Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
, QUESTION 1 (MCQ)
Scenario
A nurse administers oral morphine to a postoperative patient.
The patient reports pain relief within 30 minutes.
Question
Which pharmacokinetic process explains the onset of pain
relief?
A. Distribution
B. Absorption
C. Metabolism
D. Excretion
Correct Answer: B. Absorption
Rationale
Absorption refers to the movement of a drug from the site of
administration into systemic circulation. Oral morphine must be
absorbed through the GI tract before exerting its pharmacologic
effect.
• Onset depends on absorption rate
• Influenced by blood flow, GI motility
Distractor Analysis
, • A: Distribution occurs after absorption → misconception:
onset linked to tissue spread
• C: Metabolism occurs later in liver → not responsible for
onset
• D: Excretion removes drug → not related to effect
initiation
Nursing Process
• Primary: Assessment
• Others: Planning (dose timing), Implementation (route),
Evaluation (pain relief)
NCJMM
Recognize Cues → Analyze Cues
Difficulty: Easy
Bloom’s: Understand
NCLEX Category: Pharmacological Therapies
Learning Objective: Identify pharmacokinetic phases affecting
onset
QUESTION 2 (SATA)
Scenario
, A nurse prepares to administer a high-alert medication
(heparin).
Question
Which safety actions should the nurse perform? (Select all that
apply)
A. Verify dosage with another nurse
B. Use infusion pump
C. Skip double-check if experienced
D. Monitor aPTT levels
E. Document after administration
Correct Answers: A, B, D, E
Rationale
• High-alert meds require strict safety protocols
• Double-checking prevents dosing errors
• Monitoring ensures therapeutic effect
Distractor
• C: Unsafe → overconfidence leads to errors
Nursing Process
• Primary: Implementation
• Assessment (labs), Evaluation (bleeding)
NCJMM
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
, QUESTION 1 (MCQ)
Scenario
A nurse administers oral morphine to a postoperative patient.
The patient reports pain relief within 30 minutes.
Question
Which pharmacokinetic process explains the onset of pain
relief?
A. Distribution
B. Absorption
C. Metabolism
D. Excretion
Correct Answer: B. Absorption
Rationale
Absorption refers to the movement of a drug from the site of
administration into systemic circulation. Oral morphine must be
absorbed through the GI tract before exerting its pharmacologic
effect.
• Onset depends on absorption rate
• Influenced by blood flow, GI motility
Distractor Analysis
, • A: Distribution occurs after absorption → misconception:
onset linked to tissue spread
• C: Metabolism occurs later in liver → not responsible for
onset
• D: Excretion removes drug → not related to effect
initiation
Nursing Process
• Primary: Assessment
• Others: Planning (dose timing), Implementation (route),
Evaluation (pain relief)
NCJMM
Recognize Cues → Analyze Cues
Difficulty: Easy
Bloom’s: Understand
NCLEX Category: Pharmacological Therapies
Learning Objective: Identify pharmacokinetic phases affecting
onset
QUESTION 2 (SATA)
Scenario
, A nurse prepares to administer a high-alert medication
(heparin).
Question
Which safety actions should the nurse perform? (Select all that
apply)
A. Verify dosage with another nurse
B. Use infusion pump
C. Skip double-check if experienced
D. Monitor aPTT levels
E. Document after administration
Correct Answers: A, B, D, E
Rationale
• High-alert meds require strict safety protocols
• Double-checking prevents dosing errors
• Monitoring ensures therapeutic effect
Distractor
• C: Unsafe → overconfidence leads to errors
Nursing Process
• Primary: Implementation
• Assessment (labs), Evaluation (bleeding)
NCJMM
