NURS 1131 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
A charge nurse is observing a nurse administer and intradermal
injection. Which of the following demonstrates that the nurse is
using the correct technique? Correct Answers Slowly inject the
medication to form a small wheal or bleb.
A client admitted to the hospital tells the nurse they are very
nervous about getting all their medications while they are in the
hospital because their health care provider has them on a very
"strict" schedule. The nurse understands that which of the
following describes the principles about how medication dosing
schedules are determined? Correct Answers The physical and
biological characteristics of a drug may determine dosing
schedule.
Specific times may improve effectiveness and decrease risk of
adverse effects.
Some drugs must be taken a certain time prior to an event or
immediately after an event.
Dosing may be set for the convenience of patient and nurse.
A client asks a nurse how many Americans take at least one
prescription drug per year. What is the nurse's best response?
Correct Answers 50%
A client asks a nurse how medications are distributed within the
body. What among the below would be the nurse's response?
Correct Answers Medications
that arelipid-soluble are more completelydistributed
,A client asks a nurse why a large dose of a drug was
administered first followed by a lower dose of the same drug
later. What is the nurse's best response? Correct Answers
Achieve a therapeutic dose more quickly
A client asks a nurse why a prescribed medication is very
expensive. What is the best response by the nurse? Correct
Answers Contact the healthcare provider to ask if a generic
drug may be substituted.
A client asks a nurse why he experiences a metallic taste after
taking certain medications. The nurse explains that some
medications are secreted by glandular activity. The nurse would
identify which substances as examples of this excretion? Correct
Answers Saliva
Sweat
Breast Milk
A client at 14-weeks gestation is seen in the clinic with a
sprained ankle. The healthcare provider prescribes a mild
analgesic, rest, compression, and application of an ice bag. The
client is very concerned about taking the prescribed medication,
telling the nurse, "I don't want to hurt my baby." How should the
nurse respond? Correct Answers The most dangerous time for
birth defects is probably in the first semester and you are past
that now
This is a category A drug, so there is very little risk to your baby
A client comes to the emergency department following an
overdose of aspirin, which is an acidic drug. The nurse should
,anticipate administering which of the following? Correct
Answers Sodium bicarbonate to alter the client's serum pH.
A client comes to the emergency department with a myocardial
infarction. The client's husband tells the nurse that his wife has
been taking calcium carbonate (Tums) for years for what she
thought was indigestion. What is the best response by the nurse?
Correct Answers Your wife was self-diagnosing, which is
generally not a good idea
A client has a long history of hypertension. The healthcare
provider orders an antihypertensive drug that has just come on
the market. The nurse teaches the patient that this drug works
more effectively than his prior drug and has fewer side effects.
The patient asks how this can be. What is the best response by
the nurse? Correct Answers Newer drugs are altered to affect
your cells' receptors in a different way.
Research into receptors helps 'fine-tune' drugs to be more
effective.
A client has a prescription for an intravenous medication for
nausea. The client asks the nurse how it will help his nausea
since it is given in his vein. What is the best therapeutic
response by the nurse? Correct Answers This will work much
faster for your nausea
A client has an adverse reaction to a drug following a change in
dietary habits. The nurse understands that which change would
most likely be the cause? Correct Answers Increased intake of
grapefruit juice
, A client has been chosen to participate in the clinical trial of a
medication to treat chemotherapy-induced nausea. When the
nurse takes the informed consent form to the bedside the client
says, "I am glad there is finally a medication to cure my cancer."
How should the nurse respond? Correct Answers What
questions do you have about this medication?
Has anyone explained the research trial to you?
A client has been taking paroxetine (Paxil) for a year and tells a
nurse is it no longer working. What is the best response by the
nurse? Correct Answers "Are you taking name brand Paxil or
the generic version paroxetine?
A client has skin lesions that have not responded to prescription
drugs. He tells the nurse he has heard about some research going
on with a new drug and asks why he can't take it. What is the
best response by the nurse? Correct Answers I know it is
frustrating, but the Food and Drug Administration (FDA)
approval process is in place to ensure that drugs are safe
A client is admitted to the hospital in chronic renal failure and
several drugs are prescribed. What best describes the nurse's
assessment of this client? Correct Answers The client may have
drug toxicity from all the drugs
A client is receiving a brand name drug and wants to change to
the generic form because it is less expensive. What is the best
outcome for this client? Correct Answers State two ways a
brand name drug differs from a generic name drug.
