TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
n1 n1 n1 n1 n1
CARE, 12TH EDITION BY JACQUELINE BURCHUM,
n1 n1 n1 n1 n1 n1
LAURAROSENTHAL/ALL CHAPTERS 1-112|COMPLETE
n1 1n n1 n1
GUIDE 2026-2027 n1 n1
,CH 01: Orientation to Pharmacology
n1 n1 n1 n1
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
n1 n1 n1 n1 n1 n1 n1
MULTIPLE CHOICE n1
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
To dothis, the nursing attendantwill rely on knowledge of which topic?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Clinical pharmacology n1
b. Drugs efficacy n1
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D n1 n1
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
treat, and prevent conditions.Clinical pharmacology is concerned with all aspects of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs-human interactions. Drugs efficacy measures the extent to which a given drugs
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
causes anintended effect. Pharmacokinetics is the study of the impact of the body on a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs.
n1
POINTS: 1 n 1
2. What is a desired outcome when a drugs is described as easy to administer?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. It can be stored indefinitely without need for refrigeration.
n1 n1 n1 n1 n1 n1 n1 n1
b. It does not interact significantly with other drugs.
n1 n1 n1 n1 n1 n1 n1
c. It enhances hospital client adherence to the drugs regimen.
n1 n1 n1 n1 n1 n1 n1 n1
d. It is usually relatively inexpensive to produce.
n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n1
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
clients taking them are morelikely tocomply with the drugs regimen. Drugs that are easy to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
give may have the other attributes listed, but those properties are independent of ease of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
administration.
n1
POINTS: 1 n 1
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
cause drowsiness and willdecrease pain up to 4 hours at a time. Based on this
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
understanding of the drugs‘s effects by thehospital client, the nursing attendant will
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
anticipate which outcome?
n1 n1 n1
a. Decreased chance of having a placebo effect n1 n1 n1 n1 n1 n1
b. Decreased motivation to take the drugs n1 n1 n1 n1 n1
c. Improved compliance with the drugs regimen n1 n1 n1 n1 n1
d. Increased likelihood of drugs overdose n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n1
A drugs is effective if it produces the intended effects, even if it also produces side
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
effects. Hospital clients who understand both the risks and benefits of taking a drugs are
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
morelikely tocomply with the drugs regimen.
n1 n1 n1 n1 n1 n1 n1
POINTS: 1 n 1
,MULTIPLE RESPONSE
n1
1. What are considered the ‗Big Three‘ properties of an ideal drugs? (Select all that apply.)
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Irreversible action n1
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
n1 n1 n1
ACCURATE ANSWER:- B, C, D n1 n1 n1 n1
Reasoning :->>>>The ‗Big Three‘ properties of the ideal drugs are
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 effectiveness, safety, andselectivity.POINTS: 1
n1 n1 n1 n 1
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
individualhospital client variability might affect the hospital client‘s response to the drugs?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
(Select allthat apply.)
n1 n1 n1 n1
a. Chemical stability of the drugs n1 n1 n1 n1
b. Ease of administration
n1 n1
c. Family medical history n1 n1
d. Hospital client‘s age n1 n1
e. Hospital client‘s diagnosis n1 n1
ACCURATE ANSWER:- C, D, E n1 n1 n1 n1
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client‘s response to adrugs. Hospital clients of different ages can respond
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
differently to drugs. The hospital client‘s illness can affect how drugs are metabolized. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
chemical stability of the drugs and the ease of administration are properties of drugs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 n 1
, CH 02: Application of Pharmacology in Nursing Practice
n1 n1 n1 n1 n1 n1 n1
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH
n1 n1 n1 n1 n1 n1 n1
Edition
n1
MULTIPLE CHOICE n1
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
labelinstructs the hospital client to administer ―2 puffs every 4 hours as needed for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
coughing or wheezing.‖The hospital client reports feeling jittery sometimes when taking
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the drugs, and doesn‘t feel that the drugs is always effective. Which action is outside the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant‘s scope of practice?
