PNVN 1811 EXAM 3 QUESTIONS AND VERIFIED
ANSWERS
Which statement is true about over-the-counter drugs
-they are not listed in the USP NF
-a prescription from a health care provider is needed
-they are sold without a prescription
-they are known only by their brand names - Answers - they are sold without a
prescription
which drugs cause birth defects?
-teratogens
-carcinogens
-metabolic
-placebos - Answers - teratogens
Which classification of medication commonly causes allergic reactions in children?
-antacids
-analgesics
-antibiotics
-anticonvulsants - Answers - antibiotics
Which age-related change would affect transdermal drug absorption in geriatric patients
the most?
-difficulty swallowing
-diminished kidney function
-changes in pigmentation
-altered circulatory status - Answers - altered circulatory status
Which intervention would be considered to reduce accumulation of a drug in a patient
who has decreased liver function?
-decreasing the time interval between dosages
-reducing the dosage
-administering the medication intravenously
-changing the drug to one that has a longer half-life - Answers - reducing the dosage
A resident in a long-term care facility reports difficulty swallowing enteric coated aspirin
and asks the nurse to crush it prior to administration. The most appropriate action for
the nurse to take is to
-crush the tablet and mix with applesauce
-encourage the resident to swallow the tablet with a full glass of water
-hold the medication and notify the physician
, -substitute a regular aspirin for the enteric coated tablet - Answers - hold the medication
and notify the physican
For which reason(s) is/are elderly patients at increased risk for drug interactions and
toxicity? (select all that apply)
-they have a higher incidence of malnourishment
-their renal function is enhanced
-they have increased use of multiple medications
-hepatic function is reduced
-they are often issues with swallowing - Answers - -they have a higher incidence of
malnourishment
-they have increased use of multiple medications
-hepatic function is reduced
What occurs when two drugs compete for the same receptor site, resulting in increased
activity of the first drug?
-desired action
-synergistic effect
-carcinogenicity
-displacement - Answers - displacement
What will the nurse need to determine first in order to mix two drugs in the same
syringe?
-absorption rate of the drugs
-compatibility of the drugs
-drug blood level of each drug
-medication adverse effect - Answers - compatibility of the drugs
A physician's order indicates to administer a medication to the patient via the
percutaneous route. The nurse can anticipate that the patient will receive this
medication.
-intramuscularly
-subcutaneously
-topically
-rectally - Answers - topically
Which action will the nurse take if a dosage is unclear on a health care provider's order?
-ask the patient what dosage was given in the past
-ask another physician to determine the correct dosage
-tell the patient that the medication will not be given
-contact the health care provider to verify the correct dosage - Answers - contact the
health care provider to verify the correct dosage
Which medication order requires judgment and means "administer if need?"
-Morphine 4mg IV stat
-Morphine 4mg IV prior to produce
ANSWERS
Which statement is true about over-the-counter drugs
-they are not listed in the USP NF
-a prescription from a health care provider is needed
-they are sold without a prescription
-they are known only by their brand names - Answers - they are sold without a
prescription
which drugs cause birth defects?
-teratogens
-carcinogens
-metabolic
-placebos - Answers - teratogens
Which classification of medication commonly causes allergic reactions in children?
-antacids
-analgesics
-antibiotics
-anticonvulsants - Answers - antibiotics
Which age-related change would affect transdermal drug absorption in geriatric patients
the most?
-difficulty swallowing
-diminished kidney function
-changes in pigmentation
-altered circulatory status - Answers - altered circulatory status
Which intervention would be considered to reduce accumulation of a drug in a patient
who has decreased liver function?
-decreasing the time interval between dosages
-reducing the dosage
-administering the medication intravenously
-changing the drug to one that has a longer half-life - Answers - reducing the dosage
A resident in a long-term care facility reports difficulty swallowing enteric coated aspirin
and asks the nurse to crush it prior to administration. The most appropriate action for
the nurse to take is to
-crush the tablet and mix with applesauce
-encourage the resident to swallow the tablet with a full glass of water
-hold the medication and notify the physician
, -substitute a regular aspirin for the enteric coated tablet - Answers - hold the medication
and notify the physican
For which reason(s) is/are elderly patients at increased risk for drug interactions and
toxicity? (select all that apply)
-they have a higher incidence of malnourishment
-their renal function is enhanced
-they have increased use of multiple medications
-hepatic function is reduced
-they are often issues with swallowing - Answers - -they have a higher incidence of
malnourishment
-they have increased use of multiple medications
-hepatic function is reduced
What occurs when two drugs compete for the same receptor site, resulting in increased
activity of the first drug?
-desired action
-synergistic effect
-carcinogenicity
-displacement - Answers - displacement
What will the nurse need to determine first in order to mix two drugs in the same
syringe?
-absorption rate of the drugs
-compatibility of the drugs
-drug blood level of each drug
-medication adverse effect - Answers - compatibility of the drugs
A physician's order indicates to administer a medication to the patient via the
percutaneous route. The nurse can anticipate that the patient will receive this
medication.
-intramuscularly
-subcutaneously
-topically
-rectally - Answers - topically
Which action will the nurse take if a dosage is unclear on a health care provider's order?
-ask the patient what dosage was given in the past
-ask another physician to determine the correct dosage
-tell the patient that the medication will not be given
-contact the health care provider to verify the correct dosage - Answers - contact the
health care provider to verify the correct dosage
Which medication order requires judgment and means "administer if need?"
-Morphine 4mg IV stat
-Morphine 4mg IV prior to produce
