NURS 230 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
The nurse is reviewing the difference between Local anesthetics interfere with nerve transmission.
therapeutic and pharmacologic drug classifications. Calcium channel blockers block the calcium channels of the heart.
Which does the nurse identify as an example of a Anesthetic medications work to decrease or prevent pain.
therapeutic classification? Diuretic medications work to increase urinary output.
Antihypertensive medications work to decrease the blood pressure.
(select all that apply)
Local anesthetics interfere with nerve transmission.
Calcium channel blockers block the calcium channels of
the heart.
Anesthetic medications work to decrease or prevent
pain.
Diuretic medications work to increase urinary output.
Antihypertensive medications work to decrease the
blood pressure.
The nurse is reviewing the principles of learning drugs Learn only the brand names of each drug
with a new colleague who is providing care on the Learn each drug individually
medical-surgical unit. Which strategy is the best to use for Learn the prototypical drugs
learning medications? Learn only the generic names of each drug
Learn only the brand names of each drug
Learn each drug individually
Learn the prototypical drugs
Learn only the generic names of each drug
The nurse is preparing a teaching plan to increase a Instruct the client that his role does little to influence the effectiveness of the
client's compliance with his prescribed drug regimen. medication.
Which should be included in the plan? Perform an assessment on foods or herbal products that interfere with the
prescribed medication.
Instruct the client that his role does little to influence the Allow the client to change the regimen to meet his needs.
effectiveness of the medication. Instruct the client to take two doses of the medication if symptoms worsen.
Perform an assessment on foods or herbal products that
interfere with the prescribed medication.
Allow the client to change the regimen to meet his needs.
Instruct the client to take two doses of the medication if
symptoms worsen.
The nurse is performing an admission assessment on a Presence of renal damage
client with several newly prescribed medications. Which Blood pressure reading of 128/70 mmHg
information is most important to communicate to the Client's occupation as a furniture mover
health care provider? Breast biopsy 3 weeks prior to admission
Presence of renal damage
Blood pressure reading of 128/70 mmHg
Client's occupation as a furniture mover
Breast biopsy 3 weeks prior to admission
, A client has been taking phenytoin (Dilantin) for several Maintenance dose
days. The health care provider is concerned that the Plasma half-life
amount of the drug circulating in the blood may not be Minimum concentration
appropriate to achieve the desired response. Which term Therapeutic range
best correlates with what the health care provider is
describing?
Maintenance dose
Plasma half-life
Minimum concentration
Therapeutic range
Maintenance Dose Maintenance dose is a dosage administered to keep a preferred plasma drug
concentration in the blood.
Plasma half-life Plasma half-life is the term for how long it takes for the plasma concentration of a
drug to decrease by half.
Minimum effective concentration Minimum effective concentration refers to the time it takes for an accumulated
concentration of the drug to become minimally effective.
The nurse is evaluating quality, safe care. Which nursing Crushing of an extended-release medication
practice predisposes the client to the greatest chance of Clients with dysphagia receiving medication sprinkled over food or put in liquid
injury? Administering drugs by the intranasal route
Inadequate flushing of a nasogastric (NG) tube after medication administration
Crushing of an extended-release medication
Clients with dysphagia receiving medication sprinkled
over food or put in liquid
Administering drugs by the intranasal route
Inadequate flushing of a nasogastric (NG) tube after
medication administration
For administration of oral medications via the nasogastric • Position the client in a semi-Fowler's position and have the client maintain the
(NG) tube or gastrostomy tube, the nurse should: position for 60 min after medication administration.
• Check for appropriate placement of the tube. For a nasogastric tube, the nurse
should aspirate stomach contents and check pH (less than 4). Secretions should
be green to tan/clear.
• Flush the enteral tube with approximately 30 mL of water following medication
administration.
• Check the compatibility of the medication with the enteral feeding. If they are
not compatible, the nurse should stop the feeding for 30 to 60 min before and
after administration.
• Sustained release medications should not be crushed because the
pharmacokinetics of the drug will be altered. The nurse should administer
medications in elixir form when available.
