Pharm
Herbal and Pharmaceutical Knowledge Quiz
Welcome to the Herbal and Pharmaceutical Knowledge Quiz! Test your understanding of dietary supplements, herbal remedies, and the implications of integrating these with pharmaceutical treatments. This quiz is designed for healthcare professionals, students, or anyone interested in expanding their knowledge in the field of pharmacology.
- 49 questions covering various topics
- Multiple choice and checkbox formats
- Evaluate your understanding of interactions and side effects
1) If you are planning to teach patients about the difference between herbal preparations and prescription medications, of these responses which one describes the best plan?
A) Herbs, like prescription drugs, usually only contain one active ingredient
B) The active ingredient is in herbs unlike prescription drugs may be present in just one part or many parts
c) Most herbs like prescription drugs are regulated and standardized by the FDA
D) The herbs are safer than prescription drugs are natural
2) Patient tells the nurse that he has been taking herbal preparation to boost the immune system function. He doesn’t know the name of the preparations. What is the best assessment question for you to ask?
a) Would like please tell the doctor about your herb during your next visit?
b) Would you like to please ask your spouse to discuss this with me during the next visit?
C) Would you please ask your spouse to call the hospital pharmacist by the name?
D) Would you please have your spouse bring the bottles to the hospital?
3) You are teaching a class about dietary supplements and determine that learning has occurred when a patient says this statement. Which statement shows education has occurred?
A) Dietary supplements must go to rigorous tastings before being marketed
B) The FDA is involved with the approval of the dietary supplement and cannot remove them from the market
C) The manufacturer of the dietary supplement has approval for the safety of the supplement
D) Products can make claims about body structure and function like promote the health of the urinary track
4) A patient is using “Ginkgo Biloba” to enhance memory function, but he hasn’t talked to the nurse about herbs. The provider ordered warfarin for the patient, what finding may you find on. assessment?
a) Sweating, dizziness, headache, and agitation
B) A blood glucose of 56
C) An international normalized ratio (INR) of 3
D) Petechiae and bleeding from gums
5) Have a patient in the senior citizen center that asks you do a presentation about the herbal preps. What information do you include in the best plan?
A) Herbal preparations are safe if you carefully read the label
B) As long as the herbal preparations has been tested in a clinical setting, they are safe
C) Herbal preparations are drugs, and you must be careful with them
6) The older adult asks the nurse how dietary supplements will help support health. What is the best response?
A) Chromium will help you achieve and maintain optimal weight
B) Dietary supplements will help support and maintain hydration
C) Soy Isoflavones will help prevent Alzheimer disease
D) Fish oil will help to enhance your brain function
7) A client says, “I’m convinced that my body interventions are improving my health”. What question may you be asking about complementary and alternative therapies? (Multiple choice)
A) Yoga
B) Massage
C) Herbal therapy
D) Dance
E) Biofeedback
8) Patient has a heart rate of 72 beats with a regular rhythm, how do you interpret this in relation to the peripheral nervous system (PNS)? (Multiple choice)
A) The sympathetic nervous system is in control
B) The parasympathetic system is dominating
C) Both the sympathetic and parasympathetic systems are influencing cardiac status
D) Autonomic nervous system is affecting the cardiac status
E) The somatic nervous system is affecting the cardiac status
9) What is the adrenergic receptor associated with the sympathetic nervous system?
A) Dopamine
B) Muscarinic
C) Norepinephrine
D) Beta (alpha and beta)
10) You got a patient receiving glycopyrrolate () which is an anticholinergic drug, the patient asks you why they need to take this drug. Which of the following will you answer?
A) It will increase your urinary output during surgery
B) It will help you breathe better during surgery
C) It will help to maintain your blood pressure during surgery
D) It will help decrease your respiratory secretion during surgery (to prevent aspiration)
11) You are giving medication to a group of patients, one of the medications is atropine an anticholinergic drug, it is contraindicated in which of the following?
A) Glaucoma
B) Lung cancer
C) Hyperthyroidism
D) Hypothermia
12) A student is asking you as a nurse instructor if a medication makes more neurotransmitters. What would you say?
A) No, the medication can only increase or decrease the action of the neurotransmitters. They do not create them.
13) You have a patient who is given anticholinergic drugs. What kind of discharge instructions should You give them? (Multiple choice)
A) Wear sunglasses in bright light (anticholinergic cause photosensi
B) Limited fluid intake (actually, you should increase the fluid intake)
C) Increase fiber intake (yes because anticholinergic can cause constipation)
D) Avoiding hot shower (anticholinergics reduce the ability to sweat)
E) Avoid milk and dietary products
14) The nurse is working with the student nurse; the nurse is explaining when a patient would experience if adrenergic receptors were activated. What do you going to say about adrenergic receptors?
