TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
b b b b b
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
b b b b b b b
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE
b b b b
2024-2025 b
,CH 01: Orientation to Pharmacology
b b b b
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
b b b b b b b
MULTIPLE CHOICE b
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To
b b b b b b b b b b b b b b b b
dothis, the nursing attendantwill rely on knowledge of which topic?
b b b b b b b b b b b
a. Clinical pharmacology b
b. Drugs efficacy b
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D b b
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat,
b b b b b b b b b b b b b
band prevent conditions.Clinical pharmacology is concerned with all aspects of drugs-
b b b b b b b b b b
human interactions. Drugs efficacy measures the extent to which a given drugs causes an
b b b b b b b b b b b b b
intended effect. Pharmacokinetics is the study of the impact of the body on a drugs.
b b b b b b b b b b b b b b b
POINTS: 1 b
2. What is a desired outcome when a drugs is described as easy to administer?
b b b b b b b b b b b b b
a. It can be stored indefinitely without need for refrigeration.
b b b b b b b b
b. It does not interact significantly with other drugs.
b b b b b b b
c. It enhances hospital client adherence to the drugs regimen.
b b b b b b b b
d. It is usually relatively inexpensive to produce.
b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital clients
b b b b b b b b b b b b b b
taking them are more likely tocomply with the drugs regimen. Drugs that are easy to give
b b b b b b b b b b b b b b b b
may have the other attributes listed, but those properties are independent of ease of
b b b b b b b b b b b b b b
administration.
b
POINTS: 1 b
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may cause
b b b b b b b b b b b b b b b
drowsiness and willdecrease pain up to 4 hours at a time. Based on this understanding of the
b b b b b b b b b b b b b b b b b
drugs’s effects by thehospital client, the nursing attendant will anticipate which outcome?
b b b b b b b b b b b b
a. Decreased chance of having a placebo effect b b b b b b
b. Decreased motivation to take the drugs b b b b b
c. Improved compliance with the drugs regimen b b b b b
d. Increased likelihood of drugs overdose b b b b
ACCURATE ANSWER:- C b b
A drugs is effective if it produces the intended effects, even if it also produces side
b b b b b b b b b b b b b b b
effects. Hospital clients who understand both the risks and benefits of taking a drugs are
b b b b b b b b b b b b b b b
morelikely tocomply with the drugs regimen.
b b b b b b b
POINTS: 1 b
,MULTIPLE RESPONSE
b
1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
b b b b b b b b b b b b b b
a. Irreversible action b
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
b b b
ACCURATE ANSWER:- B, C, D b b b b
Reasoning :->>>>The ‘Big Three’ properties of the ideal drugs are
b b b b b b b b b
beffectiveness, safety, andselectivity.POINTS: 1
b b b b
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
b b b b b b b b b b b b b b
individualhospital client variability might affect the hospital client’s response to the drugs?
b b b b b b b b b b b b
(Select allthat apply.)
b b b b
a. Chemical stability of the drugs b b b b
b. Ease of administration
b b
c. Family medical history b b
d. Hospital client’s age b b
e. Hospital client’s diagnosis b b
ACCURATE ANSWER:- C, D, E b b b b
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
b b b b b b b b b b b b
hospital client’s response to adrugs. Hospital clients of different ages can respond differently
b b b b b b b b b b b b b b
to drugs. The hospital client’s illness can affect how drugs are metabolized. The chemical
b b b b b b b b b b b b b b
stability of the drugs and the ease of administration are properties of drugs.
b b b b b b b b b b b b b
POINTS: 1 b
, CH 02: Application of Pharmacology in Nursing Practice
b b b b b b b
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
b b b b b b b b
MULTIPLE CHOICE b
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
b b b b b b b b b b b b b
labelinstructs the hospital client to administer “2 puffs every 4 hours as needed for coughing
b b b b b b b b b b b b b b b b
or wheezing.”The hospital client reports feeling jittery sometimes when taking the drugs,
b b b b b b b b b b b b b
and doesn’t feel that the drugs is always effective. Which action is outside the nursing
b b b b b b b b b b b b b b b
attendant’s scope of practice?
b b b b
a. Asking the hospital client to demonstrate the use of the inhaler
b b b b b b b b b b
b. Assessing the hospital client’s exposure to tobacco smoke b b b b b b b
c. Auscultating lung sounds and obtaining vital signs b b b b b b
d. Suggesting that the hospital client use 1 puff to reduce side effects b b b b b b b b b b b
ACCURATE ANSWER:- D b b
Reasoning :->>>>It is not within the nursing attendant’s scope of practice to change the
b b b b b b b b b b b b b
dose of a drugs without an orderfrom a prescriber. Asking the hospital client to demonstrate
b b b b b b b b b b b b b b b
inhaler use helps the nursing attendant to evaluate the hospital client’s ability to administer
b b b b b b b b b b b b b b
the drugs properly and ispart of the nursing attendant’s evaluation.
