6/14/25, 10:08 AM
Lehne's Pharma test bank midterm
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
Assistants TEST BANK MIDTERM EXAM \LATEST UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS \VERIFIED ANSWERS
ALREADY GRADED A+
1. A patient is using a ANS: C
metered-dose inhaler Asking the patient to demonstrate inhaler use helps to
containing albuterol for evaluate the patient's ability to administer the
asthma. The medication properly and is part of the nurse's
medication label instructs the evaluation, but is not a priority intervention based on
patient to administer "two the patient's current report. Assessing tobacco smoke
puffs every 4 hours as exposure helps the nurse determine whether nondrug
needed for coughing or therapies, such as smoke avoidance, can be used as
wheezing." The an adjunct to drug therapy, but does not relate to the
patient reports feeling patient's current problem. Performing a physical
jittery sometimes when assessment helps the nurse evaluate the patient's
taking the medication, response to the medication and identify the presence
and she doesn't feel that of other side effects.DIF: Cognitive Level:
the medication is always ApplicationREF: p. 13TOP: Nursing Process:
effective. Which action is Implementation MSC: NCLEX Client Needs Category:
most Physiologic Integrity: Pharmacologic and Parenteral
appropriate? Therapies
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 vitalsigns
… 1/343
,6/14/25, 10:19 AM Lehne's Pharma test bank midterm
d. Suggesting that the
patient use one puff to
reduce side effects
1. A patient newly diagnosed ANS: A
with diabetes is to be Because insulin must be given correctly to control symptoms and
because an
discharged from the
overdose can be fatal, it is most important for the
hospital. Which action
patient to know how to administer it. Asking for a
should be taken first
demonstration of technique is the best way to
during medication
determine whether the patient has understood the
education?
teaching. When a patient is receiving a lot of new
information, the information presented first is the most
a. Asking the patient to
likely to be remembered. The other teaching points are
demonstrate how to
important as well, but they are not as critical and can
measure and administer
be
insulin
taught later.DIF: Cognitive Level: ApplicationREF: p.
b. Discussing methods of
11TOP: Nursing Process: Planning MSC: NCLEX Client
storing insulin and
Needs Category: Physiologic Integrity: Reduction of
discarding syringes
Risk
c. Giving information about
Potential
how diet and exercise
affect insulin
requirements
d. Teaching the patient about
the long-term
consequences of poor
diabetes control
/ 2/343
,6/14/25, 10:19 AM Lehne's Pharma test bank midterm
1. The drug manual states ANS: A
that older adult patients The drug manual indicates that this drug should be
are at increased risk for given with caution to elderly patients. Getting
hepatic side effects. Which information about liver function before giving the drug
action is most important establishes baseline data that can be compared with
when prescribing this post-treatment data to determine whether the drug is
medication to an 80- year- affecting the liver. Giving the correct dose at the correct
old patient? interval helps to minimize risk, but without baseline
information, the effects cannot be determined.
a. Obtain pretreatment The drug is not contraindicated.DIF: Cognitive Level:
AnalysisREF:
laboratory work.
p. 12TOP: Nursing Process: Implementation MSC:
b. Ensure that the drug is
NCLEX Client Needs Category: Physiologic Integrity:
given in the correct
Reduction of Risk Potential
dose at the correct
time to minimize the
risk of adverse effects.
c. Discontinue the order;
the drug is
contraindicated for
this patient.
d. Give the medication
intravenously so that the
drug does not pass
through the liver.
1. A patient recently ANS: A , B , C , E
diagnosed with HIV is Lack of insurance coverage can inhibit the patient from
prescribed several purchasing the medications, limiting his access to
medications to treat the treatment. Having three part-time jobs indicates that the
condition. Which factors patient has a busy schedule, which contributes to
could impact the patient's forgetfulness and poor adherence. The
adherence to the more complex the medication regimen, the more
treatment regimen? difficult it is to maintain patient adherence. Although a
Select all that apply. patient with an eighth-grade reading comprehension
level may have difficulty understanding professional
a. The patient is uninsured
medical language, medication
b. The patient works three
teaching can be adjusted to meet the patient's learning
part-time jobs
c. The medication regimen
needs.DIF: Cognitive Level: ComprehensionREF: pp.
/ 3/343
, 6/14/25, 10:19 AM Lehne's Pharma test bank midterm
includes six different 13-14TOP: Nursing Process: Evaluation MSC: NCLEX
pills Client Needs Category: Physiologic Integrity:
d. Patient has an eighth- Reduction of Risk Potential
grade reading
comprehension level
e. Medication regimen
requires medication be
taken at regular 4-hour
intervals.
1. A patient diagnosed with ANS: C
bipolar disorder is Therapeutic serum levels are determined through periodic
laboratory testing.
prescribed daily lithium.
Preadministration blood work may be necessary to
Which action is most
determine the patient's physical condition but will not
important to determine if
determine therapeutic levels. Scheduling medication
the
therapeutic level is administration at regular intervals will help to ensure
maintained? medication is absorbed and
metabolized predictably, but will not determine
a. Obtain preadministration
blood work. therapeutic blood levels. Assessing the patient for
b. Administer physical signs of adverse effects does not determine if
medication at regular a therapeutic level has been obtained.DIF: Cognitive
intervals. Level: ApplicationREF: p. 12TOP: Nursing
c. Ensure periodic Process: Evaluation MSC: NCLEX Client Needs
laboratory testing is Category: Physiologic Integrity: Reduction of Risk
completed. Potential
d. Assess the patient for
adverse effects.
