TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
,TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
TEST BANK LEHNE'S PHARMACOLOGY FOR
NURSING CARE, 11TH EDITION BY
JACQUELINE BURCHUM, LAURA ROSENTHAL
CHAPTER 1-112|COMPLETE GUIDE A+
Chapter 1: Orientation to Pharmacology
Test Bank
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more
likely to comply with the drug regimen. Drugs that are easy to give may have the other
attributes listed, but those properties are independent of ease of administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
very effective. Which statement by the patient demonstrates an understanding of the drug’s
,TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
effectiveness?
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
cause an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug’s
effectiveness. Ease of administration is independent of a drug’s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient’s response to the medication? (Select all
that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient’s response to
a medication. Patients of different ages can respond differently to medications. The patient’s
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
, TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
TOP: w Nursing wProcess: wImplementation
MSC: w NCLEX wClient wNeeds wCategory: wPhysiologic wIntegrity: wReduction wof wRisk wPotential
Chapter w2: wApplication wof wPharmacology win wNursing
wPracticew
Test wBank
MULTIPLE
wCHOICE
1. A wpatient wis wusing wa wmetered-dose winhaler wcontaining walbuterol wfor wasthma. wThe
wmedication wlabel winstructs wthe wpatient wto wadminister w“2 wpuffs wevery w4 whours was wneeded
wfor wcoughing wor wwheezing.” wThe wpatient wreports wfeeling wjittery wsometimes wwhen wtaking
wthe wmedication, wand wshewdoesn’t wfeel wthat wthe wmedication wis walways weffective. wWhich wis
wnot wan wappropriate wnursing wintervention wfor wthis wpatient?
a. Asking wthe wpatient wto wdemonstrate wuse wof wthe winhaler
b. Assessing wthe wpatient’s wexposure wto wtobacco wsmoke
c. Auscultating wlung wsounds wand wobtaining wvital wsigns
d. Suggesting wthat wthe wpatient wuse wone wpuff wto wreduce wside weffects
ANS: w D
It wis wnot wwithin wthe wnurse’s wscope wof wpractice wto wchange wthe wdose wof wa wmedication
wwithout wan worder wfrom wa wprescriber. wAsking wthe wpatient wto wdemonstrate winhaler wuse
whelps wthe wnurse wto wevaluate wthe wpatient’s wability wto wadminister wthe wmedication
wproperly wand wis wpart wof wthe wnurse’swevaluation. wAssessing wtobacco wsmoke wexposure
whelps wthe wnurse wdetermine wwhether wnondrug wtherapies, wsuch wa wsmoke wavoidance, wcan
wbe wused was wan wadjunct wto wdrug wtherapy. wPerforming wawphysical wassessment whelps wthe
wnurse wevaluate wthe wpatient’s wresponse wto wthe wmedication.
DIF: Cognitive wLevel: wApplication
REF: wApplying wthe wNursing wProcess win wDrug wTherapy: wPreadministration wAssessment
w[and wallwsubsections wunder wthis wheading] TOP: w Nursing wProcess: wImplementation
MSC: w NCLEX wClient wNeeds wCategory: wPhysiologic wIntegrity: wPharmacologic wand wParenteral
wTherapies
2. A wpostoperative wpatient wis wbeing wdischarged whome wwith wacetaminophen/hydrocodone
w(Lortab)wfor wpain. wThe wpatient wasks wthe wnurse wabout wusing wTylenol wfor wfever. wWhich
wstatement wby wthe wnurse wis wcorrect?
a. “It wis wnot wsafe wto wtake wover-the-counter wdrugs wwith wprescription wmedications.”
b. “Taking wthe wtwo wmedications wtogether wposes wa wrisk wof wdrug wtoxicity.”
c. “There ware wno wknown wdrug winteractions, wso wthis wwill wbe wsafe.”
d. “Tylenol wand wLortab ware wdifferent wdrugs, wso wthere wis wno wrisk wof woverdose.”
ANS: w B
Tylenol wis wthe wtrade wname wand wacetaminophen wis wthe wgeneric wname wfor wthe wsame
wmedication. wIt wis wimportant wto wteach wpatients wto wbe waware wof wthe wdifferent wnames wfor
wthe wsame wdrug wto wminimizewthe wrisk wof woverdose. wOver-the-counter w(OTC) wmedications
wand wprescription wmedications wmay wbe wtaken wtogether wunless wsignificant wharmful wdrug
winteractions ware wpossible. wEven wthough wno wdrug winteractions ware wat wplay win wthis wcase,
wboth wdrugs wcontain wacetaminophen, wwhich wcould wlead wto wtoxicity.
