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Test Bank : Introduction to Clinical
Pharmacology - 8th Edition - Elsevier
,Chapter 1: Pharmacology and the Nursing Process in LPN Practice MSC: NCLEX: Physiological Integrity
Edmunds: Introduction to Clinical Pharmacology, 8th Edition
4. A medication should be withheld when which is true?
a. The physician omits the trade name in the order.
MULTIPLE CHOICE b. There has been a change in the patient’s condition.
c. The medication improves the patient’s symptoms.
1. A patient states that he occasionally takes an over-the-counter laxative for constipation. What is d. The patient is asleep.
this information an example of? ANS: B
a. Objective data
b.
You must use good judgment in carrying out a medication order. If, in your judgment, there has
Inspection
been a change in the patient’s condition that raises concerns about whether a medication should
c. Subjective data
d.
be given, it should be withheld (not given) until your concerns can be answered by the patient’s
Alternative therapy physician.
ANS: C
Subjective data describes the information given by the patient or family and includes the DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3
concerns or symptoms felt by the patient. TOP: Medication Administration KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Apply REF: p. 3 OBJ: 2
TOP: The Nursing Process KEY: Nursing Process Step: Assessment 5. How would a nurse ensure that the medication order is accurate?
MSC: NCLEX: Physiological Integrity a. By checking the medication record with the Kardex file
b. By comparing the physician’s order with the medication history
2. Which represents the correct order of the steps of the nursing process? c. By comparing the physician’s order to the chief complaint
a. Assessment, diagnosis, planning, implementation, evaluation d. By checking the medication record with the original physician’s order
b. Planning, assessment, diagnosis, implementation, evaluation
ANS: D
c. Assessment, planning, implementation, diagnosis, evaluation
Once the health care provider orders the medication, the nurse must verify that the order is
d. Diagnosis, planning, implementation, evaluation, assessment
accurate. Checking the medication chart or medication record with the physician’s original order
ANS: A usually does this.
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
implementation, evaluation. DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3
TOP: Medication Administration KEY: Nursing Process Step: Planning
DIF: Cognitive Level: Remember REF: pp. 1-2 | Fig. 1-1 MSC: NCLEX: Physiological Integrity
OBJ: 1 TOP: The Nursing Process KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A 6. What do the six ―rights‖ of medication administration include?
a. Drug, time, dose, doctor, route, and documentation
3. The statement, ―The patient will be able to self-administer an aerosol nebulizer treatment by the b. Drug, time, dose, patient, route, and documentation
date of discharge,‖ is an example of which step of the nursing process? c. Drug, diagnosis, time, patient, route, and documentation
a. Implementation d. Dose, time, doctor, patient, route, and drug
b. Diagnosis ANS: B
c. Evaluation
d.
There are six ―rights‖ of medication administration that the nurse must always keep in mind. You
Planning must give the right drug at the right time, in the right dose, to the right patient, by the right route,
ANS: D and use the right documentation to record that the dose has been given.
The patient-focused care plan should include any medications that will be given on either a
short-term or a long-term basis. For example, goals may be written to apply ointments or patches DIF: Cognitive Level: Remember REF: p. 6 OBJ: 3
or to show the patient how he can give himself an aerosol nebulizer treatment. TOP: Medication Administration KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Apply REF: pp. 4-5 OBJ: 4
TOP: The Nursing Process KEY: Nursing Process Step: Planning 7. Which nursing action should ensure that a medication is given to the right patient?
, a. Checking the patient’s identification bracelet d. Uptime levels and downtime levels
b. Verifying the medication record with the chart
ANS: C
c. Verifying the room number with the chart
d. The nurse checks for two types of responses to drug therapy: therapeutic effects and adverse
Asking the patient to state his or her birth date and Social Security number
effects.
ANS: A
Each patient should be asked his or her name as the nurse checks the identification bracelet. In a DIF: Cognitive Level: Remember REF: p. 8 OBJ: 4
hospital setting, medication should never be given to a patient who is not wearing an TOP: Medication Evaluation KEY: Nursing Process Step: Evaluation
identification bracelet. MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Understand REF: p. 7 OBJ: 3 11. Which is never administered if prepared by another nurse?
TOP: Medication Administration KEY: Nursing Process Step: Implementation a. Written orders
MSC: NCLEX: Safe, Effective Care Environment b. Daily reports
c. Diet selections
8. The nurse should document drug administration at which time? d. Medications
a. At the end of each shift
b. As soon as possible after administration ANS: D
c. Just before administration
It must be stressed that the nurse must never give medication prepared by another nurse.
d. Any time during the nurse’s shift Medications should not be given and orders not carried out.
