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    Exam Review

    1. A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Tablets.
      Correct Answer:2 tablets
    2. Which life stage pertains to a 65-year-old patient?.
      A)
      Aged.
      B)
      Elderly.
      C)
      Adult.
      D)
      Older adult.
    3. Which difference in pharmacokinetics does the nurse expect in the obese patient as compared with the thin patient with administration of a highly lipid-soluble drug?.
      A)
      Drug distribution will be more rapid.
      B)
      Drug metabolism will be incomplete.
      C)
      Drug absorption will be impaired.
      D)
      Drug elimination will be slowed.
    4. Which terminology correctly identifies the NMDS classification system?.
      A)
      Nursing Minimum Data Set.
      B)
      New Medicine Detail Service.
      C)
      National Medicine Details Set.
      D)
      Nursing & Medicine Data Service.
    Page 1 of 10

    Exam Review

    1. Which assessment finding is considered primary objective information?.
      A)
      The patient reports a sore throat after taking his regular medications.
      B)
      The patient's daughter states her father often forgets to take his medication.
      C)
      The patient states he feels dizzy whenever he takes his medication.
      D)
      The patient states that his temperature has been 88.8F.
    2. A patient is taking an antacid concurrently with ketoconazole. The antacid inhibits the dissolution of ketoconazole. Which term accurately describes this result?.
      A)
      Allergic reaction.
      B)
      Displacement.
      C)
      Accumulation.
      D)
      Drug interaction.
    3. Which guideline does the nurse follow when administering oral medication to a preschool child?.
      A)
      Using a follow-up rinse with a flavored drink.
      B)
      Placing the capsule or tablet under the tongue.
      C)
      Supporting the child's head and holding the child in the lap.
      D)
      Using chewable tablets if the child's teeth are loose.
    4. Which is the best description of a toxic reaction to a drug?.
      A)
      Dangerous adverse effect.
      B)
      Individual's unexpected effect.
      C)
      Physiologic dependence.
      D)
      Psychological craving.
    Page 2 of 10

    Exam Review

    1. Which factors affect the gastrointestinal absorption of medicines? (Select all that apply.) Select 4 options. (Select All that Apply.).
      (SATA)
      A)
      Blood flow of the mucous lining of the stomach and intestines.
      B)
      Drug distribution.
      C)
      Enzyme activity.
      D)
      Gastric pH.
      E)
      Gastric emptying time.
    2. Which type of nursing action occurs when the nurse administers a medication to a patient?.
      A)
      Dependent.
      B)
      Interdependent.
      C)
      Collaborative.
      D)
      Independent.
    3. The nurse is preparing to administer morning medications. Which action(s) does the nurse implement to identify the patient before administering medications? (Select all that apply).
      A)
      Checks the patient's identification band.
      B)
      Asks another nurse to identify the patient.
      C)
      Checks the name on the foot of the bed.
      D)
      Asks the roommate to verify the patient's name if the patient is confused.
    4. Which action should be implemented next when a patient states they are allergic to the medication the nurse is ready to administer?.
      A)
      Give the medication as ordered and record the patient's statements in the nurse's notes.
      B)
      Withhold the medication and check the drug insert for information on reactions to the drug.
      C)
      Withhold the medication and notify the prescriber of the situation.
      D)
      Give the medication and monitor the patient at regular intervals for adverse effects.
    Page 3 of 10

    Exam Review

    1. A nurse is preparing to administer amoxicillin 500 mg PO. Available is amoxicillin 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. Which life stage pertains to a 40-year-old patient?.
      A)
      Aged.
      B)
      Elderly.
      C)
      Adult.
      D)
      Older adult.
    3. Which effect of protein binding on drugs in the bloodstream is accurate?.
      A)
      Inactivation of the drug.
      B)
      Increased risk of allergic reaction.
      C)
      Precipitation of an idiosyncratic reaction.
      D)
      Accumulation of the drug.
    4. Which phenomenon occurs in the body as a person ages?.
      A)
      Protein needs post-acute accentuate.
      B)
      Total fat content decreases.
      C)
      Total body water increases.
      D)
      Lean body mass decreases.
    Page 4 of 10

    Exam Review

    1. Which symptom is the most common with a hypersensitivity reaction to a medication?.
      A)
      Urticaria.
      B)
      Vomiting.
      C)
      Wheezing.
      D)
      Anaphylaxis.
    2. Which aspect of pharmacokinetics should the nurse be most concerned with when caring for a patient with abnormal functioning of hepatic enzymes?.
      A)
      Absorption.
      B)
      Distribution.
      C)
      Excretion.
      D)
      Metabolism.
    3. Which factor associated with aging increases the risk of gastric irritation from nonsteroidal anti-inflammatory drugs (NSAIDS) in older adults?.
      A)
      Decreased splanchnic blood flow.
      B)
      Prolonged secretion of gastric acid.
      C)
      Delayed gastric emptying.
      D)
      Loss of cells from the gastric plexus.
    4. Which potential reaction causes the most concern when administering medication to a patient with decreased albumin and globulin levels?.
      A)
      There may be an increase in the amount of lipid-soluble drugs in the system.
      B)
      There may be increased free protein-bound drugs available, increasing the potential for adverse drug reactions.
      C)
      Water-soluble drugs will be absorbed more completely.
      D)
      Metabolism of protein-bound drugs will be decreased, increasing the potential for adverse reactions.
    Page 5 of 10

    Exam Review

    1. A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. Which step of the nursing process is used when the nurse identifies the therapeutic intent of a prescribed medication?.
      A)
      Evaluation.
      B)
      Assessment.
      C)
      Planning.
      D)
      Implementation.
    3. Which goal is a measurable statement for a patient taking insulin injections?.
      A)
      The patient will be able to self-administer insulin injections 2 weeks after initial training.
      B)
      The nurse will demonstrate to the patient and family self-administration of insulin.
      C)
      The nurse will explain to the patient and family how insulin works in the body.
      D)
      The patient will have a good understanding of a diabetic diet.
    4. Which aspect of genetic makeup is most likely to alter a person's response to medication?.
      A)
      Distribution.
      B)
      Absorption.
      C)
      Excretion.
      D)
      Metabolism.
    Page 6 of 10