NCLEX NGN RN ACTUAL EXAM LATEST
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
AGRADE
,1. A nurse assesses an oral temperature for an adult patient. The patient's
temperature is 37.5°C (99.5°F). What term would the nurse use to report this
temperature?
a. Febrile
b. Hypothermia
c. Hypertension
d. Afebrile –
ANSWER>>d. Afebrile means without fever. This temperature is within the
normal range for an adult. Fever (pyrexia) is an elevation of body temperature; a
person with fever is said to be febrile. Hypothermia is a low body temperature and
hyperthermia is a high body temperature.
2. 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. –
ANSWER>>c. If a patient vomits immediately after swallowing an oral pill, the
nurse should assess the vomit for the pill or fragments of it. The nurse should then
notify the primary care provider to see if another dosage should be administered.
3. A nurse is administering an oral medication to a patient via a gastric tube. The
nurse observes the medication enter the tube, and then the tube becomes clogged.
What would be the appropriate initial action of the nurse in this situation?
a. Attempt to dislodge the medication with a 10-mL syringe.
b. Notify the primary care provider.
c. Remove the tube and replace it with another tube.
d. Flush the tube with 60 mL of water. –
ANSWER>>a. If medication becomes clogged in a gastric tube, the nurse should
attach a 10-mL syringe on the end of the tube and pull back and lightly apply
pressure to the plunger in a repetitive motion to attempt to dislodge the medication.
If the medication does not move through the tube, the nurse should notify the
primary care provider, who may request the tube be replaced.
4. 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. Notify the primary care provider.
c. Remove the tube and replace it with another tube.
d. Flush the tube with 60 mL of water. –
ANSWER>>a. If medication becomes clogged in a gastric tube, the nurse should
attach a 10-mL syringe on the end of the tube and pull back and lightly apply
pressure to the plunger in a repetitive motion to attempt to dislodge the medication.
If the medication does not move through the tube, the nurse should notify the
primary care provider, who may request the tube be replaced.
5. 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
metabolis - ANSWER>>a, d, f. Distribution occurs after a drug has been absorbed
into the bloodstream and the drug is distributed throughout the body, becoming
available to body fluids and body tissues. Some drugs move from the intestinal
lumen to the liver by way of the portal vein and do not go directly into the systemic
circulation following oral absorption. This is called the first-pass effect, or hepatic
first pass. Excretion is the process of removing a drug or its metabolites (products
of metabolism) from the body. Absorption is the process by which a drug is
transferred from its site of entry into the body to the bloodstream. Metabolism, or
biotransformation, is the change of a drug from its original form to a new form.
The liver is the primary site for drug metabolism. The gastrointestinal tract, as well
as sweat, salivary, and mammary glands, are routes of drug excretion.
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
AGRADE
,1. A nurse assesses an oral temperature for an adult patient. The patient's
temperature is 37.5°C (99.5°F). What term would the nurse use to report this
temperature?
a. Febrile
b. Hypothermia
c. Hypertension
d. Afebrile –
ANSWER>>d. Afebrile means without fever. This temperature is within the
normal range for an adult. Fever (pyrexia) is an elevation of body temperature; a
person with fever is said to be febrile. Hypothermia is a low body temperature and
hyperthermia is a high body temperature.
2. 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. –
ANSWER>>c. If a patient vomits immediately after swallowing an oral pill, the
nurse should assess the vomit for the pill or fragments of it. The nurse should then
notify the primary care provider to see if another dosage should be administered.
3. A nurse is administering an oral medication to a patient via a gastric tube. The
nurse observes the medication enter the tube, and then the tube becomes clogged.
What would be the appropriate initial action of the nurse in this situation?
a. Attempt to dislodge the medication with a 10-mL syringe.
b. Notify the primary care provider.
c. Remove the tube and replace it with another tube.
d. Flush the tube with 60 mL of water. –
ANSWER>>a. If medication becomes clogged in a gastric tube, the nurse should
attach a 10-mL syringe on the end of the tube and pull back and lightly apply
pressure to the plunger in a repetitive motion to attempt to dislodge the medication.
If the medication does not move through the tube, the nurse should notify the
primary care provider, who may request the tube be replaced.
4. 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. Notify the primary care provider.
c. Remove the tube and replace it with another tube.
d. Flush the tube with 60 mL of water. –
ANSWER>>a. If medication becomes clogged in a gastric tube, the nurse should
attach a 10-mL syringe on the end of the tube and pull back and lightly apply
pressure to the plunger in a repetitive motion to attempt to dislodge the medication.
If the medication does not move through the tube, the nurse should notify the
primary care provider, who may request the tube be replaced.
5. 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
metabolis - ANSWER>>a, d, f. Distribution occurs after a drug has been absorbed
into the bloodstream and the drug is distributed throughout the body, becoming
available to body fluids and body tissues. Some drugs move from the intestinal
lumen to the liver by way of the portal vein and do not go directly into the systemic
circulation following oral absorption. This is called the first-pass effect, or hepatic
first pass. Excretion is the process of removing a drug or its metabolites (products
of metabolism) from the body. Absorption is the process by which a drug is
transferred from its site of entry into the body to the bloodstream. Metabolism, or
biotransformation, is the change of a drug from its original form to a new form.
The liver is the primary site for drug metabolism. The gastrointestinal tract, as well
as sweat, salivary, and mammary glands, are routes of drug excretion.
