PNM 300 TEST 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Mr. M. will soon be discharged from the hospital with a nebulizer for the self-administration of
inhaled medication. Which statement by the client would indicate that the client's education about
his medication was understood?
a. "Inhaled medications should only be taken in the morning."
b. "Doses for inhaled medication are smaller than for oral medication."
c. "Medications taken by inhalation produce a delayed onset."
d. Inhaled drugs are often rendered inactive by hepatic metabolic reactions." - Answers b. "Doses for
inhaled medication are smaller than for oral medication."
A patient with ulcerative colitis is chosen to receive an experimental drug. Which of the following is
necessary for the patient to provide informed consent for this medication?
a. The patient has been informed of the possible benefits of the new therapy.
b. The patient has received an explanation of the study's purpose, procedures, and the risks involved.
c. The patient may not be informed of the details of the study as the research continues.
d. The patient will not be assured of receiving the actual drug during the experiment - Answers b. The
patient has received an explanation of the study's purpose, procedures, and the risks involved.
The Cannabis Act was legal as of 2018 and a strict legal framework was created for controlling the
production, distribution, sale, and possession of cannabis across Canada. The Act aims to accomplish
3 goals. Identify one of the goals:
a. Require that provinces and territories enforce the act in terms of sale and distribution of cannabis.
b. Allow youths under 18 to safely access cannabis with proper identification
c. Require that a any number of willing producers grow and manufacture cannabis
d. Require that the RCMP enforce the act in terms of sale and distribution of cannabis - Answers a.
Require that provinces and territories enforce the act in terms of sale and distribution of cannabis.
During the medication reconciliation Mr. Q. explains that he eats a large amount of garlic for its
cardiovascular benefits. Which of the following drugs could have a potential interaction with garlic
a. warfarin (Coumadin)
b. metoprolol (Lopressor)
c. digoxin (Lanoxin)
d. phenytoin (Dilantin) - Answers a. warfarin (Coumadin)
The explains to a new mother that during the last trimester of pregnancy, drug transfer to the fetus is
more likely to occur. Which of the following explanations provides a reason for this potential risk?
a. Enhanced placental blood flow.
b. Organ and cell differentiation in the fetus.
c. Decreased surface area of the fetus.
d. Increased amount of bound drug in maternal circulation. - Answers a. Enhanced placental blood
flow.
The nurse is giving a large initial dose of a drug to rapidly achieve an effective therapeutic
concentration in the plasma. What is this type of dosage called?
a. Supratherapeutic dose
b. Toxic dose
c. Loading dose
d. Peak dose - Answers c. Loading dose
Mrs. K was recently prescribed the calcium channel blocker, nifedipine (Adalat). Mrs.K. states she likes
to take her medication with fruit juice either grapefruit or apple juice. What is the most appropriate
response by the nurse?
a. "Taking your medication in the morning is very important."
b. "Grapefruit juice should be avoided when taking this medication."
c. "This medication may interact with wine or alcohol."
d. "This drug interacts with most food and fruit juice because it is a hydrophilic drug." - Answers b.
"Grapefruit juice should be avoided when taking this medication."
The nurse prepares to educate a First Nation family about a new drug treatment for their 82yr old
mother. What ethnocultural considerations does the nurse need to understand before she begins her
teaching?
a. Illness results from stars and moon being out of alignment.
, b. Many prefer the use of traditional Indigenous healers or sacred medicines to heal cancer than
conventional treatment modalities.
c. It is important to include herbal medicines and remedies, and the accumulated wisdom of eiders to
promote the client's well-being.
d. As a result of possible drug interactions with herbs such as sage and sweetgrass, they must not be
used in the 'smudging' ceremonies. - Answers c. It is important to include herbal medicines and
remedies, and the accumulated wisdom of eiders to promote the client's well-being.
70yr old Mrs. R. is a vegetarian and recently diagnosed with atrial fibrillation. The patient is taking
warfarin and states that his favorite vegetables are kale, spinach, and brussels sprouts. What concern
will the nurse address about the patient's diet and her warfarin medication?
a. The green vegetables are high in vitamin E, which increases the effects of warfarin.
b. The green vegetables are high in vitamin K, which decreases the effects of warfarin.
c. The green vegetables are low in vitamin E, which decrease the effects of warfarin,
d. The green vegetables are low in vitamin K, which decreases the effects of warfarin. - Answers b.
The green vegetables are high in vitamin K, which decreases the effects of warfarin.
