NURS 5334 ACTUAL PHARM STUDY GUIDE
QUIZ 1 EXAM WITH CORRECT ANSWERS,
RATIONALES NEWEST 2026 EXAM VERIFIED
100 % 100% VERIFIED | GRADED A+ | VERIFIED
TEXAS BON PRESCRIPTIVE RULES
Pharmacology Study Guide - Part 1
The nurse has been assigned a 49-year-old patient who has acute colitis, and
the nurse just completed gathering data concerning core drug knowledge and
core patient variables. To implement nursing management of drug therapy for
this patient, the nurse will then
A) evaluate the outcome of the drug therapy.
B) devise strategies to maximize the therapeutic effects of the drug.
C) implement planned nursing actions.
D) assess for data that will indicate interactions between core drug knowledge
and core patient variables.
B
The correct answer option is B) devise strategies to maximize the therapeutic
effects of the drug.
Explanation of the Correct Option
• B) devise strategies to maximize the therapeutic effects of the drug: This
question tests your understanding of the chronological steps in the Nursing
Process (ADPIE) applied to clinical pharmacology.The prompt states that the
nurse has just completed the data gathering phase (Assessment). According
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to nursing drug management frameworks, once assessment data (core drug
knowledge and core patient variables) is collected, the next phase is to
establish nursing diagnoses and move into the Planning phase. Devising
strategies to maximize therapeutic effects and minimize adverse effects is the
core component of the Planning phase, which must occur before any actions
are carried out.
Which of the following activities would the nurse expect to complete during
the evaluation phase of the nursing process in drug therapy?
A) Compare the outcome expected with the actual patient outcome
B) Reconsider core drug knowledge and core patient variables
C) Ask questions to prepare an effective patient education program
D) Establish a baseline for the patient's treatment and care
A
The correct answer option is A) Compare the outcome expected with the actual
patient outcome.
Explanation of the Correct Option
• A) Compare the outcome expected with the actual patient outcome: The
Evaluation phase of the nursing process serves as a structured decision-
making loop. In clinical drug therapy, its primary objective is to measure the
effectiveness of the care plan by evaluating the patient's objective response to
the administered medication. The nurse achieves this by directly matching the
actual patient outcomes (e.g., lower blood pressure, reduced pain scale)
against the predetermined baseline goals established during the planning
phase.
A nurse is caring for a postsurgical patient who has small tortuous veins and
had a difficult IV insertion. The patient is now receiving IV medications on a
regular basis. What is the best nursing intervention to minimize the adverse
effects of this drug therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
D
he correct answer option is D) Monitor the IV site for redness, swelling, or pain.
Explanation of the Correct Option
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• D) Monitor the IV site for redness, swelling, or pain: This patient has
significant risk factors (small, tortuous veins and a difficult insertion) for
localized intravenous complications like phlebitis (vein inflammation) or
infiltration/extravasation (medication leaking into surrounding tissue).
Because the patient is receiving IV medications on a regular basis, the best
and most targeted nursing intervention to minimize these adverse effects is to
frequently assess the patency and health of the IV site. Catching early signs
like redness, warmth, swelling, or tenderness allows the nurse to discontinue
the IV before severe tissue damage or thrombophlebitis occurs.
A patient has been prescribed several drugs and fluids to be given
intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the
A) heart rate.
B) body weight and height.
C) blood pressure.
D) skin surrounding the potential IV site.
D
The correct answer option is D) skin surrounding the potential IV site.
Explanation of the Correct Option
• D) skin surrounding the potential IV site: Before initiating any intravenous
therapy, inspecting the local site is a mandatory safety baseline
assessment. The nurse must ensure the chosen anatomical area has intact
skin that is completely free from infection, scars, active inflammation,
ecchymosis, or pre-existing edema. Placing an IV catheter through
compromised skin can introduce pathogens directly into the bloodstream or
lead to immediate fluid infiltration, compromising the entire prescribed drug
and fluid regimen.
A nurse is performing an admission assessment of an elderly patient who is
being admitted to a medical ward from the emergency department. Which of
the following is an open-ended assessment question?
A) "Have you ever had a bad response to a drug that you've taken?"
B) "Does anyone in your immediate family have a history of drug allergies?"
C) "Are you comfortable with receiving needles?"
D) "What kind of reactions have you had to medications?"
D