ANS: B DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3
A note about how and when the nurse gave the drug should be made on the patient’s chart as TOP: Record Keeping KEY: Nursing Process Step: N/A
soon as possible after the drug is administered. There is a greater chance of error if meds are not MSC: NCLEX: N/A
charted as soon as they are given.
12. As an LVN/LPN, the nurse’s role in the nursing process is to gather information and work with
DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3 the patient. In carrying out this role, which task can be delegated to the LPN/LVN nurse?
TOP: Medication Administration KEY: Nursing Process Step: Implementation a. Interviewing the patient on admission
MSC: NCLEX: Physiological Integrity b. Planning and evaluating the patient’s care
c. Checking vital signs and medication response
9. Which nursing action is an example of the evaluation step in medication administration? d. Carrying out all steps of the nursing process
a. Obtaining the clotting time results of a patient on an anticoagulant
b. Asking the patient if he or she has any allergies to medications ANS: C
c. Checking a drug reference to verify the action of the drug
It is usually the LPN/LVN who takes vital signs, checks a patient’s response to medications and
d. Explaining to the patient the possible side effects of the drug treatments, and monitors symptoms the patient is having.
ANS: A DIF: Cognitive Level: Understand REF: p. 2 OBJ: 1
Evaluation of what happens when the nurse administers a drug helps the health care provider TOP: Nursing Process KEY: Nursing Process Step: Implementation
decide whether to continue the same drug or make a change. After administering a drug, an MSC: NCLEX: Physiological Integrity
important role of the nurse is following up to evaluate for the desired action (e.g., obtaining
13. When information is reported by the patient, it is considered to be subjective data. Which
results of clotting time tests ordered by the physician for a patient on an anticoagulant).
statement is considered to be objective data?
DIF: Cognitive Level: Apply REF: p. 8 OBJ: 4 a. The patient tells the nurse, ―I have pain in my lower back.‖
TOP: Medication Administration KEY: Nursing Process Step: Evaluation b. Mr. Williams tells the nurse he is having trouble catching his breath.
MSC: NCLEX: Physiological Integrity c. Miss Sims has told the doctor she has no history of allergies to antibiotics.
d. The patient’s skin is warm and dry.
10. A nurse must check for which two specific types of patient responses to drug therapy?
ANS: D
a. Action coding and action transferred
b. Drug feedback and drug uptake Objective data are physical findings the nurse can see during careful inspection, palpation,
c. Therapeutic effects and adverse effects
percussion, and auscultation.
, DIF: Cognitive Level: Understand REF: p. 3 OBJ: 2 DIF: Cognitive Level: Apply REF: p. 8 OBJ: 1
TOP: Nursing Process KEY: Nursing Process Step: Implementation TOP: Medication Response KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity MSC: NCLEX: Physiological Integrity
14. The LPN/LVN is a member of the health care team and assists the RN in following a plan of care 17. Many medications have names that sound or look alike. What should a nurse administering two
once the nursing diagnoses are shared with the team. When developing a nursing diagnosis, it such similar medications do?
can sometimes be difficult to get accurate answers from patients. Which category of patients is a. Check the spelling and name of each medication.
most likely to present a problem in this regard? b. Check the physician’s order only.
a. Patients who are elderly and sick c. Ask the team leader to check the order with you.
b. Patients only in for 24-hour admissions d. Ask the patient which one of the medications she takes.
c. Parents whose children are patients
d. Bilingual parents whose children are patients ANS: A
It is important to check the spelling of the name and the dose of each medication before any
ANS: A medication is given.
Getting accurate answers to questions may be harder with children, elderly patients, or people
whose language or culture is different from yours. DIF: Cognitive Level: Apply REF: p. 6 OBJ: 3
TOP: The Right Drug KEY: Nursing Process Step: Implementation
DIF: Cognitive Level: Understand REF: p. 4 OBJ: 4 MSC: NCLEX: Physiological Integrity
TOP: Diagnosis KEY: Nursing Process Step: Diagnosis
MSC: NCLEX: Physiological Integrity 18. Medications may come in a unit-dose package with a bar code that is scanned by a computer.
Which process should the nurse perform before administering unit-dose medication?
