MIAMI DADE COLLEGE NUR 1025 RN PHARMACOLOGY
LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS NURSING COURSE 2025/2026 | VERIFIED
QUESTIONS AND ANSWERS GRADED A+ | DRUG THERAPY,
PHARMACOLOGICAL PRINCIPLES & PATIENT CARE
STUDY GUIDE | GUARANTEED SUCCESS
A nurse is admitting a client and completing a preassessment before
administering medications.
Which of the following data
should the nurse include in the preassessment? (Select all that apply.)
A.Use of herbal teas
B.Daily fluid intake
C.Current health status
D.Previous surgical history
E.Food allergies - CORRECT ANSWER - A. The nurse should inquire about
the client's use of herbal products, which often contain caffeine, prior to
medication
administration because caffeine can affect medication biotransformation
C. The nurse should review the client's current health status
because new prescriptions can cause alterations in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or interactions
,A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription - CORRECT ANSWER - B.A
second nurse should listen to a telephone
prescription to prevent errors in communication.
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.
LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND
ANSWERS NURSING COURSE 2025/2026 | VERIFIED
QUESTIONS AND ANSWERS GRADED A+ | DRUG THERAPY,
PHARMACOLOGICAL PRINCIPLES & PATIENT CARE
STUDY GUIDE | GUARANTEED SUCCESS
A nurse is admitting a client and completing a preassessment before
administering medications.
Which of the following data
should the nurse include in the preassessment? (Select all that apply.)
A.Use of herbal teas
B.Daily fluid intake
C.Current health status
D.Previous surgical history
E.Food allergies - CORRECT ANSWER - A. The nurse should inquire about
the client's use of herbal products, which often contain caffeine, prior to
medication
administration because caffeine can affect medication biotransformation
C. The nurse should review the client's current health status
because new prescriptions can cause alterations in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or interactions
,A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription - CORRECT ANSWER - B.A
second nurse should listen to a telephone
prescription to prevent errors in communication.
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.
