Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+ n n n
Chapter 1: Orientation to Pharmacology
n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Thennursenisnteachingnanpatientnhownanmedicationnworksntontreatnannillness.nTondonthis,nthenn
ursenwillnrelynonnknowledgenof:
a. clinicalnpharmacology.
b. drugnefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:n D
Pharmacotherapeuticsnisnthenstudynofnthenusenofndrugsntondiagnose,ntreat,nandnpreventnconditio
ns.nClinicalnpharmacologynisnconcernednwithnallnaspectsnofndrug–
humanninteractions.nDrugnefficacynmeasuresnthenextentntonwhichnangivenndrugncausesnannintend
edneffect.
Pharmacokineticsnisnthenstudynofnthenimpactnofnthenbodynonnandrug.
DIF: CognitivenLevel:nComprehension
REF:nFournBasicnTermsnTOP:n NursingnProcess:nImplementati
on
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Whatndoesnitnmeannwhennandrugnisndescribednasneasyntonadminister?
a. Itncannbenstorednindefinitelynwithoutnneednfornrefrigeration.
b. Itndoesnnotninteractnsignificantlynwithnothernmedications.
c. Itnenhancesnpatientnadherencentonthendrugnregimen.
d. Itnisnusuallynrelativelyninexpensiventonproduce.
ANS:n C
Anmajornbenefitnofndrugsn thatnareneasyntonadministernisnthatnpatientsntakingnthemnarenmorenli
kelyntoncomplynwithnthendrugnregimen.nDrugsnthatnareneasyntongivenmaynhaventhenothernattri
butesnlisted,nbutnthosenpropertiesnarenindependentnofneasenofnadministration.
DIF: CognitivenLevel:nComprehension
REF:nAdditionalnPropertiesnofnannIdealnDrug:nEasenofnAdministrationn
TOP:n NursingnProcess:nAssessment
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
3. Anpatientntellsnthennursenthatnhenwasntoldnbynthenprescribernthatnthenanalgesicnhenisntakingnisnve
ryneffective.nWhichnstatementnbynthenpatientndemonstratesnannunderstandingnofnthendrug‘sneff
ectiveness?
a. ―Indon‘tnhaventonworrynaboutntoxicity,nsincenitntakesnanlargenamountnofnthisndrugntonc
ausenannoverdose.‖
b. ―Itnhasnnonsideneffectsnandndoesn‘tninteractnwithnotherndrugs.‖
c. ―Inonlynhaven ton taken itn everyn12n hours.‖
d. ―Itnmightnmakenmensleepy,n andnitnlessensnpainnfornseveralnhoursnatnantime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+
n n n
ANS:n D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+
n n n
Andrugnisneffectivenifnitnproducesnthenintendedneffects,nevennifnitnalsonproducesnsideneffects.nBeca
usennondrugnisncompletelynsafe,nthenlevelnofntoxicityndoesnnotndetermineneffectiveness.nAllndrugsn
havensideneffectsnandnmanynreactnwithnothernsubstances;nthesendonnotnaffectnthendrug‘sneffective
ness.nEasenofnadministrationnisnindependentnofnandrug‘sneffectiveness.
DIF: CognitivenLevel:nComprehension
REF:nPropertiesnofnannIdealnDrugnTOP:n NursingnProcess:nEvaluation
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
MULTIPLEnRESPONSE
1. Whatnarenthenpropertiesnofnannidealndrug?n(Selectnallnthatnapply.)
a. Irreversiblenaction
b. Predictability
c. Easenofnadministration
d. Chemicalnstability
e. Ansimplentradenname
ANS:n B,nC,nD
Innadditionntonpredictability,neasenofnadministration,nandnchemicalnstability,nothernpropertiesni
ncludenanreversiblenactionnsonthatnanynharmnthendrugnmayncausencannbenundonenandnansimplenge
nericnname,nbecausengenericnnamesnarenusuallyncomplexnandndifficultntonremembernandnprono
unce.
