Which phases of the nursing process requires the nurse to establish a comprehensive baseline of
data concerning a particular pt?
a. Assessment
b.
... [Show More] Planning
c. Implementation
d. Evaluation - CORRECT ANSWER a. Assessment
The nurse monitors the fulfillment of goals, and may revise them, during which phase of the
nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaulation - CORRECT ANSWER d. Evaluation
The nurse prepares and administers prescribed medications during which phase of the nursing
process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - CORRECT ANSWER c. Implementation
When developing a plan of care, which nursing action ensures the goal statement is pt centered?
a. Considering family input
b. Involving the pt
c. Developing the goal first and then sharing it with the pt
d. Including the physician - CORRECT ANSWER b. Involving the pt
The nurse includes which information as part of a complete medication profile? (Select all that
apply)
a. Use of "street" drugs
b. Current laboratory work
c. History of surgeries
d. Use of alcohol
e. Use of herbal products
f. Family history - CORRECT ANSWER a. Use of "street" drugs
d. Use of alcohol
c. Use of herbal products
During which phase of the nursing process does the nurse prioritize the nursing diagnoses?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - CORRECT ANSWER b. Planning
The nurse is preparing to administer morning doses of medications to a pt and has just checked
the pt's name on the identification band. The pt has stated his name. Which is the nurse's next
appropriate action?
a. Administer the medications
b. Ask the pt's wife to verify the pt's identity
c. Ask the pt to verify is DOB
d. Check the chart for the pt's DOB - CORRECT ANSWER c. Ask the pt to verify is DOB
The nurse is administering a medication, and the order reads: "Give 250 mcg PO now." The
tablets in the medication dispensing cabinet are in milligram strength. What is the right dose of
the drug in milligrams? - CORRECT ANSWER 0.25 mg
The nurse is administering a medication, and the order reads: "Give 0.125 mg PO now." The
tablets in the medication dispensing cabinet are in microgram strength. What is the right dose of
the drug in micrograms? - CORRECT ANSWER 125 mcg
The nurse is attempting to administer the morning dose of the medication. The pt refuses the
medication, stating, "It makes me sick to my stomach!" What is the nurse's responsibility?
a. Document the pt's refusal in the record
b. Discard the medication according to hospital policy
c. Disguise the medication in food
d. Offer the medication again in 30 minutes - CORRECT ANSWER a. Document the pt's refusal
in the record
Which medication is approximately administered at the correct time?
a. Amoxicillin ordered at 0800 and given at 0700
b. Cardizem ordered at 0900 and given at 0930
c. Furosemide ordered at 0730 and given at 0825
Synthroid ordered at 1000 and given at 0915 - CORRECT ANSWER b. Cardizem ordered at
0900 and given at 0930
Number the following drug forms in order of speed of dissolution and absorption, with (1) being
the fastest and (4) being the slowest.
a. Capsules
b. Enteric-coated tablets
c. Elixirs
d. Powders
e. Orally disintegrating tablets - CORRECT ANSWER 1. e. Orally disintegrating tablets
2. c. Elixirs
3. d. Powders
4. a. Capsules
5. b. Enteric-coated tablets
When considering the various routes of drug elimination, the nurse is aware that elimination
occurs mainly by which routes?
a. Renal tubules and skin
b. Skin and lungs
c. Bowel and renal tubules
d. Lungs and GI tract - CORRECT ANSWER c. Bowel and renal tubules
The nurse is aware that excessive drug dosages, impaired metabolism, or inadequate excretion
may result in which drug effect?
a. Tolerance
b. Cumulative effect
c. Incompatibility
d. Antagonistic effect - CORRECT ANSWER b. Cumulative effect
Drug half-life is defined as the amount of time required for 50% of a drug to
a. be absorbed by the body
b. reach a therapeutic level
c. exert a response
d. be removed by the body - CORRECT ANSWER d. be removed by the body
The nurse recognizes that drugs given by which route will be altered by the first-pass effect?
