TEST BANK LEHNE'S PHARMACOLOGY
FOR NURSING CARE 10TH EDITION
AUTHOR: JACQUELINE BURCHUM|
LAURA 2025 - 2026
Chapter,1:,Orientation,to,Pharmacology,Test,
Bank,
,
MULTIPLE,CHOICE,
,
1. The,nurse,is,teaching,a,patient,how,a,medication,works,to,treat,an,illness.,To,do,this,,the,nurse,will,r
ely,on,knowledge,of:,a.,clinical,pharmacology.,
b. drug,efficacy.,
c. pharmacokinetics.,
d. pharmacotherapeutics.,
,
,
ANS:,D,
Pharmacotherapeutics,is,the,study,of,the,use,of,drugs,to,diagnose,,treat,,and,prevent,conditions.,
Clinical,pharmacology,is,concerned,with,all,aspects,of,drug–human,interactions.,
Drug,efficacy,measures,the,extent,to,which,a,given,drug,causes,an,intended,effect.,Pharmacokin
etics,is,the,study,of,the,impact,of,the,body,on,a,drug.,
,
DIF:,Cognitive,Level:,Comprehension, REF:,Four,Basic,Terms, ,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
2. What,does,it,mean,when,a,drug,is,described,as,easy,to,administer?,
a. It,can,be,stored,indefinitely,without,need,for,refrigeration.,
b. It,does,not,interact,significantly,with,other,medications.,
c. It,enhances,patient,adherence,to,the,drug,regimen.,
d. It,is,usually,relatively,inexpensive,to,produce.,
,
,
ANS:,C,
, A,major,benefit,of,drugs,that,are,easy,to,administer,is,that,patients,taking,them,are,more,likely,to,
comply,with,the,drug,regimen.,Drugs,that,are,easy,to,give,may,have,the,other,attributes,listed,,bu
t,those,properties,are,independent,of,ease,of,administration.,
,
DIF:,Cognitive,Level:,Comprehension, ,
REF:,Additional,Properties,of,an,Ideal,Drug:,Ease,of,Administration, ,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
3. A,patient,tells,the,nurse,that,he,was,told,by,the,prescriber,that,the,analgesic,he,is,taking,is,very,effect
ive.,Which,statement,by,the,patient,demonstrates,an,understanding,of,the,drug’s,effectiveness?,
a. “I,don’t,have,to,worry,about,toxicity,,since,it,takes,a,large,amount,of,this,drug,to,cause,an,ove
rdose.”,
b. “It,has,no,side,effects,and,doesn’t,interact,with,other,drugs.”,
c. “I,only,have,to,take,it,every,12,hours.”,
d. “It,might,make,me,sleepy,,and,it,lessens,pain,for,several,hours,at,a,time.”,
,
,
ANS:,D,
A,drug,is,effective,if,it,produces,the,intended,effects,,even,if,it,also,produces,side,effects.,Becaus
e,no,drug,is,completely,safe,,the,level,of,toxicity,does,not,determine,effectiveness.,All,drugs,hav
e,side,effects,and,many,react,with,other,substances;,these,do,not,affect,the,drug’s,effectiveness.,E
ase,of,administration,is,independent,of,a,drug’s,effectiveness.,
,
DIF:,Cognitive,Level:,Comprehension, REF:,Properties,of,an,Ideal,Drug,
TOP:,Nursing,Process:,Evaluation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
MULTIPLE,RESPONSE,
,
1. What,are,the,properties,of,an,ideal,drug?,(Select,all,that,apply.),
a. Irreversible,action,
b. Predictability,
c. Ease,of,administration,
d. Chemical,stability,
e. A,simple,trade,name,
,
,
ANS:,B,,C,,D,
In,addition,to,predictability,,ease,of,administration,,and,chemical,stability,,other,properties,inclu
de,a,reversible,action,so,that,any,harm,the,drug,may,cause,can,be,undone,and,a,simple,generic,na
me,,because,generic,names,are,usually,complex,and,difficult,to,remember,and,pronounce.,
,
DIF:,Cognitive,Level:,Comprehension, ,
REF:,Properties,of,an,Ideal,Drug,|,Additional,Properties,of,an,Ideal,Drug,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
