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OHIO STATE UNIVERSITY 2025
Which information is of highest priority when obtaining a pharmacologic history from a patient? a. Allergies b.Use of over-the-counter medications c. Home remedy use d. Alcohol intake - correct answers a. allergies During the implementation phase of the nursing process, which action will the nurse perform when administering medications? a. Switch the route of administration based on drug availability. b. Call the patient by name when entering the room to verify the drug is for the right person. c. Check the patient's armband before administering the medication. d. Prepare medications for all patients first, then administer by room to manage time appropriately. - correct answers c. check the patients armband before administering the medication For which activity is the nurse responsible during the evaluation phase of drug administration? a. Preparing and administering prescribed medications safely
OHIO STATE UNIVERSITY 2025
b.Planning measurable outcomes for the patient related to drug therapy c. Monitoring the patient continuously for therapeutic as well as adverse effects d. Gathering data in a drug and dietary history - correct answers c. monitoring the patient continuously for therapeutic as well as adverse effects The nurse should include which information when evaluating the outcome after a patient's medication has been administered? A. Dose of medication administered B. Time medication administered C. Patient allergies to medications D. Therapeutic effect on patient - correct answers D. therapeutic effect on the patient The nurse should check a medication how many times before administration of a medication under the "right drug" part of the Six Rights? a.One time b.Three times c.Five times d.Depends on the drug being administered - correct answers b. three times The nurse notes that a medication was scheduled to be administered at 0900. A medication error has occurred if the medication was administered at which time?
OHIO STATE UNIVERSITY 2025
e. Physician assistant f.Nurse practitioner - correct answers a, d, e, f which phase of the nursing process requires the nurse to establish a comprehensive baseline of data concerning a particular patient? a. assessment b.planning c.implenmentation d.evaluation - correct answers a. assessment the nurse monitors the fulfillment of goals, and may revise them, during which phase of the nursing process? a.assessment b.planning c.implementation d.evaluation - correct answers d. evaluation the nurse prepares and administers prescribed medications during which phase of the nursing process? a.assessment b.planning c.implementation
OHIO STATE UNIVERSITY 2025
d.evaluation - correct answers c. implementation when developing a plan of care, which nursing action ensures the goal statement is patient centered? a.considering family input b.involving the patient c.developing the goal first, and then sharing it d. including the physician - correct answers b. involving the patient during which phase of the nursing process does the nurse prioritize the nursing diagnose? a. assessment b.planning c.implementation d. evaluation - correct answers b. planning What is the study of the physiochemical properties of drugs and how they influence the body called? a.Pharmacokinetics b.Pharmacotherapeutics c.Pharmacodynamics
OHIO STATE UNIVERSITY 2025
d. Intravenous - correct answers c. oral Drug half-life is defined as the amount of time required for 50% of a drug to a. be absorbed by the body. b. exert a response. c. be eliminated by the body. d. reach a therapeutic level. - correct answers c. be eliminated by the body Which action, when performed by the nurse, will increase the absorption of a medication administered intramuscularly? a. Applying cold packs to the injection site b. Lowering the extremity below the level of the heart c. Administering the medication via the Z-track method d. Massaging the site after injection - correct answers d. massage the site after injection Highly protein-bound drugs a. increase the risk of drug-drug interactions. b. typically provide a short duration of action.
OHIO STATE UNIVERSITY 2025
c. must be administered with 8 ounces of water. d. have a decreased effect in patients with a low albumin level. - correct answers a. increase the risk of drug-drug interactions To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route? a. Subcutaneously b. Intravenously c. Intramuscularly d. Intrathecally - correct answers b. intravenously What is the ratio between a drug's therapeutic effects and toxic effects called? a. Tolerance b. Cumulative effect c. Therapeutic index d. Affinity - correct answers c. therapeutic index When a patient asks the nurse why a lower dose of intravenous pain medication is being given than the previous oral dose, what knowledge will the nurse draw on to respond to the patient?