(select all that apply)
a. Oral
b. Sublingual
c. Subcutaneous
d. Intravenous
e. Rectal - CORRECT ANSWER a. Oral
e. Rectal
If a drug binds with an enzyme and thereby prevents the enzyme from binding to its normal
target cell, it will produce which effect?
a. Receptor interaction
b. Enzyme affinity
c. Enzyme interaction
d. Nonspecific interaction - CORRECT ANSWER c. Enzyme interaction
The nurse is reviewing a list of a pt's medications and notes that one of the drugs in known to
have a low therapeutic index. Which statement accurately explains this concept?
a. The difference between a therapeutic dose and toxic dose is large
b. The difference between a therapeutic dose and toxic dose is small
c. The dose needed to reach a therapeutic levels is small
d. The drug has only a slight chance of being effective - CORRECT ANSWER b. The difference
between a therapeutic dose and toxic dose is small
The nurse prepares to obtain a pt's blood sample from a central line for a drug level that is to be
drawn just before that medication's next dose. What is the timing of this blood draw known as?
a. Half-life
b. Therapeutic level
c. Peak level
d. Trough level - CORRECT ANSWER d. Trough level
A drug has a half-life os 4 hours. It at 0800 the drug level is measured at 200mg/L, at what time
would the drug level be 50 mg/L? - CORRECT ANSWER 1600
When drug A functions as enzyme inhibitors of another drug B, the nurse would anticipate which
result in drug B?
a. Levels of drug B would rise to toxicity
b. Levels of drug B would remain unchanged
c. Levels of drug B would move into the receptor sites more quickly
d. Levels of drug B would be eliminated from the tubules with greater ease - CORRECT
ANSWER a. Levels of drug B would rise to toxicity
When administering a new medication to a pt, the nurse notes the drug is "highly protein bound."
The pt's albumin level is normal. When compared to a drug that is not highly protein bound, the
nurse would expect the protein bound drug to:
a. demonstrate quicker renal secretion
b. be metabolized more quickly
c. have a longer duration of action
d. exit the vascular system via osmosis - CORRECT ANSWER c. have a longer duration of
action
The nurse administers warfarin (Coumadin) to a pt who is concurrently taking a second drug that
is highly protein bound. The nurse knows a drug-drug interaction could occur, which would
result in:
a. both drugs being rendered useless
b. neither drug reaching a therapeutic level
c. the second drug increasing the action and toxicity of the first drug
d. only the protein bound drug being able to exit the vascular system - CORRECT ANSWER c.
the second drug increasing the action and toxicity of the first drug
Jeffrey works for a pharmaceutical corporation. One of its new drugs looks very promising, and
Jeffrey's company is experimenting with dosage forms from this investigational new drug. He is
responsible for measuring the relationship between the physiochemical properties of the dosage
form and the clinical therapeutic response. - CORRECT ANSWER Pharmaceutics
Leslies laboratory monitors drug distribution rates between various body compartments, from
absorption through excretion. Recently, her laboratory was able to suggest a positive change in
the dosage regiment for an injectable drug, bringing her firm a prestigious award. - CORRECT
ANSWER Pharmacokinetics
Gregory's research unit recently recommended two new contraindications for the use of a newly
marketed drug after discovering previously unknown biochemical and physiologic interactions of
this drug with another unrelated drug. - CORRECT ANSWER Pharmacodynamics
Diane and Phil have spent the last 3 years gathering family histories, legal case reports, and
current clinical data to identify possible genetic factors that influence individuals' responses to
meperidine and related drugs. - CORRECT ANSWER Pharmacogenomics
David works on a study guide that gathering data on the use of two different drugs for the
treatment of rheumatoid arthritis. - CORRECT ANSWER Pharmacotherapeutics
Lisa is researching botanical and zoologic sources of drugs to treat multiple sclerosis. She is part
of a university research team that is currently experimenting with varying the biochemical
composition and therapeutic effects of several possible new drugs. - CORRECT ANSWER
Pharmacognosy
Devon researches various poisons and is particularly concerned with the detection and treatment
of the effects of drugs and other chemicals in certain mammals. - CORRECT ANSWER
Toxicology [Show Less]