D116 Comprehensive assessment with explanations
Question and answer rated A+ 2026
1. Which factors could be attributed to lim- Inaccessibility of patient care
ited prescriptive authority for APRNs?Se- Feedback: Limiting prescriptive
authority for
lect all that apply.
3.
2. A patient reports that a medica-
tion prescribed for recurrent
migraine headaches is not working.
Which action should be taken
first?
,APRNs can create barriers to quality, attordable, and
accessible patient care. It may also lead to poor
collaboration among providers and higher health care
costs. It would not directly impact patient's health
literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, attordable, and accessible patient
care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
Ask the patient about the number and frequency of tablets
taken
Feedback: using the drug as ordered. Asking the
patient to tell the nurse how many tablets are taken
and how often helps the nurse determine compliance.
Assessing current pain does not yield information about
how well the medication is working unless the patient is
currently taking it. The nurse should gather as much
information about compliance, symptoms, and drug
ettec-tiveness as possible before contacting the pre-
scriber. Biofeedback may be an ettective adjunct to
treatment, but it should not be recommended without
complete information about drug ettec-tiveness
, D116 Comprehensive assessment with explanations
A patient is receiving intravenous The patient is taking another medication that
gen-tamicin. A serum drug test binds to serum albumin
reveals tox-ic levels. The dosing is Feedback: Gentamicin binds to albumin, but
correct, and this
medication has been tolerated bythis pa- only weakly, and in the presence of
another
tient inthe past. Which could be a drug that binds to albumin, it can rise to
prob-able cause of the test result? toxic levels in blood serum. A loading
dose increases the initial amount ofa
drug and is used to bring drug levels to
the desired plateau more quickly. A drug
that is not completely dissolved carries a
risk of causing embolism. A drug given at
a frequency longer than the drug half-life
will likely be at subtherapeutic levels and
not at toxic levels
4. The nurse is administering
morning medications. The nurse Binding of one or both agents will be
gives a patient reduced Plasma levels of free drug will
rise
multiple medications, two of which com- The increase in free drug will intensify
ettects
pete for plasma albumin receptor sites. Feedback: When two drugs bind to
the same
As a result of this concurrent administra- site on plasma albumin,
coadministration of
tion, the nurse can anticipate
that what might occur? Select all
that apply
5. Which patients are at
increased risk for
adverse drug events?
Select all that ap-ply
, those drugs produces competition for binding. As a
result, binding of one or both agents is reduced,
causing plasma levels of free drug to rise. The increase
in free drug can intensify the ettect, but it usually
undergoes rapid elimina-tion. The increase in plasma
levels of free drug is rarely sustained.
A 2-month-old infant taking a medication for
gastroesophageal reflux disease
A 40-year-old male who is intubated in the in-tensive
care unit and taking antibiotics and car-diac medications
Question and answer rated A+ 2026
1. Which factors could be attributed to lim- Inaccessibility of patient care
ited prescriptive authority for APRNs?Se- Feedback: Limiting prescriptive
authority for
lect all that apply.
3.
2. A patient reports that a medica-
tion prescribed for recurrent
migraine headaches is not working.
Which action should be taken
first?
,APRNs can create barriers to quality, attordable, and
accessible patient care. It may also lead to poor
collaboration among providers and higher health care
costs. It would not directly impact patient's health
literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, attordable, and accessible patient
care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
Ask the patient about the number and frequency of tablets
taken
Feedback: using the drug as ordered. Asking the
patient to tell the nurse how many tablets are taken
and how often helps the nurse determine compliance.
Assessing current pain does not yield information about
how well the medication is working unless the patient is
currently taking it. The nurse should gather as much
information about compliance, symptoms, and drug
ettec-tiveness as possible before contacting the pre-
scriber. Biofeedback may be an ettective adjunct to
treatment, but it should not be recommended without
complete information about drug ettec-tiveness
, D116 Comprehensive assessment with explanations
A patient is receiving intravenous The patient is taking another medication that
gen-tamicin. A serum drug test binds to serum albumin
reveals tox-ic levels. The dosing is Feedback: Gentamicin binds to albumin, but
correct, and this
medication has been tolerated bythis pa- only weakly, and in the presence of
another
tient inthe past. Which could be a drug that binds to albumin, it can rise to
prob-able cause of the test result? toxic levels in blood serum. A loading
dose increases the initial amount ofa
drug and is used to bring drug levels to
the desired plateau more quickly. A drug
that is not completely dissolved carries a
risk of causing embolism. A drug given at
a frequency longer than the drug half-life
will likely be at subtherapeutic levels and
not at toxic levels
4. The nurse is administering
morning medications. The nurse Binding of one or both agents will be
gives a patient reduced Plasma levels of free drug will
rise
multiple medications, two of which com- The increase in free drug will intensify
ettects
pete for plasma albumin receptor sites. Feedback: When two drugs bind to
the same
As a result of this concurrent administra- site on plasma albumin,
coadministration of
tion, the nurse can anticipate
that what might occur? Select all
that apply
5. Which patients are at
increased risk for
adverse drug events?
Select all that ap-ply
, those drugs produces competition for binding. As a
result, binding of one or both agents is reduced,
causing plasma levels of free drug to rise. The increase
in free drug can intensify the ettect, but it usually
undergoes rapid elimina-tion. The increase in plasma
levels of free drug is rarely sustained.
A 2-month-old infant taking a medication for
gastroesophageal reflux disease
A 40-year-old male who is intubated in the in-tensive
care unit and taking antibiotics and car-diac medications
