NURS 6015 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔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. - ✔✔d. The drug has passed the
FDA approval process.
✔✔Why are trade names much easier to say and remember than generic names?
a. The FDA assigns every drug's generic name.
b. Trade names must be the same regardless of which drug company manufactures the
drug.
c. Companies have a marketing advantage when the trade name is easier to recognize.
d. Trade names improve oral and written communication in the healthcare system. -
✔✔c. Companies have a marketing advantage when the trade name is easier to
recognize.
✔✔Which term is commonly used for nonprescription drugs?
a. Legend
b. Generic
c. Over-the-counter
d. Pharmaceutical - ✔✔c. Over-the-counter
✔✔Which is a true statement about new drug development? (Select all that apply.)
a. Preclinical testing of drugs is always performed in healthy, nonpregnant adults.
b. Drug trials require that those involved don't know which subjects are receiving the
drug or control.
c. During preclinical testing, drugs are evaluated for toxicities, kinetic properties, and
useful effects.
d. When a new drug is released, all adverse effects are known. - ✔✔b and c
✔✔Which statements about over-the-counter (OTC) drugs would the nurse identify as
true? (Select all that apply.)
a. Most illnesses initially are treated with an OTC agent.
b. More prescription drugs than OTC agents are administered each year in the United
States.
c. The average home medicine cabinet contains eight OTC preparations.
d. Forty percent of Americans take at least one OTC drug every 2 days.
e. Some drugs that originally were sold by prescription are now OTC. - ✔✔a, d, and e
✔✔Which statements about the Family Smoking Prevention and Tobacco Control Act
(2009) would the nurse identify as true? (Select all that apply.)
,a. All ingredients in tobacco products must be listed on the warning label.
b. A gradual reduction of nicotine to nonaddictive levels is required.
c. Marketing to youth is prohibited.
d. Harmful additives are restricted.
e. Purchasers of tobacco products must be age 21 years or older. - ✔✔a, b, c, and d
✔✔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 - ✔✔b. The ability to cross membranes
✔✔The nurse is preparing to give a medication for pain. The label states that the drug is
"lipid soluble." How soon should the nurse expect to observe the effects of the drug?
a. Slowly
b. Rapidly
c. Unpredictably
d. Variably - ✔✔b. Rapidly
✔✔The nurse is administering warfarin, an anticoagulant, to a patient with a low
albumin level. Which effect of this medication should the nurse expect to observe?
a. Increased PT/INR levels
b. Deep vein thromboses
c. Reduced risk of bruising
d. Increased platelet aggregation - ✔✔a. Increased PT/INR levels
✔✔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 - ✔✔a. Tylenol elixir
✔✔The nurse should provide which teaching point when administering an enteric-
coated oral tablet to a patient?
a. "Chew the tablet before swallowing."
b. "Break the tablet in half before swallowing."
c. "Allow the tablet to be absorbed under the tongue."
d. "Swallow the tablet whole after double-checking the dose." - ✔✔d. "Swallow the
tablet whole after double-checking the dose."
✔✔When administering a central nervous system depressant, the nurse should closely
observe for drug toxicity in which patient?
, a. A 3-week-old neonate
b. A 12-year-old boy
c. A 25-year-old woman
d. A 15-month-old infant - ✔✔a. A 3-week-old neonate
✔✔For which reason should the nurse follow safe medication administration for
intravenous (IV) medications?
a. The IV route can result in delayed absorption of the medication.
b. The IV route results in a delayed onset of action.
c. Control over the levels of drug in the body is unpredictable.
d. IV administration is irreversible. - ✔✔d. IV administration is irreversible.
✔✔The nurse is preparing to administer an intravenous (IV) medication. What is the
minimum injection time to reduce the risk of harm to the patient?
a. 10 seconds
b. 30 seconds
c. 60 seconds
d. 30 minutes - ✔✔c. 60 seconds
✔✔The nurse administers 100 mg of drug X by mouth. After the drug moves through
the hepatic system, very little active drug is left in t
he general circulation as a result of what?
a. Therapeutic range
b. First-pass effect
c. Drug half-life
d. Plasma protein binding - ✔✔b. First-pass effect
✔✔The nurse should instruct a patient complaining of pain to do what to reduce
fluctuations in drug levels?
a. "Take pain medication around the clock at specified intervals and doses."
b. "Take pain medication when the pain level reaches an 8 or 9 on a 1 to 10 scale."
c. "Take pain medication at night before bed and avoid daytime dosing because of
drowsiness."
d. "Take pain medication after breakfast and dinner to reduce stomach upset." - ✔✔a.
"Take pain medication around the clock at specified intervals and doses."
✔✔The nurse understands that the dose-response relationship is graded and should
expect to observe which response?
a. Once a drug is given, the response is predictably all-or-nothing.
b. The response is maintained at a specific level when the therapeutic objective is
achieved.
c. As the dosage increases, the response becomes progressively greater.
d. A graded response is based on relative potency and maximal efficacy. - ✔✔c. As the
dosage increases, the response becomes progressively greater.
