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