JacquelineBurchum,LauraRosenthal
Chapter1:OrientationtoPharmacologyTest .o #f
Bank
f#
MULTIPLECHOICE
1. Thenurseisteachingapatienthowamedicationworkstotreatanillness.Todothis,thenurse .o .o .o
f # f #willrelyonknowledgeof: .o
a. clinicalpharmacology. .o
b. drugefficacy. .o
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: f # D
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat,andpreventconditions.
f#Clinicalpharmacologyisconcerned with all a spectsofdrug–humaninteractions.
.o .o .o .o
f#Drug efficacy f# measurestheextenttowhich a given drug causesan#fintended effect.
.o .o .o .o .o
Pharmacokineticsisthestudyoftheimpactofthe f#bodyonadrug.
DIF: Cognitive#fLevel:#fComprehension REF:FourBasicTerms .o
f#TOP: f # NursingProcess: f#Implementation
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o
2. Whatdoes itmeanwhen a drugis described f# aseasyto f#administer?
.o .o .o .o .o
a. Itcanbestoredindefinitelywithout needforrefrigeration. .o
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrugregimen.
d. Itis#fusuallyrelativelyinexpensivetoproduce.
ANS: f # C
Amajorbenefitofdrugsthatareeasytoadministeristhatpatientstakingthemaremorelikelyto f # .o
f # complywiththedrugregimen.Drugsthatareeasytogivemayhavetheotherattributeslisted,but f #
f # thoseproperties areindependentofease ofadministration. .o .o
DIF: CognitiveLevel:Comprehension
f#REF:AdditionalPropertiesofanIdealDrug:EaseofAdministration#fTOP: .o .o
f#NursingProcess:#fAssessment
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
3. Apatienttellsthenursethathewastoldbytheprescriberthattheanalgesicheistakingis .o f #
f #
f #veryeffective.Whichstatementbythepatientdemonstratesanunderstandingofthedrug‘s .o
f#effectiveness?
a. ―Idon‘thavetoworryabouttoxicity,sinceittakesalargeamountofthisdrugtocause f #
.o .o
f # f # anoverdose.‖ .o
b. ―Ithasnosideeffectsanddoesn‘tinteractwithotherdrugs.‖ .o .o
c. ―Ionlyhaveto f#takeit f# every12 f#hours.‖
.o
d. ―Itmightmakemesleepy, f # f # anditlessenspainforseveralhoursatatime.‖ .o
ANS: f # D
, Adrugiseffectiveifitproducestheintended effects,#fevenifitalsoproducessideeffects.#fBecause .o
f # nodrugis completelysafe,theleveloftoxicitydoesnotdetermineeffectiveness.Alldrugs#fhaveside
.o .o
f#effectsand manyreact withothersubstances;thesedonotaffect thedrug‘seffectiveness.#fEaseof
.o .o .o
f # administrationisindependentofa drug‘seffectiveness. .o
DIF: Cognitive#fLevel:#fComprehension REF:PropertiesofanIdealDrug .o
f#TOP: f # NursingProcess: f#Evaluation
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
MULTIPLERESPONSE .o
1. Whatarethepropertiesofanidealdrug?#f(Selectallthatapply.)
.o
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletradename
ANS: f# B,C,#fD
In additiontopredictability,f#easeofadministration,#fand chemical#fstability,otherproperties
.o .o
f#includeareversibleactionsothatanyharmthedrugmaycausecanbeundoneand asimplegeneric .o .o .o .o f#
f # name,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
DIF: CognitiveLevel:Comprehension
REF:PropertiesofanIdealDrug|AdditionalPropertiesofanIdealDrugTOP:
.o .o .o .o
f # NursingProcess:#fAssessment
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
2. Beforeadministeringa medication,whatdoesthenurseneedtoknowtoevaluate#fhow
.o
individualpatientvariabilitymightaffectthepatient‘sresponsetothemedication?#f(Selectallthat
f# .o
apply.)
f#
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient‘sage
e. Patient‘sdiagnosis
ANS: f # C,D,E
Thefamilymedicalhistorycanindicate#fgeneticfactorsthatmayaffecta patient‘sresponsetoa .o .o
f# medication.Patientsofdifferentagesf#can#fresponddifferentlytomedications. #fThepatient‘sillness
f#canaffecthowdrugsaremetabolized.Thechemicalstabilityofthemedication andtheeaseof f #
.o .o .o .o
f # administrationarepropertiesofdrugs.
DIF: Cognitive#fLevel:#fAnalysis REF:SourcesofIndividualVariation .o .o
f#TOP: f # NursingProcess: f#Implementation
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential .o
,Chapter2:ApplicationofPharmacologyinNursingPracticeTest
Bank
f#
MULTIPLECHOICE
1. Apatientisusingametered-doseinhalercontainingalbuterolforasthma.Themedicationlabel
.o .o
f#instructsthepatienttoadminister―2puffsevery4 #fhoursasneeded#fforcoughingor
wheezing.‖Thepatient f#reportsfeelingjitterysometimeswhentakingthemedication,andshedoesn‘t
.o .o .o .o
f#feelthatthemedicationisalwayseffective.Whichis f#notanappropriatenursinginterventionforthis .o .o .o
f#patient?
