Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
Chapter 1: Orientation to Pharmacology T
rv rv rv rv rv
est Bank
rv
MULTIPLE CHOICE rv
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e nurse will rely on knowledge of:
rv rv rv rv rv rv
a. clinical pharmacology. rv
b. drug efficacy. rv
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D rv
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditi rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ons. Clinical pharmacology is concerned with all aspects of drug–
rv rv rv rv rv rv rv rv rv
human interactions. Drug efficacy measures the extent to which a given drug causes an inte
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
nded effect. rv
Pharmacokinetics is the study of the impact of the body on a drug. rv rv rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Four Basic Terms TOP: Nursing Process: Implementa
rv rv rv rv r v rv rv
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. What does it mean when a drug is described as easy to administer?
rv rv rv rv rv rv rv rv rv rv rv rv
a. It can be stored indefinitely without need for refrigeration.
rv rv rv rv rv rv rv rv
b. It does not interact significantly with other medications.
rv rv rv rv rv rv rv
c. It enhances patient adherence to the drug regimen.
rv rv rv rv rv rv rv
d. It is usually relatively inexpensive to produce.
rv rv rv rv rv rv
ANS: C rv
A major benefit of drugs that are easy to administer is that patients taking them are more like
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ly to comply with the drug regimen. Drugs that are easy to give may have the other attribute
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
s listed, but those properties are independent of ease of administration.
rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Additional Properties of an Ideal Drug: Ease of Administration TO
rv rv rv rv rv rv rv rv rv rv
P: Nursing Process: Assessment
r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking i
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
s very effective. Which statement by the patient demonstrates an understanding of the drug
rv rv rv rv rv rv rv rv rv rv rv rv rv
‘s effectiveness?
rv
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
cause an overdose.‖ rv rv
b. ―It has no side effects and doesn‘t interact with other drugs.‖
rv rv rv rv rv rv rv rv rv rv
c. ―I only have to take it every 12 hours.‖
rv rv rv rv rv rv rv rv
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+
rv rv rv
ANS: D rv
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
A drug is effective if it produces the intended effects, even if it also produces side effects. B
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ecause no drug is completely safe, the level of toxicity does not determine effectiveness. All d
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
rugs have side effects and many react with other substances; these do not affect the drug‘s ef
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
fectiveness. Ease of administration is independent of a drug‘s effectiveness.
rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
rv rv rv rv rv rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
MULTIPLE RESPONSE rv
1. What are the properties of an ideal drug? (Select all that apply.)
rv rv rv rv rv rv rv rv rv rv rv
a. Irreversible action rv
b. Predictability
c. Ease of administration rv rv
d. Chemical stability rv
e. A simple trade name rv rv rv
ANS: B, C, D rv rv rv
In addition to predictability, ease of administration, and chemical stability, other properties i
rv rv rv rv rv rv rv rv rv rv rv rv
nclude a reversible action so that any harm the drug may cause can be undone and a simple g
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
eneric name, because generic names are usually complex and difficult to remember and pro
rv rv rv rv rv rv rv rv rv rv rv rv rv
nounce.
DIF: Cognitive Level: Comprehension rv rv
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dru
rv rv rv rv rv rv rv rv rv rv rv rv
g TOP: Nursing Process: Assessment
rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. Before administering a medication, what does the nurse need to know to evaluate how
rv rv rv rv rv rv rv rv rv rv rv rv rv
individual patient variability might affect the patient‘s response to the medication? (Select all
rv rv rv rv rv rv rv rv rv rv rv rv
that apply.)
rv rv
a. Chemical stability of the medication rv rv rv rv
b. Ease of administration rv rv
c. Family medical history rv rv
d. Patient‘s age rv
e. Patient‘s diagnosis rv
ANS: C, D, E rv rv rv
The family medical history can indicate genetic factors that may affect a patient‘s response to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
a medication. Patients of different ages can respond differently to medications. The patient‘s
rv rv rv rv rv rv rv rv rv rv rv rv rv
illness can affect how drugs are metabolized. The chemical stability of the medication and th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e ease of administration are properties of drugs.
