2025 NUR 504 Final Exam with accurate and
verified questions covering advanced nursing
practice, evidence-based care, pharmacology,
and clinical assessment.
In today's health care environment, there is often more contact be
c c c c c c c c c c
tween the client and the nurse than between the client and the he
c c c c c c c c c c c c
alth care provider. What does this put the nurse in the best positio
c c c c c c c c c c c c
n to do? ......answer.....assess the therapeutic effect of drug thera
c c cc c c c c c c
py
A nurse is assigned to care for a client in a health care facility. What
c c c c c c c c c c c c c c
is the nursing responsibility before administering a drug to the clie
c c c c c c c c c c c
nt? ......answer.....review subjective and objective data
cc c c c c
A nurse is caring for a 49-year-
c c c c c c
old client with acute gout and arthritis. The nurse interviews the cli
c c c c c c c c c c c
ent and checks the medical records. Which additional assessment
c c c c c c c c c
,should the nurse consider before medication administration teac
c c c c c c c
hing? ......answer.....examine the client physically
cc c c c
A client has been prescribed an oral drug that is known to have a hi
c c c c c c c c c c c c c c
gh first- c
pass effect. Which measure has the potential to increase the amo
c c c c c c c c c c
unt of the free drug that is available to body cells? ......answer.....a
c c c c c c c c c c cc
dministering the drug IV rather than orally c c c c c c
When providing drug therapy to a client, what is a responsibility of
c c c c c c c c c c c c
the nurse? ......answer.....Teach the client how to cope with the ef
c cc c c c c c c c c
fects of the drug to ensure the best outcome
c c c c c c c c
he nurse is administering a medication to a client who reports pain
c c c c c c c c c c c
cin the knees from arthritis. The nurse observes the name of the dr
c c c c c c c c c c c c
ug as p- c c
isobutylhydratropic and recognizes that this refers to a: ......answ c c c c c c c cc
er.....chemical name c
The client has a daily antihypertensive medication ordered. Takin
c c c c c c c c
g the blood pressure prior to administration of the medication is w
c c c c c c c c c c c
hich step of the nursing process? ......answer.....assessing
c c c c c cc
,Which client would a nurse expect to experience alterations in dru
c c c c c c c c c c
g metabolism? ......answer.....50 yo with cirrhosis of the liver
c cc c c c c c c
A client is being seen in the emergency department for a sprained
c c c c c c c c c c c c
ankle and is given a drug to relieve pain. When a second dose of th
c c c c c c c c c c c c c c
e pain medication is given, the client develops redness of the skin, i
c c c c c c c c c c c c
tching, and swelling at the site of injection of the drug. The most lik
c c c c c c c c c c c c c
ely cause of this response is: ......answer.....allergic response
c c c c c cc c
The nurse has administered a client's medication. What action sho
c c c c c c c c c
uld the nurse perform next? ......answer.....assess for drug affects
c c c c cc c c c
An older adult client has an elevated serum creatinine level. This cl
c c c c c c c c c c c
ient is at greatest risk for which medication-
c c c c c c c
related effect? ......answer.....toxicity
c cc
What changes due to aging in the geriatric client may affect excreti
c c c c c c c c c c c
on and promote accumulation of drugs in the body? ......answer....
c c c c c c c c cc
.decreased GFR c
A client is receiving an antineoplastic medication for treatment of
c c c c c c c c c c
breast cancer and begins having tonic-
c c c c c
clonic seizure activity. What type of toxicity does the nurse recogn
c c c c c c c c c c
ize that this client is experiencing? ......answer.....neurotoxicity
c c c c c cc
, What client is most likely to have impaired drug metabolism? ......
c c c c c c c c c cc
answer.....A client who has a diagnosed Hep C c c c c c c c
An elderly postsurgical client has developed postoperative pneu
c c c c c c c
monia in the days following abdominal surgery and is being treate
c c c c c c c c c c
d with a number of medications. Which medication that the nurse
c c c c c c c c c c c
will administer has the slowest absorption? ......answer.....an oral
c c c c c cc c c
antidepressant that the client has been taking for several years c c c c c c c c c
15s
Clients who use garlic with co-
c c c c c
administration of antidiabetic drugs may run into which serious prc c c c c c c c c
oblem? ......answer.....hypoglycemia
cc
The nurse is called to a client's room 15 minutes after the client has
c c c c c c c c c c c c c
received a new medication. The client reports pruritus as well as n
c c c c c c c c c c c c
ausea. The nurse notes that the client appears pale, is sweating, a
c c c c c c c c c c c
nd has begun to cough and wheeze. The nurse determines that th
c c c c c c c c c c c
e client is experiencing what type of reaction related to the new m
c c c c c c c c c c c c
edication? ......answer.....anaphylactic shock cc c
verified questions covering advanced nursing
practice, evidence-based care, pharmacology,
and clinical assessment.
