ADVANCED PHARMACOLOGY
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely
on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. Clinical
pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy measures the
extent to which a given drug causes an intended effect. Pharmacokinetics is the study of the impact of
the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but those
properties are independent of ease of administration.
,A mpatient mtells mthe mnurse mthat mhe mwas mtold mby mthe mprescriber mthat mthe manalgesic mhe mis mtaking mis
mvery meffective. mWhich mstatement mby mthe mpatient mdemonstrates man munderstanding mof mthe mdrug's
meffectiveness? m
m
a. "I mdon't mhave mto mworry mabout mtoxicity, msince mit mtakes ma mlarge mamount mof mthis mdrug mto mcause man
moverdose." m
b. "It mhas mno mside meffects mand mdoesn't minteract mwith mother mdrugs." m
c. "I monly mhave mto mtake mit mevery m12 mhours." m
d. "It mmight mmake mme msleepy, mand mit mlessens mpain mfor mseveral mhours mat ma mtime." m- mCORRECT m
mANSWER m-ANS: mD m
m
A mdrug mis meffective mif mit mproduces mthe mintended meffects, meven mif mit malso mproduces mside meffects.
mBecause mno mdrug mis mcompletely msafe, mthe mlevel mof mtoxicity mdoes mnot mdetermine meffectiveness. mAll
mdrugs mhave mside meffects mand mmany mreact mwith mother msubstances; mthese mdo mnot maffect mthe mdrug's
meffectiveness. mEase mof madministration mis mindependent mof ma mdrug's meffectiveness. m
m
What mare mthe mproperties mof man mideal mdrug? m(Select mall mthat mapply.) m
m
a. Irreversible maction m
b. Predictability m
c. Ease mof madministration m
d. Chemical mstability m
e. A msimple mtrade mname m- mCORRECT m mANSWER m-ANS: mB, mC, mD m
m
In maddition mto mpredictability, mease mof madministration, mand mchemical mstability, mother mproperties
minclude ma mreversible maction mso mthat many mharm mthe mdrug mmay mcause mcan mbe mundone mand ma msimple
mgeneric mname, mbecause mgeneric mnames mare musually mcomplex mand mdifficult mto mremember mand
mpronounce. m
m
Before madministering ma mmedication, mwhat mdoes mthe mnurse mneed mto mknow mto mevaluate mhow
mindividual mpatient mvariability mmight maffect mthe mpatient's mresponse mto mthe mmedication? m(Select mall
mthat mapply.) m
,a. Chemical mstability mof mthe mmedication m
b. Ease mof madministration m
c. Family mmedical mhistory m
d. Patient's mage m
e. Patient's mdiagnosis m- mCORRECT m mANSWER m-ANS: mC, mD, mE m
m
The mfamily mmedical mhistory mcan mindicate mgenetic mfactors mthat mmay maffect ma mpatient's mresponse mto ma
mmedication. mPatients mof mdifferent mages mcan mrespond mdifferently mto mmedications. mThe mpatient's
millness mcan maffect mhow mdrugs mare mmetabolized. mThe mchemical mstability mof mthe mmedication mand mthe
mease mof madministration mare mproperties mof mdrugs. m
m
A mpatient mis musing ma mmetered-dose minhaler mcontaining malbuterol mfor masthma. mThe mmedication mlabel
minstructs mthe mpatient mto madminister m"2 mpuffs mevery m4 mhours mas mneeded mfor mcoughing mor mwheezing."
