NURS 6521N WEEK1 WALDEN UNIVERSITY'S
PHARM -MIDTERM EXAM QUESTIONS AND
ANSWERS 100% VERIFIED 2026 UPDATE
Question 1
1 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine
(Demerol) IM. How should the nurse best administer this medication?
Response The ventrogluteal site is the preferred site for intramuscular
Feedback:
injection. IM injections necessitate the use of a larger gauge needle
than is required for subcutaneous injections.
• Question 2
1 out of 1
points A nurse has been administering a drug to a patient intramuscularly (IM). The
physician discontinued the IM dose and wrote an order for the drug to be given orally. The
nurse notices that the oral dosage is considerably higher than the parenteral dose and
understands that this due to Response The first-pass effect involves drugs that are given PO
and
Feedback
: absorbed from the small intestine directly into the portal venous
system, which delivers the drug molecules to the liver. Once in the
liver, enzymes break the drug into metabolites; they may become
active or may be deactivated and readily excreted from the body. A
large percentage of the oral dose is usually destroyed and never
reaches tissues. Oral dosages account for this phenomenon to ensure
an appropriate amount of the drug in the body to produce a
pg. 1
, therapeutic action. Passive diffusion is the major process through
which drugs are absorbed into the body. Active transport is a process
that uses energy to actively move a molecule across a cell membrane
and is often involved in drug excretion in the kidney. Glomerular
filtration is the passage of water and water-soluble components from
the plasma into the renal tubule.
• Question 3
1 out of 1 points
In which of the following patients would a nurse expect to experience
alterations in drug metabolism?
Response The liver is the most important site for drug metabolism. If the
Feedback
: liver is not functioning effectively, as with cirrhosis, drugs will not be
metabolized normally and toxic levels could develop. Drug dosage
will have to be altered to ensure normal levels in the body. The
patient with kidney stones and the patient in acute renal failure would
most likely have alterations in drug excretion. If there are no
complications with the cervical cancer patient, there should be no
alterations in drug therapy.
• Question 4
1 out of 1 points
A patient who has been admitted to the hospital for a mastectomy has stated
that she has experienced adverse drug effects at various times during her life.
Which of the following strategies should the nurse prioritize in order to
minimize the potential of adverse drug effects during the patient's stay in the
hospital?
pg. 2
, Response In an effort to minimize the potential of adverse drug effects, it
Feedback:
is necessary to closely monitor the patient. It would be inappropriate for
the nurse to alter the route or frequency of administration or to
encourage herbal remedies that also carry the potential for adverse
effects.
• Question 5
1 out of 1 points
The nurse's assessment of a community-dwelling adult suggests that the client
may have drug allergies that have not been previously documented. What
statement by the client would confirm this?
Response True allergic reactions include formation of rash or hives, itching,
Feedback
: redness, swelling, difficulty breathing, and anaphylactic shock. Nausea
and vomiting, however, are adverse effects of drug therapy. Similarly, an
unsafe drop in blood pressure and gastric bleeding from aspirin use are adverse
drug effects, not allergic reactions.
• Question 6
1 out of 1 points
A nurse is caring for a patient who has had part of her small intestine removed
due to cancer. She has also now developed hypertension and has been
prescribed a new medication to decrease her blood pressure. While planning
the patient's care, the nurse should consider a possible alteration in which of the
following aspects of pharmacokinetics?
Response Because absorption takes place mostly in the small intestine,
Feedback
: there could be possible alterations with this process. Distribution
takes place in the blood vessels; metabolism in the liver; and
pg. 3
PHARM -MIDTERM EXAM QUESTIONS AND
ANSWERS 100% VERIFIED 2026 UPDATE
Question 1
1 out of 1 points
A patient who has ongoing pain issues has been prescribed meperidine
(Demerol) IM. How should the nurse best administer this medication?
Response The ventrogluteal site is the preferred site for intramuscular
Feedback:
injection. IM injections necessitate the use of a larger gauge needle
than is required for subcutaneous injections.
• Question 2
1 out of 1
points A nurse has been administering a drug to a patient intramuscularly (IM). The
physician discontinued the IM dose and wrote an order for the drug to be given orally. The
nurse notices that the oral dosage is considerably higher than the parenteral dose and
understands that this due to Response The first-pass effect involves drugs that are given PO
and
Feedback
: absorbed from the small intestine directly into the portal venous
system, which delivers the drug molecules to the liver. Once in the
liver, enzymes break the drug into metabolites; they may become
active or may be deactivated and readily excreted from the body. A
large percentage of the oral dose is usually destroyed and never
reaches tissues. Oral dosages account for this phenomenon to ensure
an appropriate amount of the drug in the body to produce a
pg. 1
, therapeutic action. Passive diffusion is the major process through
which drugs are absorbed into the body. Active transport is a process
that uses energy to actively move a molecule across a cell membrane
and is often involved in drug excretion in the kidney. Glomerular
filtration is the passage of water and water-soluble components from
the plasma into the renal tubule.
• Question 3
1 out of 1 points
In which of the following patients would a nurse expect to experience
alterations in drug metabolism?
Response The liver is the most important site for drug metabolism. If the
Feedback
: liver is not functioning effectively, as with cirrhosis, drugs will not be
metabolized normally and toxic levels could develop. Drug dosage
will have to be altered to ensure normal levels in the body. The
patient with kidney stones and the patient in acute renal failure would
most likely have alterations in drug excretion. If there are no
complications with the cervical cancer patient, there should be no
alterations in drug therapy.
• Question 4
1 out of 1 points
A patient who has been admitted to the hospital for a mastectomy has stated
that she has experienced adverse drug effects at various times during her life.
Which of the following strategies should the nurse prioritize in order to
minimize the potential of adverse drug effects during the patient's stay in the
hospital?
pg. 2
, Response In an effort to minimize the potential of adverse drug effects, it
Feedback:
is necessary to closely monitor the patient. It would be inappropriate for
the nurse to alter the route or frequency of administration or to
encourage herbal remedies that also carry the potential for adverse
effects.
• Question 5
1 out of 1 points
The nurse's assessment of a community-dwelling adult suggests that the client
may have drug allergies that have not been previously documented. What
statement by the client would confirm this?
Response True allergic reactions include formation of rash or hives, itching,
Feedback
: redness, swelling, difficulty breathing, and anaphylactic shock. Nausea
and vomiting, however, are adverse effects of drug therapy. Similarly, an
unsafe drop in blood pressure and gastric bleeding from aspirin use are adverse
drug effects, not allergic reactions.
• Question 6
1 out of 1 points
A nurse is caring for a patient who has had part of her small intestine removed
due to cancer. She has also now developed hypertension and has been
prescribed a new medication to decrease her blood pressure. While planning
the patient's care, the nurse should consider a possible alteration in which of the
following aspects of pharmacokinetics?
Response Because absorption takes place mostly in the small intestine,
Feedback
: there could be possible alterations with this process. Distribution
takes place in the blood vessels; metabolism in the liver; and
pg. 3
