NSG 3100 — Fundamentals of Nursing
Exam 3 Practice Exam — Ch. 34 Diagnostic Testing • Ch. 35 Medication Administration • Ch. 40
Bowel Elimination • Ch. 41 Urinary Elimination
Set B — 50 Questions
Directions: Choose the best answer for each item. For items marked SATA (Select All That Apply), select every option that
applies. An answer key with rationales follows the exam.
1. Ibuprofen and Motrin both refer to the same chemical compound. "Motrin" is an example of which type of drug
name?
A. Chemical name
B. Official name
C. Generic name
D. Trade (brand) name
2. Which statement correctly compares generic and trade drug names?
A. A single drug may be marketed under several different trade names, but has only one generic name
B. A drug can have only one trade name but multiple generic names
C. The generic name is capitalized while the trade name is not
D. Trade names are assigned by the U.S. Adopted Names Council
3. What is the primary purpose of the Controlled Substances Act (CSA)?
A. To regulate the pricing of prescription medications nationally
B. To establish drug schedules and reduce diversion of controlled substances from legitimate sources to
abusers
C. To license individual nurses to administer controlled substances
D. To require pharmaceutical companies to publish drug formulas publicly
4. Which federal agency enforces compliance with the Controlled Substances Act and receives facilities'
mandatory inventory reports of controlled substances every two years?
A. Food and Drug Administration (FDA)
B. Centers for Disease Control and Prevention (CDC)
C. Drug Enforcement Administration (DEA)
D. The Joint Commission
5. Which of the following medications are classified as Schedule IV controlled substances? Select all that apply.
(Select All That Apply)
A. Alprazolam
B. Diazepam
C. Fentanyl
D. Tramadol
E. Zolpidem (Ambien)
F. Anabolic steroids
6. A patient has low serum albumin due to malnutrition. The nurse understands this places the patient at risk for
altered drug effects primarily related to which pharmacokinetic phase?
A. Absorption
B. Metabolism
C. Excretion
, D. Distribution
7. An 84-year-old patient is prescribed the same standard adult dose of a medication as a 35-year-old patient. The
nurse should recognize the older adult is at higher risk for adverse effects primarily because of:
A. Decreased renal and hepatic clearance combined with polypharmacy
B. Increased gastrointestinal motility
C. Increased muscle mass relative to fat
D. Enhanced drug absorption through thickened skin
8. A patient receiving a morphine infusion for postoperative pain develops a respiratory rate of 6 breaths/min and
is difficult to arouse. The nurse recognizes this as which type of drug effect?
A. Side effect
B. Toxic effect
C. Allergic reaction
D. Idiosyncratic reaction
9. A patient develops a mild rash after starting a new antibiotic. Six hours later, the same patient develops facial
swelling, throat tightness, and difficulty breathing. What has occurred?
A. This is an expected side effect that will resolve without intervention
B. This is a toxic effect from drug accumulation
C. The allergic reaction has progressed to an anaphylactic reaction, a medical emergency
D. This is a synergistic drug interaction
10. A provider prescribes a diuretic and a vasodilator together for a patient with hypertension, intending a greater
antihypertensive effect than either drug could produce alone. This is an example of:
A. Antagonism
B. Drug incompatibility
C. An idiosyncratic reaction
D. A synergistic effect
11. Before recommending an over-the-counter (OTC) medication to a patient, which factors should the nurse
consider? Select all that apply. (Select All That Apply)
A. Potential interactions with the patient's current medications and herbal supplements
B. Possible allergic reactions
C. The patient's insurance formulary tier
D. Directions and appropriate dosage
E. Desired effect and potential side/adverse effects
12. Which vitamins are fat-soluble and carry a risk of toxic accumulation in the liver? Select all that apply. (Select
All That Apply)
A. Vitamin A
B. Vitamin B-complex
C. Vitamin D
D. Vitamin C
E. Vitamin E
F. Vitamin K
13. The nurse is preparing morning medications for four assigned patients. Which patient should the nurse see
first?
