NUR 334 PRACTICE EXAM 1 (LATEST ): QUESTIONS AND CORRECT
VERIFIED ANSWERS (100% GUARANTEED PASS!!!)
The nurse should teach a patient that the generic name of a medication refers to:
A. The brand marketed by a single company.
B. The chemical name approved as the official drug name.
C. The name used only in hospitals.
D. A nickname commonly used by patients.
B. The chemical name approved as the official drug name.
Which route of administration provides the fastest onset of systemic medication effect?
A. Oral tablet
B. Transdermal patch
C. Intravenous (IV) bolus
D. Subcutaneous injection
C. Intravenous (IV) bolus
A medication described as having a high first-pass effect will most likely:
A. Have increased bioavailability after oral administration.
B. Be extensively metabolized by the liver before reaching systemic circulation.
C. Be poorly absorbed from the small intestine.
D. Be excreted primarily via the lungs.
B. Be extensively metabolized by the liver before reaching systemic circulation.
The nurse gives a sublingual nitroglycerin tablet. The major advantage of this route is that
it:
A. Prevents the drug from entering systemic circulation.
B. Bypasses first-pass hepatic metabolism.
C. Has a slower onset than an oral tablet.
D. Has more predictable absorption than IV.
, 2
B. Bypasses first-pass hepatic metabolism.
A drug that binds to receptor sites and produces the same (or greater) response as the
endogenous ligand is called a(n):
A. Antagonist.
B. Partial agonist
C. Agonist.
D. Inhibitor.
C. Agonist.
A nonselective beta-blocker is more likely than a selective beta-blocker to cause which
adverse effect?
A. Bronchospasm in a patient with asthma.
B. Bradycardia only.
C. Decreased blood sugar in diabetics.
D. Peripheral neuropathy.
A. Bronchospasm in a patient with asthma.
The process of distribution of a drug refers to:
A. Movement of the drug from the site of administration into the blood.
B. Movement of the drug from the blood to body tissues and target sites.
C. Chemical alteration of the drug in the liver.
D. Elimination of the drug by the kidneys.
B. Movement of the drug from the blood to body tissues and target sites.
Which patient factor most directly affects absorption of an oral medication?
A. Serum albumin concentration
B. Gastric pH and motility
C. Glomerular filtration rate
, 3
D. Hepatic enzyme activity
B. Gastric pH and motility
A medication with a narrow therapeutic index requires:
A. Less monitoring because it is always safe.
B. Careful monitoring of serum drug levels and signs of toxicity.
C. No concern for drug interactions.
D. Increasing the dose until the desired effect is reached.
B. Careful monitoring of serum drug levels and signs of toxicity.
The nurse recognizes peak and trough levels are important for which type of medications?
A. Drugs with wide therapeutic windows.
B. Drugs with narrow therapeutic windows
C. Topical medications only.
D. Over-the-counter analgesics.
B. Drugs with narrow therapeutic windows
Which statement about protein binding is correct?
A. Only free drug (unbound) is pharmacologically active.
B. Protein-bound drug is the only form that crosses cell membranes.
C. High protein binding always decreases duration of action.
D. Albumin levels do not affect drug distribution.
A. Only free drug (unbound) is pharmacologically active.
A nurse gives a patient a medication that causes dry mouth, blurred vision, urinary
retention, and constipation. These are classic signs of:
A. Cholinergic stimulation.
VERIFIED ANSWERS (100% GUARANTEED PASS!!!)
The nurse should teach a patient that the generic name of a medication refers to:
A. The brand marketed by a single company.
B. The chemical name approved as the official drug name.
C. The name used only in hospitals.
D. A nickname commonly used by patients.
B. The chemical name approved as the official drug name.
Which route of administration provides the fastest onset of systemic medication effect?
A. Oral tablet
B. Transdermal patch
C. Intravenous (IV) bolus
D. Subcutaneous injection
C. Intravenous (IV) bolus
A medication described as having a high first-pass effect will most likely:
A. Have increased bioavailability after oral administration.
B. Be extensively metabolized by the liver before reaching systemic circulation.
C. Be poorly absorbed from the small intestine.
D. Be excreted primarily via the lungs.
B. Be extensively metabolized by the liver before reaching systemic circulation.
The nurse gives a sublingual nitroglycerin tablet. The major advantage of this route is that
it:
A. Prevents the drug from entering systemic circulation.
B. Bypasses first-pass hepatic metabolism.
C. Has a slower onset than an oral tablet.
D. Has more predictable absorption than IV.
, 2
B. Bypasses first-pass hepatic metabolism.
A drug that binds to receptor sites and produces the same (or greater) response as the
endogenous ligand is called a(n):
A. Antagonist.
B. Partial agonist
C. Agonist.
D. Inhibitor.
C. Agonist.
A nonselective beta-blocker is more likely than a selective beta-blocker to cause which
adverse effect?
A. Bronchospasm in a patient with asthma.
B. Bradycardia only.
C. Decreased blood sugar in diabetics.
D. Peripheral neuropathy.
A. Bronchospasm in a patient with asthma.
The process of distribution of a drug refers to:
A. Movement of the drug from the site of administration into the blood.
B. Movement of the drug from the blood to body tissues and target sites.
C. Chemical alteration of the drug in the liver.
D. Elimination of the drug by the kidneys.
B. Movement of the drug from the blood to body tissues and target sites.
Which patient factor most directly affects absorption of an oral medication?
A. Serum albumin concentration
B. Gastric pH and motility
C. Glomerular filtration rate
, 3
D. Hepatic enzyme activity
B. Gastric pH and motility
A medication with a narrow therapeutic index requires:
A. Less monitoring because it is always safe.
B. Careful monitoring of serum drug levels and signs of toxicity.
C. No concern for drug interactions.
D. Increasing the dose until the desired effect is reached.
B. Careful monitoring of serum drug levels and signs of toxicity.
The nurse recognizes peak and trough levels are important for which type of medications?
A. Drugs with wide therapeutic windows.
B. Drugs with narrow therapeutic windows
C. Topical medications only.
D. Over-the-counter analgesics.
B. Drugs with narrow therapeutic windows
Which statement about protein binding is correct?
A. Only free drug (unbound) is pharmacologically active.
B. Protein-bound drug is the only form that crosses cell membranes.
C. High protein binding always decreases duration of action.
D. Albumin levels do not affect drug distribution.
A. Only free drug (unbound) is pharmacologically active.
A nurse gives a patient a medication that causes dry mouth, blurred vision, urinary
retention, and constipation. These are classic signs of:
A. Cholinergic stimulation.