rv rv rv rv rv rv rv
DIF: Cognitive Level: Analysis rv rv
REF: Sources of Individual Variation TOP: Nursing Process: Implement
rv rv rv rv rv r v rv rv
ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
r v rv rv rv rv rv rv rv rv rv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
Chapter 2: Application of Pharmacology in Nursing Practice Te
rv rv rv rv rv rv rv rv
st Bank
rv
MULTIPLE CHOICE rv
1. A patient is using a metered-
rv rv rv rv rv
dose inhaler containing albuterol for asthma. The medication label instructs the patient to
rv rv rv rv rv rv rv rv rv rv rv rv r
vadminister ―2 puffs every 4 hours as needed for coughing or
rv rv rv rv rv rv rv rv rv rv
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and sh
rv rv rv rv rv rv rv rv rv rv rv rv
e doesn‘t feel that the medication is always effective. Which is not an appropriate nursing in
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
tervention for this patient? rv rv rv
a. Asking the patient to demonstrate use of the inhaler rv rv rv rv rv rv rv rv
b. Assessing the patient‘s exposure to tobacco smoke rv rv rv rv rv rv
c. Auscultating lung sounds and obtaining vital signs rv rv rv rv rv rv
d. Suggesting that the patient use one puff to reduce side effects rv rv rv rv rv rv rv rv rv rv
ANS: D rv
It is not within the nurse‘s scope of practice to change the dose of a medication without an o
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
rder from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug t
rv rv rv rv rv rv rv rv rv rv rv
herapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
physical assessment helps the nurse evaluate the patient‘s response to the medication.
rv rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Application rv rv
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and al
rv rv rv rv rv rv rv rv rv rv rv
l subsections under this heading]
rv TOP: Nursing Process: Implementation
rv rv rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
rv rv rv rv rv rv rv rv rv r
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
v rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
nurse is correct? rv rv
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
rv rv rv rv rv rv rv rv rv rv
b. ―Taking the two medications together poses a risk of drug toxicity.‖
rv rv rv rv rv rv rv rv rv rv
c. ―There are no known drug interactions, so this will be safe.‖
rv rv rv rv rv rv rv rv rv rv
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
rv rv rv rv rv rv rv rv rv rv rv rv
ANS: B rv
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv r
vis important to teach patients to be aware of the different names for the same drug to minimiz
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e the risk of overdose. Over-the-
rv rv rv rv rv
counter (OTC) medications and prescription medications may be taken together unless signifi
rv rv rv rv rv rv rv rv rv rv rv
cant harmful drug interactions are possible. Even though no drug interactions are at play in th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
is case, both drugs contain acetaminophen, which could lead to toxicity.
rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Application rv rv
REF: Application of Pharmacology in Patient Education: Dosage and Administration
rv rv rv rv rv rv rv rv rv
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
Chapter 1: Orientation to Pharmacology T
rv rv rv rv rv
est Bank
rv
MULTIPLE CHOICE rv
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e nurse will rely on knowledge of:
rv rv rv rv rv rv
a. clinical pharmacology. rv
b. drug efficacy. rv
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D rv
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditi rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ons. Clinical pharmacology is concerned with all aspects of drug–
rv rv rv rv rv rv rv rv rv
human interactions. Drug efficacy measures the extent to which a given drug causes an inte
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
nded effect. rv
Pharmacokinetics is the study of the impact of the body on a drug. rv rv rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Four Basic Terms TOP: Nursing Process: Implementa
rv rv rv rv r v rv rv
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. What does it mean when a drug is described as easy to administer?
rv rv rv rv rv rv rv rv rv rv rv rv
a. It can be stored indefinitely without need for refrigeration.
rv rv rv rv rv rv rv rv
b. It does not interact significantly with other medications.
rv rv rv rv rv rv rv
c. It enhances patient adherence to the drug regimen.
rv rv rv rv rv rv rv
d. It is usually relatively inexpensive to produce.
rv rv rv rv rv rv
ANS: C rv
A major benefit of drugs that are easy to administer is that patients taking them are more like
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ly to comply with the drug regimen. Drugs that are easy to give may have the other attribute
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
s listed, but those properties are independent of ease of administration.
rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Additional Properties of an Ideal Drug: Ease of Administration TO
rv rv rv rv rv rv rv rv rv rv
P: Nursing Process: Assessment
r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking i
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
s very effective. Which statement by the patient demonstrates an understanding of the drug
rv rv rv rv rv rv rv rv rv rv rv rv rv
‘s effectiveness?
rv
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
cause an overdose.‖ rv rv
b. ―It has no side effects and doesn‘t interact with other drugs.‖
rv rv rv rv rv rv rv rv rv rv
c. ―I only have to take it every 12 hours.‖
rv rv rv rv rv rv rv rv
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+
rv rv rv
ANS: D rv
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
A drug is effective if it produces the intended effects, even if it also produces side effects. B
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
ecause no drug is completely safe, the level of toxicity does not determine effectiveness. All d
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
rugs have side effects and many react with other substances; these do not affect the drug‘s ef
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
fectiveness. Ease of administration is independent of a drug‘s effectiveness.
rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Comprehension rv rv
REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation
rv rv rv rv rv rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
MULTIPLE RESPONSE rv
1. What are the properties of an ideal drug? (Select all that apply.)
rv rv rv rv rv rv rv rv rv rv rv
a. Irreversible action rv
b. Predictability
c. Ease of administration rv rv
d. Chemical stability rv
e. A simple trade name rv rv rv
ANS: B, C, D rv rv rv
In addition to predictability, ease of administration, and chemical stability, other properties i
rv rv rv rv rv rv rv rv rv rv rv rv
nclude a reversible action so that any harm the drug may cause can be undone and a simple g
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
eneric name, because generic names are usually complex and difficult to remember and pro
rv rv rv rv rv rv rv rv rv rv rv rv rv
nounce.