15. In utilizing the collected information about the patient’s condition before giving medications, a.Remove each medication from the packaging.
what are some important factors to consider? b.Check the medications in alphabetic order.
a. The color of the medication in pill form c.Read the drug label at least three times.
b. Who can administer this medication d.Ask the patient to name each of his or her medications.
c. Other drugs that may affect the medication’s route
d. ANS: C
The reason and goal of the medications given
Irrespective of the way the medication comes, the nurse must read the drug label at least three
ANS: D times: (1) before taking the drug from the unit-dose cart or shelf, (2) before preparing or
In planning to give a medication, the LPN/LVN must understand the reason or goal for each measuring the prescribed dose of medication, and (3) before putting the medication back on the
medication to be given; that is, what is this drug supposed to do for the patient? shelf or just before opening the medication at the time you give it to the patient.
DIF: Cognitive Level: Apply REF: pp. 4-5 OBJ: 4 DIF: Cognitive Level: Apply REF: p. 6 OBJ: 3
TOP: Planning KEY: Nursing Process Step: Planning TOP: The Right Drug KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity MSC: NCLEX: Physiological Integrity
16. The nurse collected information for a patient at the beginning of the shift and found that she had 19. In some settings, identifying the patient who is at risk for medication error (confused or critically
a blood pressure of 198/100. After reporting this information to the RN team leader, the nurse ill) can be accomplished by which process?
gave the patient the scheduled medication, amlodipine (Norvasc), 5 mg PO. Which is considered a. Asking the patient his or her name and room number
an appropriate evaluation of the patient’s response after this medication has been administered? b. Asking the patient’s roommate for the patient’s name
a. The therapeutic goal of the drug is met. c. Carrying the patient’s chart with you to the room
b. The therapeutic effects and adverse effects are checked. d. Using the portable computer to scan the identification bracelet
c. The medication was given 30 minutes late.
d. The medication was given 30 minutes early. ANS: D
The use of a portable computer to scan the patient’s identification bracelet and the drug is helpful
ANS: B in making sure the correct patient gets the correct medication.
The nurse checks for two types of responses to drug therapy: therapeutic effects and adverse
effects. Follow-up blood pressure should be checked to determine if the drug is effective. DIF: Cognitive Level: Understand REF: p. 7 OBJ: 3
TOP: The Right Patient KEY: Nursing Process Step: Implementation
Test Bank : Introduction to Clinical
Pharmacology - 8th Edition - Elsevier
,Chapter 1: Pharmacology and the Nursing Process in LPN Practice MSC: NCLEX: Physiological Integrity
Edmunds: Introduction to Clinical Pharmacology, 8th Edition
4. A medication should be withheld when which is true?
a. The physician omits the trade name in the order.
MULTIPLE CHOICE b. There has been a change in the patient’s condition.
c. The medication improves the patient’s symptoms.
1. A patient states that he occasionally takes an over-the-counter laxative for constipation. What is d. The patient is asleep.
this information an example of? ANS: B
a. Objective data
b.
You must use good judgment in carrying out a medication order. If, in your judgment, there has
Inspection
been a change in the patient’s condition that raises concerns about whether a medication should
c. Subjective data
d.
be given, it should be withheld (not given) until your concerns can be answered by the patient’s
Alternative therapy physician.
ANS: C
Subjective data describes the information given by the patient or family and includes the DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3
concerns or symptoms felt by the patient. TOP: Medication Administration KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Apply REF: p. 3 OBJ: 2
TOP: The Nursing Process KEY: Nursing Process Step: Assessment 5. How would a nurse ensure that the medication order is accurate?
MSC: NCLEX: Physiological Integrity a. By checking the medication record with the Kardex file
b. By comparing the physician’s order with the medication history
2. Which represents the correct order of the steps of the nursing process? c. By comparing the physician’s order to the chief complaint
a. Assessment, diagnosis, planning, implementation, evaluation d. By checking the medication record with the original physician’s order
b. Planning, assessment, diagnosis, implementation, evaluation
ANS: D
c. Assessment, planning, implementation, diagnosis, evaluation
Once the health care provider orders the medication, the nurse must verify that the order is
d. Diagnosis, planning, implementation, evaluation, assessment
accurate. Checking the medication chart or medication record with the physician’s original order
ANS: A usually does this.
