NR293 EXAM 2 2026 CERTIFICATION
EVALUATION QUESTIONS AND ANSWERS
◉ 9 rights of medicine administration. Answer: right patient, right
dose, right medication, right time, right documentation, right route,
right reason, right response
◉ what is a prototype. Answer: the first drug of a class that all
others are based from (ex- morphine)
◉ what is pharmacokinetics. Answer: what the body does to the
drug
◉ what is pharmacodynamics. Answer: what the drug does to the
body
◉ bioavailability. Answer: what portion of the drug that entered the
circulation can have an effect on the body
◉ first pass effect. Answer: a drug enters the GI tract and is filtered
to the liver where some is destroyed
◉ what enzymes work in the liver. Answer: P-450 enzymes
,◉ if a patient has cirrhosis of the liver, what will happen when they
take a medication?. Answer: When the medication passes through
the liver for the first pass, there will be less P-450 enzymes so the
bioavailability of the medication will be higher and it will circulate in
the bloodstream longer.
◉ half life. Answer: time required for 50% of the drug to be removed
from the body
◉ Pharmacotherapeutics. Answer: treatment of conditions
◉ enteral route. Answer: through the GI tract
◉ parenteral tract. Answer: outside the GI tract
◉ how is medication absorption different for neonates and
children?. Answer: they have less gastric acid to break down
medications and availability is higher
◉ why do more drugs enter neonate and children's brains, why are
meds not as easily excreted/destroyed by liver and kidneys ?.
Answer: immature BBB, liver, and kidneys
,◉ Polypharmacy. Answer: The use of multiple medications on a
regular basis
◉ during which phase of the nursing process does a nurse prioritize
the nursing diagnoses?. Answer: planning
◉ the nurse recognizes that drugs given by which route will be
altered by the first pass effect?
a. oral
b. sublingual
c. subcutaneous
d. IV
e. rectal. Answer: oral and rectal
◉ the nurse is reviewing a list of a patient's medications and notes
one of the drugs has a low therapeutic index. what does this mean?.
Answer: the difference between a therapeutic dose and a toxic dose
are very close together
◉ when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B?. Answer: level of drug B could rise
to toxicity
, ◉ A drug is highly protein bound, what does this mean?. Answer: it
will have a longer duration of action
◉ do no harm is what ethical principle?. Answer: nonmaleficence
◉ Which legal act required drug manufacturers to establish the
safety and efficacy of a new drug before its approval for use?.
Answer: Kefauver-Harris, amendment of 1962
◉ over the counter drugs (otc) are. Answer: nonprescription drugs
that are used for short term treatment
◉ what herbal supplement is used to promote sleep and relaxation,
prolonged use can cause yellow discoloration of nails, risk for liver
toxicity. Answer: kava
◉ herbal supplement used to decrease nausea and vomiting induced
by chemotherapy. Answer: ginkgo
◉ which drug classes are used as OTC remedies ?
a. NSAIDs
b. cold remedies
c. antibiotics
d.smoking deterrent drugs
EVALUATION QUESTIONS AND ANSWERS
◉ 9 rights of medicine administration. Answer: right patient, right
dose, right medication, right time, right documentation, right route,
right reason, right response
◉ what is a prototype. Answer: the first drug of a class that all
others are based from (ex- morphine)
◉ what is pharmacokinetics. Answer: what the body does to the
drug
◉ what is pharmacodynamics. Answer: what the drug does to the
body
◉ bioavailability. Answer: what portion of the drug that entered the
circulation can have an effect on the body
◉ first pass effect. Answer: a drug enters the GI tract and is filtered
to the liver where some is destroyed
◉ what enzymes work in the liver. Answer: P-450 enzymes
,◉ if a patient has cirrhosis of the liver, what will happen when they
take a medication?. Answer: When the medication passes through
the liver for the first pass, there will be less P-450 enzymes so the
bioavailability of the medication will be higher and it will circulate in
the bloodstream longer.
◉ half life. Answer: time required for 50% of the drug to be removed
from the body
◉ Pharmacotherapeutics. Answer: treatment of conditions
◉ enteral route. Answer: through the GI tract
◉ parenteral tract. Answer: outside the GI tract
◉ how is medication absorption different for neonates and
children?. Answer: they have less gastric acid to break down
medications and availability is higher
◉ why do more drugs enter neonate and children's brains, why are
meds not as easily excreted/destroyed by liver and kidneys ?.
Answer: immature BBB, liver, and kidneys
,◉ Polypharmacy. Answer: The use of multiple medications on a
regular basis
◉ during which phase of the nursing process does a nurse prioritize
the nursing diagnoses?. Answer: planning
◉ the nurse recognizes that drugs given by which route will be
altered by the first pass effect?
a. oral
b. sublingual
c. subcutaneous
d. IV
e. rectal. Answer: oral and rectal
◉ the nurse is reviewing a list of a patient's medications and notes
one of the drugs has a low therapeutic index. what does this mean?.
Answer: the difference between a therapeutic dose and a toxic dose
are very close together
◉ when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B?. Answer: level of drug B could rise
to toxicity
, ◉ A drug is highly protein bound, what does this mean?. Answer: it
will have a longer duration of action
◉ do no harm is what ethical principle?. Answer: nonmaleficence
◉ Which legal act required drug manufacturers to establish the
safety and efficacy of a new drug before its approval for use?.
Answer: Kefauver-Harris, amendment of 1962
◉ over the counter drugs (otc) are. Answer: nonprescription drugs
that are used for short term treatment
◉ what herbal supplement is used to promote sleep and relaxation,
prolonged use can cause yellow discoloration of nails, risk for liver
toxicity. Answer: kava
◉ herbal supplement used to decrease nausea and vomiting induced
by chemotherapy. Answer: ginkgo
◉ which drug classes are used as OTC remedies ?
a. NSAIDs
b. cold remedies
c. antibiotics
d.smoking deterrent drugs
