NUR 170 Exam/NUR 170 Exam (Questions and Answers)
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Which patient would be the highest priority when providing nursing care to multiple patients?
a. A pt who would like to know if a newly prescribed drug is available in generic form
b. A pt. who has requested a laxative because he has not had a bowel movement in 2 days
c. A pt who received oral drugs 1 hour ago and has complained of tinging around his mouth
d. A pt who is prescribed a drug, the name of which the nurse does not recognize - ✔✔c. A pt
who received oral drugs 1 hour ago and has complained of tinging around his mouth
Which nursing action would best meet the therapeutic objective of drug therapy?
a. Assessing the patient for adverse effects of drug therapy
b. Prescribing a drug with the fewest adverse effects
c. Prescribing a drug with the fewest serious adverse effects
d. Recommending that a patient avoid taking drugs because there are possible adverse effects -
✔✔a. Assessing the patient for adverse effects of drug therapy
Rationale: The other ones are not within the scope of nursing practice
The nurse is preparing to administer an antihypertensive drug (medication that lowers the
blood pressure). The nurse assesses the pts B/P at 110/70mm Hg. What action should the nurse
take at this time?
a. Administer the medication because the antihypertensive medication is prescribed
b. Assess the patient's baseline blood pressure and the blood pressure before and after the last
dose of this medication to determine if the medication should be administered
c. Call the prescriber, report the current blood pressure, and ask if the medication should be
administered
,d. Withhold the medication because the patient's blood pressure is too low to administer an
antihypertensive drug - ✔✔b. Assess the patient's baseline blood pressure and the blood
pressure before and after the last dose of this medication to determine if the medication
should be administered
The nurse should withhold the drug and contact the prescriber if the patient reported an allergy
to the drug with which symptoms occurring shortly after the last time the drug was taken?
a. Constipation
b. Dry mouth
c. Vesicular rash
d. Wheezing - ✔✔d. Wheezing
Rationale: suggests possible anaphylactic reaction
Which postoperative patient assessment would warrant withholding an opiate analgesic that
depresses the CNS?
a. Blood pressure 150/92 mmHg
b. Pulse 110 bpm
c. Respirations 9/min
d. Temperature 102.2 F (39 C) - ✔✔c. Respirations 9/min
A patient who is admitted to the nursing unity from the post-anesthesia care unit (PACU) is
moaning in pain. The patient is due for another dose of pain medication. What is the nursing
priority at this time?
a. Administer prescribed pain-relieving drugs
b. Assess the patient's vital signs, tubes, and surgical site
c. Obtain the patient's pain rating on a scale of 1-10
d. Review the patient's allergy history - ✔✔b. Assess the patient's vital signs, tubes, and surgical
site
,Rationale: these assessments are a priority and are needed to determine if prescribed pain
medication can be administered safely
When preparing discharge instructions for a patient, what should the nurse do?
a. Ask the patient which name he or she uses for the drug and use only that name in discharge
teaching
b. Explain the generic name only so the patient does not become confused
c. Explain the trade name only because it is easier for the patient to remember
d. Review the prescriptions written for discharge and include the stated trade name and
generic name in discharge teaching - ✔✔d. Review the prescriptions written for discharge and
include the stated trade name and generic name in discharge teaching
A patient has been taking a brand-name drug for a chronic condition for several years. Recent
changes in his insurance plan require the use of generic drugs whenever they are available. The
patient asks the nurse if he should pay out of pocket to continue receiving the brand-name
drug. The nurse's response should be based on which fact(s)? (SELECT ALL THAT APPLY)
a. That continuing to use the brand-name drug will prevent confusion
b. That drugs requiring monitoring of blood levels should have levels checked when changing
from brand-name to generic drugs
c. That generic drugs contain the same active ingredients as their brand-name counterparts
d. That generic drugs are usually not absorbed at the same rate as brand-name drugs
e. That brand-name drugs contain different active ingredients than generic drugs - ✔✔b. That
drugs requiring monitoring of blood levels should have levels checked when changing from
brand-name to generic drugs
c. That generic drugs contain the same active ingredients as their brand-name counterparts
The nurse is teaching a patient about tamsulosin (Flomax), which has been prescribed for
difficulty voiding due to enlarged prostate. Because the patient travels extensively and not all
countries require prescriptions to get drugs, what is it important for the nurse to teach the
patient?
, a. That a drug labeled Flomax may have different active ingredients in different countries
b. That drugs purchased in countries other than the U.S. and Canada are usually safe
c. That Flomax is not available anywhere except the U.S. and Canada
d. That doses of Flomax in countries that use the metric system are different than doses of
drugs in the U.S. - ✔✔a. That a drug labeled Flomax may have different active ingredients in
different countries
Rationale: "products with the identical brand names may have different active ingredients,
depending on where you buy the drug. As a result, when a prescription for a brand-name
product is filled in another country, the patient may receive the wrong drug" (Lehne, pg 21)
Which resource(s) most likely provide(s) current, complete positive and negative information
about a drug? (SELECT ALL THAT APPLY)
a. Drug sales representatives
b. Drug facts and comparisons
c. Pharmacists
d. DailyMed - ✔✔b. Drug facts and comparisons
c. Pharmacists
d. DailyMed
Rationale: "Drug facts and comparisons is a comprehensive reference that [provides
information] on drug actions... adverse reactions" (Lehne pg. 23)
"DailyMed is a U.S. government website that provides FDA-approved drug labeling... for both
generic and brand name drugs" (Lehne pg. 23)
Cell membranes are composed of fat with phosphate
a. True
b. False - ✔✔a. True
Graded A+ 100 % Success
Which patient would be the highest priority when providing nursing care to multiple patients?