mThe mpatient mreports mfeeling mjittery msometimes mwhen mtaking mthe mmedication, mand mshe mdoesn't mfeel
mthat mthe mmedication mis malways meffective. mWhich mis mnot man mappropriate mnursing mintervention mfor mthis
mpatient? m
m
a. Asking mthe mpatient mto mdemonstrate muse mof mthe minhaler m
b. Assessing mthe mpatient's mexposure mto mtobacco msmoke m
c. Auscultating mlung msounds mand mobtaining mvital msigns m
d. Suggesting mthat mthe mpatient muse mone mpuff mto mreduce mside meffects m- mCORRECT m mANSWER m-ANS: mD m
m
It mis mnot mwithin mthe mnurse's mscope mof mpractice mto mchange mthe mdose mof ma mmedication mwithout man
morder mfrom ma mprescriber. mAsking mthe mpatient mto mdemonstrate minhaler muse mhelps mthe mnurse mto
mevaluate mthe mpatient's mability mto madminister mthe mmedication mproperly mand mis mpart mof mthe mnurse's
mevaluation. mAssessing mtobacco msmoke mexposure mhelps mthe mnurse mdetermine mwhether mnondrug
mtherapies, msuch ma msmoke mavoidance, mcan mbe mused mas man madjunct mto mdrug mtherapy. mPerforming ma
mphysical massessment mhelps mthe mnurse mevaluate mthe mpatient's mresponse mto mthe mmedication. m
m
A mpostoperative mpatient mis mbeing mdischarged mhome mwith macetaminophen/hydrocodone m(Lortab) mfor
mpain. mThe mpatient masks mthe mnurse mabout musing mTylenol mfor mfever. mWhich mstatement mby mthe mnurse mis
mcorrect? m
m
, a. "It mis mnot msafe mto mtake mover-the-counter mdrugs mwith mprescription mmedications." m
b. "Taking mthe mtwo mmedications mtogether mposes ma mrisk mof mdrug mtoxicity." m
c. "There mare mno mknown mdrug minteractions, mso mthis mwill mbe msafe." m
d. "Tylenol mand mLortab mare mdifferent mdrugs, mso mthere mis mno mrisk mof moverdose." m- mCORRECT m mANSWER
m-ANS: mB m
m
Tylenol mis mthe mtrade mname mand macetaminophen mis mthe mgeneric mname mfor mthe msame mmedication. mIt
mis mimportant mto mteach mpatients mto mbe maware mof mthe mdifferent mnames mfor mthe msame mdrug mto
mminimize mthe mrisk mof moverdose. mOver-the-counter m(OTC) mmedications mand mprescription mmedications
mmay mbe mtaken mtogether munless msignificant mharmful mdrug minteractions mare mpossible. mEven mthough mno
mdrug minteractions mare mat mplay min mthis mcase, mboth mdrugs mcontain macetaminophen, mwhich mcould mlead
mto mtoxicity. m
m
The mnurse mis mpreparing mto mcare mfor ma mpatient mwho mwill mbe mtaking man mantihypertensive mmedication.
mWhich maction mby mthe mnurse mis mpart mof mthe massessment mstep mof mthe mnursing mprocess? m
m
a. Asking mthe mprescriber mfor man morder mto mmonitor mserum mdrug mlevels m
b. Monitoring mthe mpatient mfor mdrug minteractions mafter mgiving mthe mmedication m
c. Questioning mthe mpatient mabout mover-the-counter mmedications m
d. Taking mthe mpatient's mblood mpressure mthroughout mthe mcourse mof mtreatment m- mCORRECT m mANSWER m-
ANS: mC m
m
The massessment mpart mof mthe mnursing mprocess minvolves mgathering minformation mbefore mbeginning
mtreatment, mand mthis mincludes masking mabout mother mmedications mthe mpatient mmay mbe mtaking.
mMonitoring mserum mdrug mlevels, mwatching mfor mdrug minteractions, mand mchecking mvital msigns mafter
mgiving mthe mmedication mare mall mpart mof mthe mevaluation mphase. m
m
A mpostoperative mpatient mreports mpain, mwhich mthe mpatient mrates mas man m8 mon ma mscale mfrom m1 mto m10
m(10 mbeing mthe mmost mextreme mpain). mThe mprescriber mhas mordered macetaminophen m(Tylenol) m650 mmg
mPO mevery m6 mhours mPRN mpain. mWhat mwill mthe mnurse mdo? m
a. Ask mthe mpatient mwhat mmedications mhave mhelped mwith mpain min mthe mpast. m
b. Contact mthe mprovider mto mrequest ma mdifferent manalgesic mmedication. m
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely
on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. Clinical
pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy measures the
extent to which a given drug causes an intended effect. Pharmacokinetics is the study of the impact of
the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but those
properties are independent of ease of administration.
