NUR 2407 Module 1 Open-Book Quiz 1 Questions and Answers
• Question 1
0.25 out of 0.25 points
A client reports that he has been
... [Show More] swallowing his nitroglycerin instead of leaving it under is tongue. Teaching is needed. What can happen if sublingual medications are swallowed?
Selected
Answer: Gastric acid may inactivate the medication.
Answers:
Gastric acid may inactivate the medication.
The medication effects will be increased due to the first pass effect.
An esophageal burn may occur.
The medication effects will simply be delayed.
• Question 2
0.25 out of 0.25 points
A client who takes Theo-24 (theophylline) for asthma is experiencing theophylline toxicity. Which of these may be a contributing factor? (Select all that apply.)
Selected
Answers: Forgetfulness causing double
dosing
Chewing the capsule
Answers:
Cirrhosis with gallstones
Forgetfulness causing double dosing
Chewing the capsule
Cirrhosis with gallstones First pass effect
• Question 3
0.25 out of 0.25 points
A laboring mother wants to know why pain medication is not advisable. What rationales could the nurse offer to explain this? (Select all that apply.)
Selected
Answers: Epidural anesthesia offers an alternative that will not harm the fetus.
The liver of a fetus is not well developed so the effects of sedation could linger
in the fetus.
The blood brain barrier of a fetus is not fully developed so the fetus is at risk for
sedation.
Answers: The fetus will not be able to eliminate the medication until it has its first stool.
Epidural anesthesia offers an alternative that will not harm the fetus.
The liver of a fetus is not well developed so the effects of sedation could linger
in the fetus.
The blood brain barrier of a fetus is not fully developed so the fetus is at risk for
sedation.
• Question 4
0.25 out of 0.25 points
A malnourished elderly client has a low serum albumin level. What is the implication of this finding? (select only 1 answer)
Selected
Answers: Less protein binding will occur and more medication will be free to bind with
target receptors. This may cause excessive effects.
Answers: Protein insufficiency can lead to loss of metabolizing enzymes and consequential decrease in drug levels.
Blood brain crossover will be impaired. Albumin is a lipid. More medication will
be needed.
Low serum albumin levels will lead to receptor disintegration so more
medication will be needed.
Less protein binding will occur and more medication will be free to bind with
target receptors. This may cause excessive effects.
• Question 5
0.25 out of 0.25 points
If a medication is ordered by its trade name but the pharmacy sends up a medication that has a different, unfamiliar name, what should the nurse do?
Selected
Answer: Look up the generic name of the ordered drug to confirm that they are the same
medication.
Answers: Have a peer confirm that they are the same medication.
Look up the generic name of the ordered drug to confirm that they are the same
medication.
Use the patient's supply of medication from home.
Hold the medication until the trade-name version is brought up
• Question 6
0.25 out of 0.25 points
If phenobarbital has a four day half-life and a client accidently took 200mg of the drug on Tuesday morning and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?
Selected Answer: 150m
g
Answers:
150m
g
75mg 100
mg 50mg
• Question 7
0.25 out of 0.25 points
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?
Selected Answer: Liquid
Suspension
Answers: Tablet
Liquid Suspension
Capsule
Enteric Coated Pill
• Question 8
0.25 out of 0.25 points
The nurse is prioritizing what step to take first when beginning to care for a client. Which step should occur first?
Selected
Answer: Check the patient's chart and last set of vital signs.
Answers:
Check the patient's chart and last set of vital signs.
Prepare the morning medications.
Assess the patient and document the findings.
Introduce oneself and confirm the patient's identity.
• Question 9
0.25 out of 0.25 points
The nurse is wondering if advocacy for a change to oral medication instead of an IV route of administration is appropriate. What rationale for advocacy would be appropriate?
Selected
Answer: A serious infection or injury may start at the site of the IV insertion.
Answers:
A serious infection or injury may start at the site of the IV insertion.
Oral medications are more completely absorbed than IV medications.
IV medications should only be given to clients who cannot swallow.
IV medications are more vulnerable to the first pass effect than oral
medications.
• Question 10
0.25 out of 0.25 points
When entering the client's room for assessment purposes, which of these actions would be questionable?
Selected
Answer: The nurse sharing his or her date of birth with the patient
Answers:
The nurse sharing his or her date of birth with the patient
Knocking on the door
Asking the client to share his or her date of birth
and name Handwashing
• Question 11
0.25 out of 0.25 points
When the nurse checks the MAR, pulls out the needed medication, inserts them in a common cup, signs the medication off, then gives them to the patient after checking name, date of birth and allergies what is that nurse doing?
