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