NR565 MIDTERM EXAM NEWEST 2025/2026 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A nurse is preparing to teach a forgetful older adult patient about a multiple drug
regimen to follow after discharge from the hospital. To help promote adherence,
what will the nurse do?
a. Ask the patient to share the teaching with a neighbor or friend soon after
discharge.
b. Give the patient detailed written information about each drug.
c. Cluster medication administration times as much as possible.
d. Make sure the patient understands the actions and side effects of each drug. -
ANSWER-c.
Based on changes in hepatic function in older adult patients, which adjustment
should the nurse expect for oral medications that undergo extensive first pass
metabolism?
a. A higher dose should be used with the same time schedule.
b. The interval between doses should be increased.
c. No change is necessary; metabolism will not be affected.
d. The interval between doses should be reduced. - ANSWER-b.
An APRN works in a urology clinic under the supervision of a physician who does
not restrict the types of medications the APRN is allowed to prescribe. State law
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does not require the APRN to practice under physician supervision. How would
the APRN's prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority - ANSWER-b. Independent
Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians. - ANSWER-a.
more patients will have access to health care
Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy - ANSWER-a. inaccessibility of patient care
b. higher health care costs
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Anurseisteachingagroupofnursingstudentsaboutadministeringmedicationstooldera
dult patients. Which statement by a student indicates a need for further teaching?
a. "Alteration in hepatic function requires more frequent drug dosing."
b. "Changes in GI function in older adult patients lead to lower serum drug levels."
c. "Most adverse drug reactions in older adult patients are related to altered renal
function."
d. "Most nonadherence among older adult patients is intentional." - ANSWER-a.
A nurse is preparing to give medications to four older patients who are all taking
multiple medications. Which patient is most likely to have an adverse drug
reaction related to increased drug effects?
a. Obese patient
b. Patient with decreased serum creatinine
c. Patient with chronic diarrhea
d. Thin patient with a chronically low appetite - ANSWER-d.
A nurse is concerned about renal function in an 84-year-old patient who is taking
several medications. What will the nurse assess?
a. Creatinine clearance
b. Sodium levels
c. Potassium levels
d. Serum creatinine - ANSWER-a.
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Which aspects support the APRN's provision for full prescriptive authority? Select
all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability - ANSWER-a.
c.
d.
A pediatric nurse is teaching nursing students to calculate medication doses for
childrenusing a formula based on body surface area. Which statement by a
nursing student indicates understanding of the teaching?
a. "This formula helps approximate the first dose; other doses should be based on
clinical observations."
b. "This formula accounts for pharmacokinetic factors that are different in
children."
c. "Using this formula will prevent side effects of medications in children."
d. "This formula can determine medication dosing for a child of any age." -
ANSWER-a.
A pediatric nurse is teaching nursing students about medication administration in
children. Which statement by a student indicates an understanding of the
teaching?
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