N3110 Fundamentals practice question
./ ./ ./
s
Which./term./refers./to./the./movement./of./a./drug./from./the./site./of./administration./to./the./bloodst
ream?
A../Metabolism
B../Excretion
C../Distribution
D../Absorption./-./correct./answer./✔✔D../Absorption
Distribution./-./correct./answer./✔✔
involves./the./transport./of./the./drug./in./body./fluids,./such./as./blood,./to./the./tissues./and./organs.
Metabolism./-./correct./answer./✔✔
Metabolism./is./the./biotransformation./of./the./drug./into./a./more./water-
soluble./form./or./into./metabolites./that./can./be./excreted./from./the./body.
Excretion./-./correct./answer./✔✔
or./the./removal./of./drugs./from./the./body,./takes./place./in./the./kidneys,./liver./and./gastrointestin
al./tract,./lungs,./and./exocrine./glands.
A./patient./needs./assistance./in./eliminating./an./anesthetic./gaseous./medication./(nitrous./oxid
e)../Which./action./will./the./nurse./take?
A../Encourage./the./patient./to./cough./and./deep-breath../
B../Increase./fluid./intake
C../suggest./voiding./every./2./hours
D../Suction./the./patient's./respiratory./secretions./-./correct./answer./✔✔
A.)./Encourage./the./patient./to./cough./and./deep-breathe.
(Gaseous./and./volatile./medications./are./excreted./through./gas./exchange./(lungs)../Deep./bre
athing./and./coughing./will./assist./in./clearing./the./medication./more./quickly../It./is./a./gaseous./me
dication./and./cannot./be./suctioned./out./of./the./lungs../It./is./not./excreted./through./the./kidneys./s
o./fluids./and./voiding./will./not./help.)
A./patient./prefers./not./to./take./the./daily./allergy./pill./this./morning./because./it./causes./drowsine
ss./throughout./the./day../Which./response./by./the./nurse./is./best?
./a../"The./physician./ordered./it;./therefore,./you./must./take./your./medication./every./morning./at./t
he./same./time./whether./you're./drowsy./or./not."./
./b../"You./can./skip./this./medication./on./days./when./you./need./to./be./awake./and./alert."./
./c../"Try./to./get./as./much./done./as./you./can./before./you./take./your./pill,./so./you./can./sleep./in./the./
afternoon."./
, d../"Let's./see./if./we./can./change./the./time./you./take./your./pill./to./9./PM,./so./the./drowsiness./occu
./
rs./when./you./would./normally./be./sleeping./-./correct./answer./✔✔
d../"Let's./see./if./we./can./change./the./time./you./take./your./pill./to./9./PM,./so./the./drowsiness./occur
s./when./you./would./normally./be./sleeping."./
(The./nurse./should./use./knowledge./about./the./medication./to./educate./the./patient./about./pote
ntial./response./to./medications../Then./the./medication./schedule./can./be./altered./based./on./tha
t./knowledge../It./is./the./patient's./right./to./refuse./medication;./however,./the./nurse./should./educ
ate./the./patient./on./the./importance./and./effects./of./the./medication../Asking./a./patient./to./fit./a./sc
hedule./around./a./medication./is./unreasonable./and./will./decrease./compliance../The./nurse./sh
ould./be./supportive./and./should./offer./solutions./to./manage./medication./effects.)
A./nurse./teaches./the./patient./about./the./prescribed./buccal./medication../Which./statement./by./
the./patient./indicates./teaching./by./the./nurse./is./successful?
Select./one:
a../"I./better./chew./my./medication./first./for./faster./distribution."./
./b../"I./will./place./the./medication./in./the./same./location."./
./c../"I./can./only./drink./water,./not./juice,./with./this./medication."./
./d../"I./should./let./the./medication./dissolve./completely."./-./correct./answer./✔✔
d../"I./should./let./the./medication./dissolve./completely."./
Buccal./medications./should./be./placed./in./the./side./of./the./cheek./and./allowed./to./dissolve./co
mpletely../Buccal./medications./act./with./the./patient's./saliva./and./mucosa../The./patient./should
./not./chew./or./swallow./the./medication./or./take./any./liquids./with./it../The./patient./should./rotate./s
ides./of./the./cheek./to./avoid./irritating./the./mucosal./lining.
