Question 1

Which statement is true about the heading Interactions and Incompatibilities of a drug?

Accepted Answer

A)  It is not important to consider drug herbal interactions. 
B)  Chemical incompatibility may not give a visible sign of a precipitation. 
C)  Physical incompatibility usually produces a visible sign of a color change. 
D)  Incompatibilities are important when medications are combined for an injection in IV administration. 
A)  It is not important to consider drug herbal interactions. 
B)  Chemical incompatibility may not give a visible sign of a precipitation. 
C)  Physical incompatibility usually produces a visible sign of a color change. 
D)  Incompatibilities are important when medications are combined for an injection in IV administration. D

Question 2

What does the heading Indications for a drug refer to?

Accepted Answer

A)  Explains how the drug works 
B)  Gives the reasons for using the drug 
C)  Describes conditions in which a drug should be given with caution 
D)  Provides information that is crucial to protect against medication error 
A)  Explains how the drug works 
B)  Gives the reasons for using the drug 
C)  Describes conditions in which a drug should be given with caution 
D)  Provides information that is crucial to protect against medication error B

Question 3

The most common causes of liability due to a nursing error are related to mistakes that occurred when:

Accepted Answer

A)  documenting patient care 
B)  transferring the patient 
C)  administering medications 
D)  changing surgical dressings. 
A)  documenting patient care 
B)  transferring the patient 
C)  administering medications 
D)  changing surgical dressings. C

Question 4

Select the medication order that is considered complete.

Accepted Answer

A)  3/30/08: Fran Jones Room 212 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown 
B)  3/30/08: Fran Jones Room 212 Digoxin (Lanoxin) 0.5 mg po every day Dr. James Brown 
C)  3/30/08: Fran Jones Room 212 Demerol (meperidine) 50 mg IM for pain Dr. James Brown 
D)  3/30/08: Fran Jones Room 212 morphine sulfate 4 IV stat Dr. James Brown 
A)  3/30/08: Fran Jones Room 212 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown 
B)  3/30/08: Fran Jones Room 212 Digoxin (Lanoxin) 0.5 mg po every day Dr. James Brown 
C)  3/30/08: Fran Jones Room 212 Demerol (meperidine) 50 mg IM for pain Dr. James Brown 
D)  3/30/08: Fran Jones Room 212 morphine sulfate 4 IV stat Dr. James Brown

Question 5

Select the pharmacokinetic term that refers to the chemical change of a drug into a form that can be excreted.

Accepted Answer

A)  Absorption 
B)  Distribution 
C)  Biotransformation 
D)  Excretion 
A)  Absorption 
B)  Distribution 
C)  Biotransformation 
D)  Excretion

Question 6

Select the best nursing action when administering irritating oral drugs.

Accepted Answer

A)  Withhold the medication and notify the healthcare provider. 
B)  Break the oral medication in half and have the patient/client take two halves separately. 
C)  Obtain the liquid form of the medication and add 5 to 10 mL of water to the cup. 
D)  Administer the medication with a meal or snack. 
A)  Withhold the medication and notify the healthcare provider. 
B)  Break the oral medication in half and have the patient/client take two halves separately. 
C)  Obtain the liquid form of the medication and add 5 to 10 mL of water to the cup. 
D)  Administer the medication with a meal or snack.

Question 7

Which of the following statements is true about the trade name for a medication?

Accepted Answer

A)  It is the official name given to the drug. 
B)  The name is not capitalized. 
C)  It may have several different names. 
D)  Consumer groups advocate that drugs are prescribed only by this name. 
A)  It is the official name given to the drug. 
B)  The name is not capitalized. 
C)  It may have several different names. 
D)  Consumer groups advocate that drugs are prescribed only by this name.

Question 8

Choose the best nursing action for administering liquid medications.

Accepted Answer

A)  When measuring a liquid medication from a stock solution, pour a little excess and then return any unused amount to the stock bottle. 
B)  When a liquid medication requires dilution, add sufficient sterile water equal to the total amount of solution ordered. 
C)  Before the patient/client has to take a liquid antacid, have him or her drink 5 to 10 mL of water to help in swallowing the thick antacid. 
D)  Pour liquid medications at eye level using a medicine cup. It is important to measure at the level of the center of the meniscus. 
A)  When measuring a liquid medication from a stock solution, pour a little excess and then return any unused amount to the stock bottle. 
B)  When a liquid medication requires dilution, add sufficient sterile water equal to the total amount of solution ordered. 
C)  Before the patient/client has to take a liquid antacid, have him or her drink 5 to 10 mL of water to help in swallowing the thick antacid. 
D)  Pour liquid medications at eye level using a medicine cup. It is important to measure at the level of the center of the meniscus.

Question 9

Which situation illustrates the ethical principle of justice being applied to drug administration?

