, Test Bank Lehne's Pharmacology for Nursing Care,
v v v v v v
11thEdition by Jacqueline Burchum, Laura Rosenthal
v v v v v v v
Chapter 1: Orientation to Pharmacology
v v v v
Test Bank
v v
MULTIPLE CHOICE v
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
v v v v v v v v v v v v v v v v v
nurse will rely on knowledge of:
v v v v v v
a. clinical pharmacology. v
b. drug efficacy. v
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D v
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent v v v v v v v v v v v v v
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
v v v v v v v v v v v
Drug efficacy measures the extent to which a given drug causes an intended effect.
v v v v v v v v v v v v v v
Pharmacokinetics is the study of the impact of the body on a drug. v v v v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: Four Basic Terms v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. What does it mean when a drug is described as easy to administer?
v v v v v v v v v v v v
a. It can be stored indefinitely without need for refrigeration.
v v v v v v v v
b. It does not interact significantly with other medications.
v v v v v v v
c. It enhances patient adherence to the drug regimen.
v v v v v v v
d. It is usually relatively inexpensive to produce.
v v v v v v
ANS: C v
A major benefit of drugs that are easy to administer is that patients taking them are more likely
v v v v v v v v v v v v v v v v v
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
v v v v v v v v v v v v v v v v v
listed, but those properties are independent of ease of administration.
v v v v v v v v v v
DIF: Cognitive Level: Comprehension v v
REF: Additional Properties of an Ideal Drug: Ease of Administration TOP:
v v v v v v v v v v
Nursing Process: Assessment
v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
v v v v v v v v v v v v v v v v v v
very effective. Which statement by the patient demonstrates an understanding of the drug’s
v v v v v v v v v v v v v
effectiveness?
v
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
v v v v v v v v v v v v v v v v
cause an overdose.”
v v v
b. “It has no side effects and doesn’t interact with other drugs.”
v v v v v v v v v v
c. “I only have to take it every 12 hours.”
v v v v v v v v
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
v v v v v v v v v v v v v v
ANS: D v
, A drug is effective if it produces the intended effects, even if it also produces side effects.
v v v v v v v v v v v v v v v v
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
v v v v v v v v v v v v v v v
drugs have side effects and many react with other substances; these do not affect the drug’s
v v v v v v v v v v v v v v v v
effectiveness. Ease of administration is independent of a drug’s effectiveness.
v v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug v v v v v v v
TOP: Nursing Process: Evaluation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
MULTIPLE RESPONSE v
1. What are the properties of an ideal drug? (Select all that apply.)
v v v v v v v v v v v
a. Irreversible action v
b. Predictability
c. Ease of administration v v
d. Chemical stability v
e. A simple trade name
v v v
ANS: B, C, D v v v
In addition to predictability, ease of administration, and chemical stability, other properties
v v v v v v v v v v v
include a reversible action so that any harm the drug may cause can be undone and a simple
v v v v v v v v v v v v v v v v v v
generic name, because generic names are usually complex and difficult to remember and
v v v v v v v v v v v v v
pronounce.
v
DIF: Cognitive Level: Comprehension v v
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
v v v v v v v v v v v v
TOP: Nursing Process: Assessment
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. Before administering a medication, what does the nurse need to know to evaluate how
v v v v v v v v v v v v v
individual patient variability might affect the patient’s response to the medication? (Select all
v v v v v v v v v v v v
that apply.)
v v
a. Chemical stability of the medication v v v v
b. Ease of administration v v
c. Family medical history v v
d. Patient’s age v
e. Patient’s diagnosis v
ANS: C, D, E v v v
The family medical history can indicate genetic factors that may affect a patient’s response to a
v v v v v v v v v v v v v v v
medication. Patients of different ages can respond differently to medications. The patient’s
v v v v v v v v v v v v
illness can affect how drugs are metabolized. The chemical stability of the medication and the
v v v v v v v v v v v v v v v
ease of administration are properties of drugs.
v v v v v v v
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation v v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v v v v v v v v v
, Chapter 2: Application of Pharmacology in Nursing Practice Test
v v v v v v v v
Bank
v
MULTIPLE CHOICE v
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
v v v v v v v v v v v v
label instructs the patient to administer “2 puffs every 4 hours as needed for coughing or
v v v v v v v v v v v v v v v v
wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she doesn’t
v v v v v v v v v v v v v
feel that the medication is always effective. Which is not an appropriate nursing intervention for this
v v v v v v v v v v v v v v v v
patient?
