Nurs 3100 Exam 1 Material Questions With Complete
Solutions
A charge nurse is observing a nurse administer and intradermal
injection. Which of the following demonstrates that the nurse is
using the correct technique? Correct Answer Slowly inject the
medication to form a small wheal or bleb
A client admitted to the hospital tells the nurse they are very
nervous about getting all their medications while they are in the
hospital because their health care provider has them on a very
"strict" schedule. The nurse understands that which of the
following describes the principles about how medication dosing
schedules are determined? Correct Answer -Dosing may be
set for the convenience of patient and nurse
-Some drugs must be taken a certain time prior to an event or
immediately after an event
-Specific times may improve effectiveness and decrease risk of
adverse effects
-The physical and biological characteristics of a drug may
determine dosing schedule
A client asks a nurse how many Americans take at least one
prescription drug per year. What is the nurse's bestresponse?
Correct Answer 50%
A client asks a nurse how medications are distributed within the
body. What among the below would be the nurse's response?
Correct Answer "Medications
that are lipid-soluble are more completely distributed."
,A client asks a nurse why a large dose of a drug was
administered first followed by a lower dose of the same drug
later. What is the nurse's best response? Correct Answer
Achieve a therapeutic dose more quickly
A client asks a nurse why a prescribed medication is very
expensive. What is the best response by the nurse? Correct
Answer Contact the healthcare provider to ask if a generic drug
may be substituted.
A client asks a nurse why he experiences a metallic taste after
taking certain medications. The nurse explains that some
medications are secreted by glandular activity. The nurse would
identify which substances as examples of this excretion?
Correct Answer saliva, sweat, breast milk
A client at 14-weeks gestation is seen in the clinic with a
sprained ankle. The healthcare provider prescribes a mild
analgesic, rest, compression, and application of an ice bag. The
client is very concerned about taking the prescribedmedication,
telling the nurse, "I don't want to hurt my baby." How should the
nurse respond? Correct Answer -This is a category A drug, so
there is very little risk to your baby
-The most dangerous time for birth defects is probably in the
first semester and you are past that now
A client comes to the emergency department following an
overdose of aspirin, which is an acidic drug. The nurse should
anticipate administering which of the following? Correct
Answer Sodium bicarbonate to alter the client's serum pH.
,A client comes to the emergency department with a myocardial
infarction. The client's husband tells the nurse that his wife has
been taking calcium carbonate (Tums) for years for what she
thought was indigestion. What is the best response by the nurse?
Correct Answer Your wife was self-diagnosing, which is
generally not a good idea
A client has a long history of hypertension. The healthcare
provider orders an antihypertensive drug that has just come on
the market. The nurse teaches the patient that this drug works
more effectively than his prior drug and has fewer side effects.
The patient asks how this can be. What is the best response by
the nurse? Correct Answer "Newer drugs are altered to affect
your cells' receptors in a different way."
Your answer is correct.
"Research into receptors helps 'fine-tune' drugs to be more
effective."
A client has a prescription for an intravenous medication for
nausea. The client asks the nurse how it will help his nausea
since it is given in his vein. What is the best therapeutic
response by the nurse? Correct Answer This will work much
faster for your nausea
A client has an adverse reaction to a drug following a change in
dietary habits. The nurse understands that which change would
most likely be the cause? Correct Answer Increased intake of
grapefruit juice
A client has been chosen to participate in the clinical trial of a
medication to treat chemotherapy-induced nausea. When the
, nurse takes the informed consent form to the bedside the client
says, "I am glad there is finally a medication to cure my cancer."
How should the nurse respond? Correct Answer -Has anyone
explained the research trial to you?
-What questions do you have about this medication?
A client has been taking paroxetine (Paxil) for a year and tells a
nurse is it no longer working. What is the best response by the
nurse? Correct Answer Are you taking name brand Paxil or
the generic version paroxetine?
A client has skin lesions that have not responded to prescription
drugs. He tells the nurse he has heard about some research going
on with a new drug and asks why he can't take it. What is the
best response by the nurse Correct Answer I know it is
frustrating, but the Food and Drug Administration (FDA)
approval process is in place to ensure that drugs are safe
A client is 3 days postop, and the physician orders an oral pain
medication. The client asks the nurse if it wouldn't be better to
get the medication in the intravenous (IV) line. What is the best
response by the nurse? Correct Answer Pills are safer than
intravenous (IV) medications
A client is admitted to the hospital in chronic renal failure and
several drugs are prescribed. What best describes the nurse's
assessment of this client? Correct Answer The client may
have drug toxicity from all the drugs.