Accepted Answer

A)  The nurse will be right back with the patient/client's pain medication. 
B)  The nurse checks the chart to see when the pain medication was last administered to the patient/client and lets the patient/client know the information. 
C)  The nurse decides it is best for the patient/client to receive pain medication and overrides the patient/client's wishes not to take the pain medication. 
D)  The patient/client receives the right dose of the correct pain medication by the right route at the right time. 
A)  The nurse will be right back with the patient/client's pain medication. 
B)  The nurse checks the chart to see when the pain medication was last administered to the patient/client and lets the patient/client know the information. 
C)  The nurse decides it is best for the patient/client to receive pain medication and overrides the patient/client's wishes not to take the pain medication. 
D)  The patient/client receives the right dose of the correct pain medication by the right route at the right time.

Question 10

A patent/client is given 500 mg of an oral antibiotic at 12 noon. The physician prescribes the drug, every 6 hours, based on the drug's half-life of 30 minutes. What percent of the drug would be available in the patient/client's bloodstream at 2:00 pm?

Accepted Answer

A)  50% 
B)  25% 
C)  12.5% 
D)  6.25% 
A)  50% 
B)  25% 
C)  12.5% 
D)  6.25%

Question 11

What does the term half-life of a drug refer to?

Accepted Answer

A)  Its tolerance level when the drug is used frequently 
B)  Its biotransformation as it accumulates in the body 
C)  Its duration of action, indicating how much drug is effective at different times as the percent of concentration decreases over time 
D)  Its concentration in the patient/client's blood or serum through the use of lab tests to measure the therapeutic level 
A)  Its tolerance level when the drug is used frequently 
B)  Its biotransformation as it accumulates in the body 
C)  Its duration of action, indicating how much drug is effective at different times as the percent of concentration decreases over time 
D)  Its concentration in the patient/client's blood or serum through the use of lab tests to measure the therapeutic level

Question 12

A nurse tells a patient/client "I'll be right back." The nurse fails to return for two hours. This is a violation of the ethical principle of:

Accepted Answer

A)  Autonomy 
B)  Confidentiality 
C)  Justice 
D)  Fidelity 
A)  Autonomy 
B)  Confidentiality 
C)  Justice 
D)  Fidelity

Question 13

What does the classification drug category refer to?

Accepted Answer

A)  The way a drug works at the molecular, tissue, or body system level 
B)  The way a drug acts against diseases or disorders 
C)  A quick reference to a drug's therapeutic actions, uses, and adverse effects 
D)  A reference for the nurse that provides information about the drug's indications, precautions, and nursing implications 
A)  The way a drug works at the molecular, tissue, or body system level 
B)  The way a drug acts against diseases or disorders 
C)  A quick reference to a drug's therapeutic actions, uses, and adverse effects 
D)  A reference for the nurse that provides information about the drug's indications, precautions, and nursing implications

Question 14

Which situation illustrates the ethical principle of autonomy being applied in drug administration?

Accepted Answer

A)  The patient/client has the right to refuse medication. 
B)  In drug research, the patient/client has a right to informed consent. 
C)  A nurse anticipates the untoward effects of drugs that may occur and acts to minimize them. 
D)  The patient/client's drug therapy and responses are discussed only with people who have the right to know. 
A)  The patient/client has the right to refuse medication. 
B)  In drug research, the patient/client has a right to informed consent. 
C)  A nurse anticipates the untoward effects of drugs that may occur and acts to minimize them. 
D)  The patient/client's drug therapy and responses are discussed only with people who have the right to know.

Question 15

On admission, a patient tells a nurse that he has had an anaphylactic reaction to penicillin. The nurse documents that penicillin:

Accepted Answer

A)  Should only be given with another drug. 
B)  Can be safely administered 90 days after the reaction. 
C)  Can be given with caution. 
D)  Is contraindicated. 
A)  Should only be given with another drug. 
B)  Can be safely administered 90 days after the reaction. 
C)  Can be given with caution. 
D)  Is contraindicated.

Question 16

An example of a nontherapeutic or adverse reaction to an antihypertensive drug would be:

Accepted Answer

A)  Lower systolic blood pressure 
B)  Drowsiness 
C)  Decreased sense of anxiety 
D)  Tachycardia 
A)  Lower systolic blood pressure 
B)  Drowsiness 
C)  Decreased sense of anxiety 
D)  Tachycardia

Question 17

Age-related changes affect the pharmacokinetics of medications. Identify an example of bodily changes occurring with an older adult.

Accepted Answer

A)  Decreased stomach acidity 
B)  Increased body surface area 
C)  Increased body fat 
D)  Increased liver function 
A)  Decreased stomach acidity 
B)  Increased body surface area 
C)  Increased body fat 
D)  Increased liver function

Question 18

Explain the meaning of a synergistic effect when two drugs are given.

Accepted Answer

A)  The first drug offsets the effectiveness of the second drug. 
B)  The second drug increases the intensity of the first drug. 
C)  The first drug and second drug action are not affected. 
D)  Neither the first drug nor second drug work at all. 
A)  The first drug offsets the effectiveness of the second drug. 
B)  The second drug increases the intensity of the first drug. 
C)  The first drug and second drug action are not affected. 
D)  Neither the first drug nor second drug work at all.

