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PHARM - TEST BANK EXAM QUESTIONS COMPREHENSIVE
2026 QUESTIONS EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
The nurse is writing a nursing diagnosis for a plan of care for a pt who has
been newly diagnosed w/ type 2 diabetes. Which statement reflects the correct
format for a nursing diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by
statements such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as
"I'm upset about having to test my blood sugars."
D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was
busy & gave the med 2 hrs after the scheduled dose was due. What type of
problem does this represent?
a. right time
b. right dose
c. right route
d. right medication
A
The nurse has been monitoring the pt's progress on a new drug regimen since
the first dose & documenting the pt's therapeutic response to the medication.
Which phase of the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
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c. implementation
d. evaluation
D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes
mellitus. Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique
D
Which activity best reflects the implementation phase of the nursing process
for the pt who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new
treatment regimen
A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds
C
When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies
C
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The nurse is performing an assessment of a newly admitted pt. Which is an
example of subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis
C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both
drugs are absorbed into the circulation in identical amounts. Which term is
used to identify this principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state
A
The nurse is administering parenteral drugs. Which statement is true
regarding parenteral drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the
stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream
A
When monitoring the pt receiving an intraveous infusion to reduce BP, the
nurse notes that the pt's BP is extremely low, & the pt is lethargic & difficult to
awaken. This would be classified as which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction
D
When reviewing the mechanism of action of a specific drug, the nurse reads
that the drug works by selective enzyme interaction. Which of these processes
describes selective enzyme interaction?
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a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme
from binding to that receptor
d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's
action w/ the normal target cell
D
When administering a new medication to a pt, the nurse reads that is highly
protein bound. Assuming that the pt's albumin levels are normal, the nurse
would expect which result, as compared to a medication that is not highly
protein bound?
a. renal excretion will be faster
b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer
D
The pt is experiencing chest pain & needs to take a sublingual form of
nitroglycerin. Where does the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum
A
The nurse is administering medications to the pt who is in renal failure
resulting from endstage renal disease. The nurse is aware that pts w/ kidney
failure would most likely have problems w/ which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion
D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
PHARM - TEST BANK EXAM QUESTIONS COMPREHENSIVE
2026 QUESTIONS EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
The nurse is writing a nursing diagnosis for a plan of care for a pt who has
been newly diagnosed w/ type 2 diabetes. Which statement reflects the correct
format for a nursing diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by
statements such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as
"I'm upset about having to test my blood sugars."
D
The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was
busy & gave the med 2 hrs after the scheduled dose was due. What type of
problem does this represent?
a. right time
b. right dose
c. right route
d. right medication
A
The nurse has been monitoring the pt's progress on a new drug regimen since
the first dose & documenting the pt's therapeutic response to the medication.
Which phase of the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
, Page 2 of 50
c. implementation
d. evaluation
D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes
mellitus. Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique
D
Which activity best reflects the implementation phase of the nursing process
for the pt who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new
treatment regimen
A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds
C
When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies
C
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The nurse is performing an assessment of a newly admitted pt. Which is an
example of subjective data?
a. BP 158/96 mm Hg
b. weight 255 lbs
c. pt reports that he uses the herbal product ginkgo
d. the pt's lab work includes a complete blood count & urinalysis
C
The pt is receiving 2 different drugs. At current dosages & dosage forms, both
drugs are absorbed into the circulation in identical amounts. Which term is
used to identify this principle?
a. bioequivalent
b. synergistic
c. prodrugs
d. steady state
A
The nurse is administering parenteral drugs. Which statement is true
regarding parenteral drugs?
a. parenteral drugs bypass the first-pass effect
b. absorption of parenteral drugs is affected by reduced blood flow to the
stomach
c. absorption of parenteral drugs is faster when the stomach is empty
d. parenteral drugs exert their effects while circulating in the bloodstream
A
When monitoring the pt receiving an intraveous infusion to reduce BP, the
nurse notes that the pt's BP is extremely low, & the pt is lethargic & difficult to
awaken. This would be classified as which type of adverse drug reaction?
a. adverse effect
b. allergic reaction
c. idiosyncratic reaction
d. pharmacologic reaction
D
When reviewing the mechanism of action of a specific drug, the nurse reads
that the drug works by selective enzyme interaction. Which of these processes
describes selective enzyme interaction?
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a. the drug alters cell membrane permeability
b. the drug's effectiveness within the cell walls of the target tissue is enhanced
c. the drug is attracted to a receptor on the cell wall, preventing an enzyme
from binding to that receptor
d. the drug binds to an enzyme molecule & inhibits or enhances the enzyme's
action w/ the normal target cell
D
When administering a new medication to a pt, the nurse reads that is highly
protein bound. Assuming that the pt's albumin levels are normal, the nurse
would expect which result, as compared to a medication that is not highly
protein bound?
a. renal excretion will be faster
b. the drug will be metabolized quickly
c. the duration of action of the medication will be shorter
d. the duration of action of the medication will be longer
D
The pt is experiencing chest pain & needs to take a sublingual form of
nitroglycerin. Where does the nurse instruct the pt to place the tablet?
a. under the tongue
b. on top of the tongue
c. at the back of the throat
d. in the space btwn the cheek & gum
A
The nurse is administering medications to the pt who is in renal failure
resulting from endstage renal disease. The nurse is aware that pts w/ kidney
failure would most likely have problems w/ which pharmacokinetic phase?
a. absorption
b. distribution
c. metabolism
d. excretion
D
Which drugs would be affected by the first-pass effect? (Select all that apply)
a. morphine given by IV push injection
b. sublingual nitroglycerin tablets
