NU 136 EXAM 4 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION GALEN COLLEGE OF NURSING

NU 136 EXAM 4 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION GALEN COLLEGE OF NURSING 1. Pharmacology in relation to nurses: - ANSWER -physicians, pharmacies, and nurses are legally responsible for safe & therapeutic effects of drugs -locate info about each drug -calculate dose accurately -6 rights -recognize nursing interventions -knowledgeable about possible drug interactions 2. If drug order isn't clear: - ANSWER clarify w/ doctor 3. Controlled substances: - ANSWER -must have another nurse count w/ you (incoming & out coming nurse) -any discrepancies need to be investigated 4. 3 key factors of drug therapy - ANSWER 1. distribution: how drug distributes throughout body 2. metabolism: what route is it (slow or fast) 3. excretion: how the pt is urinating; kidney function (older adults need less dosage) 5. Differences of absorption - ANSWER 1. slow absorption: skin, oral, SQ 2. quick absorption: sublingual, mucus membrane, respiratory 3. most rapid: IV 6. High alert medication: - ANSWER -insulin -requires a 2 nurse check 7. Schedule of controlled drugs - ANSWER Schedule I through V 8. schedule I - ANSWER drugs with no accepted medical use & high potential of abuse i.e. heroin, LSD, weed 9. Drug standards - ANSWER purity, potency, bioavailability, efficacy, safety and toxicity 10. If there is a medication error: - ANSWER report it immediately; the purpose of the report is so same mistake won't happen again 11. Schedule II - ANSWER drugs with medical use & high potential for abuse i.e. cocaine, oxycodone, codeine 12. schedule III - ANSWER drugs that are medically use w/ less potential for abuse than schedule II i.e. testosterone, ketamine, miscellaneous depressants 13. schedule IV - ANSWER drugs that are medically useful w/ less potential for abuse than schedule III i.e. tranquilizers 14. schedule V - ANSWER drugs with medical use, low potential for abuse and produce less of a physical dependance i.e. cough syrup 15. uses for drugs: - ANSWER Treatment, palliation, diagnosis, cure, and prevention of disease 16. Pharmacokinetics - ANSWER how drugs enter body, metabolized, and excreted 17. nurses are legally responsible for safe drug administration. what we need to know: - ANSWER -side effects -generics and brand name -drug-drug, drug-condition, drug-food, drug-alcohol interactions -BEERs criteria -formulary -off label use of drug -medication adherence -OD effects of meds -under use/dosing (know right dose for which dx and therapeutic effect) -poly pharmacy 18. The nurse is reviewing medication administration records. Which medication order is incomplete? A. "Acetaminophen 650 mg PO every 6 hours PRN for pain" B. "Metoprolol 25 mg PO daily" C. "Furosemide 40 mg IV push over 2 minutes" D. "Insulin aspart 5 units subcutaneously before meals" - ANSWER "Metoprolol 25 mg PO daily" Rationale: This order lacks an indication for administration time, making it incomplete. 19. A patient asks why their antibiotic should be taken at the same time every day. What is the nurse's best response? A. "It helps your body get used to the medication." B. "It maintains a consistent drug level in your bloodstream." C. "It prevents side effects from occurring." D. "It allows you to finish the prescription sooner." - ANSWER "It maintains a consistent drug level in your bloodstream." Rationale: Consistent timing ensures a therapeutic drug level and maximizes effectiveness. 20. Which IV solution is hypotonic? A. 0.9% Normal Saline B. 3% Saline C. Lactated Ringer's D. 0.45% Normal Saline - ANSWER 0.45% Normal Saline Rationale: Hypotonic solutions like 0.45% NS shift fluid into cells, which is useful for dehydration treatment. 21. The nurse notices redness and swelling at a patient's IV site. What is the priority action? A. Increase the IV flow rate B. Flush the IV line with normal saline C. Discontinue the IV and restart in another site D. Apply heat to the site and observe - ANSWER Discontinue the IV and restart in another site Rationale: Redness and swelling indicate phlebitis or infiltration, requiring IV removal and site rotation. 22. A pediatric patient refuses to take their oral medication. What is the nurse's best approach? A. Mix the medication in a full cup of juice B. Force the child to swallow the medication C. Offer the medication with a small amount of applesauce D. Hide the medication in the child's favorite candy - ANSWER Offer the medication with a small amount of applesauce Rationale: Mixing medication with a small amount of food can make it more palatable without affecting dosage.