MIAMI DADE COLLEGE NUR 1025 RN PHARMACOLOGY
LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS NURSING COURSE 2025 2026 COURSE
VERIFIED QUESTIONS AND ANSWERS GRADED A+ DRUG
THERAPY PHARMACOLOGICAL PRINCIPLES PATIENT
CARE STUDY GUIDE GUARANTEED SUCCESS
A nurse is preparing to administer vancomycin 1 g by intermittent IV
bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water
(D5W) to infuse over 45 min. The drop factor of the manual IV tubing is
10 gtt/mL. The nurse should adjust the manual IV infusion to deliver
how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero. -
CORRECT ANSWER - 22 gtt/min
A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER - A. Medications with long half-lives remain
at their therapeutic levels between doses for long periods of time. The
nurse should expect to administer this medication once a day.
A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service
,presentation. Which of the following factors should the educator include
as a reason to administer lower medication dosages? (Select all that
apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes -
CORRECT ANSWER - Answer:
C. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete
for metabolism, thereby increasing the concentration of one or both
medications. This requires decreasing the dosage of one or both
medications.
A nurse is preparing to
administer eye drops to a client.
Which of the following actions
should the nurse take? (Select
all that apply.)
,A.have the client lie on her side.
B.Ask the client to look
up at the ceiling.
C.Tell the client to blink when the drops enter her eye.
D.Drop the medication
into the center of the
client's conjunctival sac.
E.Instruct the client to close her eye gently after instillation -
CORRECT ANSWER - B. The client should look upward to keep the
drops from falling onto her cornea.
D. The nurse should drop the medication
into the center of the conjunctival sac to
promote distribution.
E. The client should close her eye gently to
promote distribution of the medication
A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
, A."I will clean the site with
an alcohol swab before
I apply the patch."
B."I will rotate the application sites weekly."
C."I will apply the patch to an area of skin with no hair."
D."I will place the new patch on the site of the old patch. -
CORRECT ANSWER - C. The client should apply the patch to a
hairless area of skin to promote absorption of the medication.
A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following
actions should the nurse take?
A.Obtain a blood specimen
immediately prior to
administering the next
dose of medication.
B.Verify that the client has
been taking the
medication for 24 hr
before obtaining a blood
specimen.
LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS NURSING COURSE 2025 2026 COURSE
VERIFIED QUESTIONS AND ANSWERS GRADED A+ DRUG
THERAPY PHARMACOLOGICAL PRINCIPLES PATIENT
CARE STUDY GUIDE GUARANTEED SUCCESS
A nurse is preparing to administer vancomycin 1 g by intermittent IV
bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water
(D5W) to infuse over 45 min. The drop factor of the manual IV tubing is
10 gtt/mL. The nurse should adjust the manual IV infusion to deliver
how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero. -
CORRECT ANSWER - 22 gtt/min
A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day
should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER - A. Medications with long half-lives remain
at their therapeutic levels between doses for long periods of time. The
nurse should expect to administer this medication once a day.
A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service
,presentation. Which of the following factors should the educator include
as a reason to administer lower medication dosages? (Select all that
apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes -
CORRECT ANSWER - Answer:
C. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete
for metabolism, thereby increasing the concentration of one or both
medications. This requires decreasing the dosage of one or both
medications.
A nurse is preparing to
administer eye drops to a client.
Which of the following actions
should the nurse take? (Select
all that apply.)
,A.have the client lie on her side.
B.Ask the client to look
up at the ceiling.
C.Tell the client to blink when the drops enter her eye.
D.Drop the medication
into the center of the
client's conjunctival sac.
E.Instruct the client to close her eye gently after instillation -
CORRECT ANSWER - B. The client should look upward to keep the
drops from falling onto her cornea.
D. The nurse should drop the medication
into the center of the conjunctival sac to
promote distribution.
E. The client should close her eye gently to
promote distribution of the medication
A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
, A."I will clean the site with
an alcohol swab before
I apply the patch."
B."I will rotate the application sites weekly."
C."I will apply the patch to an area of skin with no hair."
D."I will place the new patch on the site of the old patch. -
CORRECT ANSWER - C. The client should apply the patch to a
hairless area of skin to promote absorption of the medication.
A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following
actions should the nurse take?
A.Obtain a blood specimen
immediately prior to
administering the next
dose of medication.
B.Verify that the client has
been taking the
medication for 24 hr
before obtaining a blood
specimen.
