NURS 3632 Exam 2 Questions
And Correct Answers
A nurse administers a dose of an oral medication for hypertension to a patient who
immediately vomits after swallowing the pill. What would be the appropriate initial
action of the nurse in this situation?
a. Readminister the medication and notify the primary care provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider.
C
A nurse is administering phenytoin via a gastric tube to a patient who is receiving tube
feedings. What would be an appropriate action of the nurse in this situation?
a. Discontinue the tube feeding and leave the tube clamped for required period of time
before and after medication administration.
b. Notify the primary care provider that medication cannot be given to the patient at
this time via the gastric tube.
c. Remove the tube in place and replace it with another tube prior to administering the
medication.
d. Flush the tube with 60 mL of water prior to administering the medication.
,A
A nurse who is administering medications to patients in an acute care setting studies the
pharmacokinetics of the drugs being administered. Which statements accurately
describe these mechanisms of action? Select all that apply.
a. Distribution occurs after a drug has been absorbed into the bloodstream and is made
available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of entry into the
body to the bloodstream.
c. Absorption is the change of a drug from its original form to a new form, usually
occurring in the liver.
d. During first-pass effect, drugs move from the intestinal lumen to the liver by way of
the portal vein instead of going into the system's circulation.
e. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes
of drug absorption.
f. Excretion is the process of removing a drug, or its metabolites (products of
metabolism), from the body
A,D,F
A nurse who gives subcutaneous and intramuscular injections to patients in a hospital
setting attempts to reduce discomfort for the patients receiving the injections. Which
technique is recommended?
a. The nurse selects a needle of the largest gauge that is appropriate for the site and
solution to be injected.
,b. The nurse injects the medication into contracted muscles to reduce pressure and
discomfort at the site.
c. The nurse uses the Z-track technique for intramuscular injections to prevent leakage
of medication into the needle track.
d. The nurse applies vigorous pressure in a circular motion after the injection to
distribute the medication to the intended site.
C
A medication order reads: "K-Dur, 20 mEq po BID." When and how does the nurse
correctly give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch
C
A nurse is preparing medications for patients in the ICU. The nurse is aware that there
are patient variables that may affect the absorption of these medications. Which
statements accurately describe these variables? Select all that apply.
a. Patients in certain ethnic groups obtain therapeutic responses at lower doses or
higher doses than those usually prescribed.
b. Some people experience the same response with a placebo as with the active drug
used in studies.
, c. People with liver disease metabolize drugs more quickly than people with normal liver
functioning.
d. A patient who receives a pain medication in a noisy environment may not receive full
benefit from the medication's effects.
e. Oral medications should not be given with food as the food may delay the absorption
of the medications.
f. Circadian rhythms and cycles may influence drug action.
A,B,D,F
A health care provider orders a pain medication for a postoperative patient that is a PRN
order. When would the nurse administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order
B
A nurse is administering a pain medication to a patient. In addition to checking his
identification bracelet, the nurse correctly verifies the patient's identity by performing
which action?
a. Asking the patient his name and birthdate
b. Reading the patient's name on the sign over the bed
And Correct Answers
A nurse administers a dose of an oral medication for hypertension to a patient who
immediately vomits after swallowing the pill. What would be the appropriate initial
action of the nurse in this situation?
a. Readminister the medication and notify the primary care provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider.
C
A nurse is administering phenytoin via a gastric tube to a patient who is receiving tube
feedings. What would be an appropriate action of the nurse in this situation?
a. Discontinue the tube feeding and leave the tube clamped for required period of time
before and after medication administration.
b. Notify the primary care provider that medication cannot be given to the patient at
this time via the gastric tube.
c. Remove the tube in place and replace it with another tube prior to administering the
medication.
d. Flush the tube with 60 mL of water prior to administering the medication.
,A
A nurse who is administering medications to patients in an acute care setting studies the
pharmacokinetics of the drugs being administered. Which statements accurately
describe these mechanisms of action? Select all that apply.
a. Distribution occurs after a drug has been absorbed into the bloodstream and is made
available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of entry into the
body to the bloodstream.
c. Absorption is the change of a drug from its original form to a new form, usually
occurring in the liver.
d. During first-pass effect, drugs move from the intestinal lumen to the liver by way of
the portal vein instead of going into the system's circulation.
e. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes
of drug absorption.
f. Excretion is the process of removing a drug, or its metabolites (products of
metabolism), from the body
A,D,F
A nurse who gives subcutaneous and intramuscular injections to patients in a hospital
setting attempts to reduce discomfort for the patients receiving the injections. Which
technique is recommended?
a. The nurse selects a needle of the largest gauge that is appropriate for the site and
solution to be injected.
,b. The nurse injects the medication into contracted muscles to reduce pressure and
discomfort at the site.
c. The nurse uses the Z-track technique for intramuscular injections to prevent leakage
of medication into the needle track.
d. The nurse applies vigorous pressure in a circular motion after the injection to
distribute the medication to the intended site.
C
A medication order reads: "K-Dur, 20 mEq po BID." When and how does the nurse
correctly give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch
C
A nurse is preparing medications for patients in the ICU. The nurse is aware that there
are patient variables that may affect the absorption of these medications. Which
statements accurately describe these variables? Select all that apply.
a. Patients in certain ethnic groups obtain therapeutic responses at lower doses or
higher doses than those usually prescribed.
b. Some people experience the same response with a placebo as with the active drug
used in studies.
, c. People with liver disease metabolize drugs more quickly than people with normal liver
functioning.
d. A patient who receives a pain medication in a noisy environment may not receive full
benefit from the medication's effects.
e. Oral medications should not be given with food as the food may delay the absorption
of the medications.
f. Circadian rhythms and cycles may influence drug action.
A,B,D,F
A health care provider orders a pain medication for a postoperative patient that is a PRN
order. When would the nurse administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order
B
A nurse is administering a pain medication to a patient. In addition to checking his
identification bracelet, the nurse correctly verifies the patient's identity by performing
which action?
a. Asking the patient his name and birthdate
b. Reading the patient's name on the sign over the bed
