RNSG 1301 UPDATED EVALUATION EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔20. Which factor accounts for the increased risk for drug reactions among clients
aged 65 years and older?
A) drugs more readily crossing the blood-brain barrier in older people
B) physiologic changes affecting all pharmacokinetic processes
C) increased drug-metabolizing enzymes in older people
D) diminished immune response - ✔✔B) physiologic changes affecting all
pharmacokinetic processes
✔✔21. A client has been prescribed a medication that is known to be a drug agonist.
This drug will have what effect?
A) It will react with a receptor site on a cell preventing a reaction with another chemical
on a different receptor site.
B) The drug will interfere with the enzyme system that act as catalyst for different
chemical reactions.
C) The drug will interact directly with receptor sites to cause the same activity that a
natural chemical would case at that site.
,D) It will react with receptor sites to block normal stimulation, production no effect. -
✔✔C) The drug will interact directly with receptor sites to cause the same activity that a
natural chemical would case at that site.
✔✔22. A client with a diagnosis of bipolar disorder has begun lithium therapy. What is
the primary rationale for the nurse's instructions regarding the need for regular
monitoring of the client's serum drug levels?
A) It is necessary to regularly test for blood-drug incompatibilities that may develop
during treatment.
B) It is necessary to ensure that the client's drug levels are therapeutic but not toxic.
C) It is needed to determine if additional medications will be needed to potentiate the
effects of lithium.
D) It is needed in order to confirm the client's adherence to the drug regimen. - ✔✔B) It
is necessary to ensure that the client's drug levels are therapeutic but not toxic.
✔✔23. A client in medical unit requires pharmacological interventions involving a slow
drug action and response. What route of administration is most likely appropriate?
A) intravenous
B) oral
C) rectal
D) topical - ✔✔B) oral
✔✔24. The nurse is preparing to start an IV on a client who requires antibiotic therapy.
The client is prescribed an intravenous antibiotic. What is the major advantage of the
intravenous route over the enteral route?
A) The associated infection will be resolved faster.
B) The client will not need close monitoring for adverse effects.
C) The client is at risk of developing a future tolerance to the antibiotic.
D) Resolution of the infection will require a larger dose of antibiotic. - ✔✔A) The
associated infection will be resolved faster.
✔✔25. A nurse begins a client interaction by systematically gathering information on the
client's care and eventually evaluating the outcomes of care. Which represents this
continuum of care?
A) assessment process
B) outcomes analysis
C) nursing interventions
D) nursing process - ✔✔D) nursing process
✔✔26. Which assessment should be made by the nurse before administering a new
medication?
,A) determining the client's past medication history
B) evaluating the client's health beliefs
C) instructing the client on the effect of the medication
D) teaching the client about the desired outcomes of drug therapy - ✔✔A) determining
the client's past medication history
✔✔27. A client has informed the nurse that he has begun supplementing his medication
regimen with a series of herbal remedies recommended by his sister-in-law. Which is
the most important nursing intervention regarding the safe use of herbal supplements?
A) Research for potential interactions with medications.
B) Instruct the client to discontinue them if taking prescription medications.
C) Instruct the client to take the supplements 1 hour before prescription medications.
D) Instruct the client to take the supplements 3 hours after prescription medications. -
✔✔A) Research for potential interactions with medications.
✔✔28. A nurse, preparing to administer a client's scheduled beta-adrenergic blocker, is
aware that the client is receiving this medication for the treatment of hypertension. The
nurse has addressed which right of safe medication administration?
A) right indication
B) right diagnosis
C) right reason
D) right history - ✔✔C) right reason
✔✔29. A client has been prescribed a selective serotonin reuptake inhibitor (SSRI) to
treat depression. The regular use of which herbal supplement requires intervention by
the nurse?
A) St. John's wort
B) glucosamine
C) chondroitin
D) melatonin - ✔✔A) St. John's wort
✔✔30. In response to the client's question about how to know whether drugs are safe,
the nurse explains that all medications in the United States undergo rigorous scientific
testing controlled by what organization?