n1 n1 n1 n1 n1
a. Asking the hospital client to demonstrate the use of the inhaler
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Assessing the hospital client‘s exposure to tobacco smoke n1 n1 n1 n1 n1 n1 n1
c. Auscultating lung sounds and obtaining vital signs n1 n1 n1 n1 n1 n1
d. Suggesting that the hospital client use 1 puff to reduce side effects n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- D n1 n1
Reasoning :->>>>It is not within the nursing attendant‘s scope of practice to change the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
dose of a drugs without an orderfrom a prescriber. Asking the hospital client to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
demonstrate inhaler use helps the nursing attendant to evaluate the hospital client‘s ability
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to administer the drugs properly and ispart of the nursing attendant‘s evaluation.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Assessing tobacco smoke exposure helps the nursing attendant determine whether
n1 n1 n1 n1 n1 n1 n1 n1 n1
nondrugs therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Performing a physical assessment helps the nursing attendant evaluate the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client‘sresponse to the drugs.
n1 n1 n1 n1 n1
POINTS: 1 n 1
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
n1 n1 n1 n1 n1 n1 n1 n1 n1
[Norco] for pain. The hospital client asks the nursing attendant about using Tylenol for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
fever. Which statement bythe nursing attendant is correct?
n1 n1 n1 n1 n1 n1 n1 n1 n1
a. ―It is not safe to take over-the-counter drugs with prescription drugs.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. ―Taking the two drugs together poses a risk of drugs toxicity.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. ―There are no known drugs interactions, so this will be safe.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. ―Tylenol and Norco are different drugs, so there is no risk of overdose.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- B n1 n1
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs may be taken together unless significant harmful drugs interactions are possible. Even
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
though no drugs interactions are at play in this case, both drugs contain acetaminophen,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
which could lead to toxicity.
n1 n1 n1 n1 n1
POINTS: 1 n 1
3. The nursing attendant is preparing to care for a hospital client who will be taking an
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of the nursing process?
n1 n1 n1 n1
a. Asking the prescriber for an order to monitor serum drugs levels
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Monitoring the hospital client for drugs interactions after giving the drugs n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Questioning the hospital client about over-the-counter drugs n1 n1 n1 n1 n1 n1
d. Taking the hospital client‘s blood pressure throughout the course of treatment
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 n1 n1
CARE, 12TH EDITION BY JACQUELINE BURCHUM,
n1 n1 n1 n1 n1 n1
LAURAROSENTHAL/ALL CHAPTERS 1-112|COMPLETE
n1 1n n1 n1
GUIDE 2026-2027 n1 n1
,CH 01: Orientation to Pharmacology
n1 n1 n1 n1
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
n1 n1 n1 n1 n1 n1 n1
MULTIPLE CHOICE n1
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
To dothis, the nursing attendantwill rely on knowledge of which topic?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Clinical pharmacology n1
b. Drugs efficacy n1
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D n1 n1
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
treat, and prevent conditions.Clinical pharmacology is concerned with all aspects of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs-human interactions. Drugs efficacy measures the extent to which a given drugs
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
causes anintended effect. Pharmacokinetics is the study of the impact of the body on a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs.
n1
POINTS: 1 n 1
2. What is a desired outcome when a drugs is described as easy to administer?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. It can be stored indefinitely without need for refrigeration.
n1 n1 n1 n1 n1 n1 n1 n1
b. It does not interact significantly with other drugs.
n1 n1 n1 n1 n1 n1 n1
c. It enhances hospital client adherence to the drugs regimen.
n1 n1 n1 n1 n1 n1 n1 n1
d. It is usually relatively inexpensive to produce.
n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n1
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
clients taking them are morelikely tocomply with the drugs regimen. Drugs that are easy to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
give may have the other attributes listed, but those properties are independent of ease of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
administration.
n1
POINTS: 1 n 1
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
cause drowsiness and willdecrease pain up to 4 hours at a time. Based on this
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
understanding of the drugs‘s effects by thehospital client, the nursing attendant will
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
anticipate which outcome?
n1 n1 n1
a. Decreased chance of having a placebo effect n1 n1 n1 n1 n1 n1
b. Decreased motivation to take the drugs n1 n1 n1 n1 n1
c. Improved compliance with the drugs regimen n1 n1 n1 n1 n1
d. Increased likelihood of drugs overdose n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n1
A drugs is effective if it produces the intended effects, even if it also produces side
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
effects. Hospital clients who understand both the risks and benefits of taking a drugs are
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
morelikely tocomply with the drugs regimen.