v
a. Asking the patient to demonstrate use of the inhaler v v v v v v v v
b. Assessing the patient’s exposure to tobacco smoke v v v v v v
c. Auscultating lung sounds and obtaining vital signs v v v v v v
d. Suggesting that the patient use one puff to reduce side effects v v v v v v v v v v
ANS: D v
It is not within the nurse’s scope of practice to change the dose of a medication without an order
v v v v v v v v v v v v v v v v v v
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
v v v v v v v v v v v v v v
evaluate the patient’s ability to administer the medication properly and is part of the nurse’s
v v v v v v v v v v v v v v
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
v v v v v v v v v v v
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical
v v v v v v v v v v v v v v v v v
assessment helps the nurse evaluate the patient’s response to the medication.
v v v v v v v v v v v
DIF: Cognitive Level: Application v v
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
v v v v v v v v v v v
subsections under this heading]
v TOP: Nursing Process: Implementation
v v v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
v v v v v v v v v
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
v v v v v v v v v v v v v v v v
nurse is correct?
v v v
a. “It is not safe to take over-the-counter drugs with prescription medications.”
v v v v v v v v v v
b. “Taking the two medications together poses a risk of drug toxicity.” v v v v v v v v v v
c. “There are no known drug interactions, so this will be safe.” v v v v v v v v v v
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.” v v v v v v v v v v v v
ANS: B v
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
v v v v v v v v v v v v v v v v
important to teach patients to be aware of the different names for the same drug to minimize the
v v v v v v v v v v v v v v v v v v
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be
v v v v v v v v v v v
taken together unless significant harmful drug interactions are possible. Even though no drug
v v v v v v v v v v v v v
interactions are at play in this case, both drugs contain acetaminophen, which could lead to
v v v v v v v v v v v v v v v
toxicity.
v
DIF: Cognitive Level: Application v v
REF: Application of Pharmacology in Patient Education: Dosage and Administration
v v v v v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v v v v v v v v v
v v v v v v
11thEdition by Jacqueline Burchum, Laura Rosenthal
v v v v v v v
Chapter 1: Orientation to Pharmacology
v v v v
Test Bank
v v
MULTIPLE CHOICE v
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
v v v v v v v v v v v v v v v v v
nurse will rely on knowledge of:
v v v v v v
a. clinical pharmacology. v
b. drug efficacy. v
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D v
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent v v v v v v v v v v v v v
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
v v v v v v v v v v v
Drug efficacy measures the extent to which a given drug causes an intended effect.
v v v v v v v v v v v v v v
Pharmacokinetics is the study of the impact of the body on a drug. v v v v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: Four Basic Terms v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. What does it mean when a drug is described as easy to administer?
v v v v v v v v v v v v
a. It can be stored indefinitely without need for refrigeration.
v v v v v v v v
b. It does not interact significantly with other medications.
v v v v v v v
c. It enhances patient adherence to the drug regimen.
v v v v v v v
d. It is usually relatively inexpensive to produce.
v v v v v v
ANS: C v
A major benefit of drugs that are easy to administer is that patients taking them are more likely
v v v v v v v v v v v v v v v v v
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
v v v v v v v v v v v v v v v v v
listed, but those properties are independent of ease of administration.
v v v v v v v v v v
DIF: Cognitive Level: Comprehension v v
REF: Additional Properties of an Ideal Drug: Ease of Administration TOP:
v v v v v v v v v v
Nursing Process: Assessment
v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
v v v v v v v v v v v v v v v v v v
very effective. Which statement by the patient demonstrates an understanding of the drug’s
v v v v v v v v v v v v v
effectiveness?
v
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
v v v v v v v v v v v v v v v v
cause an overdose.”
v v v
b. “It has no side effects and doesn’t interact with other drugs.”
v v v v v v v v v v
c. “I only have to take it every 12 hours.”
v v v v v v v v
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
v v v v v v v v v v v v v v
ANS: D v
, A drug is effective if it produces the intended effects, even if it also produces side effects.
