NURS251 Pharmacology All Modules 1-12 /Exams All
covered/ ABCnursing/Geneva College/ Questions, Answers
and In depth rationales/ Latest update/100% verified/ Grade
A+
Introduction to Pharmacology & Safe Medication Administration. (Module 1,
NURS 251)
1.
Which of the following is one of the “Six Rights” of safe medication
administration?
• A. Right insurance
• B. Right physician
• C. Right dose
• D. Right diagnosis
Answer: C. Right dose
Rationale: The Six Rights are right patient, right drug, right dose, right route, right
time, and right documentation.
2.
A nurse is preparing to administer a medication. The patient states, “I’ve never
seen that pill before.” What should the nurse do?
• A. Reassure the patient and administer the medication
• B. Tell the patient the pharmacy likely changed suppliers
• C. Verify the order and recheck the medication
• D. Ask another nurse to give the medication
Answer: C. Verify the order and recheck the medication
Rationale: Any patient concern about medication appearance should prompt
verification before administration.
,3.
The nurse identifies a medication order written as “Lasix 40 mg every day.” Which
correction is needed?
• A. “Every day” should be replaced with “qd”
• B. Dose should be written in grams
• C. Generic name (furosemide) should be included
• D. Route is not required
Answer: C. Generic name (furosemide) should be included
Rationale: Complete medication orders must include the drug’s generic name,
dosage, route, and frequency.
4.
Which route of administration has the slowest absorption?
• A. Intravenous
• B. Intramuscular
• C. Oral
• D. Sublingual
Answer: C. Oral
Rationale: Oral medications pass through the GI tract and liver (first-pass effect),
making absorption slower.
5.
The nurse checks the patient’s identification armband and asks the patient to state
their name and birthdate. This ensures compliance with which “right”?
• A. Right drug
• B. Right patient
• C. Right time
• D. Right documentation
Answer: B. Right patient
Rationale: Two identifiers (name and DOB) confirm correct patient identity.
6.
,A patient refuses a prescribed medication. What is the most appropriate nursing
action?
• A. Hide the medication in the patient’s food
• B. Respect the patient’s decision, document refusal, and notify the
prescriber
• C. Encourage the family to administer the drug
• D. Continue attempts until the patient accepts
Answer: B. Respect the patient’s decision, document refusal, and notify
the prescriber
Rationale: Patients have the right to refuse medications, and this must be
documented and reported.
7.
Which is the primary organ responsible for drug metabolism?
• A. Kidneys
• B. Liver
• C. Lungs
• D. Stomach
Answer: B. Liver
Rationale: The liver metabolizes most drugs, often converting them into inactive
or water-soluble forms.
8.
A medication order reads: “morphine sulfate 10 mg IV push q4h prn for pain.”
Which component makes the order complete?
• A. Patient’s insurance information
• B. Drug name, dose, route, frequency, and indication
• C. Patient’s room number
• D. Prescriber’s initials
Answer: B. Drug name, dose, route, frequency, and indication
Rationale: A valid order must contain all essential components, including
indication when PRN is ordered.
, 9.
The nurse is teaching a patient about safe medication use at home. Which
statement requires further teaching?
• A. “I will keep a list of all my medications.”
• B. “I’ll use a pillbox to organize my daily doses.”
• C. “I’ll share my prescriptions with my spouse if we have the same
symptoms.”
• D. “I’ll check the expiration dates on my medication bottles.”
Answer: C. I’ll share my prescriptions with my spouse if we have the same
symptoms.
Rationale: Prescribed medications should never be shared; they are individualized
for each patient.
10.
Which nursing action helps reduce medication errors the most?
• A. Administering medications quickly to avoid delays
• B. Double-checking high-risk medications with another nurse
• C. Relying on memory for drug dosages
• D. Skipping patient questions during administration
Answer: B. Double-checking high-risk medications with another nurse
Rationale: Independent double-checks of high-alert drugs (e.g., insulin, heparin)
significantly reduce error risk.
Pharmacokinetics & Pharmacodynamics (Module 2, NURS 251)
1. Which term describes the process by which a drug enters the bloodstream
after administration?
