N352 - Exam 1 Review Guide With Practical Exam Questions Graded A+Distinction Guaranteed.
Which statement by a new nurse indicates that further study is indicated? 1. Effectiveness is the most important property a drug can have. 2. There is no such thing as a safe drug. 3. Drugs are defined as illegal substances. 4. There is no such thing as a selective drug; all medications cause side effects. - correct answer 3 A nurse is preparing to give an oral dose of drug X to treat a patient's high blood pressure. After giving the drug, the nurse finds that it reduces the blood pressure without serious harmful effects, but it also causes the patient to have nausea and a headache. Based on this information, which property of an ideal drug is this drug lacking? 1. Effectiveness 2. Safety 3. Selectivity 4. Ease of administration - correct answer 3 The nurse is preparing to give a drug with certain properties. Which property of the drug is the most compelling indication that it should not be given? 1. The drug produces an unwanted side effect 2. The drug is difficult to administer 3. The drug's effects are reversible 4. The drug is not effective for its intended purpose - correct answer 4 Why is it important for drugs to have ease of administration? 1. Fewer administration errors 2. Less risk of side effects 3. Greater chemical stability 4. Greater likelihood of reversibility - correct answer 1 What is the ultimate concern for the nurse when administering a drug? 1. Intensity of the response 2. Dosage 3. Route of administration 4. Timing of administration - correct answer 1 The nurse teaches a patient not to consume alcohol with nitroglycerine, because the blood pressure often drops significantly when nitroglycerine is taken with alcohol. Which drug property does this illustrate? 1. Chemical instability 2. Drug interaction 3. Reversible action 4. Drug selectivity - correct answer 2 When studying the impact a drug has on the body, the nurse is reviewing what? 1. The drug's pharmacokinetics 2. The drug's selectivity 3. The drug's pharmacodynamics 4. The drug's predictability - correct answer 3 Characteristics unique to each patient can influence pharmacokinetic and pharmacodynamic processes. What characteristics may determine the patient's response to a drug? Select all that apply. 1. Age 2. Gender 3. Weight 4. Mood 5. Genetics - correct answer 1, 2, 3 When studying the effects of drugs in humans, the nurse is learning about what? 1. Pharmacology 2. Clinical pharmacology 3. Therapeutics 4. Effectiveness - correct answer 2 What is the objective of drug therapy? 1. Provide maximum benefit with minimal harm 2. Provide minimum benefit with maximum harm 3. Provide total relief of symptoms regardless of harm 4. Provide as much benefit as possible - correct answer 1 Which statements about medication administration would the nurse identify as true? Select all that apply. 1. All drugs have the potential to produce undesired effects. 2. Drug therapy often can be enhanced by nonpharmacologic measures. 3. Patients taking two drugs are not likely to have a drug interaction. 4. Nurses' knowledge of pharmacology is more important for standing orders than for PRN medications. 5. Patient adherence is essential in achieving the therapeutic objective of medications. - correct answer 1, 2, 5 The nurse is preparing to administer a dose of penicillin. Before administering the medication, the nurse assesses the patient's allergy history. Which aspect of drug therapy does this represent? 1. Making PRN (as needed) decisions 2. Evaluating therapeutic effects 3. Ensuring proper dosage 4. Identifying high-risk patients - correct answer 4 Which aspect of drug therapy indicates to the nurse whether a drug is having a beneficial effect? 1. Performing a preadministration assessment 2. Evaluating therapeutic responses 3. Minimizing adverse effects 4. Managing toxicity - correct answer 2 When educating patients about their medications, the nurse includes information about which topics? Select all that apply. 1. What to do if a dose is missed 2. The duration of treatment 3. Prescription drug coverage 4. The method of drug storage 5. Symptoms of adverse effects - correct answer 1, 2, 4, 5 A diabetic patient is taught the signs and symptoms of hypoglycemia with insulin use. The patient knows to eat fast-acting carbohydrates. This is an example of what goal? 1. Minimizing adverse effects 2. Promoting therapeutic effects 3. Minimizing adverse interactions 4. Managing toxicity - correct answer 1 The nurse is obtaining a drug history for a patient admitted to the unit. The nurse obtains information about past and present health histories, currently used prescription drugs, behavioral factors, and use of over-the-counter (OTC) drugs. What other information does the nurse need to obtain? Select all that apply. 1. Use of recreational drugs and substances 2. Usual sleep patterns and disturbances 3. Highest level of education completed 4. Use of herbal remedies 5. Self-treatment with complementary and alternative drugs - correct answer 1, 4, 5 The nurse identifies what as the goal of drug therapy in the treatment of patients? 1. Cure of the disease 2. Follow-up with the prescriber 3. Correct administration technique 4. Production of maximum benefit with minimum harm - correct answer 4 When questioning a patient about his or her allergic reaction to a drug, the nurse should ask for what additional information?
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