1. In giving glucocorticoids, you have to administer drug daily at 8-9am.

What is
the best rationale behind this?
(?) To enhance remembering the regimen schedule
2. Child W has gastrointestinal worms and the doctor advised that he takes
antihelminthic drug. Which of the following interventions is correct when
considering the dosage and route of antihelminthic drugs?
(?) Antihelminthic drugs are given orally to malnourished children aged
2 yrs old and above
3. Which of the parts of the cardiovascular system generates electrical impulse
that sets rhythm to the heart, the primary pacemaker of the heart?
Sinoatrial node
4. Mr. P was admitted due to bacterial cellulitis infection. The doctor ordered
Amikacin 1g IV 2x a day for 4 days. Which of the following should be your
priority nursing intervention?
Perform skin testing of the antibiotic Amikacin
5. Aside from being a neurotransmitter, this is also knows as a stress hormone.
This neurotransmitter occurs in high levels in the brain.
Epinephrine
6. Stabilizes the cell membrane by binding to sodium channels, depressing
phase 0 of the action potential and changing its duration
Anti arrhythmic drugs
7. Which part of the cardiovascular system is describe as the tough, fluid-filled
sace that surrounds the heart itself, this pseudo-fourth layer provides
protection and minimizes the friction created by the heart beat?
Pericardium
8. This drug allows norepinephrine, dopamine and serotonin to accumulate in
the synaptic cleft and in neuronal storage vesicles, causing increased
stimulation of postysynaptic receptors
(?) Barbiturates
9. This drug causes decrease in blood pressure as an effect of the renninangiotensin system
ACE inhibitor
10.Most angina drugs are given sublingual. Therefore, you know that the drugs is
mostly in what form?
Small tablet form
11.Patient H is another cancer patient and is taking an alkylating agent. As a
nurse, you understand that you have to monitor any adverser effect caused
by this agent. Which of the following indicators show that there is suppression
in the patients bone marrow?
Decreased red blood cell count
12.The adrenal cortex is responsible for the production of hormones which helps
in the regulation of water and sodium in the body. What do you call this
hormone?
Corticosteroids
13.This endocrine drug basically has no contraindications but caution is given to
pregnant and lactating mothers

 (?) sulfonylurea antidiabetic

(-) glucocorticoids
14.Patient G has breast cancer and is now taking antineoplastic agent. Which of
the following side effects will indicate that you have to promote patients
positive self-image?
Alopecia
15.A post-operative kidney transplant patient takes his maintenance of
immunosuppressant 2 months after the operation, he resumes his work in the
sales office where he meets various clients. Which of the following nursing
diagnoses is most appropriate given to this case?
Risk for infection r/t immune suppression
16.It is the largest and the striongest chamber in the heart. It pushes blood
through the aortic valce and into the body.
Left ventricle
17.After giving vaccine to Baby Z. she kept on crying unconsolably most
probably due to pain associated with the injection. What should you take note
in giving comfort to pedia patients after vaccine injection?
Do not give aspirin to children to treat discomfort associated with
vaccine injection because it can mask Reyes syndrome.
18.The gland near the trachea, heart and lungs and helps in the immune
response of a patient
Thymus gland
19.What should the community health nurse prioritize to prevent cases of
influenza in the surrounding villages?
Do a community wide influenza A vaccination
20.In giving thyroid hormone, it should be administered with full glass of water
and monitor cardiac response. The reason for these are:
To prevent difficulty in swallowing and to prevent cardiac adverse
effects
21.Which part of the cardiovascular carries oxygenated blood from the lungs
back to the heart?
Pulmonary vein
22.Which of the following drugs is contraindicated to patients with acute
thyrotoxicosis and myocardial infarction?
Thyroid hormone
23.Decreases anxiety and induces sedation. It also acts in the limbic system and
the RAS to make GABA more effective causing interference with neuron firing.
Benzodiazepines
24.Nurse Ryan is caring for a patient receiving Atropine, anti-cholinergic agent.
Which of the following nursing responsibilities should he follow?
Provide comfort & safety measure, including assistance, side rails,
temperature control, dark glasses, small frequent meals, artificial
saliva, fluids, sugarless lozenges, mouth care, bowel program
25.Monosomal antibodies have almost the same effect as the
immunosuppressant but it acts as antibody to t-cells. Therefore, monosomal
antibodies is also indicated to patients with:

 Rheumatoid arthritis
26.Thyroid gland is responsible for the basal metabolic rate. It also secretes
hormones which is responsible for the uptake of calcium to the bones
including muscles:
Calcitonin
27.This is where the exit of impulses from CNS going to the peripheral nerves
and autonomic nerves occur
Efferent fibers
28.Patient S has athletes foot. She was prescribed to apply antifungal agent 2x
a day on the affected part. Which health teaching should you give to patient
S to make sure that the drug will be more effective?
(?) Apply in ample amount as needed
29.What is the reason for checking the creatinine level of a patient taking
medications?
To check the kidney function of the patient
30.You are caring for a patient who is taking a NSAID. Which of the following
adverse effects should you monitor?
(?) Anaphylactic shock
31.Which of the following laws ensure the purity, safety, efficacy and quality of
drugs and devices being made available to the public?
RA 9502 The Universally Accessible Cheaper and Quality Medicines
Act of 2008
32.You are the assigned nurse for a post-operative patient who just had a
removal of the gallbladder 6hrs ago. The anesthesiologist ordered Ketorolac
30mg IV PRN for pain for 2 days. Which of the following is the priority nursing
assessment before you give the said medication?
Assess for the pain scale of the patient for baseline data and to
compare pain level after giving the meds
33.Which of the following drug examples is considered as antimetabolite agent?
Fluorouracil
34.You just gave Hepa B vaccine to a 4most old baby. Which of the following
should you instruct the mother to expect as a side effect of the vaccination?
(?) Nodule formation in injection site
35.A general term used to describe the process of stimulation of neuron causing
sodium and calcium channels to open and enter the cell. This causes the
electrical charge to change from negative to positive, and calcium causes
contraction.
Depolarization
36.Why do you need to rotate injection sites when giving parenteral insulin
injections?
To avoid damage to muscles and atrophy
37.Nurse Joaquin is caring for a patient receiving Pilocarpine, another directacting cholinergic agent. Which of the following nursing responsibilities
should he follow?
Maintain Atropine as antidote

38.An important nursing responsibility when giving digoxin is to maintain

therapeutic digoxin level. Which of the following levels signify a normal
digoxin level?
0.5-20mg/ml
39.Which of the following is the best way to evaluate the effectiveness of your
client teaching?
Patient answers 3 out 5 follow up questions correctly
40.In giving glucorticoids, the dosage must be given in tapered doses especially
when discontinuing from high doses or from long-term therapy. The rationale
for this is to:
(?) give the adrenal gland time to increase its production of hormone
41.Which of the following is NOT true to the process by which the action of
neurotransmitters are terminated:
(?) Reuptake into the post synaptic nerve followed by storage in a
synaptic vesicle or deactivation by an enzyme
42.After giving the medication on the post-operative day, you observed that the
patient easily fell asleep. You returned to her room to get her routine vital
signs, but when you call her name and held her arms for vital signs, she seem
to be somnolence and remains asleep. Which of the following nursing
diagnosis best describes this condition of the patient which needs
intervention?
Disturbed sensory perception (auditory, kinesthetic)
43.Peripheral edema is an adverse effect of which of the following drugs?
Calcium-channel blockers
44.In giving antiviral medications, patient should be taught to stand or sit slowly
from a lying position to avoid sudden change in blood pressure and dizziness.
What do you call this condition?
Osthostatic hypotension
45.Why is it not correct to mix an insulin with another insulin?
To prevent ineffective dosing & precipitation
46.Nurse Kristina is caring for a patient receiving Dopamine, another alpha and
beta adrenergic agonists. Which of the following nursing responsibilities
should she follow?
Maintain phentolamine on standby in case of extravasation occurs
47.The limbic system contains this neurotransmitter and hormone which is
essential to metabolism, regulates emotions, arousal and cognition. It inhibits
insulin excretion and raises the amounts of fatty acids in the blood:
Epinephrine
48.This drug inhibits growth hormone release. An example of this drug includes
somatostatin and bromocriptine mesylate:
Growth hormone antagonist
49.You were assignes to eview the medication chart of a patient who is
immunocompromised. Upon reviewing the medications, you noticed that the
doctor has prescribed interferon beta 1-A which is an immune stimulant. As a
student nurse, you know that immune stimulant is indicated to
immunocompromised patients such as patients with:

 Human immune virus

50.Which of the following is the best way to evaluate the effectiveness of
antifungal medication?
(?) Decreased diameter of skin lesions
51.Severe somnolence may indicate an adverse effect of the drug. How can you
prevent your patient from having severe somnolence due to this drug?
(?) Wait until all prescribed medications are given for 2 days and refer
if somnolence persisted in the 3rd day.
52.This drug hormone binds to cytoplasmic receptors, initiating many complex
reactions that are responsible for anti-inflammatory and immunosuppressive
effects. Examples of this drug are dexamethasone, prednisone,
hydrocortisone:
Mineralocorticoids
53.An exocrine gland that releases insulin and glucagons. This gland is located
behind the stomach.
Pancreatic gland
54.This drug hormone inhibits the conversion of T3 to T4 at the cellular level. It
also prevents the formation of thyroid hormone within the thyroid cells
lowering the serum levels of thyroid hormone. An example of this is
propylthiouracil
Thiomides
55.Inhibit the movement of calcium ions across the membranes of myocardial
and arterial muscle cells, altering the action potential and blocking muscle
cell contraction
Calcium channel blocker
56.Which of the following diagnostic indicators best exhibit the occurrence of
bone marrow suppression in a patient taking an immune suppressant?
(?) To ascertain the point where to inject the drug
57.It is the elongated part of the neuron which branches out at the end. It carries
information from a nerve to be transmitted to effector cells:
Dendrites
58.This drug hormone improves insulin binding to insulin receptors & increase
the number of insulin recptors. It also increases the effect of antidiuretic
hormones. Examples of this drug is glimepiride and chlorpropamide:
Sulfonylureas
59.Baby V is 2 months old and is scheduled for measles vaccine today. However,
her mother noticed before coming to the clinic that Baby V has cough, slight
fever and fast breathing. The pediatrician advised the mother that Baby V
seems to have infection today. As a nurse, what do you think should the
doctor do BEST in terms of the scheduled measles vaccine today?
(?) Continue the vaccination as it do not have any effect on the babys
cough
60.Patient R has prostatic cancer and is taking carboplatin, an antineoplastic
alkylating agent. Which of the following test results is important to monitor
while he is on this medication?
Complete blood count

61.The control and relay center of the endocrine system and is also known as
the master gland
Pituitary gland
62.Which of the following drug examples is considered as an antifungal?
Fluoconazole
63.Give regular insulin by continous IV infusion at 20 units per hour. The solution
contains 100 units per 250ml. At how many ml should the patient receive in
one hour?
50 ml
64.This drug increases the force of myocardial contraction. Example of this drug
is digoxin
Calcium glycosides
65.After 4 days of giving an antibiotic to a ptient with bacterial pneumonia,
which of the following data will validate that the antibiotic treatment is
effective?
There is decreased greenish sputum
66.Student A, 20 y/o, female, went to the school clinic due to severe headache.
She was advised by the school physician to take mefenamic acid to relieve
the pain. Which of the following questions is the most important thing to ask
by the nurse before Student A takes this pill?
What time did you have your last meal/snack?
67.The next duty rotation, you were assigned to review the medication chart of a
patient who receives cyclosporine, an immunosuppressant. As a student
nurse, you know that this drug is indicated patients with:
Heart transplantation
68.A patient receiving anti-anginal medication experiences severe persistent
chest pain despite of rest and anti-anginal medication. Which of the following
nursing responsibilities should the nurse do?
Bring the patient to the emergency room
69.Which of the following nursing diagnosis should be the priority when a patient
who has been receiving NSAID tells you that, I am so busy I could not eat on
time, good thing I can drink my meds even without meals.
Deficient knowledge regarding drug regimen
70.The patient is receiving digoxin and is connected to a cardiac monitor. Which
of the following should alert the nurse for signs of digoxin toxicity?
Inconsistent waves from slow, fast, slow waves
71.Nurse Joaquin is caring for a patient receiving Bethanechol, a direct-acting
cholinergic agent. Which of the following nursing responsibilities should he
follow?
Taper slowly over 2 weeks to prevent developing hypersensitivity to
catecholamines
72.This drug increases sodium reabsorption in renal tubules and increase
potassium and hydrogen excretion leading to water and sodium retention.
Examples of this is fludrocortisones and hydrocortisone:
Mineralocorticoids
73.Which of the following is a sign of digoxin toxicity?

 Arrythmias
74.Which part of the cardiovascular system divides into the left anterior
descending artery and the circumflex branch, supplies blood to the heart
ventricles and left atrium?
Coronary Artery
75.Mommy D, 40 y/o (G2P2) was diagnosed with breast cancer and is now
receiving chemotherapeutic immunosuppressant medications. Which of the
following statements made by Mommy D should alert you the most about the
patient and her medication (immunosuppressant)?
(?) Sometimes when I go out, I forget to bring my toothbrush. But, I
always have my mouthwash in my bag which I use when Im not
home.