PNM300 FINAL EXAM VERIFIED QUESTIONS &
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UPDATED 2025–2026 EDITION A+
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A patient's chart includes an order that reads as follows: digoxin 0.025 mcg once
daily at 0900 hours. Which action by the nurse is correct?
a. The nurse gives the drug via the transdermal route.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the dosage route. - ANSWER: D
The nurse is compiling a drug history for a patient. Which question from the nurse
will obtain the most information from the patient?a. "Do you depend on sleeping
pills to get to sleep?"
b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?
d. "What childhood diseases did you have?" - ANSWER: C
A 77-year-old man who has been diagnosed with an upper respiratory infection
tells the nurse that he is allergic to penicillin. What is the most appropriate
response by the nurse?
a. "That is to be expected—lots of people are allergic to penicillin."
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b. "This allergy is not of major concern because the drug is given so
commonly."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals because they have
built up resistance." - ANSWER: C
The nurse is reviewing new medication orders that have been written for a newly
admitted patient. Which orders will the nurse need to clarify? Select all that apply.
a. Metformin (Glucophage®) 1000 mg PO twice a day
b. Sitagliptin (Januvia®) 50 mg daily
c. Simvastatin (Zocor®) 20 mg PO every evening
d. Irbesartan (Avapro®) 300 mg PO once a day
e. Docusate (Colace®) as needed for constipation - ANSWER: B + E
An 86-year-old patient is being discharged to home on digoxin and has little
information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of digoxin toxicity.
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d. The patient will call the prescriber if adverse effects occur. - ANSWER: A
A patient has a new prescription for a blood pressure medication that may cause
him to feel dizzy during the first few days of therapy. Which is the best nursing
diagnosis for this situation?
a. Activity intolerance
b. Potential for injury
c. Disturbed body image
d. Self-care deficit - ANSWER: B
The nurse is reviewing data collected from a medication history. Which of these
data are considered objective data? (Select all that apply.)
a. White blood cell count 22,000 mm3
b. Blood pressure 150/94 mm Hg
c. Patient rates pain as an "8" on a 10-point scale
d. Patient's wife reports that the patient has been very sleepy during the day
e. Patient's weight is 150 lb - ANSWER: A, B, E
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While caring for a patient with cirrhosis or hepatitis, the nurse knows that
abnormalities in which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion - ANSWER: C
An older adult woman took a prescription medicine to help her to sleep; however,
she felt restless all night and did not sleep at all. The nurse recognizes that this
woman has experienced which type of reaction or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutageniceffect
d. Synergistic effect - ANSWER: B
3. A patient who has advanced cancer is receiving opioid med- ications around
the clock to "keep him comfortable" as he nears the end of his life. Which term
best describes this type of therapy?
a. Palliative therapy