NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. The nurse gives 800 mg of a drug that has a half-life of 8 hours. How much drug will be left in the body in 24 hours if no additional drug is given?
      A)None
      B)50 mg
      C)100 mg
      D)200 mg
    2. The nurse is preparing to administer a medication from a unit-dose system. The nurse verifies that the medication, dose, and time are correct and that the expiration date was the day prior. Which action is correct?
      A)Administer the medication and observe for adequate drug effects.
      B)Notify the pharmacist and provider of a medication error.
      C)Return the medication to the pharmacy to be replaced.
      D)Verify the right patient and administer the medication.
    3. When taking a medication history on a patient, why should the nurse ask about the use of complementary or alternative therapies?
      A)Patients starting on new drugs are usually not compliant with medical regimens.
      B)Many drug-alternative therapy interactions can cause serious problems.
      C)Natural products may be more effective, and the prescribed drug may not be needed.
      D)The cost of the drug and the alternative therapy may be too expensive for the patient to handle.
    4. Which category is characterized as objective data?
      A)The ages and relationship of all household members
      B)Usual dietary patterns and intake
      C)A list of herbal supplements regularly used
      D)Lab values associated with the drugs the patient is taking
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a patient who is supposed to receive two drugs at the same time. What is the nurse's priority action?
      A)Wash her hands before handling the medications.
      B)Consult a drug guide for compatibility.
      C)Question the patient concerning drug allergies.
    2. The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?
      A)Ask another nurse to observe and cosign wasting the remaining drug from the vial.
      B)Keep the remaining amount in the patient’s drawer to give at the next dose.
      C)Record the amount unused in the patient’s chart.
      D)Dispose of the vial with the remaining drug into a locked collection box.
    3. The nurse is caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely?
      A)Complete blood count and serum glucose levels
      B)Pancreatic enzymes and urinalysis
      C)Serum creatinine and liver function tests (LFTs)
      D)Serum lipids and electrolytes
    4. The nurse is preparing to give a medication to a child. The child's parent asks whether the drug is safe for children. How will the nurse respond to the parent?
      A)Drugs are tested on adults and safe doses for children are based on weights compared to adult weights.
      B)Drugs are deemed safe for children over time when repeated use proves effectiveness and safety.
      C)Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric use.
      D)Drugs are tested on children in post-marketing studies and on a limited basis.
    Page 2 of 13

    Exam Review

    1. The nurse understands that the length of time needed for a drug to reach the minimum effective concentration (MEC) is the
      A)Duration of action.
      B)Onset of action.
      C)Peak action time.
      D)Time response curve.
    2. The nurse is preparing to administer a medication and reviews the patient's chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are reflective of which phase of the nursing process?
      A)Assessment
      B)Evaluation
      C)Implementation
      D)Planning
    3. The patient is taking low-dose aspirin daily for his heart. The nurse knows only a portion of the medication taken actually reaches the tissue due to what process?
      A)Distribution
      B)First-pass effect
      C)Reduced absorption
      D)Gastrointestinal circulation
    4. A clinical drug trial is conducting a study of pharmacokinetics and safety of a drug in healthy individuals. The nurse will assist enrollment of participants into the next phase of the study and will include which subject?
      A)Healthy and ill subjects
      B)Subjects with other diseases
      C)Subjects with disease the drug will treat
      D)Healthy subjects
    Page 3 of 13

    Exam Review

    1. The nurse is teaching an overweight patient to administer subcutaneous heparin. Which statement by the patient indicates understanding of the teaching?
      A)"I should insert the needle and inject the medication without aspirating for blood."
      B)"I should put firm pressure on the injection site to decrease the risk for bleeding."
      C)"I will insert the needle at a 10-degree angle when injecting."
      D)"The subcutaneous route is used because absorption is faster this way."
    2. A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
      A)Assessment
      B)Evaluation
      C)Implementation
      D)Planning
    3. Which law(s) govern all drug administration by nurses?
      A)Drug Regulation and Reform Act
      B)FDA Amendments Act
      C)Nurse Practice Acts
      D)The Controlled Substances Act
    4. What concept is considered when generic drugs are substituted for brand-name drugs?
      A)Bioavailability
      B)Critical concentration
      C)Distribution
      D)Half-life
    Page 4 of 13

    Exam Review

    1. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which nursing diagnosis is appropriate for this patient?
      A)Deficient knowledge related to drug side effects
      B)Ineffective health maintenance related to age
      C)Readiness for enhanced knowledge related to medication side effects
      D)Risk for injury related to side effects of the medication
    2. The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nurse administer?
      A)Capsule
      B)Enteric-coated pill
      C)Liquid suspension
      D)Tablet
    3. A patient is prescribed a medication and asks the nurse if the drug is available in a generic form. The nurse understands that a generic medication will have a name that (select all that apply):(SATA)
      A)Is a registered trademark.
      B)Is always capitalized.
      C)Describes the drug's chemical structure.
      D)Is non-proprietary.
    4. A patient is taking methadone as part of a heroin withdrawal program. The nurse understands that in this instance methadone is classified as which drug schedule?
      A)C-V
      B)C-II
      C)C-I
      D)C-III
    Page 5 of 13

    Exam Review

    1. In response to the patient's question about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?
      A)Food and Drug Administration (FDA)
      B)Drug Enforcement Agency (DEA)
      C)Centers for Disease Control and Prevention (CDC)
      D)Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
    2. The nurse is conducting an admission assessment on a client. When collecting data related to medications, the nurse asks, "What medications are you currently taking?" After collecting this information, what other questions should the nurse ask? Select all that apply.(SATA)
      A)Do you feel like you take enough medication, too much, or too little?
      B)Do you take medications safely when you take them?
      C)Who prescribed these medications?
      D)What over-the-counter (OTC) medications do you take?
      E)Do you take any herbs, vitamins, or supplements?
    3. What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)(SATA)
      A)Teaching the patient how to cope with therapy to ensure the best outcome.
      B)Providing therapy as well as medications.
      C)Evaluating the effectiveness of therapy.
      D)Altering the drug regimen to optimize outcome.
      E)Recommending appropriate over-the-counter medications to treat adverse effects of prescription drug therapy.
    4. The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?
      A)Collaboration and teamwork
      B)Evidence-based practice
      C)Patient-centered care
      D)Quality improvement
    Page 6 of 13