NUR 206 Exam with 100% Correct
Solutions
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a
nursing diagnosis?
A) Anxiety
B) Anxiety related to new drug therapy
C) Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
D) Anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - ANS-D
Formulation of nursing diagnoses is usually a three-step process. "Anxiety" is missing
the "related to" and "as evidenced by" portions of defining characteristics. "Anxiety
related to new drug therapy" is missing the "as evidenced by" portion of defining
characteristics.
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
busy and gave the medication 2 hours after the scheduled dose was due. What type of
problem does this represent?
A) "Right time"
B) "Right dose"
C) "Right route"
D) "Right medication" - ANS-A
"Right time" is correct because the medication was given more than 30 minutes after
the scheduled dose was due.
The nurse has been monitoring the patient's progress on a new drug regimen since the
first dose and documenting the patient's therapeutic response to the medication. Which
phase of the nursing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation - ANS-D
Monitoring the patient's progress, including the patient's response to the medication, is
part of the evaluation phase. Planning, implementation, and nursing diagnosis are not
illustrated by this example.
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
,b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique. - ANS-D
"Demonstrating correct blood glucose testing technique" is a specific and measurable
outcome criterion. "Following instructions" and "not experiencing complications" are not
specific criteria. "Adhering to new regimen" would be difficult to measure.
Which activity best reflects the implementation phase of the nursing process for the
patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the new
treatment regimen - ANS-A
Education is an intervention that occurs during the implementation phase. Setting goals
and outcomes reflects the planning phase. Recording a drug history reflects the
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
planning.
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds. - ANS-C
A complete medication order includes the route of administration. If a medication order
does not include the route, the nurse must ask the prescriber to clarify it
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies - ANS-C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties
that may be affected by the timing of the last meal. The patient's ability to swallow,
height, and allergies are not factors to consider regarding the timing of the drug's
administration.
The nurse is performing an assessment of a newly admitted patient. Which is an
example of subjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
, d. The patient's laboratory work includes a complete blood count and urinalysis. - ANS-
C
Subjective data include information shared through the spoken word by any reliable
source, such as the patient.
When giving medications, the nurse will follow the rights of medication administration.
The rights include the right documentation, the right reason, the right response, and the
patient's right to refuse. Which of these are additional rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient - ANS-A,B,C,E,F
Additional rights of medication administration must always include the right drug, right
dose, right time, right route, and right patient. The right diagnosis is incorrect.
The patient is receiving two different drugs. At current dosages and dosage forms, both
drugs are absorbed into the circulation in identical amounts. Which term is used to
identify this principle?
A) Bioequivalent
B) Synergistic
C) Prodrugs
D) Steady state - ANS-A
Two drugs absorbed into the circulation in the same amount (in specific dosage forms)
have the same bioavailability; thus, they are bioequivalent.
When given an intravenous medication, the patient says to the nurse, "I usually take
pills. Why does this medication have to be given in the arm?" What is the nurse's best
answer?
a. "The medication will cause fewer adverse effects when given intravenously."
b. "The intravenous medication will have delayed absorption into the body's tissues."
c. "The action of the medication will begin sooner when given intravenously."
d. "There is a lower chance of allergic reactions when drugs are given intravenously." -
ANS-C
An intravenous (IV) injection provides the fastest route of absorption. The IV route does
not affect the number of adverse effects, nor does it cause delayed tissue absorption (it
results in faster absorption).
The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
a. Parenteral drugs bypass the first-pass effect.
b. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
c. Absorption of parenteral drugs is faster when the stomach is empty.
d. Parenteral drugs exert their effects while circulating in the bloodstream. - ANS-A
Solutions
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a
nursing diagnosis?
A) Anxiety
B) Anxiety related to new drug therapy
C) Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
D) Anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - ANS-D
Formulation of nursing diagnoses is usually a three-step process. "Anxiety" is missing
the "related to" and "as evidenced by" portions of defining characteristics. "Anxiety
related to new drug therapy" is missing the "as evidenced by" portion of defining
characteristics.
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
busy and gave the medication 2 hours after the scheduled dose was due. What type of
problem does this represent?
A) "Right time"
B) "Right dose"
C) "Right route"
D) "Right medication" - ANS-A
"Right time" is correct because the medication was given more than 30 minutes after
the scheduled dose was due.
The nurse has been monitoring the patient's progress on a new drug regimen since the
first dose and documenting the patient's therapeutic response to the medication. Which
phase of the nursing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation - ANS-D
Monitoring the patient's progress, including the patient's response to the medication, is
part of the evaluation phase. Planning, implementation, and nursing diagnosis are not
illustrated by this example.
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
,b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique. - ANS-D
"Demonstrating correct blood glucose testing technique" is a specific and measurable
outcome criterion. "Following instructions" and "not experiencing complications" are not
specific criteria. "Adhering to new regimen" would be difficult to measure.
Which activity best reflects the implementation phase of the nursing process for the
patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the new
treatment regimen - ANS-A
Education is an intervention that occurs during the implementation phase. Setting goals
and outcomes reflects the planning phase. Recording a drug history reflects the
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
planning.
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds. - ANS-C
A complete medication order includes the route of administration. If a medication order
does not include the route, the nurse must ask the prescriber to clarify it
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies - ANS-C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties
that may be affected by the timing of the last meal. The patient's ability to swallow,
height, and allergies are not factors to consider regarding the timing of the drug's
administration.
The nurse is performing an assessment of a newly admitted patient. Which is an
example of subjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
, d. The patient's laboratory work includes a complete blood count and urinalysis. - ANS-
C
Subjective data include information shared through the spoken word by any reliable
source, such as the patient.
When giving medications, the nurse will follow the rights of medication administration.
The rights include the right documentation, the right reason, the right response, and the
patient's right to refuse. Which of these are additional rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient - ANS-A,B,C,E,F
Additional rights of medication administration must always include the right drug, right
dose, right time, right route, and right patient. The right diagnosis is incorrect.
The patient is receiving two different drugs. At current dosages and dosage forms, both
drugs are absorbed into the circulation in identical amounts. Which term is used to
identify this principle?
A) Bioequivalent
B) Synergistic
C) Prodrugs
D) Steady state - ANS-A
Two drugs absorbed into the circulation in the same amount (in specific dosage forms)
have the same bioavailability; thus, they are bioequivalent.
When given an intravenous medication, the patient says to the nurse, "I usually take
pills. Why does this medication have to be given in the arm?" What is the nurse's best
answer?
a. "The medication will cause fewer adverse effects when given intravenously."
b. "The intravenous medication will have delayed absorption into the body's tissues."
c. "The action of the medication will begin sooner when given intravenously."
d. "There is a lower chance of allergic reactions when drugs are given intravenously." -
ANS-C
An intravenous (IV) injection provides the fastest route of absorption. The IV route does
not affect the number of adverse effects, nor does it cause delayed tissue absorption (it
results in faster absorption).
The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
a. Parenteral drugs bypass the first-pass effect.
b. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
c. Absorption of parenteral drugs is faster when the stomach is empty.
d. Parenteral drugs exert their effects while circulating in the bloodstream. - ANS-A
