NUR 350 EXAM 1QUESTIONS WITH 100%
CORRECT ANSWERS
A nurse is preparing to administer to a patient who is having a severe allergic reaction.
Which route of administration should the nurse use to provide the fastest and most
complete absorption of the drug
intravenous
when preparing to administer a sustained release capsule to a patient, the nurse
understands that which of the following is true for these capsules?
They are more costly than regular pills.
They contain spheres that hold the actual drug.
Spheres have coatings that dissolve at variable rates.
Digoxin has a half-life of 36 to 48 hours. Because of the length of the half-life, the nurse
expects dosing to occur how often?
once a day
when teaching a patient who has a gastric ulcer about cimetidine therapy, the nurse should
include what information about the antagonists?
an antagonist prevents receptor activation in the stomach
Which statement about drug agonists does the nurse identify as being true?
an agonist exerts effects by causing receptor activation
a patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon
assessment, the nurse notes an increase in the drug's side effects. What would the nurse's
priority action be?
Ask the provider to order a plasma drug level test
what does the evaluation of the outcome of drug therapy include? (select all)
adverse drug reactions
satisfaction with treatment
therapeutic responses
adherence to regimen/prescription
in reviewing a patient's drug history, the nurse must be aware that which drug may have
various names?
trade name
the nurse is preparing to administer penicillin G IM to a child. The child's parent ask why
the drug cannot be given in an oral liquid form. What is the nurses response?
,this drug would be inactivated by enzymes in the stomach
a postoperative patient has orders for morphine sulfate 1 to 2 mg IV every hour PRN for
severe pain and acetaminophen-hydrocodone (Lortab) 7.5 mg PO every 4 to 6 hours PRN
for moderate pain. Patient rates pain at an 8/10. Which action by the nurse is appropriate?
administer morphine sulfate 2 mg IV and evaluate patients pain in 15 to 30 minutes
in comparing meperidine (Demerol) with pentazocine (Talwin), the nurse recognizes the
degree of pain relief that can be achieved with pentazocine is much lower than the relief
that can be achieved with meperidine because pentazocine is an example of a/an:
partial agonist
a patient who is taking morphine for pain asks the nurse how a pain medication can also
cause constipation. What does the nurse know about morphine?
it is selective to receptors that regulate more than one body process
a prescriber has written an order for a medication: drug X 100 mg PO q6h. The half life is
approximately 6 hours. The nurse is preparing to administer the first dose at 8:00 am on
Tuesday. On Wednesday when will the serum drug level reach plateau?
at 8:00 am
a nurse is giving an enteral medication. the patient asks why this method is preferable for
this drug. How will the nurse reply?
"This route is safer, less expensive, and more convenient."
a patient is given a prescription for azithromycin and asks the nurse why the dose on the
first day is twice the amount of the dose on the next 4 days. How will the nurse respond?
"A large initial dose helps to get the drug to optimal levels in the body faster."
An adult male is 1 day postop from a total hip replacement. On a pain scale of 0 to 10, with
10 being greatest, the patient reports pain of 10. Which medication would be most
appropriate to administer?
6 mg morphine sulfate intravenously
a nurse is teaching nursing students about the use of nonproprietary names for drugs. the
nurse tells them which fact about nonproprietary names?
they are assigned by the U.S. adopted names council
in administering medications is it important for the nurse to understand that the major site
of drug metabolism is in the:
liver
, the nurse is caring for a child who has ingested a toxic amount of aspirin. The provider
orders an IV drug that will increase pH in the blood and urine. The nurse understands that
this effect is necessary to:
increase the urinary excretion of aspirin
in preparing an inservice about drug safety in the US, the nurse describes which legislation
that was the first to regulate drug safety?
food, drug and cosmetic act of 1938
A nurse consults a drug manual before giving a medication to an 80-year-old patient. The
manual states that older-adult patients are at increased risk for hepatic side effects. Which
action by the nurse is correct?
contact the provider to discuss an order for pretreatment lab work
choose all that apply: the nurse understands that therapeutic index is:
the ratio of a drugs LD50 to its ED50
a measure of a drugs safety
two nurses are discussing theories of drug receptor interaction. Which statements are true
regarding the affinity of a drug and its receptor?
affinity refers to the strength of the attraction between a drug & its receptor
the affinity of a drug for its receptors is reflected in its potency
drugs with high affinity are strongly attracted to their receptors
a patient reports becoming "immune" to a medication because it no longer works to
alleviate symptoms. The nurse recognizes that this decreased effectiveness is likely caused
by:
desensitization of receptor sites by continual exposure to the drug
the nurse understands that the term first-pass effect refers to the rapid inactivation of some
oral drugs as through the:
liver
a patient has been receiving intravenous penicillin for pneumonia for several days and
begins to complain of generalized itching. The nurse auscultates bilateral wheezing and
notes a temperature of 38.5 C (101 F). Which is the correct action by the nurse.
hold the next dose & notify the prescriber of the symptoms
a nurse is explaining drug metabolism to a nursing student who ask about gluconuridation.
