Pharmacology and the Nursing Process
11th Edition - Lane
PART 1: Pharmacology Basics
Chapter 01, 11th Edition
Chapter Name: The Nursing Process and Drug Therapy
Test Bank
Question 1. The nurse is developing a problem statement for a patient who has a new diagnosis of
asthma. Identification of patient problem statements occur with which of these activities?
A. Collection of patient data
B. Administering interventions
C. Deciding on patient outcomes
D. Documenting the patient’s behavior
Question 2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
A. “Right time”
B. “Right dose”
C. “Right route”
D. “Right medication”
Question 3. The nurse has been monitoring the patient’s progress on a new drug regimen since
the first dose and documenting the patient’s therapeutic response to the medication. Which
phase of the nursing process do these actions illustrate?
A. Patient problem statement
B. Planning
C. Implementation
D. Evaluation
Question 4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes.
Which statement best illustrates an outcome criterion for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient will adhere to the new insulin treatment regimen.
D. The patient will demonstrate correct blood glucose testing technique.
Question 5. Which activity best reflects the Take Action step of the NCSBN Clinical Judgment
Measurement Model (NCJMM) for the patient who is newly diagnosed with hypertension?
A. Providing education on keeping a journal of blood pressure readings.
B. Setting goals and outcome criteria with the patient’s input.
C. Recording a drug history regarding over-the-counter medications used at home.
D. Formulating patient problem statements regarding deficient knowledge related to the new treatment regimen.
Pharmacology and the Nursing Process - 11th Edition Page 1
, Question 6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
chemotherapy to prevent nausea.” The nurse realizes that the route is missing from the order.
What is the nurse’s best action?
A. Give the medication intravenously because the patient might vomit.
B. Give the medication orally because the tablets are available in 4-mg doses.
C. Contact the prescriber to clarify the route of the medication ordered.
D. Hold the medication until the prescriber returns to make rounds.
Question 7. When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
A. The patient’s ability to swallow
B. The patient’s weight
C. The patient’s last meal
D. The patient’s allergies
Question 8. The nurse is performing an assessment of a newly admitted patient. Which is an
example of subjective data?
A. Weight 155 pounds
B. Pulse 72 beats/minute
C. The patient reports a pain level of 8 on a 1 to 10 scale.
D. The patient’s urinalysis results
Question 9. One hour after giving a medication for pain, the nurse asks the patient to rate the
level of pain on a 1 to 10 scale. This action by the nurse reflects which phase of the NCSBN Clinical
Judgment Measurement Model (NCJMM)?
A. Recognize cues
B. Generate solutions
C. Take action
D. Evaluate outcomes
Question 10. When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason, the right response,
and the patient’s right to refuse. Which of these are additional rights? (Select all that apply.)
A. Right drug
B. Right route
C. Right dose
D. Right diagnosis
E. Right time
F. Right patient
Pharmacology and the Nursing Process - 11th Edition Page 2
, Pharmacology and the Nursing Process
11th Edition - Lane
PART 1: Pharmacology Basics
Chapter 02, 11th Edition
Chapter Name: Pharmacologic Principles
Test Bank (15 Questions)
Question 1. The patient’s prescription was changed from a brand name drug to a generic form.
Both drugs have the same concentration of the active ingredient. Which term is used to identify
this principle?
A. Bioequivalent
B. Synergistic
C. Prodrugs
D. Steady state
Question 2. When given an intravenous medication, the patient says to the nurse, “I usually take
pills. Why does this medication have to be given in the arm?” What is the nurse’s best answer?
A. “The medication will cause fewer adverse effects when given intravenously.”
B. “The intravenous medication will have delayed absorption into the body’s tissues.”
C. “The action of the medication will begin sooner when given intravenously.”
D. “There is a lower chance of allergic reactions when drugs are given intravenously.”
Question 3. The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
A. Parenteral drugs bypass the first-pass effect.
B. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
C. Absorption of parenteral drugs is faster when the stomach is empty.
D. Parenteral drugs exert their effects while circulating in the bloodstream.
Question 4. When monitoring the patient receiving an intravenous infusion to reduce blood
pressure, the nurse notes that the patient’s blood pressure is extremely low, and the patient is
lethargic and difficult to awaken. This would be classified as which type of adverse drug reaction?
A. Adverse effect
B. Allergic reaction
C. Idiosyncratic reaction
D. Pharmacologic reaction
Question 5. The nurse is reviewing pharmacology terms for a group of newly graduated nurses.
Which sentence defines a drug’s half-life?