A./patient./is./to./receive./a./proton./pump./inhibitor./through./a./nasogastric./(NG)./feeding./tube../W
hich./is./the./most./important./nursing./action./to./ensure./effective./absorption?
Select./one:
./a../Thoroughly./shake./the./medication./before./administering../
./b../Position./patient./in./the./supine./position./for./30./minutes./to./1./hour../
./c../Flush./tube./with./10./to./15./mL./of./water,./after./all./medications./are./administered../
./d../Hold./feeding./for./at./least./30./minutes./after./medication./administration../-./correct./answer./
✔✔d../Hold./feeding./for./at./least./30./minutes./after./medication./administration../
(If./a./medication./needs./to./be./given./on./an./empty./stomach./or./is./not./compatible./with./the./feed
ing./(e.g.,./phenytoin,./carbamazepine./[Tegretol],./warfarin./[Coumadin],./fluoroquinolones,./pr
oton./pump./inhibitors),./hold./the./feeding./for./at./least./30./minutes./before./or./30./minutes./after./
medication./administration../Thoroughly./shaking./the./medication./mixes./the./medication./befo
re./administration./but./does./not./affect./absorption../Flushing./the./tube./after./all./medications./sh
ould./be./30./to./60./mL./of./water;./15./to./30./mL./of./water./is./used./for./flushing./between./medicatio
ns../Patients./with./NG./tubes./should./never./be./positioned./supine./but./instead./should./be./positi
oned./at./least./to./a./30-
degree./angle./to./prevent./aspiration,./provided./no./contraindication./condition./is./known.)
./ ./ ./
s
Which./term./refers./to./the./movement./of./a./drug./from./the./site./of./administration./to./the./bloodst
ream?
A../Metabolism
B../Excretion
C../Distribution
D../Absorption./-./correct./answer./✔✔D../Absorption
Distribution./-./correct./answer./✔✔
involves./the./transport./of./the./drug./in./body./fluids,./such./as./blood,./to./the./tissues./and./organs.
Metabolism./-./correct./answer./✔✔
Metabolism./is./the./biotransformation./of./the./drug./into./a./more./water-
soluble./form./or./into./metabolites./that./can./be./excreted./from./the./body.
Excretion./-./correct./answer./✔✔
or./the./removal./of./drugs./from./the./body,./takes./place./in./the./kidneys,./liver./and./gastrointestin
al./tract,./lungs,./and./exocrine./glands.
A./patient./needs./assistance./in./eliminating./an./anesthetic./gaseous./medication./(nitrous./oxid
e)../Which./action./will./the./nurse./take?
A../Encourage./the./patient./to./cough./and./deep-breath../
B../Increase./fluid./intake
C../suggest./voiding./every./2./hours
D../Suction./the./patient's./respiratory./secretions./-./correct./answer./✔✔
A.)./Encourage./the./patient./to./cough./and./deep-breathe.
(Gaseous./and./volatile./medications./are./excreted./through./gas./exchange./(lungs)../Deep./bre
athing./and./coughing./will./assist./in./clearing./the./medication./more./quickly../It./is./a./gaseous./me
dication./and./cannot./be./suctioned./out./of./the./lungs../It./is./not./excreted./through./the./kidneys./s
o./fluids./and./voiding./will./not./help.)
A./patient./prefers./not./to./take./the./daily./allergy./pill./this./morning./because./it./causes./drowsine
ss./throughout./the./day../Which./response./by./the./nurse./is./best?
