Test Bank Lehne's Pharmacology for Nursing Care, 11th
V V V V V V V
Edition byJacqueline Burchum, Laura Rosenthal
V V V V V V
Chapter1:OrientationtoPharmacology
Test Bank
n V
MULTIPLECHOICE
1. Thenurseis teachingapatienthowa medicationworkstotreat anillness.Todothis,thenurse
V V V V
willrelyon knowledgeof:
n V
a. clinicalpharmacology. V
b. drugefficacy. V
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D n
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat, andpreventconditions. n
Clinicalpharmacologyisconcernedwith allaspectsofdrug–humaninteractions.Drugefficacy
n V
measurestheextenttowhichagiven drug causesanintendedeffect.
n V V
Pharmacokineticsisthestudyoftheimpactofthebodyonadrug.
DIF: CognitiveLevel:Comprehension REF:FourBasicTerms n n n n
TOP: NursingProcess:Implementation
n n n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
2. What doesitmeanwhen adrugisdescribed aseasytoadminister?
V V n
a. Itcanbestored indefinitelywithoutneedforrefrigeration. V
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrug regimen. V
d. Itisusuallyrelativelyinexpensivetoproduce.
ANS: C n
Amajorbenefitofdrugs thatareeasytoadministeristhat patientstaking themaremorelikely V V V
tocomplywiththedrug regimen.Drugsthatareeasy togivemayhavetheotherattributes
n V
listed,but thoseproperties areindependent ofeaseofadministration.
n V V
DIF: CognitiveLevel:Comprehension V
REF:AdditionalProperties ofanIdealDrug:EaseofAdministration
n n V n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
3. Apatienttellsthenursethat hewastoldbytheprescriberthat theanalgesicheistakingisvery V V
effective.Whichstatementbythepatient demonstratesanunderstandingofthedrug’s
n n V
effectiveness?
n
a. “Idon’t havetoworryabouttoxicity,sinceit takesa largeamountofthisdrug tocause
V V V V V
an overdose.”
n V
b. “Ithasnoside effectsanddoesn’tinteract withotherdrugs.” V V
c. “Ionlyhavetotakeit every12hours.”
V n
d. “Itmightmakemesleepy,andit lessenspainforseveralhoursatatime.” V n V
ANS: D n
, Adrugiseffectiveifitproducestheintendedeffects, evenifitalsoproducessideeffects.Because n
nodrugiscompletelysafe, theleveloftoxicitydoesnotdetermineeffectiveness. Alldrugshave
n n n
sideeffectsandmanyreactwithothersubstances;thesedonotaffect thedrug’seffectiveness.Ease
n n V n n
ofadministration isindependentofadrug’seffectiveness.
n V
DIF: CognitiveLevel:Comprehension REF:PropertiesofanIdealDrug
V n n n
TOP: NursingProcess:Evaluation
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
MULTIPLERESPONSE
1. What arethe propertiesofan idealdrug?(Selectallthatapply.)
V V V
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletrade name V
ANS: B,C,D n n n
In additiontopredictability,easeofadministration,and chemicalstability,otherproperties
V n n n V
nincludea reversibleaction sothatanyharmthedrugmaycausecanbeundoneandasimplegeneric
V n
nname,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
DIF: CognitiveLevel:Comprehension V
REF:PropertiesofanIdealDrug |AdditionalPropertiesofanIdealDrug
n n n V n n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClient Needs Category:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V
2. Beforeadministering amedication,whatdoesthenurse needtoknowtoevaluatehow
V V
individualpatientvariabilitymightaffectthepatient’sresponsetothemedication?(Select allthat
n V
apply.)
n
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient’sage
e. Patient’sdiagnosis
ANS: C,D,E n n
Thefamilymedicalhistorycanindicategeneticfactors that mayaffecta patient’sresponsetoa V V n
medication.Patients ofdifferentagescanresponddifferentlytomedications.Thepatient’sillness
n V n
canaffecthowdrugsare metabolized.Thechemicalstabilityofthemedicationand theease of
n V V V
administrationarepropertiesofdrugs.