DIF: CognitivenLevel:nComprehension
REF:nPropertiesnofnannIdealnDrugn|nAdditionalnPropertiesnofnannIdealnDrugn
TOP:n NursingnProcess:nAssessment
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Beforenadministeringnanmedication,nwhatndoesnthennursenneedntonknowntonevaluatenhow
individualnpatientnvariabilitynmightnaffectnthenpatient‘snresponsentonthenmedication?n(Selectnallnthatn
apply.)
a. Chemicalnstabilitynofnthenmedication
b. Easenofnadministration
c. Familynmedicalnhistory
d. Patient‘snage
e. Patient‘sndiagnosis
ANS:n C,nD,nE
Thenfamilynmedicalnhistoryncannindicatengeneticnfactorsnthatnmaynaffectnanpatient‘snresponsentonan
medication.nPatientsnofndifferentnagesncannrespondndifferentlyntonmedications.nThenpatient‘snilln
essncannaffectnhowndrugsnarenmetabolized.nThenchemicalnstabilitynofnthenmedicationnandntheneasen
ofnadministrationnarenpropertiesnofndrugs.
DIF: CognitivenLevel:nAnalysis
REF:nSourcesnofnIndividualnVariationnTOP:n NursingnProcess:nImplementati
on
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nReductionnofnRisknPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+ n n n
Chapter 2: Application of Pharmacology in Nursing Practice
n n n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Anpatientnisnusingnanmetered-
doseninhalerncontainingnalbuterolnfornasthma.nThenmedicationnlabelninstructsnthenpatientntona
dministern―2npuffsneveryn4nhoursnasnneedednforncoughingnor
wheezing.‖nThenpatientn reportsnfeelingnjitterynsometimesnwhenntakingnthen medication,nandnshend
oesn‘tnfeelnthatnthenmedicationnisnalwaysneffective.nWhichnisnnotnannappropriatennursingninterve
ntionnfornthisnpatient?
a. Askingnthenpatientntondemonstratenusenofntheninhaler
b. Assessingnthenpatient‘snexposurentontobacconsmoke
c. Auscultatingnlungnsoundsnandnobtainingnvitalnsigns
d. Suggestingnthatnthenpatientnusenonenpuffntonreducensideneffects
ANS:n D
Itnisnnotnwithinnthennurse‘snscopenofnpracticentonchangenthendosenofnanmedicationnwithoutnannor
dernfromnanprescriber.nAskingnthenpatientntondemonstrateninhalernusenhelpsnthennursentonevalua
tenthenpatient‘snabilityntonadministernthenmedicationnproperlynandnisnpartnofnthennurse‘snevaluati
on.nAssessingntobacconsmokenexposurenhelpsnthennursendeterminenwhethernnondrugntherapies
,nsuchnansmokenavoidance,ncannbenusednasnannadjunctntondrugntherapy.nPerformingnanphysicalnas
sessmentnhelpsnthennursenevaluatenthenpatient‘snresponsentonthenmedication.
DIF: CognitivenLevel:nApplication
REF:nApplyingnthenNursingnProcessninnDrugnTherapy:nPreadministrationnAssessmentn[andnalln
subsectionsnundernthisnheading] TOP:n NursingnProcess:nImplementation
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Anpostoperativenpatientnisnbeingndischargednhomenwithnacetaminophen/hydrocodonen(Lortab)nf
ornpain.nThenpatientnasksnthennursenaboutnusingnTylenolnfornfever.nWhichnstatementnbynthennurs
enisncorrect?
a. ―Itnisnnotnsafentontakenover-the-counterndrugsnwithnprescriptionnmedications.‖
b. ―Takingnthentwonmedicationsntogethernposesnanrisknofndrugntoxicity.‖
c. ―Therenarennonknownndrugninteractions,nsonthisnwillnbensafe.‖
d. ―TylenolnandnLortabnarendifferentndrugs,nsontherenisnnonrisknofnoverdose.‖
ANS:n B
Tylenolnisnthentradennamenandnacetaminophennisnthengenericnnamenfornthensamenmedication.nItnisn
importantntonteachnpatientsntonbenawarenofnthendifferentnnamesnfornthensamendrugntonminimizenthen
risknofnoverdose.nOver-the-
countern(OTC)nmedicationsnandnprescriptionnmedicationsnmaynbentakenntogethernunlessnsignific
antnharmfulndrugninteractionsnarenpossible.nEvennthoughnnondrugninteractionsnarenatnplayninnthisnc
ase,nbothndrugsncontainnacetaminophen,nwhichncouldnleadntontoxicity.