In today's health care environment, there is often more contact be
c c c c c c c c c c
tween the client and the nurse than between the client and the he
c c c c c c c c c c c c
alth care provider. What does this put the nurse in the best positio
c c c c c c c c c c c c
n to do? ......answer.....assess the therapeutic effect of drug thera
c c cc c c c c c c
py
A nurse is assigned to care for a client in a health care facility. What
c c c c c c c c c c c c c c
is the nursing responsibility before administering a drug to the clie
c c c c c c c c c c c
nt? ......answer.....review subjective and objective data
cc c c c c
A nurse is caring for a 49-year-
c c c c c c
old client with acute gout and arthritis. The nurse interviews the cli
c c c c c c c c c c c
ent and checks the medical records. Which additional assessment
c c c c c c c c c
,should the nurse consider before medication administration teac
c c c c c c c
hing? ......answer.....examine the client physically
cc c c c
A client has been prescribed an oral drug that is known to have a hi
c c c c c c c c c c c c c c
gh first- c
pass effect. Which measure has the potential to increase the amo
c c c c c c c c c c
unt of the free drug that is available to body cells? ......answer.....a
c c c c c c c c c c cc
dministering the drug IV rather than orally c c c c c c
When providing drug therapy to a client, what is a responsibility of
c c c c c c c c c c c c
the nurse? ......answer.....Teach the client how to cope with the ef
c cc c c c c c c c c
fects of the drug to ensure the best outcome
c c c c c c c c
he nurse is administering a medication to a client who reports pain
c c c c c c c c c c c
cin the knees from arthritis. The nurse observes the name of the dr
c c c c c c c c c c c c
ug as p- c c
isobutylhydratropic and recognizes that this refers to a: ......answ c c c c c c c cc
er.....chemical name c
The client has a daily antihypertensive medication ordered. Takin
c c c c c c c c
g the blood pressure prior to administration of the medication is w
c c c c c c c c c c c
hich step of the nursing process? ......answer.....assessing
c c c c c cc
,Which client would a nurse expect to experience alterations in dru
c c c c c c c c c c
g metabolism? ......answer.....50 yo with cirrhosis of the liver
c cc c c c c c c
A client is being seen in the emergency department for a sprained
c c c c c c c c c c c c
ankle and is given a drug to relieve pain. When a second dose of th
c c c c c c c c c c c c c c
e pain medication is given, the client develops redness of the skin, i
c c c c c c c c c c c c
tching, and swelling at the site of injection of the drug. The most lik
c c c c c c c c c c c c c
ely cause of this response is: ......answer.....allergic response
c c c c c cc c
The nurse has administered a client's medication. What action sho
c c c c c c c c c
uld the nurse perform next? ......answer.....assess for drug affects
c c c c cc c c c
An older adult client has an elevated serum creatinine level. This cl
c c c c c c c c c c c
ient is at greatest risk for which medication-
c c c c c c c
related effect? ......answer.....toxicity
c cc
What changes due to aging in the geriatric client may affect excreti
c c c c c c c c c c c
on and promote accumulation of drugs in the body? ......answer....
c c c c c c c c cc
.decreased GFR c
A client is receiving an antineoplastic medication for treatment of
c c c c c c c c c c
breast cancer and begins having tonic-
c c c c c
clonic seizure activity. What type of toxicity does the nurse recogn
c c c c c c c c c c
ize that this client is experiencing? ......answer.....neurotoxicity
c c c c c cc
, What client is most likely to have impaired drug metabolism? ......
c c c c c c c c c cc
answer.....A client who has a diagnosed Hep C c c c c c c c
An elderly postsurgical client has developed postoperative pneu
c c c c c c c
monia in the days following abdominal surgery and is being treate
c c c c c c c c c c
d with a number of medications. Which medication that the nurse
c c c c c c c c c c c
will administer has the slowest absorption? ......answer.....an oral
c c c c c cc c c
antidepressant that the client has been taking for several years c c c c c c c c c
15s
Clients who use garlic with co-
c c c c c
administration of antidiabetic drugs may run into which serious prc c c c c c c c c
oblem? ......answer.....hypoglycemia
cc
The nurse is called to a client's room 15 minutes after the client has
c c c c c c c c c c c c c
received a new medication. The client reports pruritus as well as n
c c c c c c c c c c c c
ausea. The nurse notes that the client appears pale, is sweating, a
c c c c c c c c c c c
nd has begun to cough and wheeze. The nurse determines that th
c c c c c c c c c c c
e client is experiencing what type of reaction related to the new m
c c c c c c c c c c c c
edication? ......answer.....anaphylactic shock cc c
