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