TEST BANK FOR Pharmacology and the Nursing Process 9th Edition ISBN: 978-0323529495

TEST BANK FOR Pharmacology and the Nursing Process 9th Edition ISBN: 978-
0323529495
Pharmacology and the Nursing
SECTION 1: GENERAL PHARMACOLOGY
Question 1
Which phase of pharmacokinetics involves the movement of a drug from the bloodstream into
body tissues?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
✅ Answer: B

Rationale:
 Absorption = entry into bloodstream
 Distribution = movement to tissues
 Metabolism = chemical breakdown (liver)
 Excretion = elimination (kidneys)



Question 2
An older adult is more susceptible to drug toxicity primarily due to:
A. Increased gastric acid
B. Increased liver metabolism
C. Decreased renal function
D. Increased protein binding
✅ Answer: C

Rationale:
Aging causes decline in kidney function, leading to slower drug elimination and higher toxicity
risk.



Question 3

, Which route of administration avoids first-pass metabolism?
A. Oral
B. Rectal
C. Sublingual
D. Enteral feeding tube
✅ Answer: C

Rationale:
Sublingual drugs are absorbed directly into systemic circulation, bypassing the liver.



SECTION 2: CARDIOVASCULAR DRUGS



Question 4
A patient taking lisinopril develops facial swelling and difficulty breathing. What is the nurse’s
priority action?
A. Administer diphenhydramine
B. Document as a common side effect
C. Hold the medication and notify provider
D. Reassure the patient
✅ Answer: C

Rationale:
This indicates angioedema, a life-threatening ACE inhibitor reaction.



Question 5
Which laboratory value is most important to monitor in a patient receiving furosemide?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
✅ Answer: B

Rationale:
Loop diuretics cause potassium loss, increasing risk for dysrhythmias.