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessingthepatient‘sexposuretotobaccosmoke
.o
c. Auscultatinglungsoundsf#andobtainingvitalsigns .o
d. Suggestingthatthepatient f#useonepufftoreducesideeffects
.o
ANS: f # D
Itisnotwithinthenurse‘sscopeofpracticetochangethedoseofamedicationwithoutanorderfrom f #
.o
f # aprescriber.Askingthepatienttodemonstrateinhalerusehelpsthenurseto
.o
evaluatethepatient‘sabilityto#fadministerthemedicationproperlyandispartofthenurse‘sevaluation.
f#Assessingtobaccosmokeexposurehelps thenursedeterminewhethernondrugtherapies,#fsucha smoke .o .o
f # avoidance,canbeusedasanadjuncttodrugtherapy.#fP erformingaphysicalassessmenthelpsthenurse .o
f # evaluatethepatient‘sresponsetothemedication.
DIF: CognitiveLevel:Application
REF:#fApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment[andall .o
f# subsectionsunderthisheading] TOP: f # NursingProcess:
f#Implementation
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o
2. Apostoperativepatientisbeingdischargedhomewithacetaminophen/hydrocodone(Lortab)for
.o .o .o .o
pain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurseis
f# f #
f # correct?
a. ―Itisnotsafetotakeover-the-counterdrugswith p rescription medications.‖ .o
b. ―Takingthetwo f # f # medications togetherposesa riskofdrugtoxicity.‖
.o .o .o
c. ―Therearenoknowndruginteractions, sothiswill f # f # besafe.‖
.o
d. ―Tylenoland f # f # f # Lortab aredifferent drugs,sothereisnorisk ofoverdose.‖ .o .o
ANS: f # B
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication.f#Itis .o
f # importanttoteachpatientstobeawareofthedifferentnamesforthesamedrugtominimizetheriskof
.o .o .o
f # f # overdose.#fOver-the-
counter(OTC)medicationsand prescriptionmedicationsmaybetaken .o
f# togetherunlesssignificantharmfuldruginteractionsarepossible. #fEventhoughnodrug
f#interactionsareat playinthis case,both .o .o
f # drugscontainacetaminophen,which couldleadtotoxicity. .o
DIF: CognitiveLevel:Application .o
f#REF:ApplicationofPharmacologyinPatientEducation:DosageandAdministrationTOP .o .o .o
: f#NursingProcess:#fImplementation
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential .o .o .o
, 3. Thenurseispreparingtocareforapatientwhowillbetakinganantihypertensivemedication.Which .o .o f#
actionbythenurseispartoftheassessmentstepofthenursingprocess?
f# .o
a. Askingtheprescriberforanordertomonitorserumdruglevels .o
b. Monitoringthepatient fordruginteractionsaftergivingthemedication .o .o
c. Questioningthepatientaboutover-the-countermedications
d. Takingthepatient‘sblood pressurethroughout f# thecourseoftreatment
.o .o
ANS: f # C
Theassessmentpartofthenursingprocessinvolvesgatheringinformationbeforebeginningtreatment,
.o .o .o .o
f # andthisincludesaskingaboutothermedicationsthepatientmaybetaking.
.o
Monitoringserumdruglevels,watchingfordruginteractions,andcheckingvitalsignsaftergiving
.o .o
f # themedicationareallpartoftheevaluationphase. .o
DIF: Cognitive#fLevel:#fApplication REF:PreadministrationAssessment .o
f#TOP: f # NursingProcess: f#Assessment
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential .o .o .o
4. A f#postoperative f#patient f#reports f#pain, f#which f#the f#patient f#rates f#as f#an f#8 f#on f#a f#scale f#from f#1 f#to
10 f#(10 f#beingthe f#most f#extreme f#pain). f#Theprescriber f#has f#ordered f#acetaminophen f#(Tylenol)
f#
650 f#mg f#PO f#every6hours#fPRNpain.#fWhatwillthenursedo?
f#
a. Askthepatientwhatmedicationshavehelpedwithpaininthepast.
b. Contacttheprovidertorequestadifferent analgesicmedication.
.o .o .o
c. Givethepainmedicationandrepositionthepatienttopromotecomfort.
.o .o
d. Requestan ordertoadministerthemedicationevery4 f # hours.
.o
ANS: f # B
Thenursingdiagnosisforthispatientisseverepain.Acetaminophenisgivenformildtomoderate f # .o f #
f # pain,sothenurseshould ask theprescribertoorderastrongeranalgesicmedication.#fA sking the .o .o .o
f # patient totellthenursewhathashelpedinthepastisapartofaninitialassessment#fandshouldbedone
.o .o .o .o
f#preoperativelyandnotwhenthepatientishavingseverepain.Becausethepatientishavingsevere f #
.o .o .o
f # pain,acetaminophen combinedwithnondrug therapieswillnotbesufficient.#fIncreasing the
.o .o .o
f# frequencyofthedoseofamedicationformildpainwillnotbeeffective. .o
DIF: Cognitive#fLevel:#fAnalysis REF:AnalysisandNursingDiagnosis .o
f#TOP: f # NursingProcess: f#Diagnosis
MSC: f # NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o
5. Apatientnewlydiagnosedwithdiabetesistobedischargedfromthehospital.Thenurse .o .o
f # teachingthispatientabouthomemanagementshouldbeginbydoingwhat? .o .o .o
a. Askingthepatienttodemonstratehowtomeasureandadministerinsulin
b. Discussingmethodsofstoringinsulinand discardingsyringes .o .o
c. Givinginformation f#abouthowdietandexerciseaffectinsulinrequirements
.o .o .o
d. Teachingthepatientaboutthelong-term consequencesofpoordiabetescontrol .o
ANS: f # A