Nurs 6015 Exam 1 Practice chapters 1-11 Questions With
Complete Solutions
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 which goal?
a. Minimizing adverse effects
b. Promoting therapeutic effects
c. Minimizing adverse interactions
d. Managing toxicity Correct Answers a. Minimizing adverse
effects
A drug has a half-life of ten hours. How long will it take that
drug to reach a plateau level in the blood?
a. 20 hours
b. 30 hours
c. 40 hours
d. 50 hours Correct Answers c. 40 hours
A new graduate nurse preparing to administer medications
knows that which of the following is required for a drug to move
through the body?
a. Selectivity and effectiveness
b. The ability to cross membranes
c. Development of an electric charge
d. A transporter protein Correct Answers b. The ability to cross
membranes
A new medication becomes available for treatment of a
debilitating neurologic disease. What would the nurse expect
about the safety of the drug?
,a. The drug is safe for administration to children.
b. The drug has been tested in pregnant women.
c. All possible adverse effects have been identified by animal
testing.
d. The drug has passed the FDA approval process. Correct
Answers d. The drug has passed the FDA approval process.
A nurse is educating a breast-feeding patient about her
medications. Which statements by the nurse are true? (Select all
that apply.)
a. "Drugs taken by lactating women can be excreted in breast
milk."
b. "If drug concentrations in milk are high enough, a
pharmacologic effect can occur in the infant."
c. "There is a lot of research regarding drugs taken by lactating
women."
d. "Most drugs can be detected in milk, but concentrations are
usually too low to cause harm."
e. "Nearly all drugs can enter breast milk, and the extent of entry
is the same for all drugs." Correct Answers a, b, and d
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 not only reduces the blood pressure without serious
harmful effects, but it also causes the patient to have nausea and
headache. Based on this information, which property of an ideal
drug is this drug lacking?
a. Effectiveness
b. Safety
c. Selectivity
d. Ease of administration Correct Answers c. Selectivity
,A nurse prepares to administer a newly prescribed medication to
a 22-year-old woman. The insert in the medication package
states, "Category X." Select the nurse's best action.
a. Ask the patient, "Have you been sexually active during the
past year?"
b. Ask the patient, "When was your last menstrual period?"
c. Inform the patient of the primary actions of the medication.
d. Assess the patient for a history of sexually transmitted
disease. Correct Answers b. Ask the patient, "When was your
last menstrual period?"
A nurse prepares to administer acetaminophen [Tylenol] to a
patient with an oral temperature of 101.7°F. Which preparation
would the nurse expect to have the most rapid onset of action?
a. Tylenol elixir
b. Tylenol tablets
c. Tylenol capsules
d. Tylenol gel caps Correct Answers a. Tylenol elixir
A nursing student is caring for a patient who has been taking
morphine sulfate for pain for 2 weeks. The nursing student
shows an understanding of pharmacodynamic tolerance by
describing it to the instructor in what way?
a. "It is a form of tolerance that is a reduction in drug
responsiveness brought on by repeated dosing over a short
period."
b. "It affects the minimum effective concentration."
c. "It is a drug response caused by psychologic factors, not by
biochemical or physiological properties."
, d. "It is a condition in which the patient requires increased doses
of morphine sulfate to achieve pain relief." Correct Answers d.
"It is a condition in which the patient requires increased doses of
morphine sulfate to achieve pain relief."
A patient is told not to take his antibiotic with grapefruit juice.
What is the most common drug interaction with grapefruit juice?
a. Decreased excretion
b. Decreased absorption
c. Decreased metabolism
d. Decreased distribution Correct Answers c. Decreased
metabolism
A patient who is admitted to the nursing unit from the
postanesthesia care unit is moaning in pain. The patient is due
for another dose of pain medication. What is the nursing priority
at this time?
a. Administer prescribed pain-relieving drugs
b. Assess the patient's vital signs, tubes, and surgical site
c. Obtain the patient's pain rating on a scale of 1-10
d. Review the patient's allergy history Correct Answers b.
Assess the patient's vital signs, tubes, and surgical site
A teratogenic drug, such as methotrexate, is most likely to cause
learning deficits during which phase of fetal development?
a. Conception through week 2
b. Weeks 3 to 8
c. First trimester
d. Second and third trimesters Correct Answers d. Second and
third trimesters
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