NURS 3632 University Of Texas-Arlington Exam 2
N3632 Questions With Answers| Latest Update
A nurse administers a dose of an oral medication for hypertension to a patient who immediately
vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this
situation?
a. Readminister the medication and notify the primary care provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider.
C
A nurse is administering phenytoin via a gastric tube to a patient who is receiving tube feedings.
What would be an appropriate action of the nurse in this situation?
a. Discontinue the tube feeding and leave the tube clamped for required period of time before
and after medication administration.
b. Notify the primary care provider that medication cannot be given to the patient at this time
via the gastric tube.
c. Remove the tube in place and replace it with another tube prior to administering the
medication.
d. Flush the tube with 60 mL of water prior to administering the medication.
A
A nurse who is administering medications to patients in an acute care setting studies the
pharmacokinetics of the drugs being administered. Which statements accurately describe these
mechanisms of action? Select all that apply.
,a. Distribution occurs after a drug has been absorbed into the bloodstream and is made
available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of entry into the body
to the bloodstream.
c. Absorption is the change of a drug from its original form to a new form, usually occurring in
the liver.
d. During first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal
vein instead of going into the system's circulation.
e. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug
absorption.
f. Excretion is the process of removing a drug, or its metabolites (products of metabolism), from
the body
A,D,F
A nurse who gives subcutaneous and intramuscular injections to patients in a hospital setting
attempts to reduce discomfort for the patients receiving the injections. Which technique is
recommended?
a. The nurse selects a needle of the largest gauge that is appropriate for the site and solution to
be injected.
b. The nurse injects the medication into contracted muscles to reduce pressure and discomfort
at the site.
c. The nurse uses the Z-track technique for intramuscular injections to prevent leakage of
medication into the needle track.
d. The nurse applies vigorous pressure in a circular motion after the injection to distribute the
medication to the intended site.
C
,A medication order reads: "K-Dur, 20 mEq po BID." When and how does the nurse correctly give
this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch
C
A nurse is preparing medications for patients in the ICU. The nurse is aware that there are
patient variables that may affect the absorption of these medications. Which statements
accurately describe these variables? Select all that apply.
a. Patients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses
than those usually prescribed.
b. Some people experience the same response with a placebo as with the active drug used in
studies.
c. People with liver disease metabolize drugs more quickly than people with normal liver
functioning.
d. A patient who receives a pain medication in a noisy environment may not receive full benefit
from the medication's effects.
e. Oral medications should not be given with food as the food may delay the absorption of the
medications.
f. Circadian rhythms and cycles may influence drug action.
A,B,D,F
A health care provider orders a pain medication for a postoperative patient that is a PRN order.
When would the nurse administer this medication?
, a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order
B
A nurse is administering a pain medication to a patient. In addition to checking his identification
bracelet, the nurse correctly verifies the patient's identity by performing which action?
a. Asking the patient his name and birthdate
b. Reading the patient's name on the sign over the bed
c. Asking the patient's roommate to verify his name
d. Asking, "Are you Mr. Brown?"
A
The nurse is administering a medication to a patient via an enteral feeding tube. Which are
accurate guidelines related to this procedure? Select all that apply.
a. Crush the enteric-coated pill for mixing in a liquid.
b. Flush open the tube with 60 mL of very warm water.
c. Use the recommended procedure for checking tube placement in the stomach or intestine.
d. Give each medication separately and flush with water between each drug.
e. Lower the head of the bed to prevent reflux.
f. Adjust the amount of water used if patient's fluid intake is restricted.
N3632 Questions With Answers| Latest Update
A nurse administers a dose of an oral medication for hypertension to a patient who immediately
vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this
situation?
a. Readminister the medication and notify the primary care provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider.
C
A nurse is administering phenytoin via a gastric tube to a patient who is receiving tube feedings.
What would be an appropriate action of the nurse in this situation?
a. Discontinue the tube feeding and leave the tube clamped for required period of time before
and after medication administration.
b. Notify the primary care provider that medication cannot be given to the patient at this time
via the gastric tube.
c. Remove the tube in place and replace it with another tube prior to administering the
medication.
d. Flush the tube with 60 mL of water prior to administering the medication.
A
A nurse who is administering medications to patients in an acute care setting studies the
pharmacokinetics of the drugs being administered. Which statements accurately describe these
mechanisms of action? Select all that apply.
,a. Distribution occurs after a drug has been absorbed into the bloodstream and is made
available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of entry into the body
to the bloodstream.
c. Absorption is the change of a drug from its original form to a new form, usually occurring in
the liver.
d. During first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal
vein instead of going into the system's circulation.
e. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug
absorption.
f. Excretion is the process of removing a drug, or its metabolites (products of metabolism), from
the body
A,D,F
A nurse who gives subcutaneous and intramuscular injections to patients in a hospital setting
attempts to reduce discomfort for the patients receiving the injections. Which technique is
recommended?
a. The nurse selects a needle of the largest gauge that is appropriate for the site and solution to
be injected.
b. The nurse injects the medication into contracted muscles to reduce pressure and discomfort
at the site.
c. The nurse uses the Z-track technique for intramuscular injections to prevent leakage of
medication into the needle track.
d. The nurse applies vigorous pressure in a circular motion after the injection to distribute the
medication to the intended site.
C
,A medication order reads: "K-Dur, 20 mEq po BID." When and how does the nurse correctly give
this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch
C
A nurse is preparing medications for patients in the ICU. The nurse is aware that there are
patient variables that may affect the absorption of these medications. Which statements
accurately describe these variables? Select all that apply.
a. Patients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses
than those usually prescribed.
b. Some people experience the same response with a placebo as with the active drug used in
studies.
c. People with liver disease metabolize drugs more quickly than people with normal liver
functioning.
d. A patient who receives a pain medication in a noisy environment may not receive full benefit
from the medication's effects.
e. Oral medications should not be given with food as the food may delay the absorption of the
medications.
f. Circadian rhythms and cycles may influence drug action.
A,B,D,F
A health care provider orders a pain medication for a postoperative patient that is a PRN order.
When would the nurse administer this medication?
, a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order
B
A nurse is administering a pain medication to a patient. In addition to checking his identification
bracelet, the nurse correctly verifies the patient's identity by performing which action?
a. Asking the patient his name and birthdate
b. Reading the patient's name on the sign over the bed
c. Asking the patient's roommate to verify his name
d. Asking, "Are you Mr. Brown?"
A
The nurse is administering a medication to a patient via an enteral feeding tube. Which are
accurate guidelines related to this procedure? Select all that apply.
a. Crush the enteric-coated pill for mixing in a liquid.
b. Flush open the tube with 60 mL of very warm water.
c. Use the recommended procedure for checking tube placement in the stomach or intestine.
d. Give each medication separately and flush with water between each drug.
e. Lower the head of the bed to prevent reflux.
f. Adjust the amount of water used if patient's fluid intake is restricted.