a. A pt who would like to know if a newly prescribed drug is available in generic form
b. A pt. who has requested a laxative because he has not had a bowel movement in 2 days
c. A pt who received oral drugs 1 hour ago and has complained of tinging around his mouth
d. A pt who is prescribed a drug, the name of which the nurse does not recognize - ✔✔c. A pt
who received oral drugs 1 hour ago and has complained of tinging around his mouth
Which nursing action would best meet the therapeutic objective of drug therapy?
a. Assessing the patient for adverse effects of drug therapy
b. Prescribing a drug with the fewest adverse effects
c. Prescribing a drug with the fewest serious adverse effects
d. Recommending that a patient avoid taking drugs because there are possible adverse effects -
✔✔a. Assessing the patient for adverse effects of drug therapy
Rationale: The other ones are not within the scope of nursing practice
The nurse is preparing to administer an antihypertensive drug (medication that lowers the
blood pressure). The nurse assesses the pts B/P at 110/70mm Hg. What action should the nurse
take at this time?
a. Administer the medication because the antihypertensive medication is prescribed
b. Assess the patient's baseline blood pressure and the blood pressure before and after the last
dose of this medication to determine if the medication should be administered
c. Call the prescriber, report the current blood pressure, and ask if the medication should be
administered
,d. Withhold the medication because the patient's blood pressure is too low to administer an
antihypertensive drug - ✔✔b. Assess the patient's baseline blood pressure and the blood
pressure before and after the last dose of this medication to determine if the medication
should be administered
The nurse should withhold the drug and contact the prescriber if the patient reported an allergy
to the drug with which symptoms occurring shortly after the last time the drug was taken?
a. Constipation
b. Dry mouth
c. Vesicular rash
d. Wheezing - ✔✔d. Wheezing
Rationale: suggests possible anaphylactic reaction
Which postoperative patient assessment would warrant withholding an opiate analgesic that
depresses the CNS?
a. Blood pressure 150/92 mmHg
b. Pulse 110 bpm
c. Respirations 9/min
d. Temperature 102.2 F (39 C) - ✔✔c. Respirations 9/min
A patient who is admitted to the nursing unity from the post-anesthesia care unit (PACU) is
moaning in pain. The patient is due for another dose of pain medication. What is the nursing
priority at this time?
a. Administer prescribed pain-relieving drugs
b. Assess the patient's vital signs, tubes, and surgical site
c. Obtain the patient's pain rating on a scale of 1-10
d. Review the patient's allergy history - ✔✔b. Assess the patient's vital signs, tubes, and surgical
site
,Rationale: these assessments are a priority and are needed to determine if prescribed pain
medication can be administered safely
When preparing discharge instructions for a patient, what should the nurse do?
a. Ask the patient which name he or she uses for the drug and use only that name in discharge
teaching
b. Explain the generic name only so the patient does not become confused
c. Explain the trade name only because it is easier for the patient to remember
d. Review the prescriptions written for discharge and include the stated trade name and
generic name in discharge teaching - ✔✔d. Review the prescriptions written for discharge and
include the stated trade name and generic name in discharge teaching
A patient has been taking a brand-name drug for a chronic condition for several years. Recent
changes in his insurance plan require the use of generic drugs whenever they are available. The
patient asks the nurse if he should pay out of pocket to continue receiving the brand-name
drug. The nurse's response should be based on which fact(s)? (SELECT ALL THAT APPLY)
a. That continuing to use the brand-name drug will prevent confusion
b. That drugs requiring monitoring of blood levels should have levels checked when changing
from brand-name to generic drugs
c. That generic drugs contain the same active ingredients as their brand-name counterparts
d. That generic drugs are usually not absorbed at the same rate as brand-name drugs
e. That brand-name drugs contain different active ingredients than generic drugs - ✔✔b. That
drugs requiring monitoring of blood levels should have levels checked when changing from
brand-name to generic drugs
c. That generic drugs contain the same active ingredients as their brand-name counterparts
The nurse is teaching a patient about tamsulosin (Flomax), which has been prescribed for
difficulty voiding due to enlarged prostate. Because the patient travels extensively and not all
countries require prescriptions to get drugs, what is it important for the nurse to teach the
patient?
, a. That a drug labeled Flomax may have different active ingredients in different countries
b. That drugs purchased in countries other than the U.S. and Canada are usually safe
c. That Flomax is not available anywhere except the U.S. and Canada
d. That doses of Flomax in countries that use the metric system are different than doses of
drugs in the U.S. - ✔✔a. That a drug labeled Flomax may have different active ingredients in
different countries
Rationale: "products with the identical brand names may have different active ingredients,
depending on where you buy the drug. As a result, when a prescription for a brand-name
product is filled in another country, the patient may receive the wrong drug" (Lehne, pg 21)
Which resource(s) most likely provide(s) current, complete positive and negative information
about a drug? (SELECT ALL THAT APPLY)
a. Drug sales representatives
b. Drug facts and comparisons
c. Pharmacists
d. DailyMed - ✔✔b. Drug facts and comparisons
c. Pharmacists
d. DailyMed
Rationale: "Drug facts and comparisons is a comprehensive reference that [provides
information] on drug actions... adverse reactions" (Lehne pg. 23)
"DailyMed is a U.S. government website that provides FDA-approved drug labeling... for both
generic and brand name drugs" (Lehne pg. 23)
Cell membranes are composed of fat with phosphate
a. True
b. False - ✔✔a. True