A. The time it takes for the drug to cause half of its therapeutic response
B. The time it takes for one half of the original amount of a drug to reach the target cells
C. The time it takes for one half of the original amount of a drug to be removed from the body
D. The time it takes for one half of the original amount of a drug to be absorbed into the circulation
Question 6. When administering drugs, the nurse remembers that the duration of action of a drug
is defined as which of these?
A. The time it takes for a drug to elicit a therapeutic response
B. The amount of time needed to remove a drug from circulation
C. The time it takes for a drug to achieve its maximum therapeutic response
D. The time period at which a drug’s concentration is sufficient to cause a therapeutic response
Pharmacology and the Nursing Process - 11th Edition Page 3
, Question 7. When reviewing the mechanism of action of a specific drug, the nurse reads that the
drug works by selective enzyme interaction. Which of these processes describes selective enzyme
interaction?
A. The drug alters cell membrane permeability.
B. The drug’s effectiveness within the cell walls of the target tissue is enhanced.
C. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor.
D. The drug binds to an enzyme molecule and inhibits or enhances the enzyme’s action with the normal target
cell.
Question 8. When administering a new medication to a patient, the nurse reads that it is highly
protein bound. Assuming that the patient’s albumin levels are normal, the nurse would expect
which result, as compared to a medication, that is not highly protein bound?
A. Renal excretion will be faster.
B. The drug will be metabolized quickly.
C. The duration of action of the medication will be shorter.
D. The duration of action of the medication will be longer.
Question 9. The patient is experiencing chest pain and needs to take a buccal form of
nitroglycerin. Where does the nurse instruct the patient to place the tablet?
A. Under the tongue
B. On top of the tongue
C. At the back of the throat
D. In the space between the cheek and the gum
Question 10. The nurse is administering medications to the patient who is in renal failure
resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would
most likely have problems with which pharmacokinetic phase?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
Question 11. A patient who had a thyroidectomy now must take thyroid replacement hormones
for the rest of his life. Which term best describes this type of therapy?
A. Palliative therapy
B. Maintenance therapy
C. Empiric therapy
D. Supplemental therapy
Question 12. The patient is stating that he has a headache and asks the nurse which
over-the-counter medication form would work the fastest to help reduce the pain. Which
medication form will the nurse suggest?
A. A capsule
B. A tablet
C. A powder
D. An enteric-coated tablet
Pharmacology and the Nursing Process - 11th Edition Page 4
11th Edition - Lane
PART 1: Pharmacology Basics
Chapter 01, 11th Edition
Chapter Name: The Nursing Process and Drug Therapy
Test Bank
Question 1. The nurse is developing a problem statement for a patient who has a new diagnosis of
asthma. Identification of patient problem statements occur with which of these activities?
A. Collection of patient data
B. Administering interventions
C. Deciding on patient outcomes
D. Documenting the patient’s behavior
Question 2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
A. “Right time”
B. “Right dose”
C. “Right route”
D. “Right medication”
Question 3. The nurse has been monitoring the patient’s progress on a new drug regimen since
the first dose and documenting the patient’s therapeutic response to the medication. Which
phase of the nursing process do these actions illustrate?
A. Patient problem statement
B. Planning
C. Implementation
D. Evaluation
Question 4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes.
Which statement best illustrates an outcome criterion for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient will adhere to the new insulin treatment regimen.
D. The patient will demonstrate correct blood glucose testing technique.
Question 5. Which activity best reflects the Take Action step of the NCSBN Clinical Judgment
Measurement Model (NCJMM) for the patient who is newly diagnosed with hypertension?
A. Providing education on keeping a journal of blood pressure readings.
B. Setting goals and outcome criteria with the patient’s input.
C. Recording a drug history regarding over-the-counter medications used at home.
D. Formulating patient problem statements regarding deficient knowledge related to the new treatment regimen.
Pharmacology and the Nursing Process - 11th Edition Page 1
, Question 6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
chemotherapy to prevent nausea.” The nurse realizes that the route is missing from the order.
What is the nurse’s best action?
A. Give the medication intravenously because the patient might vomit.
B. Give the medication orally because the tablets are available in 4-mg doses.
C. Contact the prescriber to clarify the route of the medication ordered.
D. Hold the medication until the prescriber returns to make rounds.
Question 7. When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
A. The patient’s ability to swallow
B. The patient’s weight
C. The patient’s last meal
D. The patient’s allergies
Question 8. The nurse is performing an assessment of a newly admitted patient. Which is an
example of subjective data?
A. Weight 155 pounds
B. Pulse 72 beats/minute
C. The patient reports a pain level of 8 on a 1 to 10 scale.
D. The patient’s urinalysis results
Question 9. One hour after giving a medication for pain, the nurse asks the patient to rate the
level of pain on a 1 to 10 scale. This action by the nurse reflects which phase of the NCSBN Clinical
Judgment Measurement Model (NCJMM)?
