NURS 323 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
A client has been diagnosed with gonorrhea and been prescribed oral tetracycline. What should the
nurse include in health education about tetracycline? Select all that apply. - CORRECT ANSWER
Do not take the drug with foods or other drugs that contain calcium, Do not take the drug at the
same time as an iron supplements or high-iron foods
A client in distress is brought to the emergency department by ambulance. Emergency medical
technicians state that an anaphylactic reaction from oral penicillin is suspected. Which of the nurse's
assessment findings best supports this diagnosis? - CORRECT ANSWER Blood pressure:
186/100 mmHg, shortness of breath
A client presents to the emergency department with a drug level of 50 units/mL. The half-life of this
drug is 1 hour. With this drug, concentrations above 25 units/mL are considered toxic, and no more
drug is given. How long will it take for the blood level to reach the nontoxic range? Provide your
answer measured in minutes. - CORRECT ANSWER 60 minutes
A client's unexpected response to a new medication has been attributed to characteristics of the client's
genetic make-up. What area of study best explains this client's medication response? - CORRECT
ANSWER pharmacogenomics
The client tells the nurse about a new drug being tested to treat the disease she was diagnosed with
and asks the nurse whether the doctor can prescribe a medication still in the preclinical phase of
testing. What is the nurse's best response? - CORRECT ANSWER "Drugs in the preclinical
phase of testing are only tested on animals and so would not be available to you."
The nurse administered a scheduled dose of hydrochlorothiazide, a diuretic, 45 minutes ago. The
nurse is now preparing to assess the client's blood pressure. In what phase of the nursing process
should the nurse perform this action? - CORRECT ANSWER evaluation
The nurse is caring for a client scheduled for surgery this morning who is not to be given anything
orally. The nurse reviews the medication administration record and finds the client has an important
medication due but it is supposed to be given orally. What is the nurse's best action? - CORRECT
ANSWER Call the ordering health care provider and clarify administration
, The nurse is caring for a client with a brain infection of bacterial etiology. When administering
medications to this client, the nurse should prioritize what variable related to the client's diagnosis? -
CORRECT ANSWER The client will require lipid-soluble antibiotics
Pharmacokinetics - CORRECT ANSWER The study of how medications move throughout the
body
Pharmacodynamics - CORRECT ANSWER The study of how medications work and affect the
body
Metabolism - CORRECT ANSWER How drugs biotransform to be more easily excreted
Excretion - CORRECT ANSWER How drugs exit the body
Agonist - CORRECT ANSWER A substance that initiates a physiological response when
bound to a receptor
A patient has an increased reaction to a drug that is capable of inhibiting the CYP enzymes (P450)
following a change in her dietary habits. Which of the following changes would most likely be the
cause of this reaction to a drug? - CORRECT ANSWER Increased intake of grapefruit juice
The home care nurse is taking care of a client on IV vancomycin for cellulitis of the left calf. The
client's lack of response to treatment suggests possible resistance. What process may have caused this
phenomenon? - CORRECT ANSWER Microorganisms may have produced a chemical that is
an antagonist to the drug
A client has been prescribed an aminoglycoside. In order to prevent accumulation of the drug, what
should the nurse encourage the client to do? - CORRECT ANSWER Increase fluid intake
The nurse is providing discharge teaching to a client who is being sent home on oral tetracycline.
What instructions should the nurse include? - CORRECT ANSWER Take the drug on an
empty stomach
A client diagnosed with a malignancy is receiving an antimetabolite as part of medication therapy.
What should the nurse teach this client about the use of antimetabolite medication? Select all that
QUESTIONS AND CORRECT ANSWERS
A client has been diagnosed with gonorrhea and been prescribed oral tetracycline. What should the
nurse include in health education about tetracycline? Select all that apply. - CORRECT ANSWER
Do not take the drug with foods or other drugs that contain calcium, Do not take the drug at the
same time as an iron supplements or high-iron foods
A client in distress is brought to the emergency department by ambulance. Emergency medical
technicians state that an anaphylactic reaction from oral penicillin is suspected. Which of the nurse's
assessment findings best supports this diagnosis? - CORRECT ANSWER Blood pressure:
186/100 mmHg, shortness of breath
A client presents to the emergency department with a drug level of 50 units/mL. The half-life of this
drug is 1 hour. With this drug, concentrations above 25 units/mL are considered toxic, and no more
drug is given. How long will it take for the blood level to reach the nontoxic range? Provide your
answer measured in minutes. - CORRECT ANSWER 60 minutes
A client's unexpected response to a new medication has been attributed to characteristics of the client's
genetic make-up. What area of study best explains this client's medication response? - CORRECT
ANSWER pharmacogenomics
The client tells the nurse about a new drug being tested to treat the disease she was diagnosed with
and asks the nurse whether the doctor can prescribe a medication still in the preclinical phase of
testing. What is the nurse's best response? - CORRECT ANSWER "Drugs in the preclinical
phase of testing are only tested on animals and so would not be available to you."
The nurse administered a scheduled dose of hydrochlorothiazide, a diuretic, 45 minutes ago. The
nurse is now preparing to assess the client's blood pressure. In what phase of the nursing process
should the nurse perform this action? - CORRECT ANSWER evaluation
The nurse is caring for a client scheduled for surgery this morning who is not to be given anything
orally. The nurse reviews the medication administration record and finds the client has an important
medication due but it is supposed to be given orally. What is the nurse's best action? - CORRECT
ANSWER Call the ordering health care provider and clarify administration
, The nurse is caring for a client with a brain infection of bacterial etiology. When administering
medications to this client, the nurse should prioritize what variable related to the client's diagnosis? -
CORRECT ANSWER The client will require lipid-soluble antibiotics
Pharmacokinetics - CORRECT ANSWER The study of how medications move throughout the
body
Pharmacodynamics - CORRECT ANSWER The study of how medications work and affect the
body
Metabolism - CORRECT ANSWER How drugs biotransform to be more easily excreted
Excretion - CORRECT ANSWER How drugs exit the body
Agonist - CORRECT ANSWER A substance that initiates a physiological response when
bound to a receptor
A patient has an increased reaction to a drug that is capable of inhibiting the CYP enzymes (P450)
following a change in her dietary habits. Which of the following changes would most likely be the
cause of this reaction to a drug? - CORRECT ANSWER Increased intake of grapefruit juice
The home care nurse is taking care of a client on IV vancomycin for cellulitis of the left calf. The
client's lack of response to treatment suggests possible resistance. What process may have caused this
phenomenon? - CORRECT ANSWER Microorganisms may have produced a chemical that is
an antagonist to the drug
A client has been prescribed an aminoglycoside. In order to prevent accumulation of the drug, what
should the nurse encourage the client to do? - CORRECT ANSWER Increase fluid intake
The nurse is providing discharge teaching to a client who is being sent home on oral tetracycline.
What instructions should the nurse include? - CORRECT ANSWER Take the drug on an
empty stomach
A client diagnosed with a malignancy is receiving an antimetabolite as part of medication therapy.
What should the nurse teach this client about the use of antimetabolite medication? Select all that