Mary RPN is preparing to teach a 78yr patient and his family about the multiple drug regimen he must
follow when is he discharged home. What does the nurse recommend helping promote medication
adherence?
a. Cluster medication administration times as much as possible.
b. Make sure the patient understands the actions and side effects of each drug.
c. Ask the patient to share the teaching with a neighbour or friend so they can help with medication
administration.
d. Give the patient detailed written information about each drug. - Answers a. Cluster medication
administration times as much as possible.
Nurse Timo is working in a northern Ontario nursing station. Ms. J. is a first nations patient and states,
"I will only take medications that are approved by the shaman." What does the nurse consider before
continuing care for Ms.J.?
a. Cultural belief
b. Ethnicity
c. Genetic polymorphisms
d. Health related - Answers a. Cultural belief
A patient presents with stable angina. The patient's spouse begins asking questions about the
prescribed calcium channel blockers (CBBs). The spouse asks how CCBs relieve anginal pain. What
does the nurse explain about the CCBs?
a. "CBBs reduce platelet aggregation."
b. "CBBs dilate arterioles and reduce afterload".
c. "CCBs increase the heart rate and contractility."
d. "CCBs constrict veins and increase preload." - Answers b. "CBBs dilate arterioles and reduce
afterload".
A nurse is providing teaching for a patient with stable angina who will begin taking nitroglycerin.
Which statement by the patient indicates understanding of the teaching?
a. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal attack."
b. "I take nitroglycerin to increase the amount of oxygen to my heart."
c. "I should take aspirin daily to reduce my need for nitroglycerin."
d. "I should not participate in aerobic exercise while taking this drug." - Answers a. "If I take
nitroglycerin before exertion, I can reduce the chance of an anginal attack."
Student nurse Rose is preparing a drug card on Beta Blockers Propranolol. In doing the research she
paid close attention to the "contraindications of use" for this drug. For which patient condition would
a non-selective beta blocker be contraindicated?
a. asthma
b. diabetes
c. ulcerative colitis
d. seizure disorders - Answers a. asthma
Ms. P.T. requests a refill prescription of Percocet a Schedule II controlled substance by telephone to
her drugstore. What discharge information did the nurse miss to explain about Schedule II
medications for her client?
a. The refills are not permitted.
Mr. M. will soon be discharged from the hospital with a nebulizer for the self-administration of
inhaled medication. Which statement by the client would indicate that the client's education about
his medication was understood?
a. "Inhaled medications should only be taken in the morning."
b. "Doses for inhaled medication are smaller than for oral medication."
c. "Medications taken by inhalation produce a delayed onset."
d. Inhaled drugs are often rendered inactive by hepatic metabolic reactions." - Answers b. "Doses for
inhaled medication are smaller than for oral medication."
A patient with ulcerative colitis is chosen to receive an experimental drug. Which of the following is
necessary for the patient to provide informed consent for this medication?
a. The patient has been informed of the possible benefits of the new therapy.
b. The patient has received an explanation of the study's purpose, procedures, and the risks involved.
c. The patient may not be informed of the details of the study as the research continues.
d. The patient will not be assured of receiving the actual drug during the experiment - Answers b. The
patient has received an explanation of the study's purpose, procedures, and the risks involved.
The Cannabis Act was legal as of 2018 and a strict legal framework was created for controlling the
production, distribution, sale, and possession of cannabis across Canada. The Act aims to accomplish
3 goals. Identify one of the goals:
a. Require that provinces and territories enforce the act in terms of sale and distribution of cannabis.
b. Allow youths under 18 to safely access cannabis with proper identification
c. Require that a any number of willing producers grow and manufacture cannabis
d. Require that the RCMP enforce the act in terms of sale and distribution of cannabis - Answers a.
Require that provinces and territories enforce the act in terms of sale and distribution of cannabis.
During the medication reconciliation Mr. Q. explains that he eats a large amount of garlic for its
cardiovascular benefits. Which of the following drugs could have a potential interaction with garlic
a. warfarin (Coumadin)
b. metoprolol (Lopressor)
c. digoxin (Lanoxin)
d. phenytoin (Dilantin) - Answers a. warfarin (Coumadin)
The explains to a new mother that during the last trimester of pregnancy, drug transfer to the fetus is
more likely to occur. Which of the following explanations provides a reason for this potential risk?
a. Enhanced placental blood flow.
b. Organ and cell differentiation in the fetus.
c. Decreased surface area of the fetus.
d. Increased amount of bound drug in maternal circulation. - Answers a. Enhanced placental blood
flow.
