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1
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
complete Test Bank for Lehne's
Pharmacology for Nursing Care by
Jacqueline Burchum and Laura
Rosenthal. This latest updated test bank
includes comprehensive pharmacology
exam questions with verified correct
answers for all chapters.
1. 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.
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.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. 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.
ANS: C
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2
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
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.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very effective.
Which statement by the patient demonstrates an understanding of the drug’s effectiveness?
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to cause an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no drug is
completely safe, the level of toxicity does not determine effectiveness. All drugs have side effects and many
react with other substances; these do not affect the drug’s effectiveness. Ease of administration is independent of
a drug’s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties include a reversible
action so that any harm the drug may cause can be undone and a simple generic name, because generic names
are usually complex and difficult to remember and pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how individual patient
variability might affect the patient’s response to the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
ANS: C, D, E
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3
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
The family medical history can indicate genetic factors that may affect a patient’s response to a medication.
Patients of different ages can respond differently to medications. The patient’s illness can affect how drugs are
metabolized. The chemical stability of the medication and the ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the
patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.” The patient reports feeling
jittery sometimes when taking the medication, and she doesn’t feel that the medication is always effective.
Which is not an appropriate nursing intervention for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use one puff to reduce side effects
ANS: D
It is not within the nurse’s scope of practice to change the dose of a medication without an order from a
prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient’s ability to
administer the medication properly and is part of the nurse’s evaluation. Assessing tobacco smoke exposure
helps the nurse determine whether nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug
therapy. Performing a physical assessment helps the nurse evaluate the patient’s response to the medication.
DIF: Cognitive Level: Application
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all subsections under this heading]
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab) for pain. The patient
asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
b. “Taking the two medications together poses a risk of drug toxicity.”
c. “There are no known drug interactions, so this will be safe.”
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is important to
teach patients to be aware of the different names for the same drug to minimize the risk of overdose. Over-the-
counter (OTC) medications and prescription medications may be taken together unless significant harmful drug
interactions are possible. Even though no drug interactions are at play in this case, both drugs contain
acetaminophen, which could lead to toxicity.
DIF: Cognitive Level: Application
REF: Application of Pharmacology in Patient Education: Dosage and Administration
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
3. The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
Which action by the nurse is part of the assessment step of the nursing process? a. Asking the
prescriber for an order to monitor serum drug levels
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@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
b. Monitoring the patient for drug interactions after giving the medication
c. Questioning the patient about over-the-counter medications
d. Taking the patient’s blood pressure throughout the course of treatment
ANS: C
The assessment part of the nursing process involves gathering information before beginning treatment, and this
includes asking about other medications the patient may be taking. Monitoring serum drug levels, watching for
drug interactions, and checking vital signs after giving the medication are all part of the evaluation phase.
DIF: Cognitive Level: Application REF: Preadministration Assessment
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10 (10 being the most
extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650 mg PO every 6 hours PRN pain. What
will the nurse do?
a. Ask the patient what medications have helped with pain in the past.
b. Contact the provider to request a different analgesic medication.
c. Give the pain medication and reposition the patient to promote comfort.
d. Request an order to administer the medication every 4 hours.
ANS: B
The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to moderate pain, so the
nurse should ask the prescriber to order a stronger analgesic medication. Asking the patient to tell the nurse what
has helped in the past is a part of an initial assessment and should be done preoperatively and not when the
patient is having severe pain. Because the patient is having severe pain, acetaminophen combined with nondrug
therapies will not be sufficient. Increasing the frequency of the dose of a medication for mild pain will not be
effective.
DIF: Cognitive Level: Analysis REF: Analysis and Nursing Diagnosis
TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. A patient newly diagnosed with diabetes is to be discharged from the hospital. The nurse teaching this patient
about home management should begin by doing what?
a. Asking the patient to demonstrate how to measure and administer insulin
b. Discussing methods of storing insulin and discarding syringes
c. Giving information about how diet and exercise affect insulin requirements
d. Teaching the patient about the long-term consequences of poor diabetes control
ANS: A
Because insulin must be given correctly to control symptoms and because an overdose can be fatal, it is most
important for the patient to know how to administer it. Asking for a demonstration of technique is the best way
to determine whether the patient has understood the teaching. When a patient is receiving a lot of new
information, the information presented first is the most likely to be remembered. The other teaching points are
important as well, but they are not as critical and can be taught later.
DIF: Cognitive Level: Application REF: Planning TOP: Nursing Process: Planning
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
6. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is not part of the
six rights of drug administration?
a. Assessing the patient’s pain level 15 to 30 minutes after giving the medication
b. Checking the medication administration record to see when the last dose was administered
c. Consulting a drug manual to determine whether the amount the prescriber ordered is appropriate
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1
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
complete Test Bank for Lehne's
Pharmacology for Nursing Care by
Jacqueline Burchum and Laura
Rosenthal. This latest updated test bank
includes comprehensive pharmacology
exam questions with verified correct
answers for all chapters.