SOLUTIONS GRADED A+
✔✔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. - ✔✔d. The drug has passed the
FDA approval process.
✔✔Why are trade names much easier to say and remember than generic names?
a. The FDA assigns every drug's generic name.
b. Trade names must be the same regardless of which drug company manufactures the
drug.
c. Companies have a marketing advantage when the trade name is easier to recognize.
d. Trade names improve oral and written communication in the healthcare system. -
✔✔c. Companies have a marketing advantage when the trade name is easier to
recognize.
✔✔Which term is commonly used for nonprescription drugs?
a. Legend
b. Generic
c. Over-the-counter
d. Pharmaceutical - ✔✔c. Over-the-counter
✔✔Which is a true statement about new drug development? (Select all that apply.)
a. Preclinical testing of drugs is always performed in healthy, nonpregnant adults.
b. Drug trials require that those involved don't know which subjects are receiving the
drug or control.
c. During preclinical testing, drugs are evaluated for toxicities, kinetic properties, and
useful effects.
d. When a new drug is released, all adverse effects are known. - ✔✔b and c
✔✔Which statements about over-the-counter (OTC) drugs would the nurse identify as
true? (Select all that apply.)
a. Most illnesses initially are treated with an OTC agent.
b. More prescription drugs than OTC agents are administered each year in the United
States.
c. The average home medicine cabinet contains eight OTC preparations.
d. Forty percent of Americans take at least one OTC drug every 2 days.
e. Some drugs that originally were sold by prescription are now OTC. - ✔✔a, d, and e
✔✔Which statements about the Family Smoking Prevention and Tobacco Control Act
(2009) would the nurse identify as true? (Select all that apply.)
,a. All ingredients in tobacco products must be listed on the warning label.
b. A gradual reduction of nicotine to nonaddictive levels is required.
c. Marketing to youth is prohibited.
d. Harmful additives are restricted.
e. Purchasers of tobacco products must be age 21 years or older. - ✔✔a, b, c, and d
✔✔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 - ✔✔b. The ability to cross membranes
✔✔The nurse is preparing to give a medication for pain. The label states that the drug is
"lipid soluble." How soon should the nurse expect to observe the effects of the drug?
a. Slowly
b. Rapidly
c. Unpredictably
d. Variably - ✔✔b. Rapidly
✔✔The nurse is administering warfarin, an anticoagulant, to a patient with a low
albumin level. Which effect of this medication should the nurse expect to observe?
a. Increased PT/INR levels
b. Deep vein thromboses
c. Reduced risk of bruising
d. Increased platelet aggregation - ✔✔a. Increased PT/INR levels
✔✔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 - ✔✔a. Tylenol elixir
✔✔The nurse should provide which teaching point when administering an enteric-
coated oral tablet to a patient?
a. "Chew the tablet before swallowing."
b. "Break the tablet in half before swallowing."
c. "Allow the tablet to be absorbed under the tongue."
d. "Swallow the tablet whole after double-checking the dose." - ✔✔d. "Swallow the
tablet whole after double-checking the dose."
✔✔When administering a central nervous system depressant, the nurse should closely
observe for drug toxicity in which patient?
, a. A 3-week-old neonate
b. A 12-year-old boy
c. A 25-year-old woman
d. A 15-month-old infant - ✔✔a. A 3-week-old neonate
✔✔For which reason should the nurse follow safe medication administration for
intravenous (IV) medications?
a. The IV route can result in delayed absorption of the medication.
b. The IV route results in a delayed onset of action.
c. Control over the levels of drug in the body is unpredictable.
d. IV administration is irreversible. - ✔✔d. IV administration is irreversible.
✔✔The nurse is preparing to administer an intravenous (IV) medication. What is the
minimum injection time to reduce the risk of harm to the patient?
a. 10 seconds
b. 30 seconds
c. 60 seconds
d. 30 minutes - ✔✔c. 60 seconds
✔✔The nurse administers 100 mg of drug X by mouth. After the drug moves through
the hepatic system, very little active drug is left in t
he general circulation as a result of what?
a. Therapeutic range
b. First-pass effect
c. Drug half-life
d. Plasma protein binding - ✔✔b. First-pass effect
✔✔The nurse should instruct a patient complaining of pain to do what to reduce
fluctuations in drug levels?
a. "Take pain medication around the clock at specified intervals and doses."
b. "Take pain medication when the pain level reaches an 8 or 9 on a 1 to 10 scale."
c. "Take pain medication at night before bed and avoid daytime dosing because of
drowsiness."
d. "Take pain medication after breakfast and dinner to reduce stomach upset." - ✔✔a.
"Take pain medication around the clock at specified intervals and doses."
✔✔The nurse understands that the dose-response relationship is graded and should
expect to observe which response?
a. Once a drug is given, the response is predictably all-or-nothing.
b. The response is maintained at a specific level when the therapeutic objective is
achieved.
c. As the dosage increases, the response becomes progressively greater.
d. A graded response is based on relative potency and maximal efficacy. - ✔✔c. As the
dosage increases, the response becomes progressively greater.
