PNM 300 FINAL PREP EXAM |QUESTIONS WITH
CORRECT VERIFIED ANSWERS | NEWEST EDITION
2025!! |GRADED A+ | 100% VERIFIED
An 86-year-old patient is being discharged to home on digoxin and has little information
regarding the medication. Which statement best reflects a realistic outcome of patient teaching
activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of digoxin toxicity.
d. The patient will call the prescriber if adverse effects occur. - ANSWER A
A patient has a new prescription for a blood pressure medication that may cause him to feel
dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?
a. Activity intolerance
b. Potential for injury
c. Disturbed body image
d. Self-care deficit - ANSWER B
A patient's chart includes an order that reads as follows: digoxin 0.025 mcg once daily at 0900
hours. Which action by the nurse is correct?
a. The nurse gives the drug via the transdermal route.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the dosage
route. - ANSWER D
,The nurse is compiling a drug history for a patient. Which
question from the nurse will obtain the most information from the patient?a. "Do you depend
on sleeping pills to get to sleep?"
b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?
d. "What childhood diseases did you have?" - ANSWER C
A 77-year-old man who has been diagnosed with an upper
respiratory infection tells the nurse that he is allergic to penicillin. What is the most appropriate
response by the nurse?
a. "That is to be expected—lots of people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so commonly."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals because they have built up resistance."
- ANSWER C
The nurse is reviewing new medication orders that have been
written for a newly admitted patient. Which orders will the nurse need to clarify? Select all that
apply.
a. Metformin (Glucophage®) 1000 mg PO twice a day
b. Sitagliptin (Januvia®) 50 mg daily
c. Simvastatin (Zocor®) 20 mg PO every evening
d. Irbesartan (Avapro®) 300 mg PO once a day
e. Docusate (Colace®) as needed for constipation - ANSWER B + E
The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
,a. White blood cell count 22,000 mm3
b. Blood pressure 150/94 mm Hg
c. Patient rates pain as an "8" on a 10-point scale
d. Patient's wife reports that the patient has been very sleepy
during the day
e. Patient's weight is 150 lb - ANSWER A, B, E
While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in
which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion - ANSWER C
An older adult woman took a prescription medicine to help her to sleep; however, she felt
restless all night and did not sleep at all. The nurse recognizes that this woman has experienced
which type of reaction or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutageniceffect
d. Synergistic effect - ANSWER B
3. A patient who has advanced cancer is receiving opioid med- ications around the clock to
"keep him comfortable" as he nears the end of his life. Which term best describes this type of
therapy?
a. Palliative therapy
b. Maintenance therapy
, c. Supportive therapy
d. Supplemental therapy - ANSWER A
4. The nurse is giving medications to a patient in heart failure. The intravenous route is chosen
instead of the intramuscular route. Which patient factor most influences the decision about
which route to use?
a. Altered biliary function
b. Increased glomerular filtration
c. Reduced liver metabolism
d. Diminished circulation - ANSWER D
A patient has just received a prescription for an enteric-coated stool softener. When teaching
the patient, the nurse should include which statement?
a. "Take the tablet with 60 to 90 mL of orange juice."
b. "Avoid taking all other medications with any enteric-coated tablet."
c. "Crush the tablet before swallowing if you have problems with swallowing."
d. "Be sure to swallow the tablet whole without chewing it." - ANSWER D
Each statement describes a phase of pharmacokinetics. Put the statements in order, with 1
indicating the phase that occurs first and 4 indicating the phase that occurs last.
a. Enzymes in the liver transform the drug into an inactive metabolite.
b. Drug metabolites are secreted through passive glomerular filtration into the renal tubules.
c. A drug binds to the plasma protein albumin and circulates through the body.
d. A drug moves from the intestinal lumen into the mesenteric blood system. - ANSWER 1. D
2. C
3. A
4. B
CORRECT VERIFIED ANSWERS | NEWEST EDITION
2025!! |GRADED A+ | 100% VERIFIED
An 86-year-old patient is being discharged to home on digoxin and has little information
regarding the medication. Which statement best reflects a realistic outcome of patient teaching
activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of digoxin toxicity.
