NU 306 Exam 1 Practice Exam Questions

NU 306 Exam 1 Practice Exam Questions and Answers A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days.How many times per day should the nurse expect to administer this medication?

• One
• Two
• Three
• Four - Correct Answers ✅A. One

Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.A staff education is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? Select all that apply.

• Increased renal excretion
• Increased medication-metabolizing enzymes
• Liver failure
• Peripheral vascular disease 1 / 4

NU 306 Exam 1 Practice Exam Questions and Answers

• Concurrent use of medication the same pathway

metabolizes - Correct Answers ✅C.E.Liver failure decreases metabolism and thus increases the concentration of a medication, requiring a decreased dosage.A nurse is preparing to administer eye drops to a client.Which of the following actions should the nurse take? Select all that apply.

• Have the client lie on her side
• Ask the client to look up at the ceiling
• Tell the client to blink when the drops enter her eye
• Drop the medication into the center of the client's

conjunctival sac

• Instruct the client to close her eye gently after instillation -

Correct Answers ✅B.D.E.Lying on her side is not the best option, and blinking will eject the eye drops. 2 / 4

NU 306 Exam 1 Practice Exam Questions and Answers A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

• "I will clean the site with an alcohol swab before I apply the

patch"

• "I will rotate the application sites weekly"
• "I will apply the patch to an area of skin with no hair"
• "I will place the new patch on the site of the old patch" -

Correct Answers ✅C.The client should apply the patch to a hairless area of skin to promote absorption of the medication.A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?

• Obtain a blood specimen immediately prior to

administering the next dose of medication

• Verify that the client has been taking the medication for 24

hours before obtaining the blood specimen

• Ask the client to provide a urine specimen after the next

dose of medication 3 / 4

NU 306 Exam 1 Practice Exam Questions and Answers

• Administer the medication, and obtain a blood specimen

30 minutes later - Correct Answers ✅A.To verify trough levels of a medication, the nurse should obtain a blood specimen immediately before administering the next dose of medication A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? Select all that apply.

• Maintain skill competency
• Determine the dosage
• Monitor for adverse effects
• Safeguard medications
• Identify the client's diagnosis - Correct Answers ✅A.

C.D.A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription?

• Single
• / 4