OHIO STATE UNIVERSITY 2025
(select all that apply) a.oral b.sublingual c.subcutaneous d.IV e.rectal - correct answers a, e if a drug binds with an enzyme and thereby prevents the enzyme from binding to its normal target cell, it will produce which effect? a.receptor interaction b.enzyme interaction c.enzyme interaction d.nonspecific interaction - correct answers c. enzyme interaction the nurse is reviewing a list of a petitions medications, and notes that on of the drugs is known to have a low therapeutic index. which statement accurately explains this concept? a.the difference between a therapeutic dose and toxic dose is large b.the difference between a therapeutic dose and toxic dose is small c.the does needed to reach a therapeutic level is small d.the drug has only a slight chance of being effective - correct answers b.the difference between a therapeutic dose and toxic dose is small
OHIO STATE UNIVERSITY 2025
the nurse prepares to obtain a patient blood sample from a central line for a drug level that is to be drawn just before that medications next dose. what is the timing of this blood draw known as? a.half-life b.therapeutic level c.peak level d.trough level - correct answers d.trough level lisa is researching botanical and zoologic sources of drugs to treat MS. she is part of a university research team that is currently experimenting with varying the biochemical composition and therapeutic effects of several possible new drug a.pharmaceutics b.pharmacokinetics c.pharmacogenomics d.pharmacotherapeutics e.pharmacognosy f.toxicology g.pharmacoeconomics - correct answers e. pharmacognosy jeffery works for a pharmaceutical corporation. one of its new drugs looks very promising, and jefferys company is experimenting with dosage forms for this investigational new drug.he is responsible for measuring the relationship between the physiochemical properties of the dosage form and the clinical therapeutic response a.pharmaceutics
OHIO STATE UNIVERSITY 2025
diane and phil have spent the last 3 years gathering family histories, legal case reports, and current clinical data to identify possible genetic factors that influence individuals responses to meperdine and related drugs a.pharmaceutics b.pharmacokinetics c.pharmacogenomics d.pharmacotherapeutics e.pharmacognosy f.toxicology g.pharmacoeconomics - correct answers c. pharmacogenomics david works on a study that is gathering data on the use of two different drugs for the treatment of RA a.pharmaceutics b.pharmacokinetics c.pharmacogenomics d.pharmacotherapeutics e.pharmacognosy f.toxicology g.pharmacoeconomics h.pharmodynamics - correct answers d. pharmacotherapeutics
OHIO STATE UNIVERSITY 2025
leslies lab monitors drug distribution rates between various body compartments, from absorption to excretion. recently, her lab was able to suggest a positive change in the dosage regimen for an injectable drug, brining her firm a prestigious award a.pharmaceutics b.pharmacokinetics c.pharmacogenomics d.pharmacotherapeutics e.pharmacognosy f.toxicology g.pharmacoeconomics h.pharmodynamics - correct answers b. pharmacokinetics gregorys research unit recently recommended two new contraindications for the use of a newly marketed drug after discovering previously unknown biochemical and phsysiologic interactions of this drug with another unrelated drug a.pharmaceutics b.pharmacokinetics c.pharmacogenomics d.pharmacotherapeutics e.pharmacognosy f.toxicology g.pharmacoeconomics h. pharmodynamics - correct answers h. pharmodynamics
OHIO STATE UNIVERSITY 2025
a nurse is reviewing a clients health record and notes a new prescription by the provider to verify the trough level of the clients medication. which of the following actions should the nurse take? - correct answers have a blood specimen obtained immediately prior to the next dose of medication the nurse includes which information as part of a complete medication history? a. use of street drugs b.current lab work c.history of surgeries d.family history - correct answers a.use of street drugs a drug has a half life of 12 hours, when would you expect the drug to be dosed? a.once a day b.every 8 hours c.three times a day d.once a week - correct answers a. once a day a nurse is about to administer a new dose of penicillin. the patient states she took penicillin last year for a dental procedure and she developed a rah. what should be the nurses next action? a.give the medication as prescribed and observe for reaction b.adminsiter the medication IV to bypass gastric absorption c.withhold the medication and inform the provider of the patients previous reaction
OHIO STATE UNIVERSITY 2025
d.combine the medication with an antihistamine to decrease possibility of a reaction - correct answers c. withhold the medication and inform the provider of the patients previous reaction What does it mean when a drug has a high "first-pass effect"? a. It causes hypotension b. Much of the drug is inactivated by the liver so only a small amount of the drug can be utilized c. It starts working immediately when entering the stomach d. It is completely excreted by the kidneys - correct answers b. much of the drug is inactivated by the liver so only a small amount of the drug can be utilized A patient is having a hypoglycemic reaction in the hospital waiting room and not responding when you call her name. Which form of drug should you attempt to give the patient to immediately bring up her blood sugar? Select one: a. IV b. Topical c. Oral d. Sublingual or buccal - correct answers d, sublingual or buccal a nurse is caring for a client who is taking oral oxycodone (percolate). the client states he is also taking ibuprofen (advil) in three doses daily. the interaction between these 2 medications will cause which of the following: - correct answers an increase in the expected therapeutic effect of both medications
OHIO STATE UNIVERSITY 2025
The five phases of the nursing process are: Select one: a. Planning, intervention, evaluation, diagnosis, treatment b. Diagnosis, intervention, treatment, documentation, follow-up c. Assessment, diagnosis, planning, implementation, evaluation d. Assessment, intervention, evaluation, diagnosis, documentation - correct answers c When calculating pediatric dosages, what will the nurse take into consideration? a. Utilization of drug reference recommendations based on mg/kg of body weight is the preferred method. b. Calculated doses based on body weight need to be increased by 10% due to immature renal and hepatic function. c. Dosage calculation according to body weight is the most accurate method because it takes into account differences in maturational development. d. Dosage calculation by body surface area is the most accurate method because it takes into account the difference in size of the child and/or neonate. - correct answers d Knowing that the albumin in neonates and infants has a lower binding capacity for medications, the nurse can expect the prescriber to perform which action to minimize the risk of toxicity? a. Decrease the amount of drug given
OHIO STATE UNIVERSITY 2025
b. Increase the amount of drug given c. Shorten the time interval between doses d. Administer the medication intravenously - correct answers a The physiologic changes that normally occur in the older adult have which implication for drug response in this patient? a. Drug metabolism is faster. b. Drug half-life is lengthened. c. Drug elimination is faster. d. Protein binding is more efficient. - correct answers b The nurse is admitting an 82-year-old patient for treatment of heart failure. During assessment of the patient's history, the nurse notes a subjective complaint of chronic constipation. Of the prescribed medications the patient was taking prior to admission, which would the nurse suspect might contribute to this gastrointestinal complaint? a. naproxen (Aleve), a nonsteroidal antiinflammatory drug b. warfarin sodium (Coumadin), an anticoagulant c. verapamil (Calan), a calcium channel-blocking drug d. spironolactone (Aldactone), a potassium-sparing diuretic - correct answers c