The nurse knows that this is a process that allows drugs to be:
recycled via the enterohepatic recirculation to remain in the body longer
CORRECT ANSWERS
A nurse is preparing to administer to a patient who is having a severe allergic reaction.
Which route of administration should the nurse use to provide the fastest and most
complete absorption of the drug
intravenous
when preparing to administer a sustained release capsule to a patient, the nurse
understands that which of the following is true for these capsules?
They are more costly than regular pills.
They contain spheres that hold the actual drug.
Spheres have coatings that dissolve at variable rates.
Digoxin has a half-life of 36 to 48 hours. Because of the length of the half-life, the nurse
expects dosing to occur how often?
once a day
when teaching a patient who has a gastric ulcer about cimetidine therapy, the nurse should
include what information about the antagonists?
an antagonist prevents receptor activation in the stomach
Which statement about drug agonists does the nurse identify as being true?
an agonist exerts effects by causing receptor activation
a patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon
assessment, the nurse notes an increase in the drug's side effects. What would the nurse's
priority action be?
Ask the provider to order a plasma drug level test
what does the evaluation of the outcome of drug therapy include? (select all)
adverse drug reactions
satisfaction with treatment
therapeutic responses
adherence to regimen/prescription
in reviewing a patient's drug history, the nurse must be aware that which drug may have
various names?
trade name
the nurse is preparing to administer penicillin G IM to a child. The child's parent ask why
the drug cannot be given in an oral liquid form. What is the nurses response?
,this drug would be inactivated by enzymes in the stomach
a postoperative patient has orders for morphine sulfate 1 to 2 mg IV every hour PRN for
severe pain and acetaminophen-hydrocodone (Lortab) 7.5 mg PO every 4 to 6 hours PRN
for moderate pain. Patient rates pain at an 8/10. Which action by the nurse is appropriate?
administer morphine sulfate 2 mg IV and evaluate patients pain in 15 to 30 minutes
in comparing meperidine (Demerol) with pentazocine (Talwin), the nurse recognizes the
degree of pain relief that can be achieved with pentazocine is much lower than the relief
that can be achieved with meperidine because pentazocine is an example of a/an:
partial agonist
a patient who is taking morphine for pain asks the nurse how a pain medication can also
cause constipation. What does the nurse know about morphine?
it is selective to receptors that regulate more than one body process
a prescriber has written an order for a medication: drug X 100 mg PO q6h. The half life is
approximately 6 hours. The nurse is preparing to administer the first dose at 8:00 am on
Tuesday. On Wednesday when will the serum drug level reach plateau?
at 8:00 am
a nurse is giving an enteral medication. the patient asks why this method is preferable for
this drug. How will the nurse reply?
"This route is safer, less expensive, and more convenient."
a patient is given a prescription for azithromycin and asks the nurse why the dose on the
first day is twice the amount of the dose on the next 4 days. How will the nurse respond?
"A large initial dose helps to get the drug to optimal levels in the body faster."
An adult male is 1 day postop from a total hip replacement. On a pain scale of 0 to 10, with
10 being greatest, the patient reports pain of 10. Which medication would be most
appropriate to administer?
6 mg morphine sulfate intravenously
a nurse is teaching nursing students about the use of nonproprietary names for drugs. the
nurse tells them which fact about nonproprietary names?
they are assigned by the U.S. adopted names council
in administering medications is it important for the nurse to understand that the major site
of drug metabolism is in the:
liver
, the nurse is caring for a child who has ingested a toxic amount of aspirin. The provider
orders an IV drug that will increase pH in the blood and urine. The nurse understands that
this effect is necessary to:
increase the urinary excretion of aspirin
in preparing an inservice about drug safety in the US, the nurse describes which legislation
that was the first to regulate drug safety?
food, drug and cosmetic act of 1938
A nurse consults a drug manual before giving a medication to an 80-year-old patient. The
manual states that older-adult patients are at increased risk for hepatic side effects. Which
action by the nurse is correct?
contact the provider to discuss an order for pretreatment lab work
choose all that apply: the nurse understands that therapeutic index is:
the ratio of a drugs LD50 to its ED50
a measure of a drugs safety
two nurses are discussing theories of drug receptor interaction. Which statements are true
regarding the affinity of a drug and its receptor?
affinity refers to the strength of the attraction between a drug & its receptor
the affinity of a drug for its receptors is reflected in its potency
drugs with high affinity are strongly attracted to their receptors
a patient reports becoming "immune" to a medication because it no longer works to
alleviate symptoms. The nurse recognizes that this decreased effectiveness is likely caused
by:
desensitization of receptor sites by continual exposure to the drug
the nurse understands that the term first-pass effect refers to the rapid inactivation of some
oral drugs as through the:
liver
a patient has been receiving intravenous penicillin for pneumonia for several days and
begins to complain of generalized itching. The nurse auscultates bilateral wheezing and
notes a temperature of 38.5 C (101 F). Which is the correct action by the nurse.
hold the next dose & notify the prescriber of the symptoms
a nurse is explaining drug metabolism to a nursing student who ask about gluconuridation.
The nurse knows that this is a process that allows drugs to be:
recycled via the enterohepatic recirculation to remain in the body longer