DIF: Cognitive Level: Comprehension rv rv
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Dru
rv rv rv rv rv rv rv rv rv rv rv rv
g TOP: Nursing Process: Assessment
rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. Before administering a medication, what does the nurse need to know to evaluate how
rv rv rv rv rv rv rv rv rv rv rv rv rv
individual patient variability might affect the patient‘s response to the medication? (Select all
rv rv rv rv rv rv rv rv rv rv rv rv
that apply.)
rv rv
a. Chemical stability of the medication rv rv rv rv
b. Ease of administration rv rv
c. Family medical history rv rv
d. Patient‘s age rv
e. Patient‘s diagnosis rv
ANS: C, D, E rv rv rv
The family medical history can indicate genetic factors that may affect a patient‘s response to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
a medication. Patients of different ages can respond differently to medications. The patient‘s
rv rv rv rv rv rv rv rv rv rv rv rv rv
illness can affect how drugs are metabolized. The chemical stability of the medication and th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e ease of administration are properties of drugs.
rv rv rv rv rv rv rv
DIF: Cognitive Level: Analysis rv rv
REF: Sources of Individual Variation TOP: Nursing Process: Implement
rv rv rv rv rv r v rv rv
ation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
r v rv rv rv rv rv rv rv rv rv
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Edit
rv rv rv rv rv rv rv rv
ion by Jacqueline Burchum, Laura Rosenthal Chapter 1-
rv rv rv rv rv rv rv
112|Complete Guide A+ rv rv rv
Chapter 2: Application of Pharmacology in Nursing Practice Te
rv rv rv rv rv rv rv rv
st Bank
rv
MULTIPLE CHOICE rv
1. A patient is using a metered-
rv rv rv rv rv
dose inhaler containing albuterol for asthma. The medication label instructs the patient to
rv rv rv rv rv rv rv rv rv rv rv rv r
vadminister ―2 puffs every 4 hours as needed for coughing or
rv rv rv rv rv rv rv rv rv rv
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and sh
rv rv rv rv rv rv rv rv rv rv rv rv
e doesn‘t feel that the medication is always effective. Which is not an appropriate nursing in
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
tervention for this patient? rv rv rv
a. Asking the patient to demonstrate use of the inhaler rv rv rv rv rv rv rv rv
b. Assessing the patient‘s exposure to tobacco smoke rv rv rv rv rv rv
c. Auscultating lung sounds and obtaining vital signs rv rv rv rv rv rv
d. Suggesting that the patient use one puff to reduce side effects rv rv rv rv rv rv rv rv rv rv
ANS: D rv
It is not within the nurse‘s scope of practice to change the dose of a medication without an o
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
rder from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug t
rv rv rv rv rv rv rv rv rv rv rv
herapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
physical assessment helps the nurse evaluate the patient‘s response to the medication.
rv rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Application rv rv
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and al
rv rv rv rv rv rv rv rv rv rv rv
l subsections under this heading]
rv TOP: Nursing Process: Implementation
rv rv rv r v rv rv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
r v rv rv rv rv rv rv rv rv rv
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
rv rv rv rv rv rv rv rv rv r
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
v rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
nurse is correct? rv rv
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
rv rv rv rv rv rv rv rv rv rv
b. ―Taking the two medications together poses a risk of drug toxicity.‖
rv rv rv rv rv rv rv rv rv rv
c. ―There are no known drug interactions, so this will be safe.‖
rv rv rv rv rv rv rv rv rv rv
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
rv rv rv rv rv rv rv rv rv rv rv rv
ANS: B rv
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv r
vis important to teach patients to be aware of the different names for the same drug to minimiz
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
e the risk of overdose. Over-the-
rv rv rv rv rv
counter (OTC) medications and prescription medications may be taken together unless signifi
rv rv rv rv rv rv rv rv rv rv rv
cant harmful drug interactions are possible. Even though no drug interactions are at play in th
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
is case, both drugs contain acetaminophen, which could lead to toxicity.
rv rv rv rv rv rv rv rv rv rv
DIF: Cognitive Level: Application rv rv
REF: Application of Pharmacology in Patient Education: Dosage and Administration
rv rv rv rv rv rv rv rv rv