n
DIF: CognitiveLevel:Analysis REF:SourcesofIndividualVariation
V n n n
TOP: NursingProcess:Implementation
n n n
MSC: NCLEXClient Needs Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
,Chapter2:ApplicationofPharmacologyinNursingPractice
Test Bank
n V
MULTIPLECHOICE
1. Apatientisusing a metered-doseinhalercontaining albuterolforasthma.Themedicationlabel
V V V n V
instructsthepatienttoadminister“2puffsevery4hoursasneededforcoughing or
n n V
wheezing.”Thepatientreportsfeelingjitterysometimeswhentaking themedication,and she n V V
doesn’tfeelthatthemedicationisalwayseffective. Whichisnotanappropriatenursing
n n
interventionforthispatient?
n
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessing thepatient’sexposuretotobaccosmoke V
c. Auscultatinglung soundsandobtainingvitalsigns V
d. Suggestingthatthepatient useonepufftoreducesideeffects V V
ANS: D n
Itisnotwithinthenurse’sscopeofpracticetochangethedoseofa medicationwithout anorder V V
nfrom aprescriber.Asking thepatienttodemonstrateinhalerusehelpsthenursetoevaluatethe
V V
npatient’s abilitytoadministerthemedication properlyandispart ofthenurse’sevaluation.
V V V V
Assessingtobaccosmokeexposurehelpsthenursedeterminewhethernondrugtherapies,sucha
nsmokeavoidance,canbeusedasanadjuncttodrugtherapy.Performing ap hysical assessment n n V V nnn nnnnnnnnnnnnnnnnnn
nhelps thenurseevaluatethepatient’sresponsetothemedication.
V
DIF: CognitiveLevel:Application V
REF:ApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment [andall
n V n V V V
subsectionsunderthisheading]
n TOP: NursingProcess:Implementation n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V
2. Apostoperativepatient is beingdischargedhomewithacetaminophen/hydrocodone(Lortab)for V V
pain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurseis
n
correct?
n
a. “Itisnotsafetotakeover-the-counterdrugswithprescriptionmedications.”
b. “Takingthetwomedicationstogetherposes a riskofdrug toxicity.”
V V
c. “There arenoknowndruginteractions,sothiswillbesafe.”
V
d. “Tylenoland Lortabaredifferent drugs,sothereisnoriskofoverdose.” V V
ANS: B n
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication. Itis n
importanttoteach patientstobeaware ofthedifferentnamesforthesamedrug tominimizetherisk
n V V V V
ofoverdose.Over-the-counter(OTC)medicationsand prescriptionmedicationsmaybetaken
n n V
togetherunlesssignificantharmfuldruginteractionsarepossible.Eventhoughnodruginteractions
n
areat playin thiscase,bothdrugscontain acetaminophen,which couldleadtotoxicity.
n V V n V V
DIF: CognitiveLevel:Application V
REF:ApplicationofPharmacologyin PatientEducation:Dosageand AdministrationTOP:
V V V
NursingProcess:Implementation
n V n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
, 3. Thenurseispreparingto careforapatientwhowillbetaking anantihypertensivemedication.Which
V V n
n action bythenurseispartoftheassessmentstepofthenursing process?
V V
a. Askingtheprescriberforanordertomonitorserumdruglevels V
b. Monitoringthepatientfordruginteractionsaftergivingthemedication V V
c. Questioningthepatientaboutover-the-countermedications
d. Takingthepatient’sbloodpressurethroughoutthecourseoftreatment
V V
ANS: C n
Theassessmentpart ofthenursing processinvolvesgatheringinformationbeforebeginning
V V
treatment,andthisincludesasking aboutothermedicationsthepatient maybetaking.
n V V
Monitoringserumdruglevels,watchingfordruginteractions,andcheckingvitalsigns after V
givingthemedication areallpartoftheevaluationphase.
n V
DIF: CognitiveLevel:Application REF:PreadministrationAssessment
V n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10(10being
n n n n n n n n n n n n n n n n n n n n
the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650mg PO
n n n n n n n n n n n n
every6hoursPRNpain.Whatwillthenursedo?
n
a. Askthepatientwhatmedicationshavehelpedwithpaininthepast. V
b. Contacttheprovidertorequestadifferentanalgesicmedication.
c. Givethepainmedication andrepositionthepatienttopromotecomfort.
