NUR 141 FINAL EXAM TEXTBOOK QUESTIONS
WITH ACCURATE ANSWERS
An elderly woman took a prescription medicine to help her sleep; however, she
felt restless and did not sleep all night. The nurse recognizes the patient has
experienced which type of reaction/effect?
Allergic reaction
Idiosyncratic reaction
Mutagenic effect
Synergistic effect - ANSWER Idiosyncratic reaction
The nurse is caring for a patient with cirrhosis and recognizes that
abnormalities in which phase of pharmacokinetics may occur in this patient?
Absorption
Distribution
Metabolism
Excretion - ANSWER Distribution
A patient with hypertension is now taking a a daily beta blocker. Which term best
describes this type of therapy?
Palliative therapy
Maintenance therapy
Supportive therapy
Supplemental therapy - ANSWER Maintenance therapy
The nurse is giving medications to a patient in heart failure. The IV route is
chosen instead of an IM route. What physical function does the nurse recognize
as the most influential when deciding to use the IV route?
Altered biliary function
Increased glomerular function
Reduced liver metabolism
Diminished circulation - ANSWER Diminished circulation
A patient has just received a prescription for an enteric coated stool softener.
When educating the patient, the nurse should include which statement? (select
all that apply)
, "Take the tablet with 2 to 3 ounces of orange juice"
"Be sure to drink 6 to 8 ounces of water with the tablet"
"Avoid taking all other medications with any enteric coated tablet"
"Crush the tablet before swallowing if you have problems with swallowing"
"Be sure to swallow the tablet without chewing it" - ANSWER "Be sure to drink 6
to 8 ounces of water with the tablet"
"Be sure to swallow the tablet without chewing it"
Which of the following are considered topical medications?
Rectal ointment for hemorrhoids
Eye drops for inflammation
Sublingual tablet for chest pain
Inhaled medication for asthma
Intradermal injection for TB testing - ANSWER Rectal ointment for hemorrhoids
Eye drops for inflammation
Inhaled medication for asthma
Which factors put neonatal patient at risk with regard to drug therapy? (select
all that apply)
Less acidic gastric pH
Increased peristalsis in the GI tract
Immature renal function
Reduced first-pass elimination in the liver
Decreased protein-binding of medications - ANSWER Less acidic gastric pH
Immature renal function
Reduced first-pass elimination of the liver
Decreased protein-binding of medication
The physiologic differences in the pediatric patient compared with the adult
patient affect the amount of the drug needed to produce a therapeutic effect.
The nurse is aware that one of the main differences is that infants have which of
these factors?
Increased protein in circulation
Fat composition lower than 0.001%
More muscular body composition
Water composition of approximately 75% - ANSWER Water composition of
approximately 75%
While teaching a 76 yr old patient about the adverse effects of his medication,
the nurse encourages him to keep a journal of any adverse effect he
experiences. This intervention is important for the older adult patient because of
which alterations in pharmacokinetics?
WITH ACCURATE ANSWERS
An elderly woman took a prescription medicine to help her sleep; however, she
felt restless and did not sleep all night. The nurse recognizes the patient has
experienced which type of reaction/effect?
Allergic reaction
Idiosyncratic reaction
Mutagenic effect
Synergistic effect - ANSWER Idiosyncratic reaction
The nurse is caring for a patient with cirrhosis and recognizes that
abnormalities in which phase of pharmacokinetics may occur in this patient?
Absorption
Distribution
Metabolism
Excretion - ANSWER Distribution
A patient with hypertension is now taking a a daily beta blocker. Which term best
describes this type of therapy?
Palliative therapy
Maintenance therapy
Supportive therapy
Supplemental therapy - ANSWER Maintenance therapy
The nurse is giving medications to a patient in heart failure. The IV route is
chosen instead of an IM route. What physical function does the nurse recognize
as the most influential when deciding to use the IV route?
Altered biliary function
Increased glomerular function
Reduced liver metabolism
Diminished circulation - ANSWER Diminished circulation
A patient has just received a prescription for an enteric coated stool softener.
When educating the patient, the nurse should include which statement? (select
all that apply)
, "Take the tablet with 2 to 3 ounces of orange juice"
"Be sure to drink 6 to 8 ounces of water with the tablet"
"Avoid taking all other medications with any enteric coated tablet"
"Crush the tablet before swallowing if you have problems with swallowing"
"Be sure to swallow the tablet without chewing it" - ANSWER "Be sure to drink 6
to 8 ounces of water with the tablet"
"Be sure to swallow the tablet without chewing it"
Which of the following are considered topical medications?
Rectal ointment for hemorrhoids
Eye drops for inflammation
Sublingual tablet for chest pain
Inhaled medication for asthma
Intradermal injection for TB testing - ANSWER Rectal ointment for hemorrhoids
Eye drops for inflammation
Inhaled medication for asthma
Which factors put neonatal patient at risk with regard to drug therapy? (select
all that apply)
Less acidic gastric pH
Increased peristalsis in the GI tract
Immature renal function
Reduced first-pass elimination in the liver
Decreased protein-binding of medications - ANSWER Less acidic gastric pH
Immature renal function
Reduced first-pass elimination of the liver
Decreased protein-binding of medication
The physiologic differences in the pediatric patient compared with the adult
patient affect the amount of the drug needed to produce a therapeutic effect.
The nurse is aware that one of the main differences is that infants have which of
these factors?
Increased protein in circulation
Fat composition lower than 0.001%
More muscular body composition
Water composition of approximately 75% - ANSWER Water composition of
approximately 75%
While teaching a 76 yr old patient about the adverse effects of his medication,
the nurse encourages him to keep a journal of any adverse effect he
experiences. This intervention is important for the older adult patient because of
which alterations in pharmacokinetics?