,A mpatient mtells mthe mnurse mthat mhe mwas mtold mby mthe mprescriber mthat mthe manalgesic mhe mis mtaking mis
mvery meffective. mWhich mstatement mby mthe mpatient mdemonstrates man munderstanding mof mthe mdrug's
meffectiveness? m
m
a. "I mdon't mhave mto mworry mabout mtoxicity, msince mit mtakes ma mlarge mamount mof mthis mdrug mto mcause man
moverdose." m
b. "It mhas mno mside meffects mand mdoesn't minteract mwith mother mdrugs." m
c. "I monly mhave mto mtake mit mevery m12 mhours." m
d. "It mmight mmake mme msleepy, mand mit mlessens mpain mfor mseveral mhours mat ma mtime." m- mCORRECT m
mANSWER m-ANS: mD m
m
A mdrug mis meffective mif mit mproduces mthe mintended meffects, meven mif mit malso mproduces mside meffects.
mBecause mno mdrug mis mcompletely msafe, mthe mlevel mof mtoxicity mdoes mnot mdetermine meffectiveness. mAll
mdrugs mhave mside meffects mand mmany mreact mwith mother msubstances; mthese mdo mnot maffect mthe mdrug's
meffectiveness. mEase mof madministration mis mindependent mof ma mdrug's meffectiveness. m
m
What mare mthe mproperties mof man mideal mdrug? m(Select mall mthat mapply.) m
m
a. Irreversible maction m
b. Predictability m
c. Ease mof madministration m
d. Chemical mstability m
e. A msimple mtrade mname m- mCORRECT m mANSWER m-ANS: mB, mC, mD m
m
In maddition mto mpredictability, mease mof madministration, mand mchemical mstability, mother mproperties
minclude ma mreversible maction mso mthat many mharm mthe mdrug mmay mcause mcan mbe mundone mand ma msimple
mgeneric mname, mbecause mgeneric mnames mare musually mcomplex mand mdifficult mto mremember mand
mpronounce. m
m
Before madministering ma mmedication, mwhat mdoes mthe mnurse mneed mto mknow mto mevaluate mhow
mindividual mpatient mvariability mmight maffect mthe mpatient's mresponse mto mthe mmedication? m(Select mall
mthat mapply.) m
,a. Chemical mstability mof mthe mmedication m
b. Ease mof madministration m
c. Family mmedical mhistory m
d. Patient's mage m
e. Patient's mdiagnosis m- mCORRECT m mANSWER m-ANS: mC, mD, mE m
m
The mfamily mmedical mhistory mcan mindicate mgenetic mfactors mthat mmay maffect ma mpatient's mresponse mto ma
mmedication. mPatients mof mdifferent mages mcan mrespond mdifferently mto mmedications. mThe mpatient's
millness mcan maffect mhow mdrugs mare mmetabolized. mThe mchemical mstability mof mthe mmedication mand mthe
mease mof madministration mare mproperties mof mdrugs. m
m
A mpatient mis musing ma mmetered-dose minhaler mcontaining malbuterol mfor masthma. mThe mmedication mlabel
minstructs mthe mpatient mto madminister m"2 mpuffs mevery m4 mhours mas mneeded mfor mcoughing mor mwheezing."
