PNU 119 Study Guide Exam 1 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Peak - CORRECT ANSWER Highest expected concentration of the drug level
*collect blood sample 1 hr after ORAL or IM, 30 min after IV
Trough - CORRECT ANSWER Lowest concentration of drug level
*collect blood sample 15 min prior to next dose
*do not give next dose until tests are returned from lab
Food-drug interactions - CORRECT ANSWER Grapefruit juice can intensify the drug
level by 330%
Most drugs are best taken on an empty stomach UNLESS otherwise indicated
Error/accountability - CORRECT ANSWER **Check patients VITAL SIGNS first**
Report mistake
Write an incident report and do not include this in the patients chart or MAR
Sympathomimetic drugs - CORRECT ANSWER A class of drugs that stimulate the
sympathetic nervous system
Cocaine, Ritalin, methamphetamines
, Rounding Rules - CORRECT ANSWER <1 mL round to hundredths place
>1 mL round to tenths place
*Weight in Kilograms, temp, centimeters and % round to tenths place
**Always use a leading zero, never a trailing zero*
5.0 WRONG
0.5 RIGHT
What reverses heroin? - CORRECT ANSWER Naloxone (narcan)
Lipid soluble meds store themselves in? - CORRECT ANSWER Fat cells (lipids)
Category C of Maternal Drugs - CORRECT ANSWER The "iffy" category
Verifying Safety of Drug Order - CORRECT ANSWER Always check a reliable drug
reference!
-Reference books, such as a Physicians drug reference, nursing drug guide
-Journals
-Internet
Where is the most important site for biotransformation? - CORRECT ANSWER Liver
What organ plays the most important role in EXCRETION of medication? - CORRECT
ANSWER Kidneys
Baby Medication Administration - CORRECT ANSWER Buckle (inside cheek)
The number one reason why patients stop meds - CORRECT ANSWER **Fatigue
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Peak - CORRECT ANSWER Highest expected concentration of the drug level
*collect blood sample 1 hr after ORAL or IM, 30 min after IV
Trough - CORRECT ANSWER Lowest concentration of drug level
*collect blood sample 15 min prior to next dose
*do not give next dose until tests are returned from lab
Food-drug interactions - CORRECT ANSWER Grapefruit juice can intensify the drug
level by 330%
Most drugs are best taken on an empty stomach UNLESS otherwise indicated
Error/accountability - CORRECT ANSWER **Check patients VITAL SIGNS first**
Report mistake
Write an incident report and do not include this in the patients chart or MAR
Sympathomimetic drugs - CORRECT ANSWER A class of drugs that stimulate the
sympathetic nervous system
Cocaine, Ritalin, methamphetamines
, Rounding Rules - CORRECT ANSWER <1 mL round to hundredths place
>1 mL round to tenths place
*Weight in Kilograms, temp, centimeters and % round to tenths place
**Always use a leading zero, never a trailing zero*
5.0 WRONG
0.5 RIGHT
What reverses heroin? - CORRECT ANSWER Naloxone (narcan)
Lipid soluble meds store themselves in? - CORRECT ANSWER Fat cells (lipids)
Category C of Maternal Drugs - CORRECT ANSWER The "iffy" category
Verifying Safety of Drug Order - CORRECT ANSWER Always check a reliable drug
reference!
-Reference books, such as a Physicians drug reference, nursing drug guide
-Journals
-Internet
Where is the most important site for biotransformation? - CORRECT ANSWER Liver
What organ plays the most important role in EXCRETION of medication? - CORRECT
ANSWER Kidneys
Baby Medication Administration - CORRECT ANSWER Buckle (inside cheek)
The number one reason why patients stop meds - CORRECT ANSWER **Fatigue