SOLUTIONS
A charge nurse is observing a nurse administer and intradermal
injection. Which of the following demonstrates that the nurse is
using the correct technique? Correct Answers Slowly inject the
medication to form a small wheal or bleb.
A client admitted to the hospital tells the nurse they are very
nervous about getting all their medications while they are in the
hospital because their health care provider has them on a very
"strict" schedule. The nurse understands that which of the
following describes the principles about how medication dosing
schedules are determined? Correct Answers The physical and
biological characteristics of a drug may determine dosing
schedule.
Specific times may improve effectiveness and decrease risk of
adverse effects.
Some drugs must be taken a certain time prior to an event or
immediately after an event.
Dosing may be set for the convenience of patient and nurse.
A client asks a nurse how many Americans take at least one
prescription drug per year. What is the nurse's best response?
Correct Answers 50%
A client asks a nurse how medications are distributed within the
body. What among the below would be the nurse's response?
Correct Answers Medications
that arelipid-soluble are more completelydistributed
,A client asks a nurse why a large dose of a drug was
administered first followed by a lower dose of the same drug
later. What is the nurse's best response? Correct Answers
Achieve a therapeutic dose more quickly
A client asks a nurse why a prescribed medication is very
expensive. What is the best response by the nurse? Correct
Answers Contact the healthcare provider to ask if a generic
drug may be substituted.
A client asks a nurse why he experiences a metallic taste after
taking certain medications. The nurse explains that some
medications are secreted by glandular activity. The nurse would
identify which substances as examples of this excretion? Correct
Answers Saliva
Sweat
Breast Milk
A client at 14-weeks gestation is seen in the clinic with a
sprained ankle. The healthcare provider prescribes a mild
analgesic, rest, compression, and application of an ice bag. The
client is very concerned about taking the prescribed medication,
telling the nurse, "I don't want to hurt my baby." How should the
nurse respond? Correct Answers The most dangerous time for
birth defects is probably in the first semester and you are past
that now
This is a category A drug, so there is very little risk to your baby
A client comes to the emergency department following an
overdose of aspirin, which is an acidic drug. The nurse should
,anticipate administering which of the following? Correct
Answers Sodium bicarbonate to alter the client's serum pH.
A client comes to the emergency department with a myocardial
infarction. The client's husband tells the nurse that his wife has
been taking calcium carbonate (Tums) for years for what she
thought was indigestion. What is the best response by the nurse?
Correct Answers Your wife was self-diagnosing, which is
generally not a good idea
A client has a long history of hypertension. The healthcare
provider orders an antihypertensive drug that has just come on
the market. The nurse teaches the patient that this drug works
more effectively than his prior drug and has fewer side effects.
The patient asks how this can be. What is the best response by
the nurse? Correct Answers Newer drugs are altered to affect
your cells' receptors in a different way.
Research into receptors helps 'fine-tune' drugs to be more
effective.
A client has a prescription for an intravenous medication for
nausea. The client asks the nurse how it will help his nausea
since it is given in his vein. What is the best therapeutic
response by the nurse? Correct Answers This will work much
faster for your nausea
A client has an adverse reaction to a drug following a change in
dietary habits. The nurse understands that which change would
most likely be the cause? Correct Answers Increased intake of
grapefruit juice
, A client has been chosen to participate in the clinical trial of a
medication to treat chemotherapy-induced nausea. When the
nurse takes the informed consent form to the bedside the client
says, "I am glad there is finally a medication to cure my cancer."
How should the nurse respond? Correct Answers What
questions do you have about this medication?
Has anyone explained the research trial to you?
A client has been taking paroxetine (Paxil) for a year and tells a
nurse is it no longer working. What is the best response by the
nurse? Correct Answers "Are you taking name brand Paxil or
the generic version paroxetine?
A client has skin lesions that have not responded to prescription
drugs. He tells the nurse he has heard about some research going
on with a new drug and asks why he can't take it. What is the
best response by the nurse? Correct Answers I know it is
frustrating, but the Food and Drug Administration (FDA)
approval process is in place to ensure that drugs are safe
A client is admitted to the hospital in chronic renal failure and
several drugs are prescribed. What best describes the nurse's
assessment of this client? Correct Answers The client may have
drug toxicity from all the drugs
A client is receiving a brand name drug and wants to change to
the generic form because it is less expensive. What is the best
outcome for this client? Correct Answers State two ways a
brand name drug differs from a generic name drug.
