Lehne's Pharmacology for Nursing Care -
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
A 68-year-old patient with hypertension is prescribed lisinopril.
The nurse reviews the patient’s medication list which includes
ibuprofen and hydrochlorothiazide.
Recent labs:
• K⁺: 5.3 mEq/L
• Creatinine: 1.8 mg/dL
• BP: 168/92
,Question 1
Which data should the nurse recognize as cues requiring
further assessment before administering lisinopril?
(Select all that apply.)
A. Potassium 5.3 mEq/L
B. Creatinine 1.8 mg/dL
C. Use of ibuprofen
D. BP 168/92
E. Hydrochlorothiazide therapy
Correct Answers: A, B, C
Rationale:
ACE inhibitors can increase potassium and affect renal function.
Elevated potassium, impaired kidney function, and concurrent
NSAID use increase risk for renal complications.
CJMM Phase: Recognize Cues / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 2
Which hypothesis should the nurse prioritize based on the
findings?
,A. Risk for ACE inhibitor–induced hyperkalemia
B. Risk for hypotension
C. Risk for respiratory depression
D. Risk for hepatic toxicity
Correct Answer: A
Rationale:
Elevated potassium combined with ACE inhibitor therapy places
the patient at risk for worsening hyperkalemia.
CJMM Phase: Prioritize Hypotheses
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 3
Which nursing action is most appropriate?
A. Administer medication as prescribed
B. Hold the medication and notify the provider
C. Double the dose due to high BP
D. Administer with potassium supplement
Correct Answer: B
Rationale:
The nurse should hold the medication and consult the provider
because of hyperkalemia risk and renal impairment.
CJMM Phase: Take Action
, Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
CASE STUDY 2 (Items 4–6)
A 42-year-old patient is prescribed a new medication for
anxiety. The nurse explains pharmacokinetics and
pharmacodynamics.
Question 4
Which statement by the patient indicates understanding of
pharmacokinetics?
A. “It describes what the drug does to my body.”
B. “It explains how my body absorbs and eliminates the drug.”
C. “It explains why drugs interact.”
D. “It predicts allergic reactions.”
Correct Answer: B
Rationale:
Pharmacokinetics describes absorption, distribution,
metabolism, and excretion (ADME).
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
A 68-year-old patient with hypertension is prescribed lisinopril.
The nurse reviews the patient’s medication list which includes
ibuprofen and hydrochlorothiazide.
Recent labs:
• K⁺: 5.3 mEq/L
• Creatinine: 1.8 mg/dL
• BP: 168/92
,Question 1
Which data should the nurse recognize as cues requiring
further assessment before administering lisinopril?
(Select all that apply.)
A. Potassium 5.3 mEq/L
B. Creatinine 1.8 mg/dL
C. Use of ibuprofen
D. BP 168/92
E. Hydrochlorothiazide therapy
Correct Answers: A, B, C
Rationale:
ACE inhibitors can increase potassium and affect renal function.
Elevated potassium, impaired kidney function, and concurrent
NSAID use increase risk for renal complications.
CJMM Phase: Recognize Cues / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 2
Which hypothesis should the nurse prioritize based on the
findings?
,A. Risk for ACE inhibitor–induced hyperkalemia
B. Risk for hypotension
C. Risk for respiratory depression
D. Risk for hepatic toxicity
Correct Answer: A
Rationale:
Elevated potassium combined with ACE inhibitor therapy places
the patient at risk for worsening hyperkalemia.
CJMM Phase: Prioritize Hypotheses
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 3
Which nursing action is most appropriate?
A. Administer medication as prescribed
B. Hold the medication and notify the provider
C. Double the dose due to high BP
D. Administer with potassium supplement
Correct Answer: B
Rationale:
The nurse should hold the medication and consult the provider
because of hyperkalemia risk and renal impairment.
CJMM Phase: Take Action
, Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
CASE STUDY 2 (Items 4–6)
A 42-year-old patient is prescribed a new medication for
anxiety. The nurse explains pharmacokinetics and
pharmacodynamics.
Question 4
Which statement by the patient indicates understanding of
pharmacokinetics?
A. “It describes what the drug does to my body.”
B. “It explains how my body absorbs and eliminates the drug.”
C. “It explains why drugs interact.”
D. “It predicts allergic reactions.”
Correct Answer: B
Rationale:
Pharmacokinetics describes absorption, distribution,
metabolism, and excretion (ADME).
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