DIF: Cognitive wLevel: wApplication
REF: wApplication wof wPharmacology win wPatient wEducation: wDosage wand
wAdministrationwTOP: w Nursing wProcess: wImplementation
EDITION
,TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
TEST BANK LEHNE'S PHARMACOLOGY FOR
NURSING CARE, 11TH EDITION BY
JACQUELINE BURCHUM, LAURA ROSENTHAL
CHAPTER 1-112|COMPLETE GUIDE A+
Chapter 1: Orientation to Pharmacology
Test Bank
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more
likely to comply with the drug regimen. Drugs that are easy to give may have the other
attributes listed, but those properties are independent of ease of administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
very effective. Which statement by the patient demonstrates an understanding of the drug’s
,TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
effectiveness?
a. “I don’t have to worry about toxicity, since it takes a large amount of this drug to
cause an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug’s
effectiveness. Ease of administration is independent of a drug’s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient’s response to the medication? (Select all
that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient’s response to
a medication. Patients of different ages can respond differently to medications. The patient’s
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
, TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING CARE, 11TH
EDITION
TOP: w Nursing wProcess: wImplementation
MSC: w NCLEX wClient wNeeds wCategory: wPhysiologic wIntegrity: wReduction wof wRisk wPotential
Chapter w2: wApplication wof wPharmacology win wNursing
wPracticew
Test wBank
MULTIPLE
wCHOICE
1. A wpatient wis wusing wa wmetered-dose winhaler wcontaining walbuterol wfor wasthma. wThe
wmedication wlabel winstructs wthe wpatient wto wadminister w“2 wpuffs wevery w4 whours was wneeded
wfor wcoughing wor wwheezing.” wThe wpatient wreports wfeeling wjittery wsometimes wwhen wtaking
wthe wmedication, wand wshewdoesn’t wfeel wthat wthe wmedication wis walways weffective. wWhich wis
wnot wan wappropriate wnursing wintervention wfor wthis wpatient?
a. Asking wthe wpatient wto wdemonstrate wuse wof wthe winhaler
b. Assessing wthe wpatient’s wexposure wto wtobacco wsmoke
c. Auscultating wlung wsounds wand wobtaining wvital wsigns
d. Suggesting wthat wthe wpatient wuse wone wpuff wto wreduce wside weffects
ANS: w D
It wis wnot wwithin wthe wnurse’s wscope wof wpractice wto wchange wthe wdose wof wa wmedication
wwithout wan worder wfrom wa wprescriber. wAsking wthe wpatient wto wdemonstrate winhaler wuse
whelps wthe wnurse wto wevaluate wthe wpatient’s wability wto wadminister wthe wmedication
wproperly wand wis wpart wof wthe wnurse’swevaluation. wAssessing wtobacco wsmoke wexposure
whelps wthe wnurse wdetermine wwhether wnondrug wtherapies, wsuch wa wsmoke wavoidance, wcan
wbe wused was wan wadjunct wto wdrug wtherapy. wPerforming wawphysical wassessment whelps wthe
wnurse wevaluate wthe wpatient’s wresponse wto wthe wmedication.
DIF: Cognitive wLevel: wApplication
REF: wApplying wthe wNursing wProcess win wDrug wTherapy: wPreadministration wAssessment
w[and wallwsubsections wunder wthis wheading] TOP: w Nursing wProcess: wImplementation
MSC: w NCLEX wClient wNeeds wCategory: wPhysiologic wIntegrity: wPharmacologic wand wParenteral
wTherapies
2. A wpostoperative wpatient wis wbeing wdischarged whome wwith wacetaminophen/hydrocodone
w(Lortab)wfor wpain. wThe wpatient wasks wthe wnurse wabout wusing wTylenol wfor wfever. wWhich
wstatement wby wthe wnurse wis wcorrect?
a. “It wis wnot wsafe wto wtake wover-the-counter wdrugs wwith wprescription wmedications.”
b. “Taking wthe wtwo wmedications wtogether wposes wa wrisk wof wdrug wtoxicity.”
c. “There ware wno wknown wdrug winteractions, wso wthis wwill wbe wsafe.”
d. “Tylenol wand wLortab ware wdifferent wdrugs, wso wthere wis wno wrisk wof woverdose.”
ANS: w B
Tylenol wis wthe wtrade wname wand wacetaminophen wis wthe wgeneric wname wfor wthe wsame
wmedication. wIt wis wimportant wto wteach wpatients wto wbe waware wof wthe wdifferent wnames wfor
wthe wsame wdrug wto wminimizewthe wrisk wof woverdose. wOver-the-counter w(OTC) wmedications
wand wprescription wmedications wmay wbe wtaken wtogether wunless wsignificant wharmful wdrug
winteractions ware wpossible. wEven wthough wno wdrug winteractions ware wat wplay win wthis wcase,
wboth wdrugs wcontain wacetaminophen, wwhich wcould wlead wto wtoxicity.
DIF: Cognitive wLevel: wApplication
REF: wApplication wof wPharmacology win wPatient wEducation: wDosage wand
wAdministrationwTOP: w Nursing wProcess: wImplementation
