,Chapter 1: Orientation to Pharmacology
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Test Bank
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MULTIPLE CHOICE jd
1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
the nurse will rely on knowledge of:
jd jd jd jd jd jd jd
a. clinical pharmacology. jd
b. drug efficacy. jd
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: j d D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent jd jd jd jd jd jd jd jd jd jd jd jd jd
conditions. Clinical pharmacology is concerned with all aspects of drug–human
jd jd jd jd jd jd jd jd jd jd
interactions. Drug efficacy measures the extent to which a given drug causes an intended
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
effect.
jd
Pharmacokinetics is the study of the impact of the body on a drug. jd jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension REF: Four Basic jd jd j d jd
Terms TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. What does it mean when a drug is described as easy to administer?
jd jd jd jd jd jd jd jd jd jd jd jd
a. It can be stored indefinitely without need for refrigeration.
jd jd jd jd jd jd jd jd
b. It does not interact significantly with other medications.
jd jd jd jd jd jd jd
c. It enhances patient adherence to the drug regimen.
jd jd jd jd jd jd jd
d. It is usually relatively inexpensive to produce.
jd jd jd jd jd jd
ANS: j d C
A major benefit of drugs that are easy to administer is that patients taking them are more
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
likely to comply with the drug regimen. Drugs that are easy to give may have the other
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
attributes listed, but those properties are independent of ease of administration.
jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension jd jd
REF: Additional Properties of an Ideal Drug: Ease of Administration
j d jd jd jd jd jd jd jd jd
TOP: Nursing Process: Assessment
jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
taking is very effective. Which statement by the patient demonstrates an understanding
jd jd jd jd jd jd jd jd jd jd jd jd
of the drug‘s effectiveness?
jd jd jd jd
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
to cause an overdose.‖
jd jd jd jd
b. ―It has no side effects and doesn‘t interact with other drugs.‖
jd jd jd jd jd jd jd jd jd jd
c. ―I only have to take it every 12 hours.‖
jd jd jd jd jd jd jd jd
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
ANS: j d D
, A drug is effective if it produces the intended effects, even if it also produces side effects.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
Because no drug is completely safe, the level of toxicity does not determine effectiveness.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
All drugs have side effects and many react with other substances; these do not affect the
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal jd jd j d jd jd jd
Drug TOP: Nursing Process: Evaluation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
MULTIPLE RESPONSE jd
1. What are the properties of an ideal drug? (Select all that apply.)
jd jd jd jd jd jd jd jd jd jd jd
a. Irreversible action jd
b. Predictability
c. Ease of administration jd jd
d. Chemical stability jd
e. A simple trade name jd jd jd
ANS: j d B, C, D jd jd
In addition to predictability, ease of administration, and chemical stability, other properties
jd jd jd jd jd jd jd jd jd jd jd
include a reversible action so that any harm the drug may cause can be undone and a
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
simple generic name, because generic names are usually complex and difficult to
jd jd jd jd jd jd jd jd jd jd jd jd
remember and pronounce.
jd jd jd
DIF: Cognitive Level: Comprehension jd jd
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
j d jd jd jd jd jd jd jd jd jd jd
Drug TOP: Nursing Process: Assessment
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. Before administering a medication, what does the nurse need to know to evaluate how
jd jd jd jd jd jd jd jd jd jd jd jd jd
individual patient variability might affect the patient‘s response to the medication? (Select
jd jd jd jd jd jd jd jd jd jd jd jd
all that apply.)
jd jd jd
a. Chemical stability of the medication jd jd jd jd
b. Ease of administration jd jd
c. Family medical history jd jd
d. Patient‘s age jd
e. Patient‘s diagnosis jd
ANS: j d C, D, E jd jd
The family medical history can indicate genetic factors that may affect a patient‘s response
jd jd jd jd jd jd jd jd jd jd jd jd jd
to a medication. Patients of different ages can respond differently to medications. The
jd jd jd jd jd jd jd jd jd jd jd jd jd
patient‘s illness can affect how drugs are metabolized. The chemical stability of the
jd jd jd jd jd jd jd jd jd jd jd jd jd
medication and the ease of administration are properties of drugs.
jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Analysis REF: Sources of Individual jd jd j d jd jd
Variation TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j d jd jd jd jd jd jd jd jd jd
, Chapter 2: Application of Pharmacology in Nursing
jd jd jd jd jd jd
Practice Test Bank
jd jd jd
MULTIPLE CHOICE jd
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
jd jd jd jd jd jd jd jd jd jd jd jd
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and
jd jd jd jd jd jd jd jd jd jd jd jd
she doesn‘t feel that the medication is always effective. Which is not an appropriate
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
nursing intervention for this patient?