Selected
Answer: Falsifying the record by signing off the medication before it was actually given
Answers: Adhering to accepted guidelines for medication administration Being over-cautious about medication administration Completing the three required checks
Falsifying the record by signing off the medication before it was actually given
• Question 12
0.25 out of 0.25 points
Which comment about over-the-counter (OTC) medications indicates the need for further teaching?
Selected
Answer: They are generally safe to take while pregnant.
Answers:
They are generally safe to take while pregnant.
While safe for the general public, they may be unsafe for people with renal or
hepatic disease.
They tend to have a high therapeutic index.
People who take other medications should consult their provider before taking
OTCs.
• Question 13
0.25 out of 0.25 points
Which of the statements made by the trained medication assistant reveals the need for further teaching? (Select all that apply.)
Selected
Answers: "It is OK to crush medications in advance when batch prepping them at the
station."
"Suspensions should never be shaken before they are measured."
Answers:
"When a patient has difficulty swallowing, even long-acting medications should
be crushed."
"It is OK to crush medications in advance when batch prepping them at the
station."
"Suspensions should never be shaken before they are measured."
"When a patient has difficulty swallowing, even long-acting medications should
be crushed."
"Pills should never be touched during the preparation phase."
• Question 14
0.25 out of 0.25 points
Which of these assessments is not considered essential prior to giving medications to an acutely ill client?
Selected Answer: Mood
Answers: Vital signs and oxygen
saturation
Level of Consciousness
Mood
Pain rating
• Question 15
0.25 out of 0.25 points
Which of these factors might impair the absorption of an oral medication?
Selected
Answer: The presence of food in the
stomach
Answers: Hepatic insufficiency
The presence of food in the stomach
High serum albumin Renal insufficiency
• Question 16
0.25 out of 0.25 points
Which of these is not an essential part of a medication order?
Selected
Answer: Both the trade and generic names must be cited together.
Answers: The dose of the medication must be indicated.
The client's name must appear on the order sheet.
The route of the medication must be indicated.
Both the trade and generic names must be cited together.
• Question 17
0.25 out of 0.25 points
Which of these practices is most apt to contribute to time-related medication errors?
Selected
Answer: Giving hour of sleep (HS) medications at whatever time the patient wants to go
to sleep
Answers: Documenting in military time
Allowing the nurse to give medications within one half-hour either before or
after a medication is scheduled Avoiding the use of abbreviations
Giving hour of sleep (HS) medications at whatever time the patient wants to go
to sleep
• Question 18
0.25 out of 0.25 points
Which of these statements made by the student nurse indicates the need for further teaching? (Select all that apply.)
Selected
Answers: "Reasons for refusal do not need to be documented on the MAR. Refusal is
a basic right."
"Pills can be hidden in food without physician and guardian consent
whenever necessary."
Answers:
"Medications may be documented before giving them because they can be
circled if they are refused."
"Reasons for refusal do not need to be documented on the MAR. Refusal is
a basic right."
"Pills can be hidden in food without physician and guardian consent
whenever necessary."
"Medications may be documented before giving them because they can be
circled if they are refused."
"Two patient identifiers should be used in both acute and long- term care
settings."
• Question 19
0.25 out of 0.25 points
Which of these statements regarding controlled substances made by the nurse intern indicates the need for further teaching? (Select all that apply.)
Selected
Answers: "The cart keys should be hidden in the MAR when the nurse goes to lunch."
Answers:
"Controlled substances of deceased people should be flushed in the presence
of a witness."
"The cart keys should be hidden in the MAR when the nurse goes to lunch."
"When controlled medications drop on the floor, they should be wasted with a
witness present."
"Controlled substances of deceased people should be flushed in the presence
of a witness."
"Controlled substances should be counted by the oncoming and offgoing nurse
each shift."
• Question 20
0.25 out of 0.25 points
Which statements made by the nurse indicate the need for further teaching? (Select all that apply.)
Selected
Answers: "Class X medications refer to illicit medications like cocaine."
"Class D medications can be safely taken when pregnant."
Answers:
"Class C medications are controlled substance medications."
"Class X medications refer to illicit medications like cocaine."
"Class D medications can be safely taken when pregnant."
"Class C medications are controlled substance medications."
"Herbal remedies do not need to go through FDA efficacy trials before
being marketed."
Saturday, January 5, 2019 9:33:56 AM CST [Show Less]