A) Food and Drug Administration (FDA)
B) Drug Enforcement Agency (DEA)
C) Centers for Disease Control and Prevention (CDC)
D) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - ✔✔A)
Food and Drug Administration (FDA)
, ✔✔31. Which of the following are steps of the nursing process? Select all that apply.
A) Evaluation
B) Documentation
C) Reporting
D) Assessment
E) Planning - ✔✔A) Evaluation
D) Assessment
E) Planning
✔✔32. Which nursing action when administering medication to children is appropriately
directed toward medication safety?
A) If a child is resistant to taking the medication, the nurse should tell the child that it is
candy.
B) Measurement by teaspoons is as accurate as milliliters.
C) If a drug is not supplied in liquid form, the nurse can always crush the pill.
D) Assess the child's weight prior to initial drug administration - ✔✔D) Assess the child's
weight prior to initial drug administration
✔✔When considering physiological variables that influence safe pharmacotherapy in
clients younger than 18, which principle should the nurse integrate into care?
A) The physiology of clients older than 15 can be considered to be the same as an adult
client.
B) The younger the client, the greater the variation in medication action compared to an
adult.
C) The larger the client's body mass index, the more his or her physiology varies from
that of an adult.
D) Pediatric clients have a greater potential to benefit from pharmacotherapy than adult
clients. - ✔✔B) The younger the client, the greater the variation in medication action
compared to an adult.
✔✔Significant pharmacodynamic variations exist between adult clients and pediatric
clients. Which factor is known to contribute to differences in the ways that drugs affect
target cells in children and infants? Select all that apply.
A) inability of children to accurately describe adverse effects
B) immaturity of children's organ systems
C) differences in the body composition of children
D) the lack of active immunity in children
E) differences in the function of humoral immunity in children - ✔✔B) immaturity of
children's organ systems
C) differences in the body composition of children
QUESTIONS AND ANSWERS SURE A+
✔✔20. Which factor accounts for the increased risk for drug reactions among clients
aged 65 years and older?
A) drugs more readily crossing the blood-brain barrier in older people
B) physiologic changes affecting all pharmacokinetic processes
C) increased drug-metabolizing enzymes in older people
D) diminished immune response - ✔✔B) physiologic changes affecting all
pharmacokinetic processes
✔✔21. A client has been prescribed a medication that is known to be a drug agonist.
This drug will have what effect?
A) It will react with a receptor site on a cell preventing a reaction with another chemical
on a different receptor site.
B) The drug will interfere with the enzyme system that act as catalyst for different
chemical reactions.
C) The drug will interact directly with receptor sites to cause the same activity that a
natural chemical would case at that site.
,D) It will react with receptor sites to block normal stimulation, production no effect. -
✔✔C) The drug will interact directly with receptor sites to cause the same activity that a
natural chemical would case at that site.
✔✔22. A client with a diagnosis of bipolar disorder has begun lithium therapy. What is
the primary rationale for the nurse's instructions regarding the need for regular
monitoring of the client's serum drug levels?
A) It is necessary to regularly test for blood-drug incompatibilities that may develop
during treatment.
B) It is necessary to ensure that the client's drug levels are therapeutic but not toxic.
C) It is needed to determine if additional medications will be needed to potentiate the
effects of lithium.
D) It is needed in order to confirm the client's adherence to the drug regimen. - ✔✔B) It
is necessary to ensure that the client's drug levels are therapeutic but not toxic.
✔✔23. A client in medical unit requires pharmacological interventions involving a slow
drug action and response. What route of administration is most likely appropriate?
A) intravenous
B) oral
C) rectal
D) topical - ✔✔B) oral
✔✔24. The nurse is preparing to start an IV on a client who requires antibiotic therapy.
The client is prescribed an intravenous antibiotic. What is the major advantage of the
intravenous route over the enteral route?