A) Rest the digest
B) Increase blood volume
C) Bronchiole constriction
D) Fight or flight defense
15) The patient is receiving methyldopa (Aldomet) when the patient made the statements such as which of the following, it will tell you whether the patient is experiencing side effects.
A) Would you check my pupils I can’t see very well at all
B) I’m thirsty could you give me another glass of water
C) Adrenergic drugs mimic the effect of the adrenergic system resulting in anxiety and restlessness
d) Adrenergic drugs increase the alertness so the patients would not be sleepy
16) You got a patient receiving atenolol. Which of these statements indicated that the patient understands?
a) If I have any side effects, I will stop the medication
B) I can’t take this drug if I develop glaucoma
C) I can’t take my morning coffee
D) I need to take my pulse every day
17) You are providing teaching about the use of auto-injection of epinephrine. Which of these statements indicate further teaching is required.
a) I will use my injection immediately if I think I’m having an allergic reaction
B) I make sure that I have my auto injection available at all time
c) I will notify my health provider after I inject my epinephrine
D) I will call 911 before I inject my epinephrine
18) A patient has been prescribed phenylephrine for nasal congestion, what information about the adverse effects should the nurse provide at discharge teaching? (Multiple drugs)
A) The drug can cause stinging or burning in your nose
B) You notice that your nasal secretion takes on a slightly orange tint
c) You may feel that your blood pressure is low for the first few times you use the spray
d) Rebound congestion may occur that the prescription can be used for a more than a 3 to 5 days
E) There is herbal-drug interaction with this drug
19) You have a patient prescribed with adrenergic blocker for hypertension. What information should you give? (Multiple choice)
a) Rise from the sitting position slowly
b) Site to the side of the bed for a few moments before you stand
C) If you feel dizzy add more salt to your diet
d) If you feel dizzy sit lie down until the dizziness passed
e) Dizziness is expected so you can continue your daily activities
20) You should classify which sympathomimetic as binding to activated adrenergic receptors? (Multiple choice)
A) Epinephrine
B) Dopamine
C) Amphetamine
D) Cocaine
E) Ephedrine
21) You suspect your patient has received too much phenylephrine, which of these finding support your decision? (Multiple choice)
a) The heart rate has increased from 72 to 114
B) The patient reports feeling anxious
c) The client’s BP has increased from 140/86 to 180/98
D) The client stool is dark and tarry
e) The client reports burning at the injection site
22) The nurse is prepared to provide client education on degenerative diseases of the central nervous system. What information should you include? (Multiple choice)
A) Amyotrophic lateral sclerosis (ALS)
B) Multiple sclerosis
C) Alzheimer’s disease
D) Myasthenia gravis
E) Parkinson's disease
23) What should you include in the plan of care for the patient with Parkinson’s?
a) Monitoring them for their ability to chew and swallow
B) Checking the peripheral circulation for thrombosis
C) Monitor them for psychotic’s symptoms
d) Limit exercise to decrease the possibility of fracture
24) A patient with Parkinson’s is prescribed carbidopa (Sinemet). What information should you provide for them?
a) Take it on an empty stomach (absorb better)
B) Take it with meals
c) Avoid taking caffeine beverages
D) Take it with the protein foods
25) You are providing education for the family members of a patient with Alzheimer’s disease, what do you think should be included in the discussion?
a) The prescription may help with the symptoms for a little while
b) The prescription may have serious side effects if is used for a long time
C) The symptoms will improve if the prescription is taken regularly
D) Symptoms will be improving in a few days
26) In Parkinson’s treatment, what is the action of pharmacotherapy?
a) Does it increase the amount of dopamine and reduce the amount of acetylcholine
b) Does it increase the amount of dopamine and the acetylcholine
c) Does it reduce the amount of dopamine and increase the acetylcholine
D) Does it reduce the amount of dopamine and the acetylcholine
27) What prescription would you anticipate will most likely be prescribed for a patient with Alzheimer’s disease?
A) Levodopa
B) Allopurinol
C) Anson-tropine
D) Donepezil (Aricept)
28) You are preparing education for a caregiver of a patient with Alzheimer’s disease. What information should you include?
a) Pharmacologic therapy is given to help improve memory
b) Chronic inflammation of the brain can be a caused effect for the condition
C) Memory difficulties are early symptoms of the disease
d) Depression and aggressive are common behaviors of the disease
e) Glycinergic inhibitors are the most common class a drug to treatment Alzheimer disease
29) Which information should you include in the education of body movement for a patient with a neuromuscular disorder? (Multiple choice)
a) Body movement depend on the intact spinal cord
b) Body movement depend on proper functioning of the muscles
C) Body movement depends on intact nerves
d) Body movement depends on the proper endocrine functioning
30) We have a patient experiencing muscle discomfort from weightlifting. What do you think you should anticipate include to the treatment?