A client is receiving a brand name drug and wants to change to
the generic form because it is less expensive. What is the best
Solutions
A charge nurse is observing a nurse administer and intradermal
injection. Which of the following demonstrates that the nurse is
using the correct technique? Correct Answer Slowly inject the
medication to form a small wheal or bleb
A client admitted to the hospital tells the nurse they are very
nervous about getting all their medications while they are in the
hospital because their health care provider has them on a very
"strict" schedule. The nurse understands that which of the
following describes the principles about how medication dosing
schedules are determined? Correct Answer -Dosing may be
set for the convenience of patient and nurse
-Some drugs must be taken a certain time prior to an event or
immediately after an event
-Specific times may improve effectiveness and decrease risk of
adverse effects
-The physical and biological characteristics of a drug may
determine dosing schedule
A client asks a nurse how many Americans take at least one
prescription drug per year. What is the nurse's bestresponse?
Correct Answer 50%
A client asks a nurse how medications are distributed within the
body. What among the below would be the nurse's response?
Correct Answer "Medications
that are lipid-soluble are more completely distributed."
,A client asks a nurse why a large dose of a drug was
administered first followed by a lower dose of the same drug
later. What is the nurse's best response? Correct Answer
Achieve a therapeutic dose more quickly
A client asks a nurse why a prescribed medication is very
expensive. What is the best response by the nurse? Correct
Answer Contact the healthcare provider to ask if a generic drug
may be substituted.
A client asks a nurse why he experiences a metallic taste after
taking certain medications. The nurse explains that some
medications are secreted by glandular activity. The nurse would
identify which substances as examples of this excretion?
Correct Answer saliva, sweat, breast milk
A client at 14-weeks gestation is seen in the clinic with a
sprained ankle. The healthcare provider prescribes a mild
analgesic, rest, compression, and application of an ice bag. The
client is very concerned about taking the prescribedmedication,
telling the nurse, "I don't want to hurt my baby." How should the
nurse respond? Correct Answer -This is a category A drug, so
there is very little risk to your baby
-The most dangerous time for birth defects is probably in the
first semester and you are past that now
A client comes to the emergency department following an
overdose of aspirin, which is an acidic drug. The nurse should
anticipate administering which of the following? Correct
Answer Sodium bicarbonate to alter the client's serum pH.
,A client comes to the emergency department with a myocardial
infarction. The client's husband tells the nurse that his wife has
been taking calcium carbonate (Tums) for years for what she
thought was indigestion. What is the best response by the nurse?
Correct Answer Your wife was self-diagnosing, which is
generally not a good idea
A client has a long history of hypertension. The healthcare
provider orders an antihypertensive drug that has just come on
the market. The nurse teaches the patient that this drug works
more effectively than his prior drug and has fewer side effects.
The patient asks how this can be. What is the best response by
the nurse? Correct Answer "Newer drugs are altered to affect
your cells' receptors in a different way."
Your answer is correct.
"Research into receptors helps 'fine-tune' drugs to be more
effective."
A client has a prescription for an intravenous medication for
nausea. The client asks the nurse how it will help his nausea
since it is given in his vein. What is the best therapeutic
response by the nurse? Correct Answer This will work much
faster for your nausea
A client has an adverse reaction to a drug following a change in
dietary habits. The nurse understands that which change would
most likely be the cause? Correct Answer Increased intake of
grapefruit juice
A client has been chosen to participate in the clinical trial of a
medication to treat chemotherapy-induced nausea. When the
, nurse takes the informed consent form to the bedside the client
says, "I am glad there is finally a medication to cure my cancer."
How should the nurse respond? Correct Answer -Has anyone
explained the research trial to you?
-What questions do you have about this medication?
A client has been taking paroxetine (Paxil) for a year and tells a
nurse is it no longer working. What is the best response by the
nurse? Correct Answer Are you taking name brand Paxil or
the generic version paroxetine?
A client has skin lesions that have not responded to prescription
drugs. He tells the nurse he has heard about some research going
on with a new drug and asks why he can't take it. What is the
best response by the nurse Correct Answer I know it is
frustrating, but the Food and Drug Administration (FDA)
approval process is in place to ensure that drugs are safe
A client is 3 days postop, and the physician orders an oral pain
medication. The client asks the nurse if it wouldn't be better to
get the medication in the intravenous (IV) line. What is the best
response by the nurse? Correct Answer Pills are safer than
intravenous (IV) medications
A client is admitted to the hospital in chronic renal failure and
several drugs are prescribed. What best describes the nurse's
assessment of this client? Correct Answer The client may
have drug toxicity from all the drugs.
A client is receiving a brand name drug and wants to change to
the generic form because it is less expensive. What is the best
