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
1. Case Study – Recognizing Safe Medication Administration
A 68-year-old patient with hypertension and type 2 diabetes is
admitted for pneumonia.
Current medications:
• Metformin 500 mg BID
• Lisinopril 10 mg daily
• Furosemide 20 mg daily
,A provider prescribes a new medication.
Which nursing action best reflects safe pharmacologic practice
before administering the medication?
A. Administer the medication immediately
B. Review the patient's medication history and allergies
C. Document administration after giving the drug
D. Ask another nurse to administer the drug
Correct Answer: B
Rationale:
Reviewing medication history and allergies is essential to
identify potential drug interactions, contraindications, and
hypersensitivity risks before administering medications.
CJMM Phase:
Recognize Cues / Take Action
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
2. Case Study – Analyzing Pharmacokinetic Factors
The patient from Question 1 reports dizziness after receiving a
newly prescribed antihypertensive medication.
Which pharmacokinetic concept most likely explains the
patient's response?
,A. Drug metabolism variability
B. Drug bioavailability
C. Drug tolerance
D. Placebo effect
Correct Answer: A
Rationale:
Variations in hepatic metabolism can alter plasma drug
concentrations, leading to exaggerated drug responses,
especially in older adults.
CJMM Phase:
Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
3. Case Study – Evaluating Therapeutic Outcomes
After adjusting the medication dose, the patient reports
improvement and blood pressure stabilizes.
Which finding indicates a therapeutic drug response?
A. Increased dizziness
B. Stable blood pressure readings
C. Elevated liver enzymes
D. New rash development
Correct Answer: B
, Rationale:
The desired therapeutic outcome of antihypertensive therapy is
controlled blood pressure without adverse effects.
CJMM Phase:
Evaluate Outcomes
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
UNFOLDING CASE STUDY SET 2 (Questions 4–6)
4. Case Study
A 45-year-old patient is prescribed a new antibiotic.
The nurse notes the patient previously developed hives after
penicillin.
What should the nurse do first?
A. Administer medication with antihistamine
B. Notify the provider of the allergy history
C. Document the allergy only
D. Administer the medication slowly
Correct Answer: B
Rationale:
Prior hypersensitivity increases risk for serious allergic
reactions, requiring provider clarification before administration.
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
1. Case Study – Recognizing Safe Medication Administration
A 68-year-old patient with hypertension and type 2 diabetes is
admitted for pneumonia.
Current medications:
• Metformin 500 mg BID
• Lisinopril 10 mg daily
• Furosemide 20 mg daily
,A provider prescribes a new medication.
Which nursing action best reflects safe pharmacologic practice
before administering the medication?
A. Administer the medication immediately
B. Review the patient's medication history and allergies
C. Document administration after giving the drug
D. Ask another nurse to administer the drug
Correct Answer: B
Rationale:
Reviewing medication history and allergies is essential to
identify potential drug interactions, contraindications, and
hypersensitivity risks before administering medications.
CJMM Phase:
Recognize Cues / Take Action
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
2. Case Study – Analyzing Pharmacokinetic Factors
The patient from Question 1 reports dizziness after receiving a
newly prescribed antihypertensive medication.
Which pharmacokinetic concept most likely explains the
patient's response?
,A. Drug metabolism variability
B. Drug bioavailability
C. Drug tolerance
D. Placebo effect
Correct Answer: A
Rationale:
Variations in hepatic metabolism can alter plasma drug
concentrations, leading to exaggerated drug responses,
especially in older adults.
CJMM Phase:
Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
3. Case Study – Evaluating Therapeutic Outcomes
After adjusting the medication dose, the patient reports
improvement and blood pressure stabilizes.
Which finding indicates a therapeutic drug response?
A. Increased dizziness
B. Stable blood pressure readings
C. Elevated liver enzymes
D. New rash development
Correct Answer: B
, Rationale:
The desired therapeutic outcome of antihypertensive therapy is
controlled blood pressure without adverse effects.
CJMM Phase:
Evaluate Outcomes
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
UNFOLDING CASE STUDY SET 2 (Questions 4–6)
4. Case Study
A 45-year-old patient is prescribed a new antibiotic.
The nurse notes the patient previously developed hives after
penicillin.
What should the nurse do first?
A. Administer medication with antihistamine
B. Notify the provider of the allergy history
C. Document the allergy only
D. Administer the medication slowly
Correct Answer: B
Rationale:
Prior hypersensitivity increases risk for serious allergic
reactions, requiring provider clarification before administration.
