NR 293 EXAM 1 LEARNING WORKBOOK 2026
CLINICAL SKILLS AND NURSING PROCESS
APPLICATION
◉ 9 rights of medicine administration.
Answer: right patient, right dose, right medication, right time, right
documentation, right route, right reason, right response
◉ what is a prototype.
Answer: the first drug of a class that all others are based from (ex-
morphine)
◉ what is pharmacokinetics.
Answer: what the body does to the drug
◉ what is pharmacodynamics.
Answer: what the drug does to the body
◉ bioavailability.
Answer: what portion of the drug that entered the circulation can
have an effect on the body
,◉ first pass effect.
Answer: a drug enters the GI tract and is filtered to the liver where
some is destroyed
◉ what enzymes work in the liver.
Answer: P-450 enzymes
◉ if a patient has cirrhosis of the liver, what will happen when they
take a medication?.
Answer: When the medication passes through the liver for the first
pass, there will be less P-450 enzymes so the bioavailability of the
medication will be higher and it will circulate in the bloodstream
longer.
◉ half life.
Answer: time required for 50% of the drug to be removed from the
body
◉ Pharmacotherapeutics.
Answer: treatment of conditions
◉ enteral route.
Answer: through the GI tract
,◉ parenteral tract.
Answer: outside the GI tract
◉ how is medication absorption different for neonates and
children?.
Answer: they have less gastric acid to break down medications and
availability is higher
◉ why do more drugs enter neonate and children's brains, why are
meds not as easily excreted/destroyed by liver and kidneys ?.
Answer: immature BBB, liver, and kidneys
◉ Polypharmacy.
Answer: The use of multiple medications on a regular basis
◉ during which phase of the nursing process does a nurse prioritize
the nursing diagnoses?.
Answer: planning
◉ the nurse recognizes that drugs given by which route will be
altered by the first pass effect?
a. oral
, b. sublingual
c. subcutaneous
d. IV
e. rectal.
Answer: oral and rectal
◉ the nurse is reviewing a list of a patient's medications and notes
one of the drugs has a low therapeutic index. what does this mean?.
Answer: the difference between a therapeutic dose and a toxic dose
are very close together
◉ when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B?.
Answer: level of drug B could rise to toxicity
◉ A drug is highly protein bound, what does this mean?.
Answer: it will have a longer duration of action
◉ do no harm is what ethical principle?.
Answer: nonmaleficence
◉ Which legal act required drug manufacturers to establish the
safety and efficacy of a new drug before its approval for use?.
CLINICAL SKILLS AND NURSING PROCESS
APPLICATION
◉ 9 rights of medicine administration.
Answer: right patient, right dose, right medication, right time, right
documentation, right route, right reason, right response
◉ what is a prototype.
Answer: the first drug of a class that all others are based from (ex-
morphine)
◉ what is pharmacokinetics.
Answer: what the body does to the drug
◉ what is pharmacodynamics.
Answer: what the drug does to the body
◉ bioavailability.
Answer: what portion of the drug that entered the circulation can
have an effect on the body
,◉ first pass effect.
Answer: a drug enters the GI tract and is filtered to the liver where
some is destroyed
◉ what enzymes work in the liver.
Answer: P-450 enzymes
◉ if a patient has cirrhosis of the liver, what will happen when they
take a medication?.
Answer: When the medication passes through the liver for the first
pass, there will be less P-450 enzymes so the bioavailability of the
medication will be higher and it will circulate in the bloodstream
longer.
◉ half life.
Answer: time required for 50% of the drug to be removed from the
body
◉ Pharmacotherapeutics.
Answer: treatment of conditions
◉ enteral route.
Answer: through the GI tract
,◉ parenteral tract.
Answer: outside the GI tract
◉ how is medication absorption different for neonates and
children?.
Answer: they have less gastric acid to break down medications and
availability is higher
◉ why do more drugs enter neonate and children's brains, why are
meds not as easily excreted/destroyed by liver and kidneys ?.
Answer: immature BBB, liver, and kidneys
◉ Polypharmacy.
Answer: The use of multiple medications on a regular basis
◉ during which phase of the nursing process does a nurse prioritize
the nursing diagnoses?.
Answer: planning
◉ the nurse recognizes that drugs given by which route will be
altered by the first pass effect?
a. oral
, b. sublingual
c. subcutaneous
d. IV
e. rectal.
Answer: oral and rectal
◉ the nurse is reviewing a list of a patient's medications and notes
one of the drugs has a low therapeutic index. what does this mean?.
Answer: the difference between a therapeutic dose and a toxic dose
are very close together
◉ when drug A is an enzyme inhibitor of drug B, the nurse will
anticipate what result of drug B?.
Answer: level of drug B could rise to toxicity
◉ A drug is highly protein bound, what does this mean?.
Answer: it will have a longer duration of action
◉ do no harm is what ethical principle?.
Answer: nonmaleficence
◉ Which legal act required drug manufacturers to establish the
safety and efficacy of a new drug before its approval for use?.
