NUR 210 Exam 1 Modules 1–3 2026 | Galen College of
Nursing | Latest Update | Questions & Answers | Graded A+
1. A patient requires a medication that undergoes significant first pass
metabolism. What adjustment might a healthcare provider consider in their
treatment plan?
The provider might advise the patient to take the medication with food.
The provider might reduce the dosage of the medication.
The provider might consider prescribing a higher oral dose or an
alternative route of administration.
The provider might switch to a topical application of the drug.
2. Describe how combining CNS depressants with other substances can affect
patient safety.
It can increase the risk of serious adverse effects such as sedation
and respiratory depression.
It can lead to faster drug metabolism and reduced side effects.
It has no impact on patient safety.
It can enhance the therapeutic effects of the drugs.
3. A patient on long-term opioid therapy reports experiencing constipation.
What would be an appropriate intervention to address this issue?
Increase the dosage of opioids.
Implement a bowel regimen that includes laxatives and dietary
changes.
Advise the patient to avoid all medications.
Discontinue opioid therapy immediately.
,4. When would the loading dose be used?
After you have already had an initial dose
In general administration of a drug
If the person has overshot and entered toxicity range
It is used whenever convenient
When a therapeutic conc. must be achieved rapidly
5. Describe how the route of administration can influence drug absorption.
The route of administration affects drug absorption by determining
how quickly and efficiently the drug enters the bloodstream.
The route of administration is irrelevant to the drug's effectiveness.
The route of administration has no effect on drug absorption.
The route of administration only affects drug distribution, not
absorption.
6. A patient with chronic kidney disease is prescribed a medication that is
primarily excreted by the kidneys. What should be the primary consideration
for the healthcare provider?
Increasing the dosage to enhance efficacy
Switching to an oral formulation for better absorption
Adjusting the dosage to prevent drug accumulation
Administering the medication more frequently
7. How can caffeine affect theophylline therapy?
Caffeine intensifies adverse effects and can increase theophylline
levels.
, Caffeine enhances theophylline metabolism.
Caffeine reduces theophylline levels in the blood.
Caffeine has no impact on theophylline therapy.
8. One of the most common side effects of morphine is:
diarrhea
increased urination
hypertension
constipation
9. What are the two primary lab tests used to evaluate liver function?
Glucose and insulin
BUN and creatinine
Hemoglobin and hematocrit
ALT and AST levels
10. Describe the significance of using a loading dose in the treatment of acute
conditions.
A loading dose helps to rapidly reach the desired drug
concentration for effective treatment.
A loading dose is only necessary for elderly patients.
A loading dose is used to prevent drug interactions.
A loading dose minimizes the duration of treatment.
11. What role does protein binding play in the pharmacokinetics of drugs?
, It determines the drug's chemical structure.
It affects distribution, efficacy, and elimination.
It enhances the absorption of drugs.
It is irrelevant to drug action.
12. How does the first pass effect influence the choice of drug administration
routes?
The first pass effect may lead to the preference for non-oral routes
of administration to bypass liver metabolism.
The first pass effect only affects intravenous drug administration.
The first pass effect requires all drugs to be administered at lower
doses.
The first pass effect has no impact on drug administration routes.
13. Which groups are considered special populations in pharmacotherapy?
Healthy adults, elderly, and individuals with allergies
Children, athletes, and those with acute infections
Pregnant women, infants, and individuals with mental health disorders
Elderly, pregnant women, and those with chronic diseases
14. The first-pass effect is the metabolism of a drug before it becomes
systemically available, and it
reduces the bioavailability of the drug.
increases the bioavailability of the drug.
has no effect on the bioavailability of the drug
Nursing | Latest Update | Questions & Answers | Graded A+
1. A patient requires a medication that undergoes significant first pass
metabolism. What adjustment might a healthcare provider consider in their
treatment plan?
The provider might advise the patient to take the medication with food.
The provider might reduce the dosage of the medication.
The provider might consider prescribing a higher oral dose or an
alternative route of administration.
The provider might switch to a topical application of the drug.
2. Describe how combining CNS depressants with other substances can affect
patient safety.
It can increase the risk of serious adverse effects such as sedation
and respiratory depression.
It can lead to faster drug metabolism and reduced side effects.
It has no impact on patient safety.
It can enhance the therapeutic effects of the drugs.
3. A patient on long-term opioid therapy reports experiencing constipation.
What would be an appropriate intervention to address this issue?
Increase the dosage of opioids.
Implement a bowel regimen that includes laxatives and dietary
changes.
Advise the patient to avoid all medications.
Discontinue opioid therapy immediately.
,4. When would the loading dose be used?
After you have already had an initial dose
In general administration of a drug
If the person has overshot and entered toxicity range
It is used whenever convenient
When a therapeutic conc. must be achieved rapidly
5. Describe how the route of administration can influence drug absorption.
The route of administration affects drug absorption by determining
how quickly and efficiently the drug enters the bloodstream.
The route of administration is irrelevant to the drug's effectiveness.
The route of administration has no effect on drug absorption.
The route of administration only affects drug distribution, not
absorption.
6. A patient with chronic kidney disease is prescribed a medication that is
primarily excreted by the kidneys. What should be the primary consideration
for the healthcare provider?
Increasing the dosage to enhance efficacy
Switching to an oral formulation for better absorption
Adjusting the dosage to prevent drug accumulation
Administering the medication more frequently
7. How can caffeine affect theophylline therapy?
Caffeine intensifies adverse effects and can increase theophylline
levels.
, Caffeine enhances theophylline metabolism.
Caffeine reduces theophylline levels in the blood.
Caffeine has no impact on theophylline therapy.
8. One of the most common side effects of morphine is:
diarrhea
increased urination
hypertension
constipation
9. What are the two primary lab tests used to evaluate liver function?
Glucose and insulin
BUN and creatinine
Hemoglobin and hematocrit
ALT and AST levels
10. Describe the significance of using a loading dose in the treatment of acute
conditions.
A loading dose helps to rapidly reach the desired drug
concentration for effective treatment.
A loading dose is only necessary for elderly patients.
A loading dose is used to prevent drug interactions.
A loading dose minimizes the duration of treatment.
11. What role does protein binding play in the pharmacokinetics of drugs?
, It determines the drug's chemical structure.
It affects distribution, efficacy, and elimination.
It enhances the absorption of drugs.
It is irrelevant to drug action.
12. How does the first pass effect influence the choice of drug administration
routes?
The first pass effect may lead to the preference for non-oral routes
of administration to bypass liver metabolism.
The first pass effect only affects intravenous drug administration.
The first pass effect requires all drugs to be administered at lower
doses.
The first pass effect has no impact on drug administration routes.
13. Which groups are considered special populations in pharmacotherapy?
Healthy adults, elderly, and individuals with allergies
Children, athletes, and those with acute infections
Pregnant women, infants, and individuals with mental health disorders
Elderly, pregnant women, and those with chronic diseases
14. The first-pass effect is the metabolism of a drug before it becomes
systemically available, and it
reduces the bioavailability of the drug.
increases the bioavailability of the drug.
has no effect on the bioavailability of the drug
