NFDN 1002 Exam Questions With Complete
Solutions
1.what is your primary concern when errors occur? - ANSWERPatient Safety
First pass effect - ANSWERwhen a medication is broken down but not absorbed by the
body
2, Drug Absorption - ANSWERentrance of a drug into the bloodstream from its site of
administration
factors that may inhibit drug absorption? - ANSWER- the route of administration ( GI
route VS IV route)
- presence of food in GI tract
- Health status before administering drug
- presence of other medications
3. drug distribution in body - ANSWERmedication being distributed to different locations
in the body via the blood stream
factors affecting distribution - ANSWERdrug's chemical formulation
drug's use in the body
drug's ability to bind or penetrate body proteins or tissues
Drug Metabolism - ANSWERBiotransformation
occurs after the drug has reached its site of action, body breaks down the drug so it
becomes inactive and more soluble
4. Where are drugs metabolized? - ANSWERliver, kidneys, muscle, lungs, plasma,
intestinal mucosa
Onset of a medication - ANSWERtime it takes for a medication to produce a response
Peak of a medication - ANSWERTime it takes for a medication to reach its highest
effective concentration
5. Duration of a medication - ANSWERthe length of time the medication will usually
exhibit a therapeutic response
Tolerance - ANSWERmedication has a reduced effect on the individual when
frequently administered
, 6. What patient populations have specific pharmacological considerations? -
ANSWERpregnant women, paediatric, and older adults
Order - ANSWERwritten direction regarding a treatment or medication that is to be
given to the patient
7. Parts of a Med Order - ANSWERcorrect patient identifying data
date and time
the medication
the dose
the route
the frequency
8. If an order changes what is important to know? - ANSWERwhen the change
occurred
what the change was
the reason behind the change
Areas to consider when assessing prior med admin - ANSWER- reason of need for
med
- patient status before med admin (get bp before giving bp med)
- Patient perspective on the meds
- potential change the medication may have on the patient's health status
Sublingual Medication - ANSWERmedication placed under the tongue or sprayed
under the tongue for absorption
used for relaxation, decrease anxiety, and vasodilation
9. Buccal medications - ANSWERmedications that are placed in the inner aspect of the
cheek or the buccal mucosa for absorption
ex. benzocaine as an anesthetic agent and fentanyl for pain relief
10. Topical Medications - ANSWERmedications that are placed on the surface of the
skin or other tissue areas for absorption
make sure areas are free from hair, lacerations, incisions, and other open areas
wear gloves when administering
11. parenteral medications - ANSWERMedications that enter the body by a route other
than the digestive tract
parenteral medication routes - ANSWERintravenous (IV) - into vein
subcutaneous - into the lowermost layer of skin
Solutions
1.what is your primary concern when errors occur? - ANSWERPatient Safety
First pass effect - ANSWERwhen a medication is broken down but not absorbed by the
body
2, Drug Absorption - ANSWERentrance of a drug into the bloodstream from its site of
administration
factors that may inhibit drug absorption? - ANSWER- the route of administration ( GI
route VS IV route)
- presence of food in GI tract
- Health status before administering drug
- presence of other medications
3. drug distribution in body - ANSWERmedication being distributed to different locations
in the body via the blood stream
factors affecting distribution - ANSWERdrug's chemical formulation
drug's use in the body
drug's ability to bind or penetrate body proteins or tissues
Drug Metabolism - ANSWERBiotransformation
occurs after the drug has reached its site of action, body breaks down the drug so it
becomes inactive and more soluble
4. Where are drugs metabolized? - ANSWERliver, kidneys, muscle, lungs, plasma,
intestinal mucosa
Onset of a medication - ANSWERtime it takes for a medication to produce a response
Peak of a medication - ANSWERTime it takes for a medication to reach its highest
effective concentration
5. Duration of a medication - ANSWERthe length of time the medication will usually
exhibit a therapeutic response
Tolerance - ANSWERmedication has a reduced effect on the individual when
frequently administered
, 6. What patient populations have specific pharmacological considerations? -
ANSWERpregnant women, paediatric, and older adults
Order - ANSWERwritten direction regarding a treatment or medication that is to be
given to the patient
7. Parts of a Med Order - ANSWERcorrect patient identifying data
date and time
the medication
the dose
the route
the frequency
8. If an order changes what is important to know? - ANSWERwhen the change
occurred
what the change was
the reason behind the change
Areas to consider when assessing prior med admin - ANSWER- reason of need for
med
- patient status before med admin (get bp before giving bp med)
- Patient perspective on the meds
- potential change the medication may have on the patient's health status
Sublingual Medication - ANSWERmedication placed under the tongue or sprayed
under the tongue for absorption
used for relaxation, decrease anxiety, and vasodilation
9. Buccal medications - ANSWERmedications that are placed in the inner aspect of the
cheek or the buccal mucosa for absorption
ex. benzocaine as an anesthetic agent and fentanyl for pain relief
10. Topical Medications - ANSWERmedications that are placed on the surface of the
skin or other tissue areas for absorption
make sure areas are free from hair, lacerations, incisions, and other open areas
wear gloves when administering
11. parenteral medications - ANSWERMedications that enter the body by a route other
than the digestive tract
parenteral medication routes - ANSWERintravenous (IV) - into vein
subcutaneous - into the lowermost layer of skin
