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Exam (elaborations)

Exam 1 L1 – Questions and Answers Study Guide

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Review Exam 1 L1 practice questions with organized study material, answers, explanations, and key concepts to support effective exam preparation.

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Exam 1: L1
-drug
-indication
-time
-dose
-patient
-route
-documentation - ✔Drug Administration: What are the 7 rights?

-intradermal

-subcutaneous

-intramuscular

-intravenous - ✔Routes: Parenteral

-liver: primary; Hepatic microsomal enzyme system (CYP450)
-kidney
GI tract - ✔Pharmacokinetics: Metabolism, what are the sites for metabolism? what is the primary?

-oral: enteric coated, sustained release (SR, XL, LA)

-sublingual/buccal

-ODT

-NG/G-tube - ✔Routes: Enteral

-preclinical investigation
-clinical investigation
-review of the New Drug Application (NDA)
-post marketing surveillance****: most frequent for nurses to participate in process r/t monitoring
therapeutic effect and adverse reactions - ✔Drug Regulation: What are the stages of approval?

-primary factor determining onset of action
-rate of dissolution: how rapidly drug disintegrates to become bioavailable which can be influenced by




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formulation, food, route, dose, pt condition - ✔Pharmacokinetics: Absorption

-responsible for drug safety and effectiveness

-changes to drug review process has availability of new drugs sooner - ✔Drug Regulation: Food and
Drug Administrations (FDA)

-with MAR
-when pouring
-before administering - ✔Controlled Drugs and Substances: What are the 3 checks

a drug following administration - ✔What is a medication?

a drug with restricted use - ✔Controlled Drugs and Substances: What is a controlled substance?

a written order for a drug from one who is legally authorized by license - ✔What is a prescription?

ability of the drug to produce the desired affect - ✔What is bioavailability?

Absorption: where the body assimilates or takes the drug in distribution

Distribution: where drug becomes disseminated to different areas and reaches target areas

Metabolism: where body transforms the drug into a substance that it can eliminate

Excretion: where body removes the drug - ✔What are the 4 phases of pharmakinetics?

additional reaction (beyond expected therapeutic response) that can be beneficial or unwanted -
✔Unexpected outcomes: Side effect

agents naturally produced in animals, by microorganisms, or by the body itself (ex. hormones, blood
products, vaccines) - ✔What is biologic?

alert signifying extreme adverse drug reactions were identified during or after the review process -
✔Drug Regulation: What is a Black Box Warning?

amount of time for the concentration of a drug to decrease by half; helps determine how frequently a
drug needs to be dosed - ✔What is a half-life of a drug?

application of drugs to prevent or treat disease - ✔What is pharmacotherapy?




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September 23, 2026
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