n1 n1 n1 n1 n1 n1 n1
POINTS: 1 n 1
,MULTIPLE RESPONSE
n1
1. What are considered the ‗Big Three‘ properties of an ideal drugs? (Select all that apply.)
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Irreversible action n1
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
n1 n1 n1
ACCURATE ANSWER:- B, C, D n1 n1 n1 n1
Reasoning :->>>>The ‗Big Three‘ properties of the ideal drugs are
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 effectiveness, safety, andselectivity.POINTS: 1
n1 n1 n1 n 1
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
individualhospital client variability might affect the hospital client‘s response to the drugs?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
(Select allthat apply.)
n1 n1 n1 n1
a. Chemical stability of the drugs n1 n1 n1 n1
b. Ease of administration
n1 n1
c. Family medical history n1 n1
d. Hospital client‘s age n1 n1
e. Hospital client‘s diagnosis n1 n1
ACCURATE ANSWER:- C, D, E n1 n1 n1 n1
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client‘s response to adrugs. Hospital clients of different ages can respond
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
differently to drugs. The hospital client‘s illness can affect how drugs are metabolized. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
chemical stability of the drugs and the ease of administration are properties of drugs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 n 1
, CH 02: Application of Pharmacology in Nursing Practice
n1 n1 n1 n1 n1 n1 n1
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH
n1 n1 n1 n1 n1 n1 n1
Edition
n1
MULTIPLE CHOICE n1
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
labelinstructs the hospital client to administer ―2 puffs every 4 hours as needed for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
coughing or wheezing.‖The hospital client reports feeling jittery sometimes when taking
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the drugs, and doesn‘t feel that the drugs is always effective. Which action is outside the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant‘s scope of practice?
n1 n1 n1 n1 n1
a. Asking the hospital client to demonstrate the use of the inhaler
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Assessing the hospital client‘s exposure to tobacco smoke n1 n1 n1 n1 n1 n1 n1
c. Auscultating lung sounds and obtaining vital signs n1 n1 n1 n1 n1 n1
d. Suggesting that the hospital client use 1 puff to reduce side effects n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- D n1 n1
Reasoning :->>>>It is not within the nursing attendant‘s scope of practice to change the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
dose of a drugs without an orderfrom a prescriber. Asking the hospital client to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
demonstrate inhaler use helps the nursing attendant to evaluate the hospital client‘s ability
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to administer the drugs properly and ispart of the nursing attendant‘s evaluation.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Assessing tobacco smoke exposure helps the nursing attendant determine whether
n1 n1 n1 n1 n1 n1 n1 n1 n1
nondrugs therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Performing a physical assessment helps the nursing attendant evaluate the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client‘sresponse to the drugs.
n1 n1 n1 n1 n1
POINTS: 1 n 1
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
n1 n1 n1 n1 n1 n1 n1 n1 n1
[Norco] for pain. The hospital client asks the nursing attendant about using Tylenol for
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
fever. Which statement bythe nursing attendant is correct?
n1 n1 n1 n1 n1 n1 n1 n1 n1
a. ―It is not safe to take over-the-counter drugs with prescription drugs.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. ―Taking the two drugs together poses a risk of drugs toxicity.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. ―There are no known drugs interactions, so this will be safe.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. ―Tylenol and Norco are different drugs, so there is no risk of overdose.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- B n1 n1
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
drugs may be taken together unless significant harmful drugs interactions are possible. Even
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
though no drugs interactions are at play in this case, both drugs contain acetaminophen,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
which could lead to toxicity.
n1 n1 n1 n1 n1
POINTS: 1 n 1
3. The nursing attendant is preparing to care for a hospital client who will be taking an
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of the nursing process?
n1 n1 n1 n1
a. Asking the prescriber for an order to monitor serum drugs levels
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Monitoring the hospital client for drugs interactions after giving the drugs n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Questioning the hospital client about over-the-counter drugs n1 n1 n1 n1 n1 n1
d. Taking the hospital client‘s blood pressure throughout the course of treatment
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1