mThe mpatient mreports mfeeling mjittery msometimes mwhen mtaking mthe mmedication, mand mshe mdoesn't mfeel
mthat mthe mmedication mis malways meffective. mWhich mis mnot man mappropriate mnursing mintervention mfor mthis
mpatient? m
m
a. Asking mthe mpatient mto mdemonstrate muse mof mthe minhaler m
b. Assessing mthe mpatient's mexposure mto mtobacco msmoke m
c. Auscultating mlung msounds mand mobtaining mvital msigns m
d. Suggesting mthat mthe mpatient muse mone mpuff mto mreduce mside meffects m- mCORRECT m mANSWER m-ANS: mD m
m
It mis mnot mwithin mthe mnurse's mscope mof mpractice mto mchange mthe mdose mof ma mmedication mwithout man
morder mfrom ma mprescriber. mAsking mthe mpatient mto mdemonstrate minhaler muse mhelps mthe mnurse mto
mevaluate mthe mpatient's mability mto madminister mthe mmedication mproperly mand mis mpart mof mthe mnurse's
mevaluation. mAssessing mtobacco msmoke mexposure mhelps mthe mnurse mdetermine mwhether mnondrug
mtherapies, msuch ma msmoke mavoidance, mcan mbe mused mas man madjunct mto mdrug mtherapy. mPerforming ma
mphysical massessment mhelps mthe mnurse mevaluate mthe mpatient's mresponse mto mthe mmedication. m
m
A mpostoperative mpatient mis mbeing mdischarged mhome mwith macetaminophen/hydrocodone m(Lortab) mfor
mpain. mThe mpatient masks mthe mnurse mabout musing mTylenol mfor mfever. mWhich mstatement mby mthe mnurse mis
mcorrect? m
m
, a. "It mis mnot msafe mto mtake mover-the-counter mdrugs mwith mprescription mmedications." m
b. "Taking mthe mtwo mmedications mtogether mposes ma mrisk mof mdrug mtoxicity." m
c. "There mare mno mknown mdrug minteractions, mso mthis mwill mbe msafe." m
d. "Tylenol mand mLortab mare mdifferent mdrugs, mso mthere mis mno mrisk mof moverdose." m- mCORRECT m mANSWER
m-ANS: mB m
m
Tylenol mis mthe mtrade mname mand macetaminophen mis mthe mgeneric mname mfor mthe msame mmedication. mIt
mis mimportant mto mteach mpatients mto mbe maware mof mthe mdifferent mnames mfor mthe msame mdrug mto
mminimize mthe mrisk mof moverdose. mOver-the-counter m(OTC) mmedications mand mprescription mmedications
mmay mbe mtaken mtogether munless msignificant mharmful mdrug minteractions mare mpossible. mEven mthough mno
mdrug minteractions mare mat mplay min mthis mcase, mboth mdrugs mcontain macetaminophen, mwhich mcould mlead
mto mtoxicity. m
m
The mnurse mis mpreparing mto mcare mfor ma mpatient mwho mwill mbe mtaking man mantihypertensive mmedication.
mWhich maction mby mthe mnurse mis mpart mof mthe massessment mstep mof mthe mnursing mprocess? m
m
a. Asking mthe mprescriber mfor man morder mto mmonitor mserum mdrug mlevels m
b. Monitoring mthe mpatient mfor mdrug minteractions mafter mgiving mthe mmedication m
c. Questioning mthe mpatient mabout mover-the-counter mmedications m
d. Taking mthe mpatient's mblood mpressure mthroughout mthe mcourse mof mtreatment m- mCORRECT m mANSWER m-
ANS: mC m
m
The massessment mpart mof mthe mnursing mprocess minvolves mgathering minformation mbefore mbeginning
mtreatment, mand mthis mincludes masking mabout mother mmedications mthe mpatient mmay mbe mtaking.
mMonitoring mserum mdrug mlevels, mwatching mfor mdrug minteractions, mand mchecking mvital msigns mafter
mgiving mthe mmedication mare mall mpart mof mthe mevaluation mphase. m
m
A mpostoperative mpatient mreports mpain, mwhich mthe mpatient mrates mas man m8 mon ma mscale mfrom m1 mto m10
m(10 mbeing mthe mmost mextreme mpain). mThe mprescriber mhas mordered macetaminophen m(Tylenol) m650 mmg
mPO mevery m6 mhours mPRN mpain. mWhat mwill mthe mnurse mdo? m
a. Ask mthe mpatient mwhat mmedications mhave mhelped mwith mpain min mthe mpast. m
b. Contact mthe mprovider mto mrequest ma mdifferent manalgesic mmedication. m