V V
d. Requestan ordertoadministerthemedicationevery4hours.
V n
ANS: B n
Thenursingdiagnosisforthispatient isseverepain.Acetaminophen is givenformild tomoderate V V V V
pain,sothenurseshouldasktheprescribertoordera strongeranalgesicmedication.Asking the
n V V
patienttotellthenursewhat hashelpedin thepast isapart ofaninitialassessmentand should bedone
n V V V V V V
preoperativelyandnot whenthepatient is havingseverepain.Becausethepatient ishavingsevere
n V V V V
pain,acetaminophen combinedwithnondrugtherapieswillnot besufficient.Increasingthe
n V V n
frequencyofthedoseofamedicationformildpainwillnotbeeffective.
n
DIF: CognitiveLevel:Analysis REF:AnalysisandNursingDiagnosis n n
TOP: NursingProcess:Diagnosis
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
5. Apatient newlydiagnosed withdiabetesistobedischarged fromthehospital.Thenurse
V
teachingthispatient abouthomemanagementshouldbeginbydoingwhat?
n V
a. Askingthepatienttodemonstratehowtomeasureand administerinsulin V
b. Discussingmethodsofstoringinsulin anddiscarding syringes V V V
c. Givinginformationabout howdietandexerciseaffect insulinrequirements V V
d. Teachingthepatient aboutthelong-termconsequencesofpoordiabetescontrol V
ANS: A n
V V V V V V V
Edition byJacqueline Burchum, Laura Rosenthal
V V V V V V
Chapter1:OrientationtoPharmacology
Test Bank
n V
MULTIPLECHOICE
1. Thenurseis teachingapatienthowa medicationworkstotreat anillness.Todothis,thenurse
V V V V
willrelyon knowledgeof:
n V
a. clinicalpharmacology. V
b. drugefficacy. V
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D n
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat, andpreventconditions. n
Clinicalpharmacologyisconcernedwith allaspectsofdrug–humaninteractions.Drugefficacy
n V
measurestheextenttowhichagiven drug causesanintendedeffect.
n V V
Pharmacokineticsisthestudyoftheimpactofthebodyonadrug.
DIF: CognitiveLevel:Comprehension REF:FourBasicTerms n n n n
TOP: NursingProcess:Implementation
n n n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
2. What doesitmeanwhen adrugisdescribed aseasytoadminister?
V V n
a. Itcanbestored indefinitelywithoutneedforrefrigeration. V
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrug regimen. V
d. Itisusuallyrelativelyinexpensivetoproduce.
ANS: C n
Amajorbenefitofdrugs thatareeasytoadministeristhat patientstaking themaremorelikely V V V
tocomplywiththedrug regimen.Drugsthatareeasy togivemayhavetheotherattributes
n V
listed,but thoseproperties areindependent ofeaseofadministration.
n V V
DIF: CognitiveLevel:Comprehension V
REF:AdditionalProperties ofanIdealDrug:EaseofAdministration
n n V n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
3. Apatienttellsthenursethat hewastoldbytheprescriberthat theanalgesicheistakingisvery V V
effective.Whichstatementbythepatient demonstratesanunderstandingofthedrug’s
n n V
effectiveness?
n
a. “Idon’t havetoworryabouttoxicity,sinceit takesa largeamountofthisdrug tocause
V V V V V
an overdose.”
n V
b. “Ithasnoside effectsanddoesn’tinteract withotherdrugs.” V V
c. “Ionlyhavetotakeit every12hours.”