jd jd jd jd jd
a. Asking the patient to demonstrate use of the inhaler jd jd jd jd jd jd jd jd
b. Assessing the patient‘s exposure to tobacco smoke jd jd jd jd jd jd
c. Auscultating lung sounds and obtaining vital signs jd jd jd jd jd jd
d. Suggesting that the patient use one puff to reduce side effects jd jd jd jd jd jd jd jd jd jd
ANS: j d D
It is not within the nurse‘s scope of practice to change the dose of a medication without
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
an order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
to evaluate the patient‘s ability to administer the medication properly and is part of the
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
nurse‘s evaluation. Assessing tobacco smoke exposure helps the nurse determine whether
jd jd jd jd jd jd jd jd jd jd jd
nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug therapy.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
Performing a physical assessment helps the nurse evaluate the patient‘s response to the
jd jd jd jd jd jd jd jd jd jd jd jd jd
medication.
jd
DIF: Cognitive Level: Application jd jd
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment
j d jd jd jd jd jd jd jd jd
[and all subsections under this heading] TOP: Nursing Process: Implementation
jd jd jd jd jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
jd jd jd jd jd jd jd jd
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
statement by the nurse is correct?
jd jd jd jd jd jd
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
jd jd jd jd jd jd jd jd jd jd
b. ―Taking the two medications together poses a risk of drug toxicity.‖
jd jd jd jd jd jd jd jd jd jd
c. ―There are no known drug interactions, so this will be safe.‖
jd jd jd jd jd jd jd jd jd jd
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
jd jd jd jd jd jd jd jd jd jd jd jd
ANS: j d B
Tylenol is the trade name and acetaminophen is the generic name for the same medication.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
It is important to teach patients to be aware of the different names for the same drug to
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
minimize the risk of overdose. Over-the-counter (OTC) medications and prescription
jd jd jd jd jd jd jd jd jd jd
medications may be taken together unless significant harmful drug interactions are
jd jd jd jd jd jd jd jd jd jd jd
possible. Even though no drug interactions are at play in this case, both drugs contain
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
acetaminophen, which could lead to toxicity.
jd jd jd jd jd jd
DIF: Cognitive Level: Application jd jd
REF: Application of Pharmacology in Patient Education: Dosage and
j d jd jd jd jd jd jd jd
Administration TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j d jd jd jd jd jd jd jd jd jd
jd jd jd jd
Test Bank
jd jd
MULTIPLE CHOICE jd
1. The nurse is teaching a patient how a medication works to treat an illness. To do this,
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
the nurse will rely on knowledge of:
jd jd jd jd jd jd jd
a. clinical pharmacology. jd
b. drug efficacy. jd
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: j d D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent jd jd jd jd jd jd jd jd jd jd jd jd jd
conditions. Clinical pharmacology is concerned with all aspects of drug–human
jd jd jd jd jd jd jd jd jd jd
interactions. Drug efficacy measures the extent to which a given drug causes an intended
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
effect.
jd
Pharmacokinetics is the study of the impact of the body on a drug. jd jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension REF: Four Basic jd jd j d jd
Terms TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. What does it mean when a drug is described as easy to administer?
jd jd jd jd jd jd jd jd jd jd jd jd
a. It can be stored indefinitely without need for refrigeration.
jd jd jd jd jd jd jd jd
b. It does not interact significantly with other medications.
jd jd jd jd jd jd jd
c. It enhances patient adherence to the drug regimen.
jd jd jd jd jd jd jd
d. It is usually relatively inexpensive to produce.
jd jd jd jd jd jd
ANS: j d C
A major benefit of drugs that are easy to administer is that patients taking them are more
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
likely to comply with the drug regimen. Drugs that are easy to give may have the other
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
attributes listed, but those properties are independent of ease of administration.
jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension jd jd
REF: Additional Properties of an Ideal Drug: Ease of Administration
j d jd jd jd jd jd jd jd jd
TOP: Nursing Process: Assessment
jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
taking is very effective. Which statement by the patient demonstrates an understanding
jd jd jd jd jd jd jd jd jd jd jd jd
of the drug‘s effectiveness?
jd jd jd jd
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
to cause an overdose.‖
jd jd jd jd
b. ―It has no side effects and doesn‘t interact with other drugs.‖
jd jd jd jd jd jd jd jd jd jd
c. ―I only have to take it every 12 hours.‖
jd jd jd jd jd jd jd jd
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
ANS: j d D
, A drug is effective if it produces the intended effects, even if it also produces side effects.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
Because no drug is completely safe, the level of toxicity does not determine effectiveness.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
All drugs have side effects and many react with other substances; these do not affect the
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness.
jd jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal jd jd j d jd jd jd
Drug TOP: Nursing Process: Evaluation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
MULTIPLE RESPONSE jd
1. What are the properties of an ideal drug? (Select all that apply.)
jd jd jd jd jd jd jd jd jd jd jd
a. Irreversible action jd
b. Predictability
c. Ease of administration jd jd
d. Chemical stability jd
e. A simple trade name jd jd jd
ANS: j d B, C, D jd jd
In addition to predictability, ease of administration, and chemical stability, other properties
jd jd jd jd jd jd jd jd jd jd jd
include a reversible action so that any harm the drug may cause can be undone and a
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
simple generic name, because generic names are usually complex and difficult to
jd jd jd jd jd jd jd jd jd jd jd jd
remember and pronounce.
