is no longer in use
Question Twenty
Which of the following classes indicate a drug potential for actual teratognic or adverse effects on the foetus
Category A
Category B
Category c
Category D
Category X
PART II: (50mks)
Question Twenty One
Explain the differences between trade name and generic names (5mks)
Question Twenty Two
Differentiate between prescription only and general sales medicines (5mks)
Question Twenty Three
Explain what you understand by essential medicines (5mks)
Question Twenty Four
Explain what you understand by a formalary (5mks)
Question Twenty Five
What are the components of a pharmacokinetic profile of a drug (5mks)
Question Twenty Six
Indicate the implications of using medicines in lactating women (5mks)
Question Twenty Seven
What are five therapeutic advantages of herbal medicines (2mks)
Question Twenty Eight
List five different dosage forms of medications (5mks)
Question Twenty Nine
Explain why we would hesitate to use a medicines in pregnant women
Question Thirty
List two diseased that can influence the body’s response to a drug (5mks)
PART III (30mks)
Question Thirty One
Explain how a nurse plays a major role in the prevention of drug injury (10mks)
Question Thirty Two
List the five main pharmacological classification system of drugs (10mks)
Question Thirty Three
Discuss any five route of drug administration (16mks)
Question Thirty Four
Discuss the five nurses’ role and responsibilities regarding medication therapy
(10mks)
Question Thirty five
Outline the A, B and C of acute poisoning
(5mks)
Outline the five main classes of anti-infectives
(5mks)
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