LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
1. A patient receiving morphine for pain management expresses concern about constipation as a side effect.
What should the nurse educate the patient about?
a. Constipation is a temporary side effect and will resolve soon.
b. It is important to stay hydrated and consume fiber.
c. Increased physical activity will prevent constipation.
d. This side effect only occurs with higher doses.
ANS: B
2. What mechanism is responsible for a patient developing tolerance to a medication over time?
a. Increased receptor sensitivity
b. Decreased receptor number
c. Alteration in drug metabolism
d. Enhanced drug binding
ANS: B
3. A nurse is instructing a patient about the importance of not abruptly discontinuing a benzodiazepine. What
is the primary reason for this instruction?
a. Risk of dependency
b. Risk of withdrawal symptoms
c. Increased effectiveness of the medication
d. Development of a tolerance
ANS: B
4. A patient is concerned about a new medication with a black box warning. What does this indicate?
a. The drug has serious risks associated with its use.
b. The drug is only effective for severe cases.
c. The medication is known to cause a specific type of allergic reaction.
d. The drug is contraindicated in pregnancy.
ANS: A
5. Which factors can enhance the pharmacokinetics of a drug? Select all that apply.
a. Age
b. Genetics
c. Body mass
d. Gender
e. Time of day
ANS: A, B, C, D
6. What should a nurse monitor in a patient receiving anticoagulant therapy?
a. Blood glucose levels
b. Renal function
c. Platelet count
d. Coagulation status
ANS: D
7. A patient taking lithium for bipolar disorder is experiencing nausea and tremors. What should the nurse
assess?
a. Signs of an allergic reaction
b. Serum lithium levels
c. Blood pressure changes
d. Liver function tests
ANS: B
8. What should the nurse teach a patient who is about to start an antibiotic?
a. Take the medication with food to avoid gastrointestinal upset.
b. Complete the entire course of antibiotics as prescribed.
c. It’s okay to stop if symptoms improve.
d. Antibiotics can be shared with family members if they have similar symptoms.
ANS: B
, LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
9. The nurse plans to administer a medication that is known to cause sedation. What should the nurse
prioritize in the care plan?
a. Monitoring vital signs
b. Assessing pain levels
c. Ensuring patient safety
d. Encouraging fluid intake
ANS: C
10. Which of the following drug classes is known to cause a risk of falls in older adults?
a. Antihypertensives
b. Opioids
c. SSRI antidepressants
d. All of the above
ANS: D
11. A patient is taking multiple medications and develops new symptoms. What is the most important action
the nurse should take?
a. Change the medication schedule
b. Inform the provider of the symptoms
c. Discontinue the medication immediately
d. Monitor the symptoms for 24 hours
ANS: B
12. What is a common cause of noncompliance with medication regimens among patients?
a. Complexity of medication schedule
b. Lack of health literacy
c. Financial constraints
d. All of the above
ANS: D
13. Which laboratory value should be monitored for a patient receiving digoxin?
a. BUN
b. Serum potassium
c. Complete blood count
d. Liver function tests
ANS: B
14. What is the most appropriate nursing intervention when administering a new anticoagulant?
a. Start a new IV line
b. Monitor for signs of bleeding
c. Increase fluid intake
d. Administer with food
ANS: B
15. A patient receiving a benzodiazepine for anxiety reports excessive drowsiness. What is the nurse’s best
response?
a. "You should stop taking this medication."
b. "This is a common side effect; it should improve."
c. "Let's consider a lower dose."
d. "You must be taking other medications."
ANS: B
16. Which patient population is at the greatest risk for adverse drug reactions?
a. Adolescents
b. Middle-aged adults
c. Older adults
d. Pregnant women
ANS: C
17. The nurse is teaching a patient about the use of an inhaler. What should the nurse emphasize?
a. Use it only when symptoms worsen.
2ND EDITION ROSENTHAL TEST BANK
1. A patient receiving morphine for pain management expresses concern about constipation as a side effect.
What should the nurse educate the patient about?
a. Constipation is a temporary side effect and will resolve soon.
b. It is important to stay hydrated and consume fiber.
c. Increased physical activity will prevent constipation.
d. This side effect only occurs with higher doses.
ANS: B
2. What mechanism is responsible for a patient developing tolerance to a medication over time?
a. Increased receptor sensitivity
b. Decreased receptor number
c. Alteration in drug metabolism
d. Enhanced drug binding
ANS: B
3. A nurse is instructing a patient about the importance of not abruptly discontinuing a benzodiazepine. What
is the primary reason for this instruction?
a. Risk of dependency
b. Risk of withdrawal symptoms
c. Increased effectiveness of the medication
d. Development of a tolerance
ANS: B
4. A patient is concerned about a new medication with a black box warning. What does this indicate?
a. The drug has serious risks associated with its use.
b. The drug is only effective for severe cases.
c. The medication is known to cause a specific type of allergic reaction.
d. The drug is contraindicated in pregnancy.
ANS: A
5. Which factors can enhance the pharmacokinetics of a drug? Select all that apply.
a. Age
b. Genetics
c. Body mass
d. Gender
e. Time of day
ANS: A, B, C, D
6. What should a nurse monitor in a patient receiving anticoagulant therapy?
a. Blood glucose levels
b. Renal function
c. Platelet count
d. Coagulation status
ANS: D
7. A patient taking lithium for bipolar disorder is experiencing nausea and tremors. What should the nurse
assess?
a. Signs of an allergic reaction
b. Serum lithium levels
c. Blood pressure changes
d. Liver function tests
ANS: B
8. What should the nurse teach a patient who is about to start an antibiotic?
a. Take the medication with food to avoid gastrointestinal upset.
b. Complete the entire course of antibiotics as prescribed.
c. It’s okay to stop if symptoms improve.
d. Antibiotics can be shared with family members if they have similar symptoms.
ANS: B
, LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
9. The nurse plans to administer a medication that is known to cause sedation. What should the nurse
prioritize in the care plan?
a. Monitoring vital signs
b. Assessing pain levels
c. Ensuring patient safety
d. Encouraging fluid intake
ANS: C
10. Which of the following drug classes is known to cause a risk of falls in older adults?
a. Antihypertensives
b. Opioids
c. SSRI antidepressants
d. All of the above
ANS: D
11. A patient is taking multiple medications and develops new symptoms. What is the most important action
the nurse should take?
a. Change the medication schedule
b. Inform the provider of the symptoms
c. Discontinue the medication immediately
d. Monitor the symptoms for 24 hours
ANS: B
12. What is a common cause of noncompliance with medication regimens among patients?
a. Complexity of medication schedule
b. Lack of health literacy
c. Financial constraints
d. All of the above
ANS: D
13. Which laboratory value should be monitored for a patient receiving digoxin?
a. BUN
b. Serum potassium
c. Complete blood count
d. Liver function tests
ANS: B
14. What is the most appropriate nursing intervention when administering a new anticoagulant?
a. Start a new IV line
b. Monitor for signs of bleeding
c. Increase fluid intake
d. Administer with food
ANS: B
15. A patient receiving a benzodiazepine for anxiety reports excessive drowsiness. What is the nurse’s best
response?
a. "You should stop taking this medication."
b. "This is a common side effect; it should improve."
c. "Let's consider a lower dose."
d. "You must be taking other medications."
ANS: B
16. Which patient population is at the greatest risk for adverse drug reactions?
a. Adolescents
b. Middle-aged adults
c. Older adults
d. Pregnant women
ANS: C
17. The nurse is teaching a patient about the use of an inhaler. What should the nurse emphasize?
a. Use it only when symptoms worsen.
