PMT 3600V Exam 2|Questions and
Answers|Latest Update with complete
solution
PMT 3600V Exam 2 — Comprehensive
Practice Examination
Questions 1–50
Original Practice Questions • Correct Answers • Detailed Rationales
Note: These are original practice questions designed for exam preparation. They are not claimed
to be actual or leaked PMT 3600V exam questions.
Question 1
A patient is prescribed a medication with a narrow therapeutic index. Which nursing action is
most important?
A. Administer the medication with food
B. Monitor serum drug concentrations as ordered
C. Encourage increased fluid intake
D. Administer the medication at bedtime
Correct Answer: B
Rationale: Drugs with a narrow therapeutic index have a small difference between therapeutic
and toxic concentrations. Monitoring serum drug levels helps ensure therapeutic effectiveness
while reducing the risk of toxicity.
Question 2
Which pharmacokinetic process describes the movement of a drug from the gastrointestinal tract
into systemic circulation?
,A. Distribution
B. Metabolism
C. Absorption
D. Excretion
Correct Answer: C
Rationale: Absorption is the movement of a medication from its site of administration into the
bloodstream. Oral medications are commonly absorbed through the gastrointestinal tract.
Question 3
A patient has severe liver impairment. Which pharmacokinetic process is most likely affected?
A. Absorption
B. Distribution
C. Metabolism
D. Elimination through the lungs
Correct Answer: C
Rationale: The liver is a major site of drug metabolism. Impaired hepatic function can reduce
metabolism and increase drug accumulation, potentially causing toxicity.
Question 4
Which route of administration generally provides the fastest systemic drug effect?
A. Oral
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: D
Rationale: Intravenous administration delivers medication directly into the bloodstream,
producing rapid systemic availability.
Question 5
,A patient asks why a medication prescribed for hypertension must be taken every day even
though the patient feels well. What is the best response?
A. "The medication prevents all future illnesses."
B. "High blood pressure may not cause symptoms, even when it is damaging your organs."
C. "You should only take it when you have a headache."
D. "The medication works only when symptoms are present."
Correct Answer: B
Rationale: Hypertension is often asymptomatic but can cause long-term cardiovascular, renal,
and neurologic complications. Consistent medication use helps maintain blood pressure control
and reduce complications.
Question 6
Which finding should cause a nurse to question a newly prescribed antihypertensive medication?
A. Blood pressure of 138/84 mmHg
B. Heart rate of 78 beats/min
C. Blood pressure of 88/54 mmHg with dizziness
D. Respiratory rate of 18 breaths/min
Correct Answer: C
Rationale: Significant hypotension accompanied by dizziness may indicate excessive
medication effect and increases the risk of falls and inadequate tissue perfusion.
Question 7
A patient taking a beta-blocker should be taught to monitor which parameter?
A. Heart rate
B. Body temperature
C. Respiratory depth only
D. Urine color
Correct Answer: A
Rationale: Beta-blockers can decrease heart rate. Patients should be taught to monitor their pulse
when appropriate and report significant bradycardia or symptoms such as dizziness or fainting.
, Question 8
A patient taking an ACE inhibitor reports swelling of the lips and tongue. What is the nurse's
priority action?
A. Give the next dose with food
B. Encourage oral fluids
C. Recognize possible angioedema and seek emergency intervention
D. Document the finding as an expected effect
Correct Answer: C
Rationale: Facial, lip, or tongue swelling may represent angioedema, a potentially life-
threatening reaction that can compromise the airway. Immediate evaluation is required.
Question 9
Which adverse effect is commonly associated with ACE inhibitors?
A. Persistent dry cough
B. Severe constipation
C. Hearing loss
D. Increased appetite
Correct Answer: A
Rationale: A persistent dry cough is a well-known adverse effect of ACE inhibitors. An
alternative medication class may be considered if the cough is troublesome.