,2. Before,administering,a,medication,,what,does,the,nurse,need,to,know,to,evaluate,how,individual,pat
ient,variability,might,affect,the,patient’s,response,to,the,medication?,(Select,all,that,apply.),
a. Chemical,stability,of,the,medication,
b. Ease,of,administration,
c. Family,medical,history,
d. Patient’s,age,
e. Patient’s,diagnosis,
,
,
ANS:,C,,D,,E,
The,family,medical,history,can,indicate,genetic,factors,that,may,affect,a,patient’s,response,to,a,m
edication.,Patients,of,different,ages,can,respond,differently,to,medications.,The,patient’s,illness,
can,affect,how,drugs,are,metabolized.,The,chemical,stability,of,the,medication,and,the,ease,of,ad
ministration,are,properties,of,drugs.,
,
DIF:,Cognitive,Level:,Analysis, REF:,Sources,of,Individual,Variation,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
Chapter,2:,Application,of,Pharmacology,in,Nursing,Practice,Test,
Bank,
,
MULTIPLE,CHOICE,
,
, 1.,A,patient,is,using,a,metered-
dose,inhaler,containing,albuterol,for,asthma.,The,medication,label,instructs,the,patient,to,admini
ster,“2,puffs,every,4,hours,as,needed,for,coughing,or,wheezing.”,The,patient,reports,feeling,jitter
y,sometimes,when,taking,the,medication,,and,she,doesn’t,feel,that,the,medication,is,always,effec
tive.,Which,is,not,an,appropriate,nursing,intervention,for,this,patient?,
a. Asking,the,patient,to,demonstrate,use,of,the,inhaler,
b. Assessing,the,patient’s,exposure,to,tobacco,smoke,
c. Auscultating,lung,sounds,and,obtaining,vital,signs,
d. Suggesting,that,the,patient,use,one,puff,to,reduce,side,effects,
,
,
ANS:,D,
It,is,not,within,the,nurse’s,scope,of,practice,to,change,the,dose,of,a,medication,without,an,order,fr
om,a,prescriber.,Asking,the,patient,to,demonstrate,inhaler,use,helps,the,nurse,to,evaluate,the,pati
ent’s,ability,to,administer,the,medication,properly,and,is,part,of,the,nurse’s,evaluation.,Assessin
g,tobacco,smoke,exposure,helps,the,nurse,determine,whether,nondrug,therapies,,such,a,smoke,a
voidance,,can,be,used,as,an,adjunct,to,drug,therapy.,Performing,a,physical,assessment,helps,the,n
urse,evaluate,the,patient’s,response,to,the,medication.,
,
DIF:,Cognitive,Level:,Application, ,
REF:,Applying,the,Nursing,Process,in,Drug,Therapy:,Preadministration,Assessment,[and,all,subsections
,under,this,heading], TOP:,Nursing,Process:,Implementation,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
, ,
2.,A,postoperative,patient,is,being,discharged,home,with,acetaminophen/hydrocodone,(Lortab),
for,pain.,The,patient,asks,the,nurse,about,using,Tylenol,for,fever.,Which,statement,by,the,nurse,i
s,correct?,
a. “It,is,not,safe,to,take,over-the-counter,drugs,with,prescription,medications.”,
b. “Taking,the,two,medications,together,poses,a,risk,of,drug,toxicity.”,
c. “There,are,no,known,drug,interactions,,so,this,will,be,safe.”,
d. “Tylenol,and,Lortab,are,different,drugs,,so,there,is,no,risk,of,overdose.”,
,
,
ANS:,B,
Tylenol,is,the,trade,name,and,acetaminophen,is,the,generic,name,for,the,same,medication.,It,is,i
mportant,to,teach,patients,to,be,aware,of,the,different,names,for,the,same,drug,to,minimize,the,ris
k,of,overdose.,Over-the-
counter,(OTC),medications,and,prescription,medications,may,be,taken,together,unless,significa
nt,harmful,drug,interactions,are,possible.,Even,though,no,drug,interactions,are,at,play,in,this,case
,,both,drugs,contain,acetaminophen,,which,could,lead,to,toxicity.,