B) Baclofen
C) Clonazepam
D) Ibuprofen
E) Clonidine
31) You are creating a plan of care for a patient prescribed cyclobenzaprine (Amrix) experiencing muscles spasms. What would you expect?
A) Stabilize vital signs
B) Improve self-concept
C) Uninterrupted sleep
D) Increase bladder tone
32) The patient asks the nurse how the skeletal muscle relaxer works. What would you say?
A) They inhibited the upper motor neuron activity within the central nervous system
B) They stimulate the peripheral nervous system
C) They increase the amount of neurotransmitters
d) They stimulate motor activity in the brain stem
33) Which common adverse effect of cyclobenzaprine (Amrix) should you include in the education of the client?
A) Alopecia
B) Fungus swelling
C) Drowsiness
d) Hypotension
34) You are prepared to discharge an older adult prescribed cyclobenzaprine (muscle relaxer) three times a day the prescription was written for 90 tables with three refills available. What do you think you should see that requires collaboration with the health provider? (Multiple choice)
A) The dose amount is too low for the type of injury
b) Cyclobenzaprine must be used with caution on patients older than age 65
C) If taken as directed, the patient will be able to take the medication for 120 days (not recommended for more than 3 weeks)
d) Effective for back pain due to spinal cord injury
E) The drug may be taken with food
35) You are suspecting that a client is developing malignant hyperthermia. What is the priority nurse intervention?
a) Administer dantrolene IV
b) Controlling associated symptoms
c) Discontinuing the triggering prescription
d) Rapidly assess for supporting signs and symptoms
36) You are teaching students about the endocrine system, and you are evaluating that learning has occurred when from which statement? (Multiple choice)
A) The hypothalamus secrets releasing hormones
b) The hypothalamus is considered the master gland (no, is the pituitary)
c) The pituitary gland secrets Thyroid-stimulating hormone (TSH)
D) The endocrine system is the major controller of homeostasis
37) You are providing education for a patient prescribed Desmopressin (DDAVP, Noctiva, Estimate) a synthetic for human ADH. Which of these statements indicates patient understanding?
a) This medication is a vasodilator
B) The medication promotes diaresis in my body
c) This medication increases the water reabsorption on my kidneys
d) The medication suppresses the hormone secreted from my pituitary gland
38) Which of the following is an anticipating assessment for a patient with crushing’s syndrome?
a) Increased urinary output
B) Hyperglycemia
C) Hypernatremia
40) Talking about levothyroxine education or Synthroid. What should you include in the teaching?
a) Monitoring the temperature every day
B) Monitor for decreased appetize
c) Assessing weekly serum blood levels
D) Assess for altered sleep patterns
41) The nurse is providing education for a patient prescribed glucocorticoid Therapy. Which statement indicates further teaching is required?
a) I can take the medication at the same time every day as long as I don’t forget it
B) Monitor their blood sugar
c) I’ll be on a diet high in protein
d) I should take my medication after eating
42) What describes the function of the thyroid gland?
A) Stimulating growth
b) Controlling pituitary secretions
C) Conserve the water in the body
D) Controlling basal metabolism.
43) Which information should you include to educate a patient with diabetes mellitus type I?
A) The exocrine function of the pancreas is not working
b) The target cells are resistance to insulin (type II diabetes)
C) Your alfa cells should be able to secret insulin, but they can’t (insulin is secreted by the beta cells)
d) The pancreas can’t secret insulin
44) A physician writes order to a patient with diabetes mellitus, which of these orders should you clarify with the physician?
a) Lantus insulin 20 units twice a day (Lantus can last up to 24 hrs.)
B) Administer regular insulin 30 minutes prior a meals
c) 5 units of homoeotic 10 units daily
d) Metformin 1000 mg per day in divided doses
45) You find a patient with diabetes type I is unresponsive. What do you think you should do first?
a) Call the rapid response team
B) Administer glucagon
C) Administer oxygen
d) Assess their vital signs
46) Of this statement, which indicates the patient understands education about insulin administration?
a) I should check my blood sugar immediately prior to the administration of insulin
B) I should use the abdominal region only for insulin administration
C) I should provide direct pressure over the site of insulin after administration
d) I should just only use a calibrated syringe to administer insulin for injection
47) Of these, which statements indicate the patient understands type II diabetes?
A) My beta cells cannot produce enough insulin for myself
b) The peripheral cells have increased sensitivity to insulin
c) My cells have increased receptors sites but there is not enough insulin
D) My cells are resistance to the insulin that my pancreas made
48) A patient with type I diabetes asks you why they cannot receive insulin in a pill form?
A) The cells cannot recognize insulin in that form
B) The insulin cannot be properly absorbed
C) The stomach acid will destroy the insulin
d) The action of insulin will be unpredictable
49) Which symptoms should you associate with hypoglycemia?
A) Thirst
b) Increase urination
C) Moist skin
D) Nausea
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