V n
d. “Itmightmakemesleepy,andit lessenspainforseveralhoursatatime.” V n V
ANS: D n
, Adrugiseffectiveifitproducestheintendedeffects, evenifitalsoproducessideeffects.Because n
nodrugiscompletelysafe, theleveloftoxicitydoesnotdetermineeffectiveness. Alldrugshave
n n n
sideeffectsandmanyreactwithothersubstances;thesedonotaffect thedrug’seffectiveness.Ease
n n V n n
ofadministration isindependentofadrug’seffectiveness.
n V
DIF: CognitiveLevel:Comprehension REF:PropertiesofanIdealDrug
V n n n
TOP: NursingProcess:Evaluation
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
MULTIPLERESPONSE
1. What arethe propertiesofan idealdrug?(Selectallthatapply.)
V V V
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletrade name V
ANS: B,C,D n n n
In additiontopredictability,easeofadministration,and chemicalstability,otherproperties
V n n n V
nincludea reversibleaction sothatanyharmthedrugmaycausecanbeundoneandasimplegeneric
V n
nname,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
DIF: CognitiveLevel:Comprehension V
REF:PropertiesofanIdealDrug |AdditionalPropertiesofanIdealDrug
n n n V n n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClient Needs Category:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V
2. Beforeadministering amedication,whatdoesthenurse needtoknowtoevaluatehow
V V
individualpatientvariabilitymightaffectthepatient’sresponsetothemedication?(Select allthat
n V
apply.)
n
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient’sage
e. Patient’sdiagnosis
ANS: C,D,E n n
Thefamilymedicalhistorycanindicategeneticfactors that mayaffecta patient’sresponsetoa V V n
medication.Patients ofdifferentagescanresponddifferentlytomedications.Thepatient’sillness
n V n
canaffecthowdrugsare metabolized.Thechemicalstabilityofthemedicationand theease of
n V V V
administrationarepropertiesofdrugs.
n
DIF: CognitiveLevel:Analysis REF:SourcesofIndividualVariation
V n n n
TOP: NursingProcess:Implementation
n n n
MSC: NCLEXClient Needs Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
,Chapter2:ApplicationofPharmacologyinNursingPractice
Test Bank
n V
MULTIPLECHOICE
1. Apatientisusing a metered-doseinhalercontaining albuterolforasthma.Themedicationlabel
V V V n V
instructsthepatienttoadminister“2puffsevery4hoursasneededforcoughing or
n n V
wheezing.”Thepatientreportsfeelingjitterysometimeswhentaking themedication,and she n V V
doesn’tfeelthatthemedicationisalwayseffective. Whichisnotanappropriatenursing
n n
interventionforthispatient?
n
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessing thepatient’sexposuretotobaccosmoke V
c. Auscultatinglung soundsandobtainingvitalsigns V
d. Suggestingthatthepatient useonepufftoreducesideeffects V V
ANS: D n
Itisnotwithinthenurse’sscopeofpracticetochangethedoseofa medicationwithout anorder V V
nfrom aprescriber.Asking thepatienttodemonstrateinhalerusehelpsthenursetoevaluatethe
V V
npatient’s abilitytoadministerthemedication properlyandispart ofthenurse’sevaluation.
V V V V
Assessingtobaccosmokeexposurehelpsthenursedeterminewhethernondrugtherapies,sucha
nsmokeavoidance,canbeusedasanadjuncttodrugtherapy.Performing ap hysical assessment n n V V nnn nnnnnnnnnnnnnnnnnn
nhelps thenurseevaluatethepatient’sresponsetothemedication.
V
DIF: CognitiveLevel:Application V
REF:ApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment [andall
n V n V V V
subsectionsunderthisheading]
n TOP: NursingProcess:Implementation n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V
2. Apostoperativepatient is beingdischargedhomewithacetaminophen/hydrocodone(Lortab)for V V
pain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurseis
n
correct?
n
a. “Itisnotsafetotakeover-the-counterdrugswithprescriptionmedications.”
b. “Takingthetwomedicationstogetherposes a riskofdrug toxicity.”