b b b b b b b b b b b
Assessing tobacco smoke exposure helps the nursing attendant determine whether nondrugs
b b b b b b b b b b
therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy. Performing
b b b b b b b b b b b b b b
a physical assessment helps the nursing attendant evaluate the hospital client’sresponse to
b b b b b b b b b b b b b
the drugs.
b b
POINTS: 1 b
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
b b b b b b b b b
[Norco] forpain. The hospital client asks the nursing attendant about using Tylenol for fever.
b b b b b b b b b b b b b b b
Which statement bythe nursing attendant is correct?
b b b b b b b b
a. “It is not safe to take over-the-counter drugs with prescription drugs.”
b b b b b b b b b b
b. “Taking the two drugs together poses a risk of drugs toxicity.”
b b b b b b b b b b
c. “There are no known drugs interactions, so this will be safe.”
b b b b b b b b b b
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
b b b b b b b b b b b b
ACCURATE ANSWER:- B b b
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
b b b b b b b b b b b b b
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
b b b b b b b b b b b b b b b b b b
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
b b b b b b b b b b b b
drugs may be taken together unless significant harmful drugs interactions are possible. Even
b b b b b b b b b b b b b
though no drugs interactions are at play in this case, both drugs contain acetaminophen, which
b b b b b b b b b b b b b b b
could lead to toxicity.
b b b b
POINTS: 1 b
3. The nursing attendant is preparing to care for a hospital client who will be taking an
b b b b b b b b b b b b b b b
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
b b b b b b b b b b b b b
of the nursing process?
b b b b
a. Asking the prescriber for an order to monitor serum drugs levels
b b b b b b b b b b
b. Monitoring the hospital client for drugs interactions after giving the drugs b b b b b b b b b b
c. Questioning the hospital client about over-the-counter drugs b b b b b b
d. Taking the hospital client’s blood pressure throughout the course of treatment
b b b b b b b b b b
ACCURATE ANSWER:- C b b
b b b b b
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
b b b b b b b
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE
b b b b
2024-2025 b
,CH 01: Orientation to Pharmacology
b b b b
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
b b b b b b b
MULTIPLE CHOICE b
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To
b b b b b b b b b b b b b b b b
dothis, the nursing attendantwill rely on knowledge of which topic?
b b b b b b b b b b b
a. Clinical pharmacology b
b. Drugs efficacy b
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D b b
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat,
b b b b b b b b b b b b b
band prevent conditions.Clinical pharmacology is concerned with all aspects of drugs-
b b b b b b b b b b
human interactions. Drugs efficacy measures the extent to which a given drugs causes an
b b b b b b b b b b b b b
intended effect. Pharmacokinetics is the study of the impact of the body on a drugs.
b b b b b b b b b b b b b b b
POINTS: 1 b
2. What is a desired outcome when a drugs is described as easy to administer?
b b b b b b b b b b b b b
a. It can be stored indefinitely without need for refrigeration.
b b b b b b b b
b. It does not interact significantly with other drugs.
b b b b b b b
c. It enhances hospital client adherence to the drugs regimen.
b b b b b b b b
d. It is usually relatively inexpensive to produce.
b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital clients
b b b b b b b b b b b b b b
taking them are more likely tocomply with the drugs regimen. Drugs that are easy to give
b b b b b b b b b b b b b b b b
may have the other attributes listed, but those properties are independent of ease of
b b b b b b b b b b b b b b
administration.
b
POINTS: 1 b
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may cause
b b b b b b b b b b b b b b b
drowsiness and willdecrease pain up to 4 hours at a time. Based on this understanding of the
b b b b b b b b b b b b b b b b b
drugs’s effects by thehospital client, the nursing attendant will anticipate which outcome?
b b b b b b b b b b b b
a. Decreased chance of having a placebo effect b b b b b b
b. Decreased motivation to take the drugs b b b b b
c. Improved compliance with the drugs regimen b b b b b
d. Increased likelihood of drugs overdose b b b b
ACCURATE ANSWER:- C b b
A drugs is effective if it produces the intended effects, even if it also produces side
b b b b b b b b b b b b b b b
effects. Hospital clients who understand both the risks and benefits of taking a drugs are
b b b b b b b b b b b b b b b
morelikely tocomply with the drugs regimen.