CORRECT Answers
The nurse is reviewing the difference between Local anesthetics interfere with nerve transmission.
therapeutic and pharmacologic drug classifications. Calcium channel blockers block the calcium channels of the heart.
Which does the nurse identify as an example of a Anesthetic medications work to decrease or prevent pain.
therapeutic classification? Diuretic medications work to increase urinary output.
Antihypertensive medications work to decrease the blood pressure.
(select all that apply)
Local anesthetics interfere with nerve transmission.
Calcium channel blockers block the calcium channels of
the heart.
Anesthetic medications work to decrease or prevent
pain.
Diuretic medications work to increase urinary output.
Antihypertensive medications work to decrease the
blood pressure.
The nurse is reviewing the principles of learning drugs Learn only the brand names of each drug
with a new colleague who is providing care on the Learn each drug individually
medical-surgical unit. Which strategy is the best to use for Learn the prototypical drugs
learning medications? Learn only the generic names of each drug
Learn only the brand names of each drug
Learn each drug individually
Learn the prototypical drugs
Learn only the generic names of each drug
The nurse is preparing a teaching plan to increase a Instruct the client that his role does little to influence the effectiveness of the
client's compliance with his prescribed drug regimen. medication.
Which should be included in the plan? Perform an assessment on foods or herbal products that interfere with the
prescribed medication.
Instruct the client that his role does little to influence the Allow the client to change the regimen to meet his needs.
effectiveness of the medication. Instruct the client to take two doses of the medication if symptoms worsen.
Perform an assessment on foods or herbal products that
interfere with the prescribed medication.
Allow the client to change the regimen to meet his needs.
Instruct the client to take two doses of the medication if
symptoms worsen.
The nurse is performing an admission assessment on a Presence of renal damage
client with several newly prescribed medications. Which Blood pressure reading of 128/70 mmHg
information is most important to communicate to the Client's occupation as a furniture mover
health care provider? Breast biopsy 3 weeks prior to admission
Presence of renal damage
Blood pressure reading of 128/70 mmHg
Client's occupation as a furniture mover
Breast biopsy 3 weeks prior to admission
, A client has been taking phenytoin (Dilantin) for several Maintenance dose
days. The health care provider is concerned that the Plasma half-life
amount of the drug circulating in the blood may not be Minimum concentration
appropriate to achieve the desired response. Which term Therapeutic range
best correlates with what the health care provider is
describing?
Maintenance dose
Plasma half-life
Minimum concentration
Therapeutic range
Maintenance Dose Maintenance dose is a dosage administered to keep a preferred plasma drug
concentration in the blood.
Plasma half-life Plasma half-life is the term for how long it takes for the plasma concentration of a
drug to decrease by half.
Minimum effective concentration Minimum effective concentration refers to the time it takes for an accumulated
concentration of the drug to become minimally effective.
The nurse is evaluating quality, safe care. Which nursing Crushing of an extended-release medication
practice predisposes the client to the greatest chance of Clients with dysphagia receiving medication sprinkled over food or put in liquid
injury? Administering drugs by the intranasal route
Inadequate flushing of a nasogastric (NG) tube after medication administration
Crushing of an extended-release medication
Clients with dysphagia receiving medication sprinkled
over food or put in liquid
Administering drugs by the intranasal route
Inadequate flushing of a nasogastric (NG) tube after
medication administration
For administration of oral medications via the nasogastric • Position the client in a semi-Fowler's position and have the client maintain the
(NG) tube or gastrostomy tube, the nurse should: position for 60 min after medication administration.
• Check for appropriate placement of the tube. For a nasogastric tube, the nurse
should aspirate stomach contents and check pH (less than 4). Secretions should
be green to tan/clear.
• Flush the enteral tube with approximately 30 mL of water following medication
administration.
• Check the compatibility of the medication with the enteral feeding. If they are
not compatible, the nurse should stop the feeding for 30 to 60 min before and
after administration.
• Sustained release medications should not be crushed because the
pharmacokinetics of the drug will be altered. The nurse should administer
medications in elixir form when available.
