NURS 320 PATHO/PHARM- FINAL EXAM
REVIEW | 110 ACTUAL QUESTIONS AND
CORRECT ANSWERS (GRADED A+) |
NEW 2025
A nurse on a geriatric floor, is administering a dose of digoxin to one of his
patients. The woman asks why she takes a different pill than her niece, who also
has heart trouble. The nurse replies that as people get older, liver and kidney
function decline, and if the dose is as high as her niece's, the drug will tend to:
A.Have a shorter half-life
B.Accumulate
C.Have decreased distribution
D.Have increased absorption - ANSWER B.Accumulate
A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the
client that this medication should do which of the following?
A.Take away nausea and vomiting
B.Calm a persistent cough
C.Decrease anxiety level
D.Increase comfort - ANSWER B.Calm a persistent cough
Medications bound to protein have the following effect:
A.Enhancement of drug availability
B.Rapid distribution of drug to receptor sites
C.The more drug bound to a protein, the less available for the desired effect
,D.Increased metabolism of the drug by the liver - ANSWER C.The more drug
bound to a protein, the less available for the desired effect
The nurse is giving a medication that has a high first-pass effect. The physician has
changed the route from IV to PO. The nurse Expects the oral dosing to be:
A. higher because of the first-pass effect.
B. lower because of the first-pass effect.
C. the same as the IV dose.
D. unchanged. - ANSWER A. higher because of the first-pass effect.
A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The
pharmacy sends up enteric-coated tablets, but the patient refuses the tablets,
stating that she cannot swallow pills. What should the nurse do?
A. crush them and mix with applesauce
B. call the pharmacy to ask for the liquid form
C. call the pharmacy to ask for the IV form
D. encourage the patient to swallow the tablet - ANSWER B. call the pharmacy
to ask for the liquid form
When giving morning medications, the nurse is preparing to administer a
transdermal patch medication and finds that the patient already has a medication
patch on his right upper chest. What should the nurse do?
A.Remove the old medication patch and notify the physician
B.Apply the new patch without removing the old one
C.Remove the old patch and apply the new patch in the same spot
, D.Remove the old patch and apply the new one to a different clean area -
ANSWER D.Remove the old patch and apply the new one to a different clean
area
Walter, a teenage patient is admitted to the hospital because of acetaminophen
(Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening
abnormalities in which of the following organs?
A.Lungs
B.Liver
C.Kidney
D.Adrenal glands - ANSWER B.Liver
What of the following is true about the first pass effect?
A.The stomach metabolizes part of the drug
B. The liver metabolizes part of the drug
C.All IV drugs are affected by the first pass effect
D.Eye and ear drops are affected by the first pass effect - ANSWER B. The liver
metabolizes part of the drug
A drug is stated to have a half life of 6 hours. How do you explain this to a patient?
A. This is the amount of time it takes before the medication is removed from the
body
B. This is the amount of time it takes for ½ of the medication to be removed from
the body
C. This means you will take the medication every 6 hours - ANSWER B. This is
the amount of time it takes for ½ of the medication to be removed from the body
REVIEW | 110 ACTUAL QUESTIONS AND
CORRECT ANSWERS (GRADED A+) |
NEW 2025
A nurse on a geriatric floor, is administering a dose of digoxin to one of his
patients. The woman asks why she takes a different pill than her niece, who also
has heart trouble. The nurse replies that as people get older, liver and kidney
function decline, and if the dose is as high as her niece's, the drug will tend to:
A.Have a shorter half-life
B.Accumulate
C.Have decreased distribution
D.Have increased absorption - ANSWER B.Accumulate
A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the
client that this medication should do which of the following?
A.Take away nausea and vomiting
B.Calm a persistent cough
C.Decrease anxiety level
D.Increase comfort - ANSWER B.Calm a persistent cough
Medications bound to protein have the following effect:
A.Enhancement of drug availability
B.Rapid distribution of drug to receptor sites
C.The more drug bound to a protein, the less available for the desired effect
,D.Increased metabolism of the drug by the liver - ANSWER C.The more drug
bound to a protein, the less available for the desired effect
The nurse is giving a medication that has a high first-pass effect. The physician has
changed the route from IV to PO. The nurse Expects the oral dosing to be:
A. higher because of the first-pass effect.
B. lower because of the first-pass effect.
C. the same as the IV dose.
D. unchanged. - ANSWER A. higher because of the first-pass effect.
A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The
pharmacy sends up enteric-coated tablets, but the patient refuses the tablets,
stating that she cannot swallow pills. What should the nurse do?
A. crush them and mix with applesauce
B. call the pharmacy to ask for the liquid form
C. call the pharmacy to ask for the IV form
D. encourage the patient to swallow the tablet - ANSWER B. call the pharmacy
to ask for the liquid form
When giving morning medications, the nurse is preparing to administer a
transdermal patch medication and finds that the patient already has a medication
patch on his right upper chest. What should the nurse do?
A.Remove the old medication patch and notify the physician
B.Apply the new patch without removing the old one
C.Remove the old patch and apply the new patch in the same spot
, D.Remove the old patch and apply the new one to a different clean area -
ANSWER D.Remove the old patch and apply the new one to a different clean
area
Walter, a teenage patient is admitted to the hospital because of acetaminophen
(Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening
abnormalities in which of the following organs?
A.Lungs
B.Liver
C.Kidney
D.Adrenal glands - ANSWER B.Liver
What of the following is true about the first pass effect?
A.The stomach metabolizes part of the drug
B. The liver metabolizes part of the drug
C.All IV drugs are affected by the first pass effect
D.Eye and ear drops are affected by the first pass effect - ANSWER B. The liver
metabolizes part of the drug
A drug is stated to have a half life of 6 hours. How do you explain this to a patient?
A. This is the amount of time it takes before the medication is removed from the
body
B. This is the amount of time it takes for ½ of the medication to be removed from
the body
C. This means you will take the medication every 6 hours - ANSWER B. This is
the amount of time it takes for ½ of the medication to be removed from the body