./a../"The./physician./ordered./it;./therefore,./you./must./take./your./medication./every./morning./at./t
he./same./time./whether./you're./drowsy./or./not."./
./b../"You./can./skip./this./medication./on./days./when./you./need./to./be./awake./and./alert."./
./c../"Try./to./get./as./much./done./as./you./can./before./you./take./your./pill,./so./you./can./sleep./in./the./
afternoon."./
, d../"Let's./see./if./we./can./change./the./time./you./take./your./pill./to./9./PM,./so./the./drowsiness./occu
./
rs./when./you./would./normally./be./sleeping./-./correct./answer./✔✔
d../"Let's./see./if./we./can./change./the./time./you./take./your./pill./to./9./PM,./so./the./drowsiness./occur
s./when./you./would./normally./be./sleeping."./
(The./nurse./should./use./knowledge./about./the./medication./to./educate./the./patient./about./pote
ntial./response./to./medications../Then./the./medication./schedule./can./be./altered./based./on./tha
t./knowledge../It./is./the./patient's./right./to./refuse./medication;./however,./the./nurse./should./educ
ate./the./patient./on./the./importance./and./effects./of./the./medication../Asking./a./patient./to./fit./a./sc
hedule./around./a./medication./is./unreasonable./and./will./decrease./compliance../The./nurse./sh
ould./be./supportive./and./should./offer./solutions./to./manage./medication./effects.)
A./nurse./teaches./the./patient./about./the./prescribed./buccal./medication../Which./statement./by./
the./patient./indicates./teaching./by./the./nurse./is./successful?
Select./one:
a../"I./better./chew./my./medication./first./for./faster./distribution."./
./b../"I./will./place./the./medication./in./the./same./location."./
./c../"I./can./only./drink./water,./not./juice,./with./this./medication."./
./d../"I./should./let./the./medication./dissolve./completely."./-./correct./answer./✔✔
d../"I./should./let./the./medication./dissolve./completely."./
Buccal./medications./should./be./placed./in./the./side./of./the./cheek./and./allowed./to./dissolve./co
mpletely../Buccal./medications./act./with./the./patient's./saliva./and./mucosa../The./patient./should
./not./chew./or./swallow./the./medication./or./take./any./liquids./with./it../The./patient./should./rotate./s
ides./of./the./cheek./to./avoid./irritating./the./mucosal./lining.
A./patient./is./to./receive./a./proton./pump./inhibitor./through./a./nasogastric./(NG)./feeding./tube../W
hich./is./the./most./important./nursing./action./to./ensure./effective./absorption?
Select./one:
./a../Thoroughly./shake./the./medication./before./administering../
./b../Position./patient./in./the./supine./position./for./30./minutes./to./1./hour../
./c../Flush./tube./with./10./to./15./mL./of./water,./after./all./medications./are./administered../
./d../Hold./feeding./for./at./least./30./minutes./after./medication./administration../-./correct./answer./
✔✔d../Hold./feeding./for./at./least./30./minutes./after./medication./administration../
(If./a./medication./needs./to./be./given./on./an./empty./stomach./or./is./not./compatible./with./the./feed
ing./(e.g.,./phenytoin,./carbamazepine./[Tegretol],./warfarin./[Coumadin],./fluoroquinolones,./pr
oton./pump./inhibitors),./hold./the./feeding./for./at./least./30./minutes./before./or./30./minutes./after./
medication./administration../Thoroughly./shaking./the./medication./mixes./the./medication./befo
re./administration./but./does./not./affect./absorption../Flushing./the./tube./after./all./medications./sh
ould./be./30./to./60./mL./of./water;./15./to./30./mL./of./water./is./used./for./flushing./between./medicatio
ns../Patients./with./NG./tubes./should./never./be./positioned./supine./but./instead./should./be./positi
oned./at./least./to./a./30-
degree./angle./to./prevent./aspiration,./provided./no./contraindication./condition./is./known.)