jd jd jd
DIF: Cognitive Level: Comprehension jd jd
REF: Properties of an Ideal Drug | Additional Properties of an Ideal
j d jd jd jd jd jd jd jd jd jd jd
Drug TOP: Nursing Process: Assessment
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. Before administering a medication, what does the nurse need to know to evaluate how
jd jd jd jd jd jd jd jd jd jd jd jd jd
individual patient variability might affect the patient‘s response to the medication? (Select
jd jd jd jd jd jd jd jd jd jd jd jd
all that apply.)
jd jd jd
a. Chemical stability of the medication jd jd jd jd
b. Ease of administration jd jd
c. Family medical history jd jd
d. Patient‘s age jd
e. Patient‘s diagnosis jd
ANS: j d C, D, E jd jd
The family medical history can indicate genetic factors that may affect a patient‘s response
jd jd jd jd jd jd jd jd jd jd jd jd jd
to a medication. Patients of different ages can respond differently to medications. The
jd jd jd jd jd jd jd jd jd jd jd jd jd
patient‘s illness can affect how drugs are metabolized. The chemical stability of the
jd jd jd jd jd jd jd jd jd jd jd jd jd
medication and the ease of administration are properties of drugs.
jd jd jd jd jd jd jd jd jd jd
DIF: Cognitive Level: Analysis REF: Sources of Individual jd jd j d jd jd
Variation TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j d jd jd jd jd jd jd jd jd jd
, Chapter 2: Application of Pharmacology in Nursing
jd jd jd jd jd jd
Practice Test Bank
jd jd jd
MULTIPLE CHOICE jd
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
jd jd jd jd jd jd jd jd jd jd jd jd
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and
jd jd jd jd jd jd jd jd jd jd jd jd
she doesn‘t feel that the medication is always effective. Which is not an appropriate
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
nursing intervention for this patient?
jd jd jd jd jd
a. Asking the patient to demonstrate use of the inhaler jd jd jd jd jd jd jd jd
b. Assessing the patient‘s exposure to tobacco smoke jd jd jd jd jd jd
c. Auscultating lung sounds and obtaining vital signs jd jd jd jd jd jd
d. Suggesting that the patient use one puff to reduce side effects jd jd jd jd jd jd jd jd jd jd
ANS: j d D
It is not within the nurse‘s scope of practice to change the dose of a medication without
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
an order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
to evaluate the patient‘s ability to administer the medication properly and is part of the
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
nurse‘s evaluation. Assessing tobacco smoke exposure helps the nurse determine whether
jd jd jd jd jd jd jd jd jd jd jd
nondrug therapies, such a smoke avoidance, can be used as an adjunct to drug therapy.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
Performing a physical assessment helps the nurse evaluate the patient‘s response to the
jd jd jd jd jd jd jd jd jd jd jd jd jd
medication.
jd
DIF: Cognitive Level: Application jd jd
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment
j d jd jd jd jd jd jd jd jd
[and all subsections under this heading] TOP: Nursing Process: Implementation
jd jd jd jd jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j d jd jd jd jd jd jd jd jd jd
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
jd jd jd jd jd jd jd jd
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
statement by the nurse is correct?
jd jd jd jd jd jd
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
jd jd jd jd jd jd jd jd jd jd
b. ―Taking the two medications together poses a risk of drug toxicity.‖
jd jd jd jd jd jd jd jd jd jd
c. ―There are no known drug interactions, so this will be safe.‖
jd jd jd jd jd jd jd jd jd jd
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
jd jd jd jd jd jd jd jd jd jd jd jd
ANS: j d B
Tylenol is the trade name and acetaminophen is the generic name for the same medication.
jd jd jd jd jd jd jd jd jd jd jd jd jd jd
It is important to teach patients to be aware of the different names for the same drug to
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
minimize the risk of overdose. Over-the-counter (OTC) medications and prescription
jd jd jd jd jd jd jd jd jd jd
medications may be taken together unless significant harmful drug interactions are
jd jd jd jd jd jd jd jd jd jd jd
possible. Even though no drug interactions are at play in this case, both drugs contain
jd jd jd jd jd jd jd jd jd jd jd jd jd jd jd
acetaminophen, which could lead to toxicity.
jd jd jd jd jd jd
DIF: Cognitive Level: Application jd jd
REF: Application of Pharmacology in Patient Education: Dosage and
j d jd jd jd jd jd jd jd
Administration TOP: Nursing Process: Implementation
jd jd j d jd jd
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j d jd jd jd jd jd jd jd jd jd