Question 10
A patient taking a loop diuretic is at increased risk for which electrolyte abnormality?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia only
Correct Answer: B
Answers|Latest Update with complete
solution
PMT 3600V Exam 2 — Comprehensive
Practice Examination
Questions 1–50
Original Practice Questions • Correct Answers • Detailed Rationales
Note: These are original practice questions designed for exam preparation. They are not claimed
to be actual or leaked PMT 3600V exam questions.
Question 1
A patient is prescribed a medication with a narrow therapeutic index. Which nursing action is
most important?
A. Administer the medication with food
B. Monitor serum drug concentrations as ordered
C. Encourage increased fluid intake
D. Administer the medication at bedtime
Correct Answer: B
Rationale: Drugs with a narrow therapeutic index have a small difference between therapeutic
and toxic concentrations. Monitoring serum drug levels helps ensure therapeutic effectiveness
while reducing the risk of toxicity.
Question 2
Which pharmacokinetic process describes the movement of a drug from the gastrointestinal tract
into systemic circulation?
,A. Distribution
B. Metabolism
C. Absorption
D. Excretion
Correct Answer: C
Rationale: Absorption is the movement of a medication from its site of administration into the
bloodstream. Oral medications are commonly absorbed through the gastrointestinal tract.
Question 3
A patient has severe liver impairment. Which pharmacokinetic process is most likely affected?
A. Absorption
B. Distribution
C. Metabolism
D. Elimination through the lungs
Correct Answer: C
Rationale: The liver is a major site of drug metabolism. Impaired hepatic function can reduce
metabolism and increase drug accumulation, potentially causing toxicity.
Question 4
Which route of administration generally provides the fastest systemic drug effect?
A. Oral
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: D
Rationale: Intravenous administration delivers medication directly into the bloodstream,
producing rapid systemic availability.
Question 5
,A patient asks why a medication prescribed for hypertension must be taken every day even
though the patient feels well. What is the best response?
A. "The medication prevents all future illnesses."
B. "High blood pressure may not cause symptoms, even when it is damaging your organs."
C. "You should only take it when you have a headache."
D. "The medication works only when symptoms are present."
Correct Answer: B
Rationale: Hypertension is often asymptomatic but can cause long-term cardiovascular, renal,
and neurologic complications. Consistent medication use helps maintain blood pressure control
and reduce complications.
Question 6
Which finding should cause a nurse to question a newly prescribed antihypertensive medication?
A. Blood pressure of 138/84 mmHg
B. Heart rate of 78 beats/min
C. Blood pressure of 88/54 mmHg with dizziness
D. Respiratory rate of 18 breaths/min
Correct Answer: C
Rationale: Significant hypotension accompanied by dizziness may indicate excessive
medication effect and increases the risk of falls and inadequate tissue perfusion.
Question 7
A patient taking a beta-blocker should be taught to monitor which parameter?
A. Heart rate
B. Body temperature
C. Respiratory depth only
D. Urine color
Correct Answer: A
Rationale: Beta-blockers can decrease heart rate. Patients should be taught to monitor their pulse
when appropriate and report significant bradycardia or symptoms such as dizziness or fainting.
, Question 8
A patient taking an ACE inhibitor reports swelling of the lips and tongue. What is the nurse's
priority action?
A. Give the next dose with food
B. Encourage oral fluids
C. Recognize possible angioedema and seek emergency intervention
D. Document the finding as an expected effect
Correct Answer: C
Rationale: Facial, lip, or tongue swelling may represent angioedema, a potentially life-
threatening reaction that can compromise the airway. Immediate evaluation is required.
Question 9
Which adverse effect is commonly associated with ACE inhibitors?
A. Persistent dry cough
B. Severe constipation
C. Hearing loss
D. Increased appetite
Correct Answer: A
Rationale: A persistent dry cough is a well-known adverse effect of ACE inhibitors. An
alternative medication class may be considered if the cough is troublesome.
Question 10
A patient taking a loop diuretic is at increased risk for which electrolyte abnormality?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia only
Correct Answer: B