,
DIF:,Cognitive,Level:,Application, ,
REF:,Application,of,Pharmacology,in,Patient,Education:,Dosage,and,Administration,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
3. The,nurse,is,preparing,to,care,for,a,patient,who,will,be,taking,an,antihypertensive,medication.,
Which,action,by,the,nurse,is,part,of,the,assessment,step,of,the,nursing,process?,a.,As
king,the,prescriber,for,an,order,to,monitor,serum,drug,levels,
b. Monitoring,the,patient,for,drug,interactions,after,giving,the,medication,
c. Questioning,the,patient,about,over-the-counter,medications,
d. Taking,the,patient’s,blood,pressure,throughout,the,course,of,treatment,
,
,
ANS:,C,
The,assessment,part,of,the,nursing,process,involves,gathering,information,before,beginning,treat
ment,,and,this,includes,asking,about,other,medications,the,patient,may,be,taking.,Monitoring,ser
um,drug,levels,,watching,for,drug,interactions,,and,checking,vital,signs,after,giving,the,medicati
on,are,all,part,of,the,evaluation,phase.,
,
DIF:,Cognitive,Level:,Application, REF:,Preadministration,Assessment,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
4. A,postoperative,patient,reports,pain,,which,the,patient,rates,as,an,8,on,a,scale,from,1,to,10,(10,being,
the,most,extreme,pain).,The,prescriber,has,ordered,acetaminophen,(Tylenol),650,mg,PO,every,6,ho
urs,PRN,pain.,What,will,the,nurse,do?,
a. Ask,the,patient,what,medications,have,helped,with,pain,in,the,past.,
b. Contact,the,provider,to,request,a,different,analgesic,medication.,
c. Give,the,pain,medication,and,reposition,the,patient,to,promote,comfort.,
d. Request,an,order,to,administer,the,medication,every,4,hours.,
,
FOR NURSING CARE 10TH EDITION
AUTHOR: JACQUELINE BURCHUM|
LAURA 2025 - 2026
Chapter,1:,Orientation,to,Pharmacology,Test,
Bank,
,
MULTIPLE,CHOICE,
,
1. The,nurse,is,teaching,a,patient,how,a,medication,works,to,treat,an,illness.,To,do,this,,the,nurse,will,r
ely,on,knowledge,of:,a.,clinical,pharmacology.,
b. drug,efficacy.,
c. pharmacokinetics.,
d. pharmacotherapeutics.,
,
,
ANS:,D,
Pharmacotherapeutics,is,the,study,of,the,use,of,drugs,to,diagnose,,treat,,and,prevent,conditions.,
Clinical,pharmacology,is,concerned,with,all,aspects,of,drug–human,interactions.,
Drug,efficacy,measures,the,extent,to,which,a,given,drug,causes,an,intended,effect.,Pharmacokin
etics,is,the,study,of,the,impact,of,the,body,on,a,drug.,
,
DIF:,Cognitive,Level:,Comprehension, REF:,Four,Basic,Terms, ,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
2. What,does,it,mean,when,a,drug,is,described,as,easy,to,administer?,
a. It,can,be,stored,indefinitely,without,need,for,refrigeration.,
b. It,does,not,interact,significantly,with,other,medications.,
c. It,enhances,patient,adherence,to,the,drug,regimen.,
d. It,is,usually,relatively,inexpensive,to,produce.,
,
,
ANS:,C,
, A,major,benefit,of,drugs,that,are,easy,to,administer,is,that,patients,taking,them,are,more,likely,to,
comply,with,the,drug,regimen.,Drugs,that,are,easy,to,give,may,have,the,other,attributes,listed,,bu
t,those,properties,are,independent,of,ease,of,administration.,
,
DIF:,Cognitive,Level:,Comprehension, ,
REF:,Additional,Properties,of,an,Ideal,Drug:,Ease,of,Administration, ,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
3. A,patient,tells,the,nurse,that,he,was,told,by,the,prescriber,that,the,analgesic,he,is,taking,is,very,effect
