RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND
AN- SWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A. One
B. Two
C. Three
D. FourAnswer: A. Medications with long half-lives remain at their therapeutic levels
be- tween doses for long periods of time. The nurse should expect to administer this
medication once a day.
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
,E. Concurrent use of medication the same pathway metabolizesAnswer: :
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabo- lism,
thereby increasing the concentration of one or both medications. This requires decreasing
the dosage of one or both medications.
3. A nurse is preparing to administer eye
drops to a client. Which of
the following actions should the nurse
take? (Select all that apply.)
,A. have the client lie on her side.
B. Ask the client to look
up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into
the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after instillationAnswer: B.The client should
look upward to
keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the center of
the conjunctival sac to promote distribution.
E. The client should close her eye gently to
promote distribution of the medication
4. A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
A. "I will clean the site with
an alcohol swab before
, I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.Answer: C. The client
should apply the patch to a hairless
area of skin to promote absorption of the medication.
5. A nurse reviewing a client's
medical record notes a new prescription for verifying the trough
AN- SWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A. One
B. Two
C. Three
D. FourAnswer: A. Medications with long half-lives remain at their therapeutic levels
be- tween doses for long periods of time. The nurse should expect to administer this
medication once a day.
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
,E. Concurrent use of medication the same pathway metabolizesAnswer: :
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabo- lism,
thereby increasing the concentration of one or both medications. This requires decreasing
the dosage of one or both medications.
3. A nurse is preparing to administer eye
drops to a client. Which of
the following actions should the nurse
take? (Select all that apply.)
,A. have the client lie on her side.
B. Ask the client to look
up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into
the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after instillationAnswer: B.The client should
look upward to
keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the center of
the conjunctival sac to promote distribution.
E. The client should close her eye gently to
promote distribution of the medication
4. A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
A. "I will clean the site with
an alcohol swab before
, I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.Answer: C. The client
should apply the patch to a hairless
area of skin to promote absorption of the medication.
5. A nurse reviewing a client's
medical record notes a new prescription for verifying the trough