Exam 3 Practice Exam — Ch. 34 Diagnostic Testing • Ch. 35 Medication Administration • Ch. 40
Bowel Elimination • Ch. 41 Urinary Elimination
Set B — 50 Questions
Directions: Choose the best answer for each item. For items marked SATA (Select All That Apply), select every option that
applies. An answer key with rationales follows the exam.
1. Ibuprofen and Motrin both refer to the same chemical compound. "Motrin" is an example of which type of drug
name?
A. Chemical name
B. Official name
C. Generic name
D. Trade (brand) name
2. Which statement correctly compares generic and trade drug names?
A. A single drug may be marketed under several different trade names, but has only one generic name
B. A drug can have only one trade name but multiple generic names
C. The generic name is capitalized while the trade name is not
D. Trade names are assigned by the U.S. Adopted Names Council
3. What is the primary purpose of the Controlled Substances Act (CSA)?
A. To regulate the pricing of prescription medications nationally
B. To establish drug schedules and reduce diversion of controlled substances from legitimate sources to
abusers
C. To license individual nurses to administer controlled substances
D. To require pharmaceutical companies to publish drug formulas publicly
4. Which federal agency enforces compliance with the Controlled Substances Act and receives facilities'
mandatory inventory reports of controlled substances every two years?
A. Food and Drug Administration (FDA)
B. Centers for Disease Control and Prevention (CDC)
C. Drug Enforcement Administration (DEA)
D. The Joint Commission
5. Which of the following medications are classified as Schedule IV controlled substances? Select all that apply.
(Select All That Apply)
A. Alprazolam
B. Diazepam
C. Fentanyl
D. Tramadol
E. Zolpidem (Ambien)
F. Anabolic steroids
6. A patient has low serum albumin due to malnutrition. The nurse understands this places the patient at risk for
altered drug effects primarily related to which pharmacokinetic phase?
A. Absorption
B. Metabolism
C. Excretion
, D. Distribution
7. An 84-year-old patient is prescribed the same standard adult dose of a medication as a 35-year-old patient. The
nurse should recognize the older adult is at higher risk for adverse effects primarily because of:
A. Decreased renal and hepatic clearance combined with polypharmacy
B. Increased gastrointestinal motility
C. Increased muscle mass relative to fat
D. Enhanced drug absorption through thickened skin
8. A patient receiving a morphine infusion for postoperative pain develops a respiratory rate of 6 breaths/min and
is difficult to arouse. The nurse recognizes this as which type of drug effect?
A. Side effect
B. Toxic effect
C. Allergic reaction
D. Idiosyncratic reaction
9. A patient develops a mild rash after starting a new antibiotic. Six hours later, the same patient develops facial
swelling, throat tightness, and difficulty breathing. What has occurred?
A. This is an expected side effect that will resolve without intervention
B. This is a toxic effect from drug accumulation
C. The allergic reaction has progressed to an anaphylactic reaction, a medical emergency
D. This is a synergistic drug interaction
10. A provider prescribes a diuretic and a vasodilator together for a patient with hypertension, intending a greater
antihypertensive effect than either drug could produce alone. This is an example of:
A. Antagonism
B. Drug incompatibility
C. An idiosyncratic reaction
D. A synergistic effect
11. Before recommending an over-the-counter (OTC) medication to a patient, which factors should the nurse
consider? Select all that apply. (Select All That Apply)
A. Potential interactions with the patient's current medications and herbal supplements
B. Possible allergic reactions
C. The patient's insurance formulary tier
D. Directions and appropriate dosage
E. Desired effect and potential side/adverse effects
12. Which vitamins are fat-soluble and carry a risk of toxic accumulation in the liver? Select all that apply. (Select
All That Apply)
A. Vitamin A
B. Vitamin B-complex
C. Vitamin D
D. Vitamin C
E. Vitamin E
F. Vitamin K
13. The nurse is preparing morning medications for four assigned patients. Which patient should the nurse see
first?