V V
c. “There arenoknowndruginteractions,sothiswillbesafe.”
V
d. “Tylenoland Lortabaredifferent drugs,sothereisnoriskofoverdose.” V V
ANS: B n
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication. Itis n
importanttoteach patientstobeaware ofthedifferentnamesforthesamedrug tominimizetherisk
n V V V V
ofoverdose.Over-the-counter(OTC)medicationsand prescriptionmedicationsmaybetaken
n n V
togetherunlesssignificantharmfuldruginteractionsarepossible.Eventhoughnodruginteractions
n
areat playin thiscase,bothdrugscontain acetaminophen,which couldleadtotoxicity.
n V V n V V
DIF: CognitiveLevel:Application V
REF:ApplicationofPharmacologyin PatientEducation:Dosageand AdministrationTOP:
V V V
NursingProcess:Implementation
n V n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
, 3. Thenurseispreparingto careforapatientwhowillbetaking anantihypertensivemedication.Which
V V n
n action bythenurseispartoftheassessmentstepofthenursing process?
V V
a. Askingtheprescriberforanordertomonitorserumdruglevels V
b. Monitoringthepatientfordruginteractionsaftergivingthemedication V V
c. Questioningthepatientaboutover-the-countermedications
d. Takingthepatient’sbloodpressurethroughoutthecourseoftreatment
V V
ANS: C n
Theassessmentpart ofthenursing processinvolvesgatheringinformationbeforebeginning
V V
treatment,andthisincludesasking aboutothermedicationsthepatient maybetaking.
n V V
Monitoringserumdruglevels,watchingfordruginteractions,andcheckingvitalsigns after V
givingthemedication areallpartoftheevaluationphase.
n V
DIF: CognitiveLevel:Application REF:PreadministrationAssessment
V n n n
TOP: NursingProcess:Assessment
n n n
MSC: NCLEXClientNeeds Category:PhysiologicIntegrity:ReductionofRiskPotential
nn V V V
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10(10being
n n n n n n n n n n n n n n n n n n n n
the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650mg PO
n n n n n n n n n n n n
every6hoursPRNpain.Whatwillthenursedo?
n
a. Askthepatientwhatmedicationshavehelpedwithpaininthepast. V
b. Contacttheprovidertorequestadifferentanalgesicmedication.
c. Givethepainmedication andrepositionthepatienttopromotecomfort.
V V
d. Requestan ordertoadministerthemedicationevery4hours.
V n
ANS: B n
Thenursingdiagnosisforthispatient isseverepain.Acetaminophen is givenformild tomoderate V V V V
pain,sothenurseshouldasktheprescribertoordera strongeranalgesicmedication.Asking the
n V V
patienttotellthenursewhat hashelpedin thepast isapart ofaninitialassessmentand should bedone
n V V V V V V
preoperativelyandnot whenthepatient is havingseverepain.Becausethepatient ishavingsevere
n V V V V
pain,acetaminophen combinedwithnondrugtherapieswillnot besufficient.Increasingthe
n V V n
frequencyofthedoseofamedicationformildpainwillnotbeeffective.
n
DIF: CognitiveLevel:Analysis REF:AnalysisandNursingDiagnosis n n
TOP: NursingProcess:Diagnosis
n n n
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
nn V V V V
5. Apatient newlydiagnosed withdiabetesistobedischarged fromthehospital.Thenurse
V
teachingthispatient abouthomemanagementshouldbeginbydoingwhat?
n V
a. Askingthepatienttodemonstratehowtomeasureand administerinsulin V
b. Discussingmethodsofstoringinsulin anddiscarding syringes V V V
c. Givinginformationabout howdietandexerciseaffect insulinrequirements V V
d. Teachingthepatient aboutthelong-termconsequencesofpoordiabetescontrol V
ANS: A n
