NUR 316 Midterm Review Questions and
Complete Solutions
The nurse is caring for a client with alterations in thermoregulation. The nurse
accurately relates the concept of chemical thermogenesis associated with the client's
condition to which factor?
1. Fever
2. Muscle activity
3. Thyroxine output
4. Basal metabolic rate ✅3. Thyroxine output
Chemical thermogenesis, which stimulates heat production in the body through
increased cellular metabolism, can be triggered by increased thyroxine output. Fever is
a protective immune response to foreign antigens within the body that increases the
cellular metabolic rate. Muscle activity increases the metabolic rate. Basal metabolic
rate refers to rate of energy utilization the body requires to maintain essential
physiological activities.
The charge nurse in the newborn nursery is introducing the concept of brown adipose
tissue to the new nurse. The charge nurse explains that this important tissue is located
on what part of the newborn's body?
1. Arms and legs
2. Face and head
3. Chest and back
4. Buttocks and genital area ✅3. Chest and back
The brown adipose tissue (BAT) helps protect the newborn's vital organs from extreme
temperature changes. The BAT is located across the midsternal region and across the
upper chest anteriorly and between the scapula on the posterior chest. It can also be
found on the posterior flank area over the kidneys bilaterally.
A nurse is teaching a client about a newly prescribed medication. Which statement by
the client would indicate the need for further medication education?
A: The liquid form of the drug will be absorbed faster than the tablets
B: If I take more, I'll have a better response
C: Taking this drug with food will decrease how much of it gets in my system
D: I can consult my healthcare provider if I experience unexpected adverse effects ✅B
A nurse is caring for several clients. Which client will the nurse anticipate to be most
likely to experience an alteration in drug metabolism?
A: A 3-day old premature infant
B: A 22-year old pregnant female
, C: A 32-year old man with kidney stones
D: A 50-year old executive with hypertension ✅A
A client is receiving multiple medications, including one drug specifically used to
stimulate gastric peristalsis. What influence could this drug have on additional oral
medications?
A: Increased absorption
B: Reduced excretion
C: Decreased absorption
D: Enhanced distribution ✅C
A client is being discharged from the hospital with a nebulizer for self-administration of
inhalation medication. Which statement by the client would indicate to the nurse that
client education has been successful?
A: Inhaled medications should only be taken in the morning
B: Does for inhaled medications are larger than for oral medications
C: Medications taken by inhalation produce a very rapid response
D: Inhaled drugs are often rendered inactive by hepatic metabolism reactions ✅C
A nurse is caring for a client with hepatitis and resulting hepatic impairment. The nurse
would expect the duration of action of most of the client's medications to:
A: Decrease
B: Improve
C: Be unaffected
D: Increase ✅D
For safety reasons, if a client is at risk of not being able to swallow safely and might
aspirate, the best nursing action is to:
A: Reposition the patient
B: Change the medication to a liquid form and try again
C: Withhold the medication and contact the person who prescribed it
D: Crush the medication as this decreases the chance of choking or aspirating ✅C
When administering a sublingual medication, which of the following instructions should
the nurse provide to the client?
A: Do not chew or swallow the tablet
B: Keep the head out of the bed elevated for at least one hour
C: Keep the tablet between the gums and cheek
D: Drink a lot of water to ensure that the tablet is dissolved ✅A
A one-time (single) order indicates that:
A: The client can choose when they will use it
B: A medication is to be given immediately
C: The medication is to be given only at a specified time
Complete Solutions
The nurse is caring for a client with alterations in thermoregulation. The nurse
accurately relates the concept of chemical thermogenesis associated with the client's
condition to which factor?
1. Fever
2. Muscle activity
3. Thyroxine output
4. Basal metabolic rate ✅3. Thyroxine output
Chemical thermogenesis, which stimulates heat production in the body through
increased cellular metabolism, can be triggered by increased thyroxine output. Fever is
a protective immune response to foreign antigens within the body that increases the
cellular metabolic rate. Muscle activity increases the metabolic rate. Basal metabolic
rate refers to rate of energy utilization the body requires to maintain essential
physiological activities.
The charge nurse in the newborn nursery is introducing the concept of brown adipose
tissue to the new nurse. The charge nurse explains that this important tissue is located
on what part of the newborn's body?
1. Arms and legs
2. Face and head
3. Chest and back
4. Buttocks and genital area ✅3. Chest and back
The brown adipose tissue (BAT) helps protect the newborn's vital organs from extreme
temperature changes. The BAT is located across the midsternal region and across the
upper chest anteriorly and between the scapula on the posterior chest. It can also be
found on the posterior flank area over the kidneys bilaterally.
A nurse is teaching a client about a newly prescribed medication. Which statement by
the client would indicate the need for further medication education?
A: The liquid form of the drug will be absorbed faster than the tablets
B: If I take more, I'll have a better response
C: Taking this drug with food will decrease how much of it gets in my system
D: I can consult my healthcare provider if I experience unexpected adverse effects ✅B
A nurse is caring for several clients. Which client will the nurse anticipate to be most
likely to experience an alteration in drug metabolism?
A: A 3-day old premature infant
B: A 22-year old pregnant female
, C: A 32-year old man with kidney stones
D: A 50-year old executive with hypertension ✅A
A client is receiving multiple medications, including one drug specifically used to
stimulate gastric peristalsis. What influence could this drug have on additional oral
medications?
A: Increased absorption
B: Reduced excretion
C: Decreased absorption
D: Enhanced distribution ✅C
A client is being discharged from the hospital with a nebulizer for self-administration of
inhalation medication. Which statement by the client would indicate to the nurse that
client education has been successful?
A: Inhaled medications should only be taken in the morning
B: Does for inhaled medications are larger than for oral medications
C: Medications taken by inhalation produce a very rapid response
D: Inhaled drugs are often rendered inactive by hepatic metabolism reactions ✅C
A nurse is caring for a client with hepatitis and resulting hepatic impairment. The nurse
would expect the duration of action of most of the client's medications to:
A: Decrease
B: Improve
C: Be unaffected
D: Increase ✅D
For safety reasons, if a client is at risk of not being able to swallow safely and might
aspirate, the best nursing action is to:
A: Reposition the patient
B: Change the medication to a liquid form and try again
C: Withhold the medication and contact the person who prescribed it
D: Crush the medication as this decreases the chance of choking or aspirating ✅C
When administering a sublingual medication, which of the following instructions should
the nurse provide to the client?
A: Do not chew or swallow the tablet
B: Keep the head out of the bed elevated for at least one hour
C: Keep the tablet between the gums and cheek
D: Drink a lot of water to ensure that the tablet is dissolved ✅A
A one-time (single) order indicates that:
A: The client can choose when they will use it
B: A medication is to be given immediately
C: The medication is to be given only at a specified time