• A. Metabolism
• B. Absorption
• C. Distribution
• D. Excretion
Answer: B. Absorption
Rationale: Absorption is the movement of a drug from its site of administration
covered/ ABCnursing/Geneva College/ Questions, Answers
and In depth rationales/ Latest update/100% verified/ Grade
A+
Introduction to Pharmacology & Safe Medication Administration. (Module 1,
NURS 251)
1.
Which of the following is one of the “Six Rights” of safe medication
administration?
• A. Right insurance
• B. Right physician
• C. Right dose
• D. Right diagnosis
Answer: C. Right dose
Rationale: The Six Rights are right patient, right drug, right dose, right route, right
time, and right documentation.
2.
A nurse is preparing to administer a medication. The patient states, “I’ve never
seen that pill before.” What should the nurse do?
• A. Reassure the patient and administer the medication
• B. Tell the patient the pharmacy likely changed suppliers
• C. Verify the order and recheck the medication
• D. Ask another nurse to give the medication
Answer: C. Verify the order and recheck the medication
Rationale: Any patient concern about medication appearance should prompt
verification before administration.
,3.
The nurse identifies a medication order written as “Lasix 40 mg every day.” Which
correction is needed?
• A. “Every day” should be replaced with “qd”
• B. Dose should be written in grams
• C. Generic name (furosemide) should be included
• D. Route is not required
Answer: C. Generic name (furosemide) should be included
Rationale: Complete medication orders must include the drug’s generic name,
dosage, route, and frequency.
4.
Which route of administration has the slowest absorption?
• A. Intravenous
• B. Intramuscular
• C. Oral
• D. Sublingual
Answer: C. Oral
Rationale: Oral medications pass through the GI tract and liver (first-pass effect),
making absorption slower.
5.
The nurse checks the patient’s identification armband and asks the patient to state
their name and birthdate. This ensures compliance with which “right”?
• A. Right drug
• B. Right patient
• C. Right time
• D. Right documentation
Answer: B. Right patient
Rationale: Two identifiers (name and DOB) confirm correct patient identity.
6.
,A patient refuses a prescribed medication. What is the most appropriate nursing
action?
• A. Hide the medication in the patient’s food
• B. Respect the patient’s decision, document refusal, and notify the
prescriber
• C. Encourage the family to administer the drug
• D. Continue attempts until the patient accepts
Answer: B. Respect the patient’s decision, document refusal, and notify
the prescriber
Rationale: Patients have the right to refuse medications, and this must be
documented and reported.
7.
Which is the primary organ responsible for drug metabolism?
• A. Kidneys
• B. Liver
• C. Lungs
• D. Stomach
Answer: B. Liver
Rationale: The liver metabolizes most drugs, often converting them into inactive
or water-soluble forms.
8.
A medication order reads: “morphine sulfate 10 mg IV push q4h prn for pain.”
Which component makes the order complete?
• A. Patient’s insurance information
• B. Drug name, dose, route, frequency, and indication
• C. Patient’s room number
• D. Prescriber’s initials
Answer: B. Drug name, dose, route, frequency, and indication
Rationale: A valid order must contain all essential components, including
indication when PRN is ordered.
, 9.
The nurse is teaching a patient about safe medication use at home. Which
statement requires further teaching?
• A. “I will keep a list of all my medications.”
• B. “I’ll use a pillbox to organize my daily doses.”
• C. “I’ll share my prescriptions with my spouse if we have the same
symptoms.”
• D. “I’ll check the expiration dates on my medication bottles.”
Answer: C. I’ll share my prescriptions with my spouse if we have the same
symptoms.
Rationale: Prescribed medications should never be shared; they are individualized
for each patient.
10.
Which nursing action helps reduce medication errors the most?
• A. Administering medications quickly to avoid delays
• B. Double-checking high-risk medications with another nurse
• C. Relying on memory for drug dosages
• D. Skipping patient questions during administration
Answer: B. Double-checking high-risk medications with another nurse
Rationale: Independent double-checks of high-alert drugs (e.g., insulin, heparin)
significantly reduce error risk.
Pharmacokinetics & Pharmacodynamics (Module 2, NURS 251)
1. Which term describes the process by which a drug enters the bloodstream
after administration?
• A. Metabolism
• B. Absorption
• C. Distribution
• D. Excretion
Answer: B. Absorption
Rationale: Absorption is the movement of a drug from its site of administration