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
implementation, evaluation. DIF: Cognitive Level: Remember REF: p. 5 OBJ: 3
TOP: Medication Administration KEY: Nursing Process Step: Planning
DIF: Cognitive Level: Remember REF: pp. 1-2 | Fig. 1-1 MSC: NCLEX: Physiological Integrity
OBJ: 1 TOP: The Nursing Process KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A 6. What do the six ―rights‖ of medication administration include?
a. Drug, time, dose, doctor, route, and documentation
3. The statement, ―The patient will be able to self-administer an aerosol nebulizer treatment by the b. Drug, time, dose, patient, route, and documentation
date of discharge,‖ is an example of which step of the nursing process? c. Drug, diagnosis, time, patient, route, and documentation
a. Implementation d. Dose, time, doctor, patient, route, and drug
b. Diagnosis ANS: B
c. Evaluation
d.
There are six ―rights‖ of medication administration that the nurse must always keep in mind. You
Planning must give the right drug at the right time, in the right dose, to the right patient, by the right route,
ANS: D and use the right documentation to record that the dose has been given.
The patient-focused care plan should include any medications that will be given on either a
short-term or a long-term basis. For example, goals may be written to apply ointments or patches DIF: Cognitive Level: Remember REF: p. 6 OBJ: 3
or to show the patient how he can give himself an aerosol nebulizer treatment. TOP: Medication Administration KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Apply REF: pp. 4-5 OBJ: 4
TOP: The Nursing Process KEY: Nursing Process Step: Planning 7. Which nursing action should ensure that a medication is given to the right patient?
, a. Checking the patient’s identification bracelet d. Uptime levels and downtime levels
b. Verifying the medication record with the chart
ANS: C
c. Verifying the room number with the chart
d. The nurse checks for two types of responses to drug therapy: therapeutic effects and adverse
Asking the patient to state his or her birth date and Social Security number
effects.
ANS: A
Each patient should be asked his or her name as the nurse checks the identification bracelet. In a DIF: Cognitive Level: Remember REF: p. 8 OBJ: 4
hospital setting, medication should never be given to a patient who is not wearing an TOP: Medication Evaluation KEY: Nursing Process Step: Evaluation
identification bracelet. MSC: NCLEX: Physiological Integrity
DIF: Cognitive Level: Understand REF: p. 7 OBJ: 3 11. Which is never administered if prepared by another nurse?
TOP: Medication Administration KEY: Nursing Process Step: Implementation a. Written orders
MSC: NCLEX: Safe, Effective Care Environment b. Daily reports
c. Diet selections
8. The nurse should document drug administration at which time? d. Medications
a. At the end of each shift
b. As soon as possible after administration ANS: D
c. Just before administration
It must be stressed that the nurse must never give medication prepared by another nurse.
d. Any time during the nurse’s shift Medications should not be given and orders not carried out.
ANS: B DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3
A note about how and when the nurse gave the drug should be made on the patient’s chart as TOP: Record Keeping KEY: Nursing Process Step: N/A
soon as possible after the drug is administered. There is a greater chance of error if meds are not MSC: NCLEX: N/A
charted as soon as they are given.
12. As an LVN/LPN, the nurse’s role in the nursing process is to gather information and work with
DIF: Cognitive Level: Remember REF: p. 8 OBJ: 3 the patient. In carrying out this role, which task can be delegated to the LPN/LVN nurse?
TOP: Medication Administration KEY: Nursing Process Step: Implementation a. Interviewing the patient on admission
MSC: NCLEX: Physiological Integrity b. Planning and evaluating the patient’s care
c. Checking vital signs and medication response
9. Which nursing action is an example of the evaluation step in medication administration? d. Carrying out all steps of the nursing process
a. Obtaining the clotting time results of a patient on an anticoagulant
b. Asking the patient if he or she has any allergies to medications ANS: C
c. Checking a drug reference to verify the action of the drug
It is usually the LPN/LVN who takes vital signs, checks a patient’s response to medications and
d. Explaining to the patient the possible side effects of the drug treatments, and monitors symptoms the patient is having.
ANS: A DIF: Cognitive Level: Understand REF: p. 2 OBJ: 1
Evaluation of what happens when the nurse administers a drug helps the health care provider TOP: Nursing Process KEY: Nursing Process Step: Implementation
decide whether to continue the same drug or make a change. After administering a drug, an MSC: NCLEX: Physiological Integrity
important role of the nurse is following up to evaluate for the desired action (e.g., obtaining
13. When information is reported by the patient, it is considered to be subjective data. Which
results of clotting time tests ordered by the physician for a patient on an anticoagulant).
statement is considered to be objective data?
DIF: Cognitive Level: Apply REF: p. 8 OBJ: 4 a. The patient tells the nurse, ―I have pain in my lower back.‖
TOP: Medication Administration KEY: Nursing Process Step: Evaluation b. Mr. Williams tells the nurse he is having trouble catching his breath.