ive.,Which,statement,by,the,patient,demonstrates,an,understanding,of,the,drug’s,effectiveness?,
a. “I,don’t,have,to,worry,about,toxicity,,since,it,takes,a,large,amount,of,this,drug,to,cause,an,ove
rdose.”,
b. “It,has,no,side,effects,and,doesn’t,interact,with,other,drugs.”,
c. “I,only,have,to,take,it,every,12,hours.”,
d. “It,might,make,me,sleepy,,and,it,lessens,pain,for,several,hours,at,a,time.”,
,
,
ANS:,D,
A,drug,is,effective,if,it,produces,the,intended,effects,,even,if,it,also,produces,side,effects.,Becaus
e,no,drug,is,completely,safe,,the,level,of,toxicity,does,not,determine,effectiveness.,All,drugs,hav
e,side,effects,and,many,react,with,other,substances;,these,do,not,affect,the,drug’s,effectiveness.,E
ase,of,administration,is,independent,of,a,drug’s,effectiveness.,
,
DIF:,Cognitive,Level:,Comprehension, REF:,Properties,of,an,Ideal,Drug,
TOP:,Nursing,Process:,Evaluation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
MULTIPLE,RESPONSE,
,
1. What,are,the,properties,of,an,ideal,drug?,(Select,all,that,apply.),
a. Irreversible,action,
b. Predictability,
c. Ease,of,administration,
d. Chemical,stability,
e. A,simple,trade,name,
,
,
ANS:,B,,C,,D,
In,addition,to,predictability,,ease,of,administration,,and,chemical,stability,,other,properties,inclu
de,a,reversible,action,so,that,any,harm,the,drug,may,cause,can,be,undone,and,a,simple,generic,na
me,,because,generic,names,are,usually,complex,and,difficult,to,remember,and,pronounce.,
,
DIF:,Cognitive,Level:,Comprehension, ,
REF:,Properties,of,an,Ideal,Drug,|,Additional,Properties,of,an,Ideal,Drug,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
,2. Before,administering,a,medication,,what,does,the,nurse,need,to,know,to,evaluate,how,individual,pat
ient,variability,might,affect,the,patient’s,response,to,the,medication?,(Select,all,that,apply.),
a. Chemical,stability,of,the,medication,
b. Ease,of,administration,
c. Family,medical,history,
d. Patient’s,age,
e. Patient’s,diagnosis,
,
,
ANS:,C,,D,,E,
The,family,medical,history,can,indicate,genetic,factors,that,may,affect,a,patient’s,response,to,a,m
edication.,Patients,of,different,ages,can,respond,differently,to,medications.,The,patient’s,illness,
can,affect,how,drugs,are,metabolized.,The,chemical,stability,of,the,medication,and,the,ease,of,ad
ministration,are,properties,of,drugs.,
,
DIF:,Cognitive,Level:,Analysis, REF:,Sources,of,Individual,Variation,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
Chapter,2:,Application,of,Pharmacology,in,Nursing,Practice,Test,
Bank,
,
MULTIPLE,CHOICE,
,
, 1.,A,patient,is,using,a,metered-
dose,inhaler,containing,albuterol,for,asthma.,The,medication,label,instructs,the,patient,to,admini
ster,“2,puffs,every,4,hours,as,needed,for,coughing,or,wheezing.”,The,patient,reports,feeling,jitter
y,sometimes,when,taking,the,medication,,and,she,doesn’t,feel,that,the,medication,is,always,effec
tive.,Which,is,not,an,appropriate,nursing,intervention,for,this,patient?,
a. Asking,the,patient,to,demonstrate,use,of,the,inhaler,
b. Assessing,the,patient’s,exposure,to,tobacco,smoke,
c. Auscultating,lung,sounds,and,obtaining,vital,signs,
d. Suggesting,that,the,patient,use,one,puff,to,reduce,side,effects,
,
,
ANS:,D,
It,is,not,within,the,nurse’s,scope,of,practice,to,change,the,dose,of,a,medication,without,an,order,fr
om,a,prescriber.,Asking,the,patient,to,demonstrate,inhaler,use,helps,the,nurse,to,evaluate,the,pati