DIF: CognitivenLevel:nApplication
REF:nApplicationnofnPharmacologyninnPatientnEducation:nDosagenandnAdministration
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+ n n n
Chapter 1: Orientation to Pharmacology
n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Thennursenisnteachingnanpatientnhownanmedicationnworksntontreatnannillness.nTondonthis,nthenn
ursenwillnrelynonnknowledgenof:
a. clinicalnpharmacology.
b. drugnefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:n D
Pharmacotherapeuticsnisnthenstudynofnthenusenofndrugsntondiagnose,ntreat,nandnpreventnconditio
ns.nClinicalnpharmacologynisnconcernednwithnallnaspectsnofndrug–
humanninteractions.nDrugnefficacynmeasuresnthenextentntonwhichnangivenndrugncausesnannintend
edneffect.
Pharmacokineticsnisnthenstudynofnthenimpactnofnthenbodynonnandrug.
DIF: CognitivenLevel:nComprehension
REF:nFournBasicnTermsnTOP:n NursingnProcess:nImplementati
on
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Whatndoesnitnmeannwhennandrugnisndescribednasneasyntonadminister?
a. Itncannbenstorednindefinitelynwithoutnneednfornrefrigeration.
b. Itndoesnnotninteractnsignificantlynwithnothernmedications.
c. Itnenhancesnpatientnadherencentonthendrugnregimen.
d. Itnisnusuallynrelativelyninexpensiventonproduce.
ANS:n C
Anmajornbenefitnofndrugsn thatnareneasyntonadministernisnthatnpatientsntakingnthemnarenmorenli
kelyntoncomplynwithnthendrugnregimen.nDrugsnthatnareneasyntongivenmaynhaventhenothernattri
butesnlisted,nbutnthosenpropertiesnarenindependentnofneasenofnadministration.
DIF: CognitivenLevel:nComprehension
REF:nAdditionalnPropertiesnofnannIdealnDrug:nEasenofnAdministrationn
TOP:n NursingnProcess:nAssessment
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
3. Anpatientntellsnthennursenthatnhenwasntoldnbynthenprescribernthatnthenanalgesicnhenisntakingnisnve
ryneffective.nWhichnstatementnbynthenpatientndemonstratesnannunderstandingnofnthendrug‘sneff
ectiveness?
a. ―Indon‘tnhaventonworrynaboutntoxicity,nsincenitntakesnanlargenamountnofnthisndrugntonc
ausenannoverdose.‖
b. ―Itnhasnnonsideneffectsnandndoesn‘tninteractnwithnotherndrugs.‖
c. ―Inonlynhaven ton taken itn everyn12n hours.‖
d. ―Itnmightnmakenmensleepy,n andnitnlessensnpainnfornseveralnhoursnatnantime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+
n n n
ANS:n D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+
n n n
Andrugnisneffectivenifnitnproducesnthenintendedneffects,nevennifnitnalsonproducesnsideneffects.nBeca
usennondrugnisncompletelynsafe,nthenlevelnofntoxicityndoesnnotndetermineneffectiveness.nAllndrugsn
havensideneffectsnandnmanynreactnwithnothernsubstances;nthesendonnotnaffectnthendrug‘sneffective
ness.nEasenofnadministrationnisnindependentnofnandrug‘sneffectiveness.
DIF: CognitivenLevel:nComprehension
REF:nPropertiesnofnannIdealnDrugnTOP:n NursingnProcess:nEvaluation
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
MULTIPLEnRESPONSE
1. Whatnarenthenpropertiesnofnannidealndrug?n(Selectnallnthatnapply.)
a. Irreversiblenaction
b. Predictability
c. Easenofnadministration
d. Chemicalnstability
e. Ansimplentradenname
ANS:n B,nC,nD
Innadditionntonpredictability,neasenofnadministration,nandnchemicalnstability,nothernpropertiesni
ncludenanreversiblenactionnsonthatnanynharmnthendrugnmayncausencannbenundonenandnansimplenge
nericnname,nbecausengenericnnamesnarenusuallyncomplexnandndifficultntonremembernandnprono
unce.
