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KARCH Chapter 2: Bonus Test 1 Drugs & the Body PREP U Questions and Answers 100% Pass

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KARCH Chapter 2: Bonus Test 1 Drugs & the Body PREP U Questions and Answers 100% Pass One week ago, a 74-year-old patient was started on a benzodiazapine for the treatment of an anxiety disorder. The patient comes into the clinic for a follow-up visit and states that she is nervous, can't sleep, and feels hyperactive. What does the nurse understand may be occurring as a result of this medication? a) Taking too much of the medication (nonadherence) b) Paradoxical excitement c) Not taking the medication as ordered (noncompliance) d) An allergic reaction to the benzodiazepine - Paradoxical excitement The nurse is reviewing the history of a patient for possible factors that might affect the pharmacokinetics of a prescribed drug. A possible problem with absorption might occur if the patient has a history of which of the following? 2100% Pass Guarantee Olivia West, All Rights Reserved © 2025 a) Vascular disease b) Liver disease c) Gastrointestinal disease d) Kidney disease - Gastrointestinal disease Which statement best reflects the placebo effect? a) "I hope this drug is better than the first one." b) "A low fat diet would work better than this drug." c) "I'm not the type of person who likes to take pills." d) "I know this drug will work to cure my infection." - I know this drug will work to cure my infection." The nurse is preparing to administer a prescribed drug to a patient with a history of renal disease. The nurse expects a reduction in dosage based on the understanding that which of the following might be altered? a) Excretion 3100% Pass Guarantee Olivia West, All Rights Reserved © 2025 b) Distribution c) Metabolism d) Absorption - Excretion Drugs that are highly lipid soluble are more likely to pass through the blood-brain barrier and reach the central nervous system. a) True b) False - True A nurse is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? a) "What effect are you expecting that these medications will have on your health?" b) "Which pharmacy do you use to fill your prescriptions?" c) "Do you prefer to take liquid medications or are you fine with taking pills?" d) "Do you take any herbal supplements or alternative medications?" - "Do you take any herbal supplements or alternative medications?" 4100% Pass Guarantee Olivia West, All Rights Reserved © 2025 A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to a) increased levels of plasma albumin. b) decreased gastrointestinal motility. c) altered gastric pH levels. d) decreased blood flow to tissues and muscles. - decreased blood flow to tissues and muscles. An instructor is describing a specific area on a cell membrane where most drugs are thought to act. The students demonstrate understanding of this information when they identify this area as which of the following? a) Lock b) Enzyme system c) Agonist d) Receptor site - Receptor site 5100% Pass Guarantee Olivia West, All Rights Reserved © 2025 An elderly postsurgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption? a) An intramuscular (IM) injection of an opioid analgesic b) An oral antidepressant that the patient has been taking daily for several years c) An intravenous (IV) antibiotic that is being administered by IV piggyback at 150 mL/hour d) A sublingual benzodiazepine that has been prescribed to help the patient sleep - An oral antidepressant that the patient has been taki

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KARCH Chapter 2: Bonus Test 1 Drugs
& the Body PREP U Questions and
Answers 100% Pass

One week ago, a 74-year-old patient was started on a benzodiazapine for the treatment

of an anxiety disorder. The patient comes into the clinic for a follow-up visit and states

that she is nervous, can't sleep, and feels hyperactive. What does the nurse understand

may be occurring as a result of this medication?




a) Taking too much of the medication (nonadherence)


b) Paradoxical excitement


c) Not taking the medication as ordered (noncompliance)


d) An allergic reaction to the benzodiazepine - ✔✔Paradoxical excitement


The nurse is reviewing the history of a patient for possible factors that might affect the

pharmacokinetics of a prescribed drug. A possible problem with absorption might

occur if the patient has a history of which of the following?




100% Pass Guarantee Olivia West, All Rights Reserved © 2025 1

,a) Vascular disease


b) Liver disease


c) Gastrointestinal disease


d) Kidney disease - ✔✔Gastrointestinal disease


Which statement best reflects the placebo effect?




a) "I hope this drug is better than the first one."


b) "A low fat diet would work better than this drug."


c) "I'm not the type of person who likes to take pills."


d) "I know this drug will work to cure my infection." - ✔✔I know this drug will work to

cure my infection."


The nurse is preparing to administer a prescribed drug to a patient with a history of

renal disease. The nurse expects a reduction in dosage based on the understanding that

which of the following might be altered?




a) Excretion




100% Pass Guarantee Olivia West, All Rights Reserved © 2025 2

, b) Distribution


c) Metabolism


d) Absorption - ✔✔Excretion


Drugs that are highly lipid soluble are more likely to pass through the blood-brain

barrier and reach the central nervous system.




a) True


b) False - ✔✔True


A nurse is conducting an assessment of a patient who has recently had several changes

made to her drug regimen. What assessment question most directly addresses the safety

implications of the patient's drug regimen?




a) "What effect are you expecting that these medications will have on your health?"


b) "Which pharmacy do you use to fill your prescriptions?"


c) "Do you prefer to take liquid medications or are you fine with taking pills?"


d) "Do you take any herbal supplements or alternative medications?" - ✔✔"Do you take

any herbal supplements or alternative medications?"




100% Pass Guarantee Olivia West, All Rights Reserved © 2025 3

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