NUR 504 3P APEA EXAMINATION TEST 2026
FULL QUESTIONS AND SOLUTIONS GRADED
A+
● A nurse is assigned to care for a client in a health care facility. What is
the nursing responsibility before administering a drug to the client?
Answer: review subjective and objective data
● A nurse is caring for a 49-year-old client with acute gout and arthritis.
The nurse interviews the client and checks the medical records. Which
additional assessment should the nurse consider before medication
administration teaching? Answer: examine the client physically
● A client has been prescribed an oral drug that is known to have a high
first-pass effect. Which measure has the potential to increase the amount
of the free drug that is available to body cells? Answer: administering
the drug IV rather than orally
● When providing drug therapy to a client, what is a responsibility of the
nurse? Answer: Teach the client how to cope with the effects of the drug
to ensure the best outcome
,● he nurse is administering a medication to a client who reports pain in
the knees from arthritis. The nurse observes the name of the drug as p-
isobutylhydratropic and recognizes that this refers to a: Answer:
chemical name
● The client has a daily antihypertensive medication ordered. Taking the
blood pressure prior to administration of the medication is which step of
the nursing process? Answer: assessing
● Which client would a nurse expect to experience alterations in drug
metabolism? Answer: 50 yo with cirrhosis of the liver
● A client is being seen in the emergency department for a sprained
ankle and is given a drug to relieve pain. When a second dose of the pain
medication is given, the client develops redness of the skin, itching, and
swelling at the site of injection of the drug. The most likely cause of this
response is: Answer: allergic response
● The nurse has administered a client's medication. What action should
the nurse perform next? Answer: assess for drug affects
● An older adult client has an elevated serum creatinine level. This client
is at greatest risk for which medication-related effect? Answer: toxicity
,● What changes due to aging in the geriatric client may affect excretion
and promote accumulation of drugs in the body? Answer: decreased
GFR
● A client is receiving an antineoplastic medication for treatment of
breast cancer and begins having tonic-clonic seizure activity. What type
of toxicity does the nurse recognize that this client is experiencing?
Answer: neurotoxicity
● What client is most likely to have impaired drug metabolism?
Answer: A client who has a diagnosed Hep C
● An elderly postsurgical client has developed postoperative pneumonia
in the days following abdominal surgery and is being treated with a
number of medications. Which medication that the nurse will administer
has the slowest absorption? Answer: an oral antidepressant that the
client has been taking for several years
● 15s
Clients who use garlic with co-administration of antidiabetic drugs may
run into which serious problem? Answer: hypoglycemia
● The nurse is called to a client's room 15 minutes after the client has
received a new medication. The client reports pruritus as well as nausea.
The nurse notes that the client appears pale, is sweating, and has begun
, to cough and wheeze. The nurse determines that the client is
experiencing what type of reaction related to the new medication?
Answer: anaphylactic shock
● A client has informed the nurse that he has begun supplementing his
medication regimen with a series of herbal remedies recommended by
his sister-in-law. Which is the most important nursing intervention
regarding the safe use of herbal supplements? Answer: research for
potential interactions with meds
● Plants and plant parts have been used as medicines since prehistoric
times. Morphine (roxanol) is derived from which plant? Answer: poppy
● A nurse who provides care in a long-term care facility is documenting
a new resident's medication regimen on the resident's intake admission.
The nurse is documenting the generic, rather than proprietary or trade,
names of the resident's current drugs because: Answer: there's a
potential for confusion and miscommunication if proprietary names are
used
● Which factor accounts for the increased risk for drug reactions among
clients aged 65 years and older? Answer: physiologic changes affecting
all pharmacologic processes
FULL QUESTIONS AND SOLUTIONS GRADED
A+
● A nurse is assigned to care for a client in a health care facility. What is
the nursing responsibility before administering a drug to the client?
Answer: review subjective and objective data
● A nurse is caring for a 49-year-old client with acute gout and arthritis.
The nurse interviews the client and checks the medical records. Which
additional assessment should the nurse consider before medication
administration teaching? Answer: examine the client physically
● A client has been prescribed an oral drug that is known to have a high
first-pass effect. Which measure has the potential to increase the amount
of the free drug that is available to body cells? Answer: administering
the drug IV rather than orally
● When providing drug therapy to a client, what is a responsibility of the
nurse? Answer: Teach the client how to cope with the effects of the drug
to ensure the best outcome
,● he nurse is administering a medication to a client who reports pain in
the knees from arthritis. The nurse observes the name of the drug as p-
isobutylhydratropic and recognizes that this refers to a: Answer:
chemical name
● The client has a daily antihypertensive medication ordered. Taking the
blood pressure prior to administration of the medication is which step of
the nursing process? Answer: assessing
● Which client would a nurse expect to experience alterations in drug
metabolism? Answer: 50 yo with cirrhosis of the liver
● A client is being seen in the emergency department for a sprained
ankle and is given a drug to relieve pain. When a second dose of the pain
medication is given, the client develops redness of the skin, itching, and
swelling at the site of injection of the drug. The most likely cause of this
response is: Answer: allergic response
● The nurse has administered a client's medication. What action should
the nurse perform next? Answer: assess for drug affects
● An older adult client has an elevated serum creatinine level. This client
is at greatest risk for which medication-related effect? Answer: toxicity
,● What changes due to aging in the geriatric client may affect excretion
and promote accumulation of drugs in the body? Answer: decreased
GFR
● A client is receiving an antineoplastic medication for treatment of
breast cancer and begins having tonic-clonic seizure activity. What type
of toxicity does the nurse recognize that this client is experiencing?
Answer: neurotoxicity
● What client is most likely to have impaired drug metabolism?
Answer: A client who has a diagnosed Hep C
● An elderly postsurgical client has developed postoperative pneumonia
in the days following abdominal surgery and is being treated with a
number of medications. Which medication that the nurse will administer
has the slowest absorption? Answer: an oral antidepressant that the
client has been taking for several years
● 15s
Clients who use garlic with co-administration of antidiabetic drugs may
run into which serious problem? Answer: hypoglycemia
● The nurse is called to a client's room 15 minutes after the client has
received a new medication. The client reports pruritus as well as nausea.
The nurse notes that the client appears pale, is sweating, and has begun
, to cough and wheeze. The nurse determines that the client is
experiencing what type of reaction related to the new medication?
Answer: anaphylactic shock
● A client has informed the nurse that he has begun supplementing his
medication regimen with a series of herbal remedies recommended by
his sister-in-law. Which is the most important nursing intervention
regarding the safe use of herbal supplements? Answer: research for
potential interactions with meds
● Plants and plant parts have been used as medicines since prehistoric
times. Morphine (roxanol) is derived from which plant? Answer: poppy
● A nurse who provides care in a long-term care facility is documenting
a new resident's medication regimen on the resident's intake admission.
The nurse is documenting the generic, rather than proprietary or trade,
names of the resident's current drugs because: Answer: there's a
potential for confusion and miscommunication if proprietary names are
used
● Which factor accounts for the increased risk for drug reactions among
clients aged 65 years and older? Answer: physiologic changes affecting
all pharmacologic processes
