NUR 2571 PN2-Week_1 Quiz 1/ NUR 2571 PN2_Week1-Exam_1, Professional Nursing II Rasmussen College

NUR 2571 PN2-Week_1 Quiz 1/ NUR 2571 PN2_Week1-Exam_1, Professional Nursing II Rasmussen College NUR 2571 Quiz Week 1 1. What is the primary role of a nurse in medication administration. a. Ensure medications are administered and delivered in a safe manner b. Be certain that the physician's orders are accurate c. Inform the patient that prescribe medications need be taken only if the patient agrees with the treatment plan d. Ensure patient compliance by watching the patient swallow all prescribed medications 2. Before administering drugs by the enteral route the nurse should evaluate which of the following a. Ability of the patient to lie supine b. Compatibility of the drug with the IV fluid c. Ability of the patient to swallow d. Patency of the injection port 3. Which of the following medications would not be administered through a nasogastric tube (select all that apply ) a. Liquids b. Enteric-coated tablets c. Sustained-release tablets d. Finely crushed tablets e. IV medications 4. What is the term for unpredictable and unexplained drug reactions a. Adverse reactions b. Idiosyncratic reactions c. Enzymes specific reactions d. Unaltered reactions 5. A drug that occupies a receptor site and prevents endogenous chemicals from acting is called a. Antagonist b. Partial Agonist c. Agonist d. Protagonist 6. A nurse reads that the drug to be given to the patient has a narrow therapeutic index this means that the drug has a. A narrow range of effectiveness and may not get this patient to desired therapeutic results b. Has an arrow safety margin and even a small increase in dose may produce adverse or toxic effects c. Has a narrow range of conditions or diseases that the drug will be expected to treat successfully d. Has a narrow segment of the population for whom the drug will work as desired 7. Which factor is most important for the nurse to assess when evaluating the effectiveness of a patient's drug therapy a. Patients promise to comply with drug therapy b. Patient satisfaction with the drug c. Cost of the medication d. Evidence of therapeutic benefit 8. Which of the following part of the nursing process is where the nurse assesses the effectiveness of the medication a. Assessment b. Implementation c. Diagnosis d. Evaluation 9. During the evaluation phase of drug administration the nurse completes which responsibilities a. Prepares and administers drugs correctly b. Establishes goals and criteria related to drug therapy c. Monitors the patient for therapeutic and adverse effects d. Gathers data and a drug and dietary history 10. The patient with liver dysfunction experiences toxicity to a drug following administration of several doses this adverse reaction may have been prevented if the nurse had followed which phase of the nursing process a. Assessment b. Planning c. Implementation d. Evaluation 11. The patient states she has been increasing the amount and frequency of the anti-anxiety drugs she is used to using. The nurse understands that the patient has most likely developed a. Immunity b. Tolerance c. Resistance d. Addiction 12. It is important for the nurse to be aware of the four sequential processes of the pharmacokinetic phase. What are these processes? a. Distribution, metabolism, excretion, absorption b. Biotransformation, excretion, absorption, metabolism c. Absorption, distribution, metabolism, excretion d. Metabolism, distribution, absorption, excretion 13. It is expected that the nurse will question the health care provider if a drug with a t1/2 (half life) of 24 hours is ordered to be given more than how often? (Select all that apply). a. Once daily b. Twice daily c. Twice weekly d. Once weekly 14. One of the client's drugs has a potential adverse effect of nephrotoxicity. Which test is most accurate to determine renal function? a. Creatinine clearance b. Blood urea nitrogen c. Glomerular filtration rate d. Renal clearance I will take either result, however Creatinine is always a better indicator. 15. Tylenol 500 mg is ordered for a patient with a fever of 102. The medication is available is 250mg doses. How many tablets will the nurse administer to the patient? a. 1 b. 2 c. ½ d. 3 16. Concerning oral administration, which are disadvantages (select all that apply) A) least economical B) drug taken orally may cause emesis C) drug taken orally may be destroyed by gastric acidity D) drug taken orally may be metabolized by first pass effect E) drug taken orally may be inconsistently absorbed due to the presence of food 17. Routes of administration that avoid "first-pass" hepatic effects: Select All That Apply A) sublingual B) oral C) transdermal D) lower rectal suppositories E) inhalation ***morning class get this correct if you selected only one as it did not say SATA in the question for your class. 18. Two most important sites for drug elimination: A) pulmonary and liver B) liver and gastrointestinal tract C) kidney and liver D) skin and liver E) pulmonary and kidney 19. The patient is ordered 200 mg PO BID of metoprolol for blood pressure greater than 160/90. The patient is assessed and the heart rate is 89, blood pressure is 167/100. How much medication will the patient receive in one day. a. 200 mg b. 400 mg c. 100 mg d. 1000 mg e. 800 mg 20. Xanax 1mg PO every 3 hours is ordered for anxiety. The bottle contains 30 tablets, each are 1 mg. The patient asks “how many pills do I take if I feel anxious”. The nurse would instruct. a. 3 b. 2 c. 1 d. ½