v v v v v v v v v v v v v v v v
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
v v v v v v v v v v v v v v v
drugs have side effects and many react with other substances; these do not affect the drug’s
v v v v v v v v v v v v v v v v
effectiveness. Ease of administration is independent of a drug’s effectiveness.
v v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug v v v v v v v
TOP: Nursing Process: Evaluation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
MULTIPLE RESPONSE v
1. What are the properties of an ideal drug? (Select all that apply.)
v v v v v v v v v v v
a. Irreversible action v
b. Predictability
c. Ease of administration v v
d. Chemical stability v
e. A simple trade name
v v v
ANS: B, C, D v v v
In addition to predictability, ease of administration, and chemical stability, other properties
v v v v v v v v v v v
include a reversible action so that any harm the drug may cause can be undone and a simple
v v v v v v v v v v v v v v v v v v
generic name, because generic names are usually complex and difficult to remember and
v v v v v v v v v v v v v
pronounce.
v
DIF: Cognitive Level: Comprehension v v
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
v v v v v v v v v v v v
TOP: Nursing Process: Assessment
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. Before administering a medication, what does the nurse need to know to evaluate how
v v v v v v v v v v v v v
individual patient variability might affect the patient’s response to the medication? (Select all
v v v v v v v v v v v v
that apply.)
v v
a. Chemical stability of the medication v v v v
b. Ease of administration v v
c. Family medical history v v
d. Patient’s age v
e. Patient’s diagnosis v
ANS: C, D, E v v v
The family medical history can indicate genetic factors that may affect a patient’s response to a
v v v v v v v v v v v v v v v
medication. Patients of different ages can respond differently to medications. The patient’s
v v v v v v v v v v v v
illness can affect how drugs are metabolized. The chemical stability of the medication and the
v v v v v v v v v v v v v v v
ease of administration are properties of drugs.
v v v v v v v
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation v v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v v v v v v v v v
, Chapter 2: Application of Pharmacology in Nursing Practice Test
v v v v v v v v
Bank
v
MULTIPLE CHOICE v
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
v v v v v v v v v v v v
label instructs the patient to administer “2 puffs every 4 hours as needed for coughing or
v v v v v v v v v v v v v v v v
wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she doesn’t
v v v v v v v v v v v v v
feel that the medication is always effective. Which is not an appropriate nursing intervention for this
v v v v v v v v v v v v v v v v
patient?
v
a. Asking the patient to demonstrate use of the inhaler v v v v v v v v
b. Assessing the patient’s exposure to tobacco smoke v v v v v v
c. Auscultating lung sounds and obtaining vital signs v v v v v v
d. Suggesting that the patient use one puff to reduce side effects v v v v v v v v v v
ANS: D v
It is not within the nurse’s scope of practice to change the dose of a medication without an order
v v v v v v v v v v v v v v v v v v
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
v v v v v v v v v v v v v v
evaluate the patient’s ability to administer the medication properly and is part of the nurse’s
v v v v v v v v v v v v v v
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
v v v v v v v v v v v
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical
v v v v v v v v v v v v v v v v v
assessment helps the nurse evaluate the patient’s response to the medication.
v v v v v v v v v v v
DIF: Cognitive Level: Application v v
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
v v v v v v v v v v v
subsections under this heading]
v TOP: Nursing Process: Implementation
v v v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v v v v v v v v v
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
v v v v v v v v v
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
v v v v v v v v v v v v v v v v
nurse is correct?
v v v
a. “It is not safe to take over-the-counter drugs with prescription medications.”
v v v v v v v v v v
b. “Taking the two medications together poses a risk of drug toxicity.” v v v v v v v v v v
c. “There are no known drug interactions, so this will be safe.” v v v v v v v v v v
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.” v v v v v v v v v v v v
ANS: B v
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
v v v v v v v v v v v v v v v v
important to teach patients to be aware of the different names for the same drug to minimize the
v v v v v v v v v v v v v v v v v v
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be
v v v v v v v v v v v
taken together unless significant harmful drug interactions are possible. Even though no drug
v v v v v v v v v v v v v
interactions are at play in this case, both drugs contain acetaminophen, which could lead to
v v v v v v v v v v v v v v v
toxicity.
v
DIF: Cognitive Level: Application v v
REF: Application of Pharmacology in Patient Education: Dosage and Administration
v v v v v v v v v
TOP: Nursing Process: Implementation
v v v v
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v v v v v v v v v