b b b b b b b
POINTS: 1 b
,MULTIPLE RESPONSE
b
1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
b b b b b b b b b b b b b b
a. Irreversible action b
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
b b b
ACCURATE ANSWER:- B, C, D b b b b
Reasoning :->>>>The ‘Big Three’ properties of the ideal drugs are
b b b b b b b b b
beffectiveness, safety, andselectivity.POINTS: 1
b b b b
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
b b b b b b b b b b b b b b
individualhospital client variability might affect the hospital client’s response to the drugs?
b b b b b b b b b b b b
(Select allthat apply.)
b b b b
a. Chemical stability of the drugs b b b b
b. Ease of administration
b b
c. Family medical history b b
d. Hospital client’s age b b
e. Hospital client’s diagnosis b b
ACCURATE ANSWER:- C, D, E b b b b
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
b b b b b b b b b b b b
hospital client’s response to adrugs. Hospital clients of different ages can respond differently
b b b b b b b b b b b b b b
to drugs. The hospital client’s illness can affect how drugs are metabolized. The chemical
b b b b b b b b b b b b b b
stability of the drugs and the ease of administration are properties of drugs.
b b b b b b b b b b b b b
POINTS: 1 b
, CH 02: Application of Pharmacology in Nursing Practice
b b b b b b b
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
b b b b b b b b
MULTIPLE CHOICE b
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
b b b b b b b b b b b b b
labelinstructs the hospital client to administer “2 puffs every 4 hours as needed for coughing
b b b b b b b b b b b b b b b b
or wheezing.”The hospital client reports feeling jittery sometimes when taking the drugs,
b b b b b b b b b b b b b
and doesn’t feel that the drugs is always effective. Which action is outside the nursing
b b b b b b b b b b b b b b b
attendant’s scope of practice?
b b b b
a. Asking the hospital client to demonstrate the use of the inhaler
b b b b b b b b b b
b. Assessing the hospital client’s exposure to tobacco smoke b b b b b b b
c. Auscultating lung sounds and obtaining vital signs b b b b b b
d. Suggesting that the hospital client use 1 puff to reduce side effects b b b b b b b b b b b
ACCURATE ANSWER:- D b b
Reasoning :->>>>It is not within the nursing attendant’s scope of practice to change the
b b b b b b b b b b b b b
dose of a drugs without an orderfrom a prescriber. Asking the hospital client to demonstrate
b b b b b b b b b b b b b b b
inhaler use helps the nursing attendant to evaluate the hospital client’s ability to administer
b b b b b b b b b b b b b b
the drugs properly and ispart of the nursing attendant’s evaluation.
b b b b b b b b b b b
Assessing tobacco smoke exposure helps the nursing attendant determine whether nondrugs
b b b b b b b b b b
therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy. Performing
b b b b b b b b b b b b b b
a physical assessment helps the nursing attendant evaluate the hospital client’sresponse to
b b b b b b b b b b b b b
the drugs.
b b
POINTS: 1 b
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
b b b b b b b b b
[Norco] forpain. The hospital client asks the nursing attendant about using Tylenol for fever.
b b b b b b b b b b b b b b b
Which statement bythe nursing attendant is correct?
b b b b b b b b
a. “It is not safe to take over-the-counter drugs with prescription drugs.”
b b b b b b b b b b
b. “Taking the two drugs together poses a risk of drugs toxicity.”
b b b b b b b b b b
c. “There are no known drugs interactions, so this will be safe.”
b b b b b b b b b b
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
b b b b b b b b b b b b
ACCURATE ANSWER:- B b b
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
b b b b b b b b b b b b b
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
b b b b b b b b b b b b b b b b b b
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
b b b b b b b b b b b b
drugs may be taken together unless significant harmful drugs interactions are possible. Even
b b b b b b b b b b b b b
though no drugs interactions are at play in this case, both drugs contain acetaminophen, which
b b b b b b b b b b b b b b b
could lead to toxicity.
b b b b
POINTS: 1 b
3. The nursing attendant is preparing to care for a hospital client who will be taking an
b b b b b b b b b b b b b b b
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
b b b b b b b b b b b b b
of the nursing process?
b b b b
a. Asking the prescriber for an order to monitor serum drugs levels
b b b b b b b b b b
b. Monitoring the hospital client for drugs interactions after giving the drugs b b b b b b b b b b
c. Questioning the hospital client about over-the-counter drugs b b b b b b
d. Taking the hospital client’s blood pressure throughout the course of treatment
b b b b b b b b b b
ACCURATE ANSWER:- C b b