MSC: NCLEX: Physiological Integrity c. Miss Sims has told the doctor she has no history of allergies to antibiotics.
d. The patient’s skin is warm and dry.
10. A nurse must check for which two specific types of patient responses to drug therapy?
ANS: D
a. Action coding and action transferred
b. Drug feedback and drug uptake Objective data are physical findings the nurse can see during careful inspection, palpation,
c. Therapeutic effects and adverse effects
percussion, and auscultation.
, DIF: Cognitive Level: Understand REF: p. 3 OBJ: 2 DIF: Cognitive Level: Apply REF: p. 8 OBJ: 1
TOP: Nursing Process KEY: Nursing Process Step: Implementation TOP: Medication Response KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity MSC: NCLEX: Physiological Integrity
14. The LPN/LVN is a member of the health care team and assists the RN in following a plan of care 17. Many medications have names that sound or look alike. What should a nurse administering two
once the nursing diagnoses are shared with the team. When developing a nursing diagnosis, it such similar medications do?
can sometimes be difficult to get accurate answers from patients. Which category of patients is a. Check the spelling and name of each medication.
most likely to present a problem in this regard? b. Check the physician’s order only.
a. Patients who are elderly and sick c. Ask the team leader to check the order with you.
b. Patients only in for 24-hour admissions d. Ask the patient which one of the medications she takes.
c. Parents whose children are patients
d. Bilingual parents whose children are patients ANS: A
It is important to check the spelling of the name and the dose of each medication before any
ANS: A medication is given.
Getting accurate answers to questions may be harder with children, elderly patients, or people
whose language or culture is different from yours. DIF: Cognitive Level: Apply REF: p. 6 OBJ: 3
TOP: The Right Drug KEY: Nursing Process Step: Implementation
DIF: Cognitive Level: Understand REF: p. 4 OBJ: 4 MSC: NCLEX: Physiological Integrity
TOP: Diagnosis KEY: Nursing Process Step: Diagnosis
MSC: NCLEX: Physiological Integrity 18. Medications may come in a unit-dose package with a bar code that is scanned by a computer.
Which process should the nurse perform before administering unit-dose medication?
15. In utilizing the collected information about the patient’s condition before giving medications, a.Remove each medication from the packaging.
what are some important factors to consider? b.Check the medications in alphabetic order.
a. The color of the medication in pill form c.Read the drug label at least three times.
b. Who can administer this medication d.Ask the patient to name each of his or her medications.
c. Other drugs that may affect the medication’s route
d. ANS: C
The reason and goal of the medications given
Irrespective of the way the medication comes, the nurse must read the drug label at least three
ANS: D times: (1) before taking the drug from the unit-dose cart or shelf, (2) before preparing or
In planning to give a medication, the LPN/LVN must understand the reason or goal for each measuring the prescribed dose of medication, and (3) before putting the medication back on the
medication to be given; that is, what is this drug supposed to do for the patient? shelf or just before opening the medication at the time you give it to the patient.
DIF: Cognitive Level: Apply REF: pp. 4-5 OBJ: 4 DIF: Cognitive Level: Apply REF: p. 6 OBJ: 3
TOP: Planning KEY: Nursing Process Step: Planning TOP: The Right Drug KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity MSC: NCLEX: Physiological Integrity
16. The nurse collected information for a patient at the beginning of the shift and found that she had 19. In some settings, identifying the patient who is at risk for medication error (confused or critically
a blood pressure of 198/100. After reporting this information to the RN team leader, the nurse ill) can be accomplished by which process?
gave the patient the scheduled medication, amlodipine (Norvasc), 5 mg PO. Which is considered a. Asking the patient his or her name and room number
an appropriate evaluation of the patient’s response after this medication has been administered? b. Asking the patient’s roommate for the patient’s name
a. The therapeutic goal of the drug is met. c. Carrying the patient’s chart with you to the room
b. The therapeutic effects and adverse effects are checked. d. Using the portable computer to scan the identification bracelet
c. The medication was given 30 minutes late.
d. The medication was given 30 minutes early. ANS: D
The use of a portable computer to scan the patient’s identification bracelet and the drug is helpful
ANS: B in making sure the correct patient gets the correct medication.
The nurse checks for two types of responses to drug therapy: therapeutic effects and adverse
effects. Follow-up blood pressure should be checked to determine if the drug is effective. DIF: Cognitive Level: Understand REF: p. 7 OBJ: 3
TOP: The Right Patient KEY: Nursing Process Step: Implementation
