Name: Score:
195 Multiple choice questions
Term 1 of 195
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses.
Which of the following statements by a newly licensed nurse indicates an understanding of the
1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or receptor
activity caused by other meds."
B. "Some meds may have to be administered by a nonenteral route to avoid inactivation as they
travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of accumulation &
toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum medication level
monitoring."
B.
first pass deals with the liver
B.
routine health screenings are important at any age
D.
The stool specimens cannot be contaminated with water or urine
D.
this will prevent N&V from the narcotic
,Term 2 of 195
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal
system as part of a comprehensive physical examination. Which of the following findings should
the nurse expect? Select all.
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
A, B, C
D-they need fewer calories not more
E-they need more carbs & fiber
A, B, E
B, E
C, E
,Term 3 of 195
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client
states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration
record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO
A, B, C, E
Not D because endemic disease is already prevalent within a population, so reporting is not
necessary
D. social worker
A social worker can make arrangements for a meal delivery service to provide nutritious
meals daily, or recommend a congregate meal site near the client's home
C.
low-residue diets are low in fiber and easy to digest: dairy products especially
C.
IV morphine is the best because the onset is rapid and absorption to the blood is
immediate, which is adequate for a client with a 10 pain severity
Term 4 of 195
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over
30min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (round to nearest whole number)
120 gtt/min
83 gtt/min
100 gtt/min
50 gtt/min
, Term 5 of 195
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the
following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk, yogurt,
cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food poisoning
B, C, E
Private room w/droplet precautions indicated for this client.
The nurse should wear a gown when contamination from body fluids might happen
B, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A.
Category D meds are known to cause harm to fetuses, however the use during pregnancy
may be warranted based on potential benefits.
B.
The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
195 Multiple choice questions
Term 1 of 195
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses.
Which of the following statements by a newly licensed nurse indicates an understanding of the
1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or receptor
activity caused by other meds."
B. "Some meds may have to be administered by a nonenteral route to avoid inactivation as they
travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of accumulation &
toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum medication level
monitoring."
B.
first pass deals with the liver
B.
routine health screenings are important at any age
D.
The stool specimens cannot be contaminated with water or urine
D.
this will prevent N&V from the narcotic
,Term 2 of 195
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal
system as part of a comprehensive physical examination. Which of the following findings should
the nurse expect? Select all.
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
A, B, C
D-they need fewer calories not more
E-they need more carbs & fiber
A, B, E
B, E
C, E
,Term 3 of 195
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client
states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration
record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO
A, B, C, E
Not D because endemic disease is already prevalent within a population, so reporting is not
necessary
D. social worker
A social worker can make arrangements for a meal delivery service to provide nutritious
meals daily, or recommend a congregate meal site near the client's home
C.
low-residue diets are low in fiber and easy to digest: dairy products especially
C.
IV morphine is the best because the onset is rapid and absorption to the blood is
immediate, which is adequate for a client with a 10 pain severity
Term 4 of 195
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over
30min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (round to nearest whole number)
120 gtt/min
83 gtt/min
100 gtt/min
50 gtt/min
, Term 5 of 195
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the
following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk, yogurt,
cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food poisoning
B, C, E
Private room w/droplet precautions indicated for this client.
The nurse should wear a gown when contamination from body fluids might happen
B, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A.
Category D meds are known to cause harm to fetuses, however the use during pregnancy
may be warranted based on potential benefits.
B.
The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
