Case Scenarios (Guarantee Pass)
Table of Contents
NSG 318 EXAM 1
NSG 318 EXAM 1 STUDY GUIDE
NSG 318 EXAM 1
1. Which of the following best defines pharmacology?
• A. The study of how drugs are absorbed, distributed, metabolized, and excreted
by the body
• B. The study of the effects of drugs on the body's physiological processes
• C. The study of medications and their effects on living systems
• D. The study of genetic factors that influence individual drug responses
Answer: C
Rationale: Pharmacology is defined as the study of medications/drugs and the manner
in which the function of living systems is affected by chemical substances.
Pharmacokinetics specifically deals with drug movement through the body,
pharmacodynamics focuses on drug effects, and pharmacogenetics examines genetic
influences .
2. What is the primary purpose of the six rights of medication administration?
• A. To ensure the nurse administers medications within the correct time frame
• B. To prevent medication errors and ensure patient safety
• C. To document all medications given in the electronic health record
, • D. To verify the patient's insurance covers the prescribed medication
Answer: B
Rationale: The six rights (right patient, right drug, right dose, right route, right time,
right documentation) are foundational safety principles designed to prevent medication
errors. Each right serves as a critical checkpoint before medication administration,
protecting patients from potential harm .
3. Which of the following is NOT one of the six rights of medication
administration?
• A. Right patient
• B. Right diagnosis
• C. Right dose
• D. Right documentation
Answer: B
Rationale: The six rights of medication administration are: right patient, right drug, right
dose, right route, right time, and right documentation. Right diagnosis is not one of the
six rights; diagnosis is part of the nursing process but not a medication administration
right .
4. According to the NSG 318 Exam 1 blueprint, which topic has the highest
percentage of exam questions?
• A. Topic 1: Introduction to Nursing Pharmacology, Terminology, and Medication
Calculation (20%)
• B. Topic 2: Drugs and the Body: Pharmacodynamics, Pharmacokinetics, and
Pharmacogenetics (32%)
• C. Topic 3: Medication Safety, Legal, and Ethical Issues in Pharmacology (30%)
• D. Topic 4: Drug Therapy and Life Span Considerations (18%)
, Answer: B
Rationale: Topic 2 comprises 32% of Exam 1, the highest percentage among all topics.
Topic 3 is next at 30%, followed by Topic 1 at 20%, and Topic 4 at 18% .
5. Which route of administration has the fastest onset of action?
• A. Oral
• B. Subcutaneous
• C. Intramuscular
• D. Intravenous
Answer: D
Rationale: Intravenous administration delivers the drug directly into the bloodstream,
resulting in the fastest onset of action. Oral administration is slower due to absorption
through the GI tract, and subcutaneous and intramuscular routes require absorption
from tissue sites .
6. The generic name of a drug is:
• A. The brand name assigned by the pharmaceutical company
• B. The official nonproprietary name approved by the FDA
• C. The chemical structure description of the drug
• D. The name used exclusively in hospital formularies
Answer: B
Rationale: The generic name is the official, nonproprietary name approved by the FDA.
It is usually longer and more difficult to pronounce than the trade name but is less
expensive and contains the same active ingredients as the brand-name drug .
7. A drug that binds to a receptor and produces a maximal response is called a:
• A. Partial agonist