A) The associated infection will be resolved faster.
B) The client will not need close monitoring for adverse effects.
C) The client is at risk of developing a future tolerance to the antibiotic.
D) Resolution of the infection will require a larger dose of antibiotic. - ✔✔A) The
associated infection will be resolved faster.
✔✔25. A nurse begins a client interaction by systematically gathering information on the
client's care and eventually evaluating the outcomes of care. Which represents this
continuum of care?
A) assessment process
B) outcomes analysis
C) nursing interventions
D) nursing process - ✔✔D) nursing process
✔✔26. Which assessment should be made by the nurse before administering a new
medication?
,A) determining the client's past medication history
B) evaluating the client's health beliefs
C) instructing the client on the effect of the medication
D) teaching the client about the desired outcomes of drug therapy - ✔✔A) determining
the client's past medication history
✔✔27. A client has informed the nurse that he has begun supplementing his medication
regimen with a series of herbal remedies recommended by his sister-in-law. Which is
the most important nursing intervention regarding the safe use of herbal supplements?
A) Research for potential interactions with medications.
B) Instruct the client to discontinue them if taking prescription medications.
C) Instruct the client to take the supplements 1 hour before prescription medications.
D) Instruct the client to take the supplements 3 hours after prescription medications. -
✔✔A) Research for potential interactions with medications.
✔✔28. A nurse, preparing to administer a client's scheduled beta-adrenergic blocker, is
aware that the client is receiving this medication for the treatment of hypertension. The
nurse has addressed which right of safe medication administration?
A) right indication
B) right diagnosis
C) right reason
D) right history - ✔✔C) right reason
✔✔29. A client has been prescribed a selective serotonin reuptake inhibitor (SSRI) to
treat depression. The regular use of which herbal supplement requires intervention by
the nurse?
A) St. John's wort
B) glucosamine
C) chondroitin
D) melatonin - ✔✔A) St. John's wort
✔✔30. In response to the client's question about how to know whether drugs are safe,
the nurse explains that all medications in the United States undergo rigorous scientific
testing controlled by what organization?
A) Food and Drug Administration (FDA)
B) Drug Enforcement Agency (DEA)
C) Centers for Disease Control and Prevention (CDC)
D) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - ✔✔A)
Food and Drug Administration (FDA)
, ✔✔31. Which of the following are steps of the nursing process? Select all that apply.
A) Evaluation
B) Documentation
C) Reporting
D) Assessment
E) Planning - ✔✔A) Evaluation
D) Assessment
E) Planning
✔✔32. Which nursing action when administering medication to children is appropriately
directed toward medication safety?
A) If a child is resistant to taking the medication, the nurse should tell the child that it is
candy.
B) Measurement by teaspoons is as accurate as milliliters.
C) If a drug is not supplied in liquid form, the nurse can always crush the pill.
D) Assess the child's weight prior to initial drug administration - ✔✔D) Assess the child's
weight prior to initial drug administration
✔✔When considering physiological variables that influence safe pharmacotherapy in
clients younger than 18, which principle should the nurse integrate into care?
A) The physiology of clients older than 15 can be considered to be the same as an adult
client.
B) The younger the client, the greater the variation in medication action compared to an
adult.
C) The larger the client's body mass index, the more his or her physiology varies from
that of an adult.
D) Pediatric clients have a greater potential to benefit from pharmacotherapy than adult
clients. - ✔✔B) The younger the client, the greater the variation in medication action
compared to an adult.
✔✔Significant pharmacodynamic variations exist between adult clients and pediatric
clients. Which factor is known to contribute to differences in the ways that drugs affect
target cells in children and infants? Select all that apply.
A) inability of children to accurately describe adverse effects
B) immaturity of children's organ systems
C) differences in the body composition of children
D) the lack of active immunity in children
E) differences in the function of humoral immunity in children - ✔✔B) immaturity of
children's organ systems
C) differences in the body composition of children