The nurse is giving a large initial dose of a drug to rapidly achieve an effective therapeutic
concentration in the plasma. What is this type of dosage called?
a. Supratherapeutic dose
b. Toxic dose
c. Loading dose
d. Peak dose - Answers c. Loading dose
Mrs. K was recently prescribed the calcium channel blocker, nifedipine (Adalat). Mrs.K. states she likes
to take her medication with fruit juice either grapefruit or apple juice. What is the most appropriate
response by the nurse?
a. "Taking your medication in the morning is very important."
b. "Grapefruit juice should be avoided when taking this medication."
c. "This medication may interact with wine or alcohol."
d. "This drug interacts with most food and fruit juice because it is a hydrophilic drug." - Answers b.
"Grapefruit juice should be avoided when taking this medication."
The nurse prepares to educate a First Nation family about a new drug treatment for their 82yr old
mother. What ethnocultural considerations does the nurse need to understand before she begins her
teaching?
a. Illness results from stars and moon being out of alignment.
, b. Many prefer the use of traditional Indigenous healers or sacred medicines to heal cancer than
conventional treatment modalities.
c. It is important to include herbal medicines and remedies, and the accumulated wisdom of eiders to
promote the client's well-being.
d. As a result of possible drug interactions with herbs such as sage and sweetgrass, they must not be
used in the 'smudging' ceremonies. - Answers c. It is important to include herbal medicines and
remedies, and the accumulated wisdom of eiders to promote the client's well-being.
70yr old Mrs. R. is a vegetarian and recently diagnosed with atrial fibrillation. The patient is taking
warfarin and states that his favorite vegetables are kale, spinach, and brussels sprouts. What concern
will the nurse address about the patient's diet and her warfarin medication?
a. The green vegetables are high in vitamin E, which increases the effects of warfarin.
b. The green vegetables are high in vitamin K, which decreases the effects of warfarin.
c. The green vegetables are low in vitamin E, which decrease the effects of warfarin,
d. The green vegetables are low in vitamin K, which decreases the effects of warfarin. - Answers b.
The green vegetables are high in vitamin K, which decreases the effects of warfarin.
Mary RPN is preparing to teach a 78yr patient and his family about the multiple drug regimen he must
follow when is he discharged home. What does the nurse recommend helping promote medication
adherence?
a. Cluster medication administration times as much as possible.
b. Make sure the patient understands the actions and side effects of each drug.
c. Ask the patient to share the teaching with a neighbour or friend so they can help with medication
administration.
d. Give the patient detailed written information about each drug. - Answers a. Cluster medication
administration times as much as possible.
Nurse Timo is working in a northern Ontario nursing station. Ms. J. is a first nations patient and states,
"I will only take medications that are approved by the shaman." What does the nurse consider before
continuing care for Ms.J.?
a. Cultural belief
b. Ethnicity
c. Genetic polymorphisms
d. Health related - Answers a. Cultural belief
A patient presents with stable angina. The patient's spouse begins asking questions about the
prescribed calcium channel blockers (CBBs). The spouse asks how CCBs relieve anginal pain. What
does the nurse explain about the CCBs?
a. "CBBs reduce platelet aggregation."
b. "CBBs dilate arterioles and reduce afterload".
c. "CCBs increase the heart rate and contractility."
d. "CCBs constrict veins and increase preload." - Answers b. "CBBs dilate arterioles and reduce
afterload".
A nurse is providing teaching for a patient with stable angina who will begin taking nitroglycerin.
Which statement by the patient indicates understanding of the teaching?
a. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal attack."
b. "I take nitroglycerin to increase the amount of oxygen to my heart."
c. "I should take aspirin daily to reduce my need for nitroglycerin."
d. "I should not participate in aerobic exercise while taking this drug." - Answers a. "If I take
nitroglycerin before exertion, I can reduce the chance of an anginal attack."
Student nurse Rose is preparing a drug card on Beta Blockers Propranolol. In doing the research she
paid close attention to the "contraindications of use" for this drug. For which patient condition would
a non-selective beta blocker be contraindicated?
a. asthma
b. diabetes
c. ulcerative colitis
d. seizure disorders - Answers a. asthma
Ms. P.T. requests a refill prescription of Percocet a Schedule II controlled substance by telephone to
her drugstore. What discharge information did the nurse miss to explain about Schedule II
medications for her client?
a. The refills are not permitted.
