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NURS 3100 Exam 1 practice questions
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NURS 3100 Exam 1 practice questions20 minutes after receiving a dose of antibiotic, patient developed a red, itchy rash. What
should the nurse do first?
a) place an allergy bracelet on the patient
b) document the presence of the rash in medical record
c) contact the prescriber and relay this assessment information
d) plan to watch for a rash after next dose - ANS-contact the prescriber and relay this
assessment information
A charge nurse is conducting a nutritional class for a group of newly licensed nurses
regarding basal metabolic rate (BMR). The charge nurse should inform the class that
which of the following factors increases BMR? select all that apply.
a) puberty
b) malnutrition
c) lactation
d) prolonged stress
e) age older than 60 - ANS-- puberty
- lactation
- prolonged stress
- age older than 60
A charge nurse is observing a nurse administer an intradermal injection. Which of the
following demonstrates that the nurse is using correct technique?
a) withdraws the needle and gently massages the injection site
b) slowly inject the medication to form a small wheal or bleb
c) inserts the needle with the bevel down at a 10-15 degree angle
d) selects a 1" 23 gauge needle w/ a 3 mL syringe - ANS-slowly inject the medication to
form a small wheal or bleb
A client admitted to the hospital tells the nurse they are very nervous about getting all
their medications while they are in the hospital b/c their health care provider has them
on a very "strict" schedule. The nurse understands that which of the following describes
the principles about how medication dosing schedules are determined? (select all that
apply)
a) the physical and biological characteristics of a drug may determine dosing schedule
b) specific times may improve effectiveness and decrease risk for adverse effects
c) some drugs must be taken a certain time prior to an event or immediately after an
event
,d) dosing may be set for the convenience of patient and nurse
e) hospitals have routine dosing intervals so that all parties receive medications at the
same time each day - ANS-- the physical and biological characteristics of a drug may
determine dosing schedule
- specific times may improve effectiveness and decrease risk for adverse effects
- some drugs must be taken at a certain times prior to an event or immediately after an
event
- dosing may be set for the convenience of patient and nurse
A client asks a nurse how many Americans take at least one prescription drug per year.
What is the nurse's best response?
a) 10%
b) 50%
c) 40%
d) 25% - ANS-50%
A client asks a nurse how medications are distributed w/i the body. What among the
below would be the nurse's response?
a) body organs w/ high levels of blood flow are more difficult organs to deliver drugs to
b) the BBB inhibits rapid crossing of all medications
c) medication that are lipid soluble are more completely distributed
d) drug-protein complexes must form prior to crossing capillary membranes -
ANS-medications that re lipid-soluble are more completely distributed
A client asks a nurse why a prescribed medication is very expensive. What is the best
response by the nurse?
a) ask the the healthcare provider if a cheaper brand name drug may be substituted
b) help the client receive free medicine through a "patient assistance" program
c) contact the healthcare provider to ask if a generic drug may be substituted
d) maintain the client on samples of the brand name drug from the physician's office -
ANS-contact the healthcare provider to ask if a generic drug may be substituted
A client asks a nurse why he experiences a metallic taste after taking certain
medications. The nurse explains that some medications are secreted by glandular
activity. The nurse would identify which substances as examples of this excretion?
a) saliva
b) sweat
c) breast milk
d) urine
e) feces - ANS-- saliva
,- sweat
- breastmilk
A client ass a nurse why a large dose of drug was administered first, followed by a lower
dose of the same drug later. What is the nurse's best response?
a) increase the absorption rate of this drug
b) decrease the absorption rate of this drug
c) achieve a therapeutic dose more quickly
d) prevent a toxic concentration of the drug - ANS-achieve a therapeutic dose more
quickly
A client at 14 weeks gestation is seen in the clinic w/ a sprained ankle. The healthcare
provider prescribes a mild analgesic, rest, compression, and application of an ice-bag.
The client is very concerned about taking the prescribed medication, telling the nurse, " I
don't want to hurt my baby." How should the nurse respond?
a) the most dangerous time for birth defects is probably in teh first semester and you
are past that now
b) you are wise to avoid all drugs. I would only use the rest, compression and ice
c) let me check w/ the physician to see if he remembered you are pregnant
d) this is a category A drug, so there is very little risk to your baby
e) don't worry, it will all be okay. you need to take care of yourself first - ANS-- the most
dangerous time for birth defects is probably in the first semester and you are past that
now
- this is a category A drug, so there is very little risk to your baby
A client comes to the ED following an overdose of aspirin, which is an acidic drug. The
nurse should anticipate administering which of the following?
a) intravenous proteins to bind the aspirin
b) intravenous fluid to flush the kidneys
c) ammonium chloride to increase metabolism in the liver
d) sodium bicarbonate to alter the client's serum pH - ANS-sodium bicarbonate to alter
the client's serum pH
A client comes to the emergency department w/ a myocardial infarction. The client's
husband tells the nurse that his wife has been taking calcium carbonate (tums) for years
for what she though was indigestion. What is the best response by the nurse?
a) why did you let her do that? she should have seen a physician
b) your wife was self diagnosing, which is generally not a good idea
c) your wife should not have self-diagnosed herself. I hope she is going to be okay
, d) well, I am glad she is here, as it certainly was not indigestion - ANS-your wife was
self diagnosing, which is generally not a good idea
A client has a long history of hypertension. The healthcare provider orders an
antihypertensive drug that has just come on the market. The nurse teaches the patient
that this drug works more effectively than his prior drug and has fewer side effects. The
patient asks how this can be. What is the best response by the nurse? (select all that
apply)
a) newer drugs are altered to affect your cells' receptors in a different way
b) receptors tend to 'burn out', so newer drug are required
c) research into receptor helps 'fine-tune' drugs to be more effective
d) changing the response of the drug to protein receptor-complexes produces fewer
side effects
e) it is a process of trial and error with receptors until the new drug proves effective -
ANS-- newer drugs are altered to affect your cells' receptor in a different way
- research into new drugs helps 'fine-tune' drugs to be more effective
A client has a prescription for an intravenous medication for nausea. The client asks the
nurse how it will help his nausea since it is given in his vein. What is the best
therapeutic response by the nurse?
a) you cant have anything by mouth, so you will receive the medication intravenously
b) if you take an oral medication, you will just vomit it up
c) this will work much faster for your nausea
d) we have more intravenous drugs for nausea than we do oral drugs - ANS-this will
work much faster for your nausea
A client has an adverse rxn to a drug following a change in dietary habits. The nurse
understands that which change would most likely by the cause?
a) increase fiber intake
b) reduce intake of alcohol
c) increase intake of grapefruit juice
d) reduce intake of citrus fruits - ANS-increase intake of grapefruit juice
A client has been chosen to participate in the clinical trial of a medication to treat
chemotherapy-induce nausea. When the nurse takes the informed consent form to
beside the client says, " I am glad there is finally a medication to cure my cancer?" How
should the nurse respond? (select all that apply)
a) who told you the medication would cure your cancer
b) what questions do you have about this medication
c) let me explain how this medication works
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