ent’s,ability,to,administer,the,medication,properly,and,is,part,of,the,nurse’s,evaluation.,Assessin
g,tobacco,smoke,exposure,helps,the,nurse,determine,whether,nondrug,therapies,,such,a,smoke,a
voidance,,can,be,used,as,an,adjunct,to,drug,therapy.,Performing,a,physical,assessment,helps,the,n
urse,evaluate,the,patient’s,response,to,the,medication.,
,
DIF:,Cognitive,Level:,Application, ,
REF:,Applying,the,Nursing,Process,in,Drug,Therapy:,Preadministration,Assessment,[and,all,subsections
,under,this,heading], TOP:,Nursing,Process:,Implementation,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies,
,
, ,
2.,A,postoperative,patient,is,being,discharged,home,with,acetaminophen/hydrocodone,(Lortab),
for,pain.,The,patient,asks,the,nurse,about,using,Tylenol,for,fever.,Which,statement,by,the,nurse,i
s,correct?,
a. “It,is,not,safe,to,take,over-the-counter,drugs,with,prescription,medications.”,
b. “Taking,the,two,medications,together,poses,a,risk,of,drug,toxicity.”,
c. “There,are,no,known,drug,interactions,,so,this,will,be,safe.”,
d. “Tylenol,and,Lortab,are,different,drugs,,so,there,is,no,risk,of,overdose.”,
,
,
ANS:,B,
Tylenol,is,the,trade,name,and,acetaminophen,is,the,generic,name,for,the,same,medication.,It,is,i
mportant,to,teach,patients,to,be,aware,of,the,different,names,for,the,same,drug,to,minimize,the,ris
k,of,overdose.,Over-the-
counter,(OTC),medications,and,prescription,medications,may,be,taken,together,unless,significa
nt,harmful,drug,interactions,are,possible.,Even,though,no,drug,interactions,are,at,play,in,this,case
,,both,drugs,contain,acetaminophen,,which,could,lead,to,toxicity.,
,
DIF:,Cognitive,Level:,Application, ,
REF:,Application,of,Pharmacology,in,Patient,Education:,Dosage,and,Administration,
TOP:,Nursing,Process:,Implementation, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
3. The,nurse,is,preparing,to,care,for,a,patient,who,will,be,taking,an,antihypertensive,medication.,
Which,action,by,the,nurse,is,part,of,the,assessment,step,of,the,nursing,process?,a.,As
king,the,prescriber,for,an,order,to,monitor,serum,drug,levels,
b. Monitoring,the,patient,for,drug,interactions,after,giving,the,medication,
c. Questioning,the,patient,about,over-the-counter,medications,
d. Taking,the,patient’s,blood,pressure,throughout,the,course,of,treatment,
,
,
ANS:,C,
The,assessment,part,of,the,nursing,process,involves,gathering,information,before,beginning,treat
ment,,and,this,includes,asking,about,other,medications,the,patient,may,be,taking.,Monitoring,ser
um,drug,levels,,watching,for,drug,interactions,,and,checking,vital,signs,after,giving,the,medicati
on,are,all,part,of,the,evaluation,phase.,
,
DIF:,Cognitive,Level:,Application, REF:,Preadministration,Assessment,
TOP:,Nursing,Process:,Assessment, ,
MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
4. A,postoperative,patient,reports,pain,,which,the,patient,rates,as,an,8,on,a,scale,from,1,to,10,(10,being,
the,most,extreme,pain).,The,prescriber,has,ordered,acetaminophen,(Tylenol),650,mg,PO,every,6,ho
urs,PRN,pain.,What,will,the,nurse,do?,
a. Ask,the,patient,what,medications,have,helped,with,pain,in,the,past.,
b. Contact,the,provider,to,request,a,different,analgesic,medication.,
c. Give,the,pain,medication,and,reposition,the,patient,to,promote,comfort.,
d. Request,an,order,to,administer,the,medication,every,4,hours.,
,
