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 72-year-old patient with heart failure is admitted for
worsening edema and shortness of breath. The patient takes
several medications including a loop diuretic, ACE inhibitor, and
potassium supplement. The nurse reviews the medication
record before administering morning medications.
,Question 1
The nurse reviews the patient’s medication list before
administration. Which action best reflects the nurse’s role in
medication safety?
A. Administer medications as prescribed without questioning
the order
B. Verify medication indication, dose, and potential interactions
C. Rely on pharmacy verification alone
D. Administer medications only after the physician is present
Correct Answer: B
Rationale:
Nurses are responsible for verifying indications, dose
appropriateness, and potential interactions before
administering medications. Medication administration involves
critical thinking and clinical judgment.
CJMM Phase:
Recognize Cues / Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1:
Orientation to Pharmacology
Question 2
,The nurse notes the patient receives potassium supplements
and a potassium-sparing medication. What should the nurse do
first?
A. Administer both medications
B. Hold the potassium supplement and notify the provider
C. Double the potassium dose
D. Document the medications as refused
Correct Answer: B
Rationale:
Combination therapy that increases potassium may cause
hyperkalemia, requiring nurse recognition and provider
notification.
CJMM Phase:
Analyze Cues / Prioritize Hypotheses / Take Action
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 3
Which outcome indicates safe medication administration by
the nurse?
A. Medication given at convenient time
B. Medication given quickly to avoid delay
C. Medication given following the rights of medication
, administration
D. Medication given after patient requests
Correct Answer: C
Rationale:
Safe administration requires adherence to medication safety
principles including the rights of medication administration.
CJMM Phase:
Evaluate Outcomes
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
CASE STUDY SET 2
A 55-year-old patient newly diagnosed with hypertension is
prescribed an oral medication. The nurse provides medication
teaching before discharge.
Question 4
Which nursing responsibility is most important during patient
teaching?
A. Explain how to obtain refills
B. Provide information about drug purpose, dosing, and
adverse effects
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 72-year-old patient with heart failure is admitted for
worsening edema and shortness of breath. The patient takes
several medications including a loop diuretic, ACE inhibitor, and
potassium supplement. The nurse reviews the medication
record before administering morning medications.
,Question 1
The nurse reviews the patient’s medication list before
administration. Which action best reflects the nurse’s role in
medication safety?
A. Administer medications as prescribed without questioning
the order
B. Verify medication indication, dose, and potential interactions
C. Rely on pharmacy verification alone
D. Administer medications only after the physician is present
Correct Answer: B
Rationale:
Nurses are responsible for verifying indications, dose
appropriateness, and potential interactions before
administering medications. Medication administration involves
critical thinking and clinical judgment.
CJMM Phase:
Recognize Cues / Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1:
Orientation to Pharmacology
Question 2
,The nurse notes the patient receives potassium supplements
and a potassium-sparing medication. What should the nurse do
first?
A. Administer both medications
B. Hold the potassium supplement and notify the provider
C. Double the potassium dose
D. Document the medications as refused
Correct Answer: B
Rationale:
Combination therapy that increases potassium may cause
hyperkalemia, requiring nurse recognition and provider
notification.
CJMM Phase:
Analyze Cues / Prioritize Hypotheses / Take Action
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 3
Which outcome indicates safe medication administration by
the nurse?
A. Medication given at convenient time
B. Medication given quickly to avoid delay
C. Medication given following the rights of medication
, administration
D. Medication given after patient requests
Correct Answer: C
Rationale:
Safe administration requires adherence to medication safety
principles including the rights of medication administration.
CJMM Phase:
Evaluate Outcomes
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
CASE STUDY SET 2
A 55-year-old patient newly diagnosed with hypertension is
prescribed an oral medication. The nurse provides medication
teaching before discharge.
Question 4
Which nursing responsibility is most important during patient
teaching?
A. Explain how to obtain refills
B. Provide information about drug purpose, dosing, and
adverse effects