1. 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.
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.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. 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.
ANS: C
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2
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
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.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very effective.
Which statement by the patient demonstrates an understanding of the drug’s effectiveness?
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to cause an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no drug is
completely safe, the level of toxicity does not determine effectiveness. All drugs have side effects and many
react with other substances; these do not affect the drug’s effectiveness. Ease of administration is independent of
a drug’s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties include a reversible
action so that any harm the drug may cause can be undone and a simple generic name, because generic names
are usually complex and difficult to remember and pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how individual patient
variability might affect the patient’s response to the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
ANS: C, D, E
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3
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
The family medical history can indicate genetic factors that may affect a patient’s response to a medication.
Patients of different ages can respond differently to medications. The patient’s illness can affect how drugs are
metabolized. The chemical stability of the medication and the ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the
patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.” The patient reports feeling
jittery sometimes when taking the medication, and she doesn’t feel that the medication is always effective.
Which is not an appropriate nursing intervention for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use one puff to reduce side effects
ANS: D
It is not within the nurse’s scope of practice to change the dose of a medication without an order from a
prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient’s ability to
administer the medication properly and is part of the nurse’s evaluation. Assessing tobacco smoke exposure
helps the nurse determine whether nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug
therapy. Performing a physical assessment helps the nurse evaluate the patient’s response to the medication.
DIF: Cognitive Level: Application
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all subsections under this heading]
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab) for pain. The patient
asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
b. “Taking the two medications together poses a risk of drug toxicity.”
c. “There are no known drug interactions, so this will be safe.”
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is important to
teach patients to be aware of the different names for the same drug to minimize the risk of overdose. Over-the-
counter (OTC) medications and prescription medications may be taken together unless significant harmful drug
interactions are possible. Even though no drug interactions are at play in this case, both drugs contain
acetaminophen, which could lead to toxicity.
DIF: Cognitive Level: Application
REF: Application of Pharmacology in Patient Education: Dosage and Administration
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
3. The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
Which action by the nurse is part of the assessment step of the nursing process? a. Asking the
prescriber for an order to monitor serum drug levels
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4
@!!!!!!!!!!!!!!!!!#!!!! complete Test Bank for Lehne's Pharmacology for Nursing Care by
Jacqueline Burchum and Laura Rosenthal. This latest updated test bank includes
comprehensive pharmacology exam questions with verified correct answers for all
chapters.
b. Monitoring the patient for drug interactions after giving the medication
c. Questioning the patient about over-the-counter medications
d. Taking the patient’s blood pressure throughout the course of treatment
ANS: C
The assessment part of the nursing process involves gathering information before beginning treatment, and this
includes asking about other medications the patient may be taking. Monitoring serum drug levels, watching for
drug interactions, and checking vital signs after giving the medication are all part of the evaluation phase.
DIF: Cognitive Level: Application REF: Preadministration Assessment
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10 (10 being the most
extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650 mg PO every 6 hours PRN pain. What
will the nurse do?
a. Ask the patient what medications have helped with pain in the past.
b. Contact the provider to request a different analgesic medication.
c. Give the pain medication and reposition the patient to promote comfort.
d. Request an order to administer the medication every 4 hours.
ANS: B
The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to moderate pain, so the
nurse should ask the prescriber to order a stronger analgesic medication. Asking the patient to tell the nurse what
has helped in the past is a part of an initial assessment and should be done preoperatively and not when the
patient is having severe pain. Because the patient is having severe pain, acetaminophen combined with nondrug
therapies will not be sufficient. Increasing the frequency of the dose of a medication for mild pain will not be
effective.
DIF: Cognitive Level: Analysis REF: Analysis and Nursing Diagnosis
TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. A patient newly diagnosed with diabetes is to be discharged from the hospital. The nurse teaching this patient
about home management should begin by doing what?
a. Asking the patient to demonstrate how to measure and administer insulin
b. Discussing methods of storing insulin and discarding syringes
c. Giving information about how diet and exercise affect insulin requirements
d. Teaching the patient about the long-term consequences of poor diabetes control
ANS: A
Because insulin must be given correctly to control symptoms and because an overdose can be fatal, it is most
important for the patient to know how to administer it. Asking for a demonstration of technique is the best way
to determine whether the patient has understood the teaching. When a patient is receiving a lot of new
information, the information presented first is the most likely to be remembered. The other teaching points are
important as well, but they are not as critical and can be taught later.
DIF: Cognitive Level: Application REF: Planning TOP: Nursing Process: Planning
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
6. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is not part of the
six rights of drug administration?
a. Assessing the patient’s pain level 15 to 30 minutes after giving the medication
b. Checking the medication administration record to see when the last dose was administered
c. Consulting a drug manual to determine whether the amount the prescriber ordered is appropriate
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