Question 19

The nurse carries out a medication order that was incorrectly written by the healthcare provider and subsequently filled by the pharmacist. Who is liable for administering the incorrect dose?

Accepted Answer

A)  Healthcare agency 
B)  Healthcare provider 
C)  Nurse 
D)  Pharmacist 
A)  Healthcare agency 
B)  Healthcare provider 
C)  Nurse 
D)  Pharmacist

Question 20

A patient/client who took an opioid analgesic for pain experienced the following side effects. Which effect would be considered adverse?

Accepted Answer

A)  Drowsiness 
B)  Constipation 
C)  Euphoria 
D)  Urinary retention 
A)  Drowsiness 
B)  Constipation 
C)  Euphoria 
D)  Urinary retention

Which statement is true about the heading Interactions and Incompatibilities of a drug?

What does the heading Indications for a drug refer to?

The most common causes of liability due to a nursing error are related to mistakes that occurred when:

Select the medication order that is considered complete.

Select the pharmacokinetic term that refers to the chemical change of a drug into a form that can be excreted.

Select the best nursing action when administering irritating oral drugs.

Which of the following statements is true about the trade name for a medication?

Choose the best nursing action for administering liquid medications.

Which situation illustrates the ethical principle of justice being applied to drug administration?

A patent/client is given 500 mg of an oral antibiotic at 12 noon. The physician prescribes the drug, every 6 hours, based on the drug's half-life of 30 minutes. What percent of the drug would be available in the patient/client's bloodstream at 2:00 pm?

What does the term half-life of a drug refer to?

A nurse tells a patient/client "I'll be right back." The nurse fails to return for two hours. This is a violation of the ethical principle of:

What does the classification drug category refer to?

Which situation illustrates the ethical principle of autonomy being applied in drug administration?

On admission, a patient tells a nurse that he has had an anaphylactic reaction to penicillin. The nurse documents that penicillin:

An example of a nontherapeutic or adverse reaction to an antihypertensive drug would be:

Age-related changes affect the pharmacokinetics of medications. Identify an example of bodily changes occurring with an older adult.

Explain the meaning of a synergistic effect when two drugs are given.

The nurse carries out a medication order that was incorrectly written by the healthcare provider and subsequently filled by the pharmacist. Who is liable for administering the incorrect dose?

A patient/client who took an opioid analgesic for pain experienced the following side effects. Which effect would be considered adverse?

Arithmetic Needed for Dosage

Metric and Household Systems of Measurement

Drug Abbreviations, Labels, and Packaging

Calculation of Oral Medicationssolids and Liquids

Liquids for Injection

Calculation of Basic IV Drip Rates

Special Types of IV Calculations

Dosage Problems for Infants and Children

Administration Procedures

Filters

Exam 9: Information Basic to Administering Drugs

Which statement is true about the heading Interactions and Incompatibilities of a drug?

What does the heading Indications for a drug refer to?

The most common causes of liability due to a nursing error are related to mistakes that occurred when:

Select the medication order that is considered complete.

Select the pharmacokinetic term that refers to the chemical change of a drug into a form that can be excreted.

Select the best nursing action when administering irritating oral drugs.

Which of the following statements is true about the trade name for a medication?

Choose the best nursing action for administering liquid medications.

Which situation illustrates the ethical principle of justice being applied to drug administration?

A patent/client is given 500 mg of an oral antibiotic at 12 noon. The physician prescribes the drug, every 6 hours, based on the drug's half-life of 30 minutes. What percent of the drug would be available in the patient/client's bloodstream at 2:00 pm?

What does the term half-life of a drug refer to?

A nurse tells a patient/client "I'll be right back." The nurse fails to return for two hours. This is a violation of the ethical principle of:

What does the classification drug category refer to?

Which situation illustrates the ethical principle of autonomy being applied in drug administration?

On admission, a patient tells a nurse that he has had an anaphylactic reaction to penicillin. The nurse documents that penicillin:

An example of a nontherapeutic or adverse reaction to an antihypertensive drug would be:

Age-related changes affect the pharmacokinetics of medications. Identify an example of bodily changes occurring with an older adult.

Explain the meaning of a synergistic effect when two drugs are given.

The nurse carries out a medication order that was incorrectly written by the healthcare provider and subsequently filled by the pharmacist. Who is liable for administering the incorrect dose?

A patient/client who took an opioid analgesic for pain experienced the following side effects. Which effect would be considered adverse?

Arithmetic Needed for Dosage

Metric and Household Systems of Measurement

Drug Abbreviations, Labels, and Packaging

Calculation of Oral Medicationssolids and Liquids

Liquids for Injection

Calculation of Basic IV Drip Rates

Special Types of IV Calculations

Dosage Problems for Infants and Children

Administration Procedures

Filters