/ 4/343
Lehne's Pharma test bank midterm
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
Assistants TEST BANK MIDTERM EXAM \LATEST UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS \VERIFIED ANSWERS
ALREADY GRADED A+
1. A patient is using a ANS: C
metered-dose inhaler Asking the patient to demonstrate inhaler use helps to
containing albuterol for evaluate the patient's ability to administer the
asthma. The medication properly and is part of the nurse's
medication label instructs the evaluation, but is not a priority intervention based on
patient to administer "two the patient's current report. Assessing tobacco smoke
puffs every 4 hours as exposure helps the nurse determine whether nondrug
needed for coughing or therapies, such as smoke avoidance, can be used as
wheezing." The an adjunct to drug therapy, but does not relate to the
patient reports feeling patient's current problem. Performing a physical
jittery sometimes when assessment helps the nurse evaluate the patient's
taking the medication, response to the medication and identify the presence
and she doesn't feel that of other side effects.DIF: Cognitive Level:
the medication is always ApplicationREF: p. 13TOP: Nursing Process:
effective. Which action is Implementation MSC: NCLEX Client Needs Category:
most Physiologic Integrity: Pharmacologic and Parenteral
appropriate? Therapies
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 vitalsigns
… 1/343
,6/14/25, 10:19 AM Lehne's Pharma test bank midterm
d. Suggesting that the
patient use one puff to
reduce side effects
1. A patient newly diagnosed ANS: A
with diabetes is to be Because insulin must be given correctly to control symptoms and
because an
discharged from the
overdose can be fatal, it is most important for the
hospital. Which action
patient to know how to administer it. Asking for a
should be taken first
demonstration of technique is the best way to
during medication
determine whether the patient has understood the
education?
teaching. When a patient is receiving a lot of new
information, the information presented first is the most
a. Asking the patient to
likely to be remembered. The other teaching points are
demonstrate how to
important as well, but they are not as critical and can
measure and administer
be
insulin
taught later.DIF: Cognitive Level: ApplicationREF: p.
b. Discussing methods of
11TOP: Nursing Process: Planning MSC: NCLEX Client
storing insulin and
Needs Category: Physiologic Integrity: Reduction of
discarding syringes
Risk
c. Giving information about
Potential
how diet and exercise
affect insulin
requirements
d. Teaching the patient about
the long-term
consequences of poor
diabetes control
/ 2/343
,6/14/25, 10:19 AM Lehne's Pharma test bank midterm
1. The drug manual states ANS: A
that older adult patients The drug manual indicates that this drug should be
are at increased risk for given with caution to elderly patients. Getting
hepatic side effects. Which information about liver function before giving the drug
action is most important establishes baseline data that can be compared with
when prescribing this post-treatment data to determine whether the drug is
medication to an 80- year- affecting the liver. Giving the correct dose at the correct
old patient? interval helps to minimize risk, but without baseline
information, the effects cannot be determined.
a. Obtain pretreatment The drug is not contraindicated.DIF: Cognitive Level:
AnalysisREF:
laboratory work.
p. 12TOP: Nursing Process: Implementation MSC:
b. Ensure that the drug is
NCLEX Client Needs Category: Physiologic Integrity:
given in the correct
Reduction of Risk Potential
dose at the correct
time to minimize the
risk of adverse effects.
c. Discontinue the order;
the drug is
contraindicated for
this patient.
d. Give the medication
intravenously so that the
drug does not pass
through the liver.
1. A patient recently ANS: A , B , C , E
diagnosed with HIV is Lack of insurance coverage can inhibit the patient from
prescribed several purchasing the medications, limiting his access to
medications to treat the treatment. Having three part-time jobs indicates that the
condition. Which factors patient has a busy schedule, which contributes to
could impact the patient's forgetfulness and poor adherence. The
adherence to the more complex the medication regimen, the more
treatment regimen? difficult it is to maintain patient adherence. Although a
Select all that apply. patient with an eighth-grade reading comprehension
level may have difficulty understanding professional
a. The patient is uninsured
medical language, medication
b. The patient works three
teaching can be adjusted to meet the patient's learning
part-time jobs
c. The medication regimen
needs.DIF: Cognitive Level: ComprehensionREF: pp.
/ 3/343
, 6/14/25, 10:19 AM Lehne's Pharma test bank midterm
includes six different 13-14TOP: Nursing Process: Evaluation MSC: NCLEX
pills Client Needs Category: Physiologic Integrity:
d. Patient has an eighth- Reduction of Risk Potential
grade reading
comprehension level
e. Medication regimen
requires medication be
taken at regular 4-hour
intervals.
1. A patient diagnosed with ANS: C
bipolar disorder is Therapeutic serum levels are determined through periodic
laboratory testing.
prescribed daily lithium.
Preadministration blood work may be necessary to
Which action is most
determine the patient's physical condition but will not
important to determine if
determine therapeutic levels. Scheduling medication
the
therapeutic level is administration at regular intervals will help to ensure
maintained? medication is absorbed and
metabolized predictably, but will not determine
a. Obtain preadministration
blood work. therapeutic blood levels. Assessing the patient for
b. Administer physical signs of adverse effects does not determine if
medication at regular a therapeutic level has been obtained.DIF: Cognitive
intervals. Level: ApplicationREF: p. 12TOP: Nursing
c. Ensure periodic Process: Evaluation MSC: NCLEX Client Needs
laboratory testing is Category: Physiologic Integrity: Reduction of Risk
completed. Potential
d. Assess the patient for
adverse effects.
/ 4/343
