NS 119 FINAL EXAM PRACTICE QUESTIONS &
ANSWERS VERIFIED 100% CORRECT
Different names for drugs - ANSWER Generic name
Brand or trade name
generic-name drug - ANSWER Drug with the same active ingredients as a brand-name
drug, but usually is less costly
Brand or trade name of a drug - ANSWER Whenever a company takes a drug and puts a
brand on it.
Example (tylenol for acetaminophen)
Pharmacokinetics - ANSWER The process that a drug is absorbed, distributed,
metabolized and eliminated in the body
each drug has unique characteristics
Pharmacodynamics - ANSWER the interactions of a drug and the receptors responsible
for its action in the body.
Has primary and secondary effects
Primary effects of a drug - ANSWER desired effects within the body
Secondary effects of a drug - ANSWER Side effects, adverse effects, drug toxicity, allergy
tolerance and interaction
,Absorption of drugs - ANSWER The movement of the drug from the site of
administration into the bloodstream. Always depends on the route of administration,
form of drug, solubility of drug, effects of pH and blood flow to the area.
Distribution of drugs - ANSWER transportation of a drug in body fluids to the various
tissues and organs of the body. Drugs can potentially produce effects anywhere in the
body
Metabolism of drugs - ANSWER Whenever a drug starts to become inactive from it's
conversion into a more water soluble compound. These are then excreted. Mainly
happens in the liver, but can also happen in kidneys, plasma, mucosa and lungs
Excretion of drugs - ANSWER A drug will continue to act within the body until it is
excreted. This means the drug needs to be removed from its site of action and then
eliminated through kidneys, liver, GI tract, lungs or exocrine glands
Primary effects of drugs examples - ANSWER palliative
supportive
substitutive
chemotherapeutic
restorative
Drug interaction can be __________ - ANSWER antagonistic, synergistic or cause
incompatibilities
What is the three checks method? - ANSWER compare medicine label to MAR as we
remove from pyxis, compare again as we prepare, and compare one last time before we
give it
,- checking to make sure the MAR and label match the name, route, dose and time that is
ordered
What are the rights of correct administration - ANSWER Right patient,
Right drug,
Right dose,
Right route,
Right time,
Right documentation,
Right education,
right to refuse
right assessment
right evaluation
Enteral routes of administration - ANSWER Anything within the GI Tract (Oral,
sublingual, buccal, small intestine or rectum)
Parenteral routes - ANSWER anything given with a syringe (intradermal, subcutaneous,
intramuscular, intravenous)
Intradermal max volume - ANSWER 0.01-0.1 mL
Subcutaneous max volume - ANSWER 0.5-1 mL
Subcutaneous insulin max volume - ANSWER 0.3-1 mL
, Intramuscular max volume - ANSWER (depends on site, smaller muscle needs less)
Deltoid 0.5-1 mL
Rectus femoris 2 mL
Vastus lateralis 3-5 mL
Z track method of injection - ANSWER Pull skin tightly in a lateral direction, at least 1 to
1 1/2 inches laterally to one side. Hold the skin taut with the non-dominant hand. Insert
the needle
Essentials of a prescription - ANSWER pt name, date and time, name, dosage, type,
route, frequency of medication, number of doses and refills and prescribers signature
When would we want to verify orders? - ANSWER if it isn't legible, if the dose isn't
within the normal range, if the route isn't appropriate, if the drug isn't appropriate, if
they have allergies, if the time isn't appropriate
Med administration guidelines - ANSWER ›Check the MAR
›Verify the prescription
›Follow agency policies
›Perform hand hygiene
›Access the patient's medication
›Select the prescribed medication
›Check the expiration date
›Do a second check
›Lock the medication cart
›Administer the medication
ANSWERS VERIFIED 100% CORRECT
Different names for drugs - ANSWER Generic name
Brand or trade name
generic-name drug - ANSWER Drug with the same active ingredients as a brand-name
drug, but usually is less costly
Brand or trade name of a drug - ANSWER Whenever a company takes a drug and puts a
brand on it.
Example (tylenol for acetaminophen)
Pharmacokinetics - ANSWER The process that a drug is absorbed, distributed,
metabolized and eliminated in the body
each drug has unique characteristics
Pharmacodynamics - ANSWER the interactions of a drug and the receptors responsible
for its action in the body.
Has primary and secondary effects
Primary effects of a drug - ANSWER desired effects within the body
Secondary effects of a drug - ANSWER Side effects, adverse effects, drug toxicity, allergy
tolerance and interaction
,Absorption of drugs - ANSWER The movement of the drug from the site of
administration into the bloodstream. Always depends on the route of administration,
form of drug, solubility of drug, effects of pH and blood flow to the area.
Distribution of drugs - ANSWER transportation of a drug in body fluids to the various
tissues and organs of the body. Drugs can potentially produce effects anywhere in the
body
Metabolism of drugs - ANSWER Whenever a drug starts to become inactive from it's
conversion into a more water soluble compound. These are then excreted. Mainly
happens in the liver, but can also happen in kidneys, plasma, mucosa and lungs
Excretion of drugs - ANSWER A drug will continue to act within the body until it is
excreted. This means the drug needs to be removed from its site of action and then
eliminated through kidneys, liver, GI tract, lungs or exocrine glands
Primary effects of drugs examples - ANSWER palliative
supportive
substitutive
chemotherapeutic
restorative
Drug interaction can be __________ - ANSWER antagonistic, synergistic or cause
incompatibilities
What is the three checks method? - ANSWER compare medicine label to MAR as we
remove from pyxis, compare again as we prepare, and compare one last time before we
give it
,- checking to make sure the MAR and label match the name, route, dose and time that is
ordered
What are the rights of correct administration - ANSWER Right patient,
Right drug,
Right dose,
Right route,
Right time,
Right documentation,
Right education,
right to refuse
right assessment
right evaluation
Enteral routes of administration - ANSWER Anything within the GI Tract (Oral,
sublingual, buccal, small intestine or rectum)
Parenteral routes - ANSWER anything given with a syringe (intradermal, subcutaneous,
intramuscular, intravenous)
Intradermal max volume - ANSWER 0.01-0.1 mL
Subcutaneous max volume - ANSWER 0.5-1 mL
Subcutaneous insulin max volume - ANSWER 0.3-1 mL
, Intramuscular max volume - ANSWER (depends on site, smaller muscle needs less)
Deltoid 0.5-1 mL
Rectus femoris 2 mL
Vastus lateralis 3-5 mL
Z track method of injection - ANSWER Pull skin tightly in a lateral direction, at least 1 to
1 1/2 inches laterally to one side. Hold the skin taut with the non-dominant hand. Insert
the needle
Essentials of a prescription - ANSWER pt name, date and time, name, dosage, type,
route, frequency of medication, number of doses and refills and prescribers signature
When would we want to verify orders? - ANSWER if it isn't legible, if the dose isn't
within the normal range, if the route isn't appropriate, if the drug isn't appropriate, if
they have allergies, if the time isn't appropriate
Med administration guidelines - ANSWER ›Check the MAR
›Verify the prescription
›Follow agency policies
›Perform hand hygiene
›Access the patient's medication
›Select the prescribed medication
›Check the expiration date
›Do a second check
›Lock the medication cart
›Administer the medication