DIF: CognitivenLevel:nComprehension
REF:nPropertiesnofnannIdealnDrugn|nAdditionalnPropertiesnofnannIdealnDrugn
TOP:n NursingnProcess:nAssessment
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Beforenadministeringnanmedication,nwhatndoesnthennursenneedntonknowntonevaluatenhow
individualnpatientnvariabilitynmightnaffectnthenpatient‘snresponsentonthenmedication?n(Selectnallnthatn
apply.)
a. Chemicalnstabilitynofnthenmedication
b. Easenofnadministration
c. Familynmedicalnhistory
d. Patient‘snage
e. Patient‘sndiagnosis
ANS:n C,nD,nE
Thenfamilynmedicalnhistoryncannindicatengeneticnfactorsnthatnmaynaffectnanpatient‘snresponsentonan
medication.nPatientsnofndifferentnagesncannrespondndifferentlyntonmedications.nThenpatient‘snilln
essncannaffectnhowndrugsnarenmetabolized.nThenchemicalnstabilitynofnthenmedicationnandntheneasen
ofnadministrationnarenpropertiesnofndrugs.
DIF: CognitivenLevel:nAnalysis
REF:nSourcesnofnIndividualnVariationnTOP:n NursingnProcess:nImplementati
on
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nReductionnofnRisknPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
n n n n n n n n
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
n n n n n n n
112|Complete Guide A+ n n n
Chapter 2: Application of Pharmacology in Nursing Practice
n n n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Anpatientnisnusingnanmetered-
doseninhalerncontainingnalbuterolnfornasthma.nThenmedicationnlabelninstructsnthenpatientntona
dministern―2npuffsneveryn4nhoursnasnneedednforncoughingnor
wheezing.‖nThenpatientn reportsnfeelingnjitterynsometimesnwhenntakingnthen medication,nandnshend
oesn‘tnfeelnthatnthenmedicationnisnalwaysneffective.nWhichnisnnotnannappropriatennursingninterve
ntionnfornthisnpatient?
a. Askingnthenpatientntondemonstratenusenofntheninhaler
b. Assessingnthenpatient‘snexposurentontobacconsmoke
c. Auscultatingnlungnsoundsnandnobtainingnvitalnsigns
d. Suggestingnthatnthenpatientnusenonenpuffntonreducensideneffects
ANS:n D
Itnisnnotnwithinnthennurse‘snscopenofnpracticentonchangenthendosenofnanmedicationnwithoutnannor
dernfromnanprescriber.nAskingnthenpatientntondemonstrateninhalernusenhelpsnthennursentonevalua
tenthenpatient‘snabilityntonadministernthenmedicationnproperlynandnisnpartnofnthennurse‘snevaluati
on.nAssessingntobacconsmokenexposurenhelpsnthennursendeterminenwhethernnondrugntherapies
,nsuchnansmokenavoidance,ncannbenusednasnannadjunctntondrugntherapy.nPerformingnanphysicalnas
sessmentnhelpsnthennursenevaluatenthenpatient‘snresponsentonthenmedication.
DIF: CognitivenLevel:nApplication
REF:nApplyingnthenNursingnProcessninnDrugnTherapy:nPreadministrationnAssessmentn[andnalln
subsectionsnundernthisnheading] TOP:n NursingnProcess:nImplementation
MSC:n NCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParenteralnTherapies
2. Anpostoperativenpatientnisnbeingndischargednhomenwithnacetaminophen/hydrocodonen(Lortab)nf
ornpain.nThenpatientnasksnthennursenaboutnusingnTylenolnfornfever.nWhichnstatementnbynthennurs
enisncorrect?
a. ―Itnisnnotnsafentontakenover-the-counterndrugsnwithnprescriptionnmedications.‖
b. ―Takingnthentwonmedicationsntogethernposesnanrisknofndrugntoxicity.‖
c. ―Therenarennonknownndrugninteractions,nsonthisnwillnbensafe.‖
d. ―TylenolnandnLortabnarendifferentndrugs,nsontherenisnnonrisknofnoverdose.‖
ANS:n B
Tylenolnisnthentradennamenandnacetaminophennisnthengenericnnamenfornthensamenmedication.nItnisn
importantntonteachnpatientsntonbenawarenofnthendifferentnnamesnfornthensamendrugntonminimizenthen
risknofnoverdose.nOver-the-
countern(OTC)nmedicationsnandnprescriptionnmedicationsnmaynbentakenntogethernunlessnsignific
antnharmfulndrugninteractionsnarenpossible.nEvennthoughnnondrugninteractionsnarenatnplayninnthisnc
ase,nbothndrugsncontainnacetaminophen,nwhichncouldnleadntontoxicity.
DIF: CognitivenLevel:nApplication
REF:nApplicationnofnPharmacologyninnPatientnEducation:nDosagenandnAdministration