d. The patient will call the prescriber if adverse effects occur. - ANSWER A
A patient has a new prescription for a blood pressure medication that may cause him to feel
dizzy during the first few days of therapy. Which is the best nursing diagnosis for this situation?
a. Activity intolerance
b. Potential for injury
c. Disturbed body image
d. Self-care deficit - ANSWER B
A patient's chart includes an order that reads as follows: digoxin 0.025 mcg once daily at 0900
hours. Which action by the nurse is correct?
a. The nurse gives the drug via the transdermal route.
b. The nurse gives the drug orally.
c. The nurse gives the drug intravenously.
d. The nurse contacts the prescriber to clarify the dosage
route. - ANSWER D
,The nurse is compiling a drug history for a patient. Which
question from the nurse will obtain the most information from the patient?a. "Do you depend
on sleeping pills to get to sleep?"
b. "Do you have a family history of heart disease?"
c. "When you have pain, what do you do to relieve it?
d. "What childhood diseases did you have?" - ANSWER C
A 77-year-old man who has been diagnosed with an upper
respiratory infection tells the nurse that he is allergic to penicillin. What is the most appropriate
response by the nurse?
a. "That is to be expected—lots of people are allergic to penicillin."
b. "This allergy is not of major concern because the drug is given so commonly."
c. "What type of reaction did you have when you took penicillin?"
d. "Drug allergies don't usually occur in older individuals because they have built up resistance."
- ANSWER C
The nurse is reviewing new medication orders that have been
written for a newly admitted patient. Which orders will the nurse need to clarify? Select all that
apply.
a. Metformin (Glucophage®) 1000 mg PO twice a day
b. Sitagliptin (Januvia®) 50 mg daily
c. Simvastatin (Zocor®) 20 mg PO every evening
d. Irbesartan (Avapro®) 300 mg PO once a day
e. Docusate (Colace®) as needed for constipation - ANSWER B + E
The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
,a. White blood cell count 22,000 mm3
b. Blood pressure 150/94 mm Hg
c. Patient rates pain as an "8" on a 10-point scale
d. Patient's wife reports that the patient has been very sleepy
during the day
e. Patient's weight is 150 lb - ANSWER A, B, E
While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in
which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion - ANSWER C
An older adult woman took a prescription medicine to help her to sleep; however, she felt
restless all night and did not sleep at all. The nurse recognizes that this woman has experienced
which type of reaction or effect?
a. Allergic reaction
b. Idiosyncratic reaction
c. Mutageniceffect
d. Synergistic effect - ANSWER B
3. A patient who has advanced cancer is receiving opioid med- ications around the clock to
"keep him comfortable" as he nears the end of his life. Which term best describes this type of
therapy?
a. Palliative therapy
b. Maintenance therapy
, c. Supportive therapy
d. Supplemental therapy - ANSWER A
4. The nurse is giving medications to a patient in heart failure. The intravenous route is chosen
instead of the intramuscular route. Which patient factor most influences the decision about
which route to use?
a. Altered biliary function
b. Increased glomerular filtration
c. Reduced liver metabolism
d. Diminished circulation - ANSWER D
A patient has just received a prescription for an enteric-coated stool softener. When teaching
the patient, the nurse should include which statement?
a. "Take the tablet with 60 to 90 mL of orange juice."
b. "Avoid taking all other medications with any enteric-coated tablet."
c. "Crush the tablet before swallowing if you have problems with swallowing."
d. "Be sure to swallow the tablet whole without chewing it." - ANSWER D
Each statement describes a phase of pharmacokinetics. Put the statements in order, with 1
indicating the phase that occurs first and 4 indicating the phase that occurs last.
a. Enzymes in the liver transform the drug into an inactive metabolite.
b. Drug metabolites are secreted through passive glomerular filtration into the renal tubules.
c. A drug binds to the plasma protein albumin and circulates through the body.
d. A drug moves from the intestinal lumen into the mesenteric blood system. - ANSWER 1. D
2. C
3. A
4. B