A. Recognize cues
B. Generate solutions
C. Take action
D. Evaluate outcomes
Question 10. When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason, the right response,
and the patient’s right to refuse. Which of these are additional rights? (Select all that apply.)
A. Right drug
B. Right route
C. Right dose
D. Right diagnosis
E. Right time
F. Right patient
Pharmacology and the Nursing Process - 11th Edition Page 2
, Pharmacology and the Nursing Process
11th Edition - Lane
PART 1: Pharmacology Basics
Chapter 02, 11th Edition
Chapter Name: Pharmacologic Principles
Test Bank (15 Questions)
Question 1. The patient’s prescription was changed from a brand name drug to a generic form.
Both drugs have the same concentration of the active ingredient. Which term is used to identify
this principle?
A. Bioequivalent
B. Synergistic
C. Prodrugs
D. Steady state
Question 2. When given an intravenous medication, the patient says to the nurse, “I usually take
pills. Why does this medication have to be given in the arm?” What is the nurse’s best answer?
A. “The medication will cause fewer adverse effects when given intravenously.”
B. “The intravenous medication will have delayed absorption into the body’s tissues.”
C. “The action of the medication will begin sooner when given intravenously.”
D. “There is a lower chance of allergic reactions when drugs are given intravenously.”
Question 3. The nurse is administering parenteral drugs. Which statement is true regarding
parenteral drugs?
A. Parenteral drugs bypass the first-pass effect.
B. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
C. Absorption of parenteral drugs is faster when the stomach is empty.
D. Parenteral drugs exert their effects while circulating in the bloodstream.
Question 4. When monitoring the patient receiving an intravenous infusion to reduce blood
pressure, the nurse notes that the patient’s blood pressure is extremely low, and the patient is
lethargic and difficult to awaken. This would be classified as which type of adverse drug reaction?
A. Adverse effect
B. Allergic reaction
C. Idiosyncratic reaction
D. Pharmacologic reaction
Question 5. The nurse is reviewing pharmacology terms for a group of newly graduated nurses.
Which sentence defines a drug’s half-life?
A. The time it takes for the drug to cause half of its therapeutic response
B. The time it takes for one half of the original amount of a drug to reach the target cells
C. The time it takes for one half of the original amount of a drug to be removed from the body
D. The time it takes for one half of the original amount of a drug to be absorbed into the circulation
Question 6. When administering drugs, the nurse remembers that the duration of action of a drug
is defined as which of these?
A. The time it takes for a drug to elicit a therapeutic response
B. The amount of time needed to remove a drug from circulation
C. The time it takes for a drug to achieve its maximum therapeutic response
D. The time period at which a drug’s concentration is sufficient to cause a therapeutic response
Pharmacology and the Nursing Process - 11th Edition Page 3
, Question 7. When reviewing the mechanism of action of a specific drug, the nurse reads that the
drug works by selective enzyme interaction. Which of these processes describes selective enzyme
interaction?
A. The drug alters cell membrane permeability.
B. The drug’s effectiveness within the cell walls of the target tissue is enhanced.
C. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor.
D. The drug binds to an enzyme molecule and inhibits or enhances the enzyme’s action with the normal target
cell.
Question 8. When administering a new medication to a patient, the nurse reads that it is highly
protein bound. Assuming that the patient’s albumin levels are normal, the nurse would expect
which result, as compared to a medication, that is not highly protein bound?
A. Renal excretion will be faster.
B. The drug will be metabolized quickly.
C. The duration of action of the medication will be shorter.
D. The duration of action of the medication will be longer.
Question 9. The patient is experiencing chest pain and needs to take a buccal form of
nitroglycerin. Where does the nurse instruct the patient to place the tablet?
A. Under the tongue
B. On top of the tongue
C. At the back of the throat
D. In the space between the cheek and the gum
Question 10. The nurse is administering medications to the patient who is in renal failure
resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would
most likely have problems with which pharmacokinetic phase?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
Question 11. A patient who had a thyroidectomy now must take thyroid replacement hormones
for the rest of his life. Which term best describes this type of therapy?
A. Palliative therapy
B. Maintenance therapy
C. Empiric therapy
D. Supplemental therapy
Question 12. The patient is stating that he has a headache and asks the nurse which
over-the-counter medication form would work the fastest to help reduce the pain. Which
medication form will the nurse suggest?
A. A capsule
B. A tablet
C. A powder
D. An enteric-coated tablet
Pharmacology and the Nursing Process - 11th Edition Page 4
