spooky
season
is
near
YAY!
100

What is the abbreviation for an injection given subcutaneously and what type of injection is given subcutaneously?

a. IM/flu

b. pr subcut/penicillin 

c.QID/ MMR

d. subcut/insulin

d. subcut/insulin


100

Which abbreviation is the correct way to say four times a day?

a. QD

b.QID

c. D/C

d. QOD

b.QID

QID means four times a day

100

How would an order be written if the patient needs to receive 10 milligrams of Tylenol every 6 hours? 

a. 10mg of Tylenol q6h

b. 10mcg of Tylenol BID

c.10cc of Tylenol h6

d. 10gtt of Tylenol 6pm

a. 10mg of Tylenol q6h

100

4. A client is prescribed a drug that acts as an agonist at beta-2 adrenergic receptors. What is the expected effect of this medication?
a) Bronchodilation
b) Increased heart rate
c) Vasoconstriction
d) Decreased gastrointestinal motility

4. Answer: a) Bronchodilation
Rationale: Beta-2 adrenergic receptor agonists cause relaxation of bronchial smooth muscles, leading to bronchodilation, which is useful in conditions like asthma.

100

When is your exam?

a. next Tuesday

b. never

c. idk im not showing up
d. my brain hurts 

a. next Tuesday

Good luck!!!!!!!!!!!!!!!

200

What does TID mean?

a. mid day

b. at 3pm

c. twice a day 

d. none of the above

d. none of the above

TID - three times a day

200

11. What does “SOB” stand for?
a) Signs of bleeding
b) Side of bed
c) shortness of breath
d) Source of bacteria

c) shortness of breath

200

A patient has a cholesterol level of 468mg/dL, what is the patient at risk for? (select all that apply)

a. atherosclerosis

b. hyperthyroidism 

c. coronary artery disease (CAD) 

d. stroke

e. hyperlipidemia 

a, c, d, 

High cholesterol levels can cause buildup in the vessels, leading to atherosclerosis that can lead to CAD and stroke 

200

5. A nurse is administering a drug with a narrow therapeutic index. What is the priority nursing intervention?
a) Monitor for signs of toxicity
b) Educate the patient about side effects
c) Administer the drug with food
d) Encourage fluid intake

5. Answer: a) Monitor for signs of toxicity
Rationale: Drugs with a narrow therapeutic index have a small margin between therapeutic and toxic doses, so close monitoring is essential to prevent toxicity.

200

3. Which organ is primarily responsible for the metabolism of drugs?
a) Kidney
b) Liver
c) Lungs
d) Stomach

3. Answer: b) Liver
Rationale: The liver is the primary organ responsible for drug metabolism (biotransformation), mainly through enzymatic activity that modifies drugs for easier excretion.

300

3. What does “NPO” indicate for a patient?
a) Nothing by mouth
b) Normal pulse observed
c) New patient order
d) No pain observed

a) Nothing by mouth

300

13. What does “DOB” mean in a patient’s chart?
a) Dose of medication
b) Date of blood test
c) Days of bed rest
d) date of birth

d) date of birth

300

20. The abbreviation “BMI” is:
a) Body Mass Index
b) Blood Muscle Injury
c) Brain Motor Impulse
d) Bone Mineral Indicator

a) Body Mass Index

300

2. A patient is prescribed a medication that undergoes first-pass metabolism. Which route of administration would bypass the first-pass effect?
a) Oral
b) Intravenous
c) Rectal
d) Nasogastric tube

2. Answer: b) Intravenous
Rationale: Intravenous administration delivers the drug directly into the bloodstream, bypassing the gastrointestinal tract and the liver’s first-pass metabolism, which reduces drug bioavailability when taken orally.

300

6. Which phase of pharmacokinetics describes how a drug is moved from the bloodstream into the tissues?
a) Absorption
b) Distribution
c) Metabolism
d) Excretion

6. Answer: b) Distribution
Rationale: Distribution refers to the movement of the drug from the bloodstream into body tissues and fluids.

400

4. The abbreviation “PRN” means:
a) As needed
b) After meals
c) Before sleep
d) Every hour

a) As needed

400

14. The abbreviation “GI” refers to:
a) Gastrointestinal
b) General infection
c) Growth indicator
d) Glucose intolerance

a) Gastrointestinal

400

17. What does “UA” mean in a lab test?
a)upper airway
b) urinalysis
c) Unstable angina
d) Urine amount

b) urinalysis

400

How do you chart patient in medical records 

a. Px

b. PI

c. pt

d. none of the above

c. pt

400

What is the common range for WBCs? 

a. 2000-8000 cells/mcL

b. 4000-11000 cell/mcL

c. 70000-13000 cells/mcl

d. all of the above 


b. 4000-11000 cell/mcL

500

What test is used to measure heart failure? 

        A. GFR

       B.lactate

       C. BNP

      D. total cholesterol



C. BNP - B-type natriuretic peptide

associated disease: elevated BNP levels indicate heart failure 

normal range: less than 100 pg/mL

500

What disease is associated with high levels of HbA1C?

a. anemia

b. diabetes mellitus

c.coronary artery disease

d. CKD

b. diabetes mellitus 

Normal levels of HbA1C are below 5.7% anything higher would indicate that the patient has diabetes mellitus 

500

High cholesterol is considered to be above what? 

a. 1500mg/dL

b. 475mg/dL

c. 800mg/dL

d. 200mg/dL

d. 200mg/dL

Anything above is considered to be high cholesterol

500

A patient comes into the ER presenting with symptoms of shock, sepsis, and hypoxia. What lab value is the nurse going to assess?

a.  Lactate

b. Glomerular filtration rate 

c. BUN

d. ACE inhibitor 

a. lactate 

When cells don’t get enough oxygen, they switch to anaerobic metabolism, producing lactate as a byproduct. In sepsis and shock, poor blood flow and oxygen delivery cause widespread tissue hypoxia. This leads to increased lactate production and reduced clearance, making elevated lactate a marker of impaired oxygen delivery and cellular stress. High lactate levels often indicate severity of illness and poor prognosis in these conditions.

500

Why would a patient be on an ACE inhibitor, and what is the suffix of the medications? 

a. increase tissue perfusion/- sartan 

b. lower blood pressure/-pril

c. slow down an allergic reaction/-epi

d. to treat high blood pressure/ - dipine

b. lower blood pressure/-pril

used to lower blood pressure by causing vasodilation and decreasing aldosterone secretion