Med
#zC
,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
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
Med
#zC
, A #zdrug #zis #zeffective #zif #zit #zproduces #zthe #zintended #zeffects, #zeven #zif #zit #zalso #zproduces #zside
#zeffects. #zBecause #zno #zdrug #zis #zcompletely#zsafe, #zthe #zlevel #zof #ztoxicity#zdoes #znot #zdetermine
#zeffectiveness. #zAll #zdrugs #zhave #zside #zeffects #zand #zmany #zreact #zwith #zother #zsubstances; #zthese
#zdo #znot #zaffect #zthe #zdrug’s #zeffectiveness. #zEase #zof #zadministration #zis #zindependent #zof #za
#zdrug’s #zeffectiveness.
DIF: Cognitive #zLevel: #zComprehension REF: #zProperties #zof #zan #zIdeal
#zDrug #zTOP: # z Nursing #zProcess: #zEvaluation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
MULTIPLE #zRESPONSE
1. What #zare #zthe #zproperties #zof #zan #zideal #zdrug? #z (Select #zall #zthat #zapply.)
a. Irreversible #zaction
b. Predictability
c. Ease #zof #zadministration
d. Chemical #zstability
e. A #zsimple #ztrade #zname
ANS: # z B, #zC, #zD
In #zaddition #zto #zpredictability, #zease #zof #zadministration, #zand #zchemical #zstability, #zother
#zproperties #zinclude #za #zreversible #zaction #zso #zthat #zany#zharm #zthe #zdrug #zmay #zcause #zcan #zbe
#zundone #zand #za #zsimple #zgeneric #zname, #zbecause #zgeneric #znames #zare #zusually #zcomplex #zand
#zdifficult #zto #zremember #zand #zpronounce.
DIF: Cognitive #zLevel: #zComprehension
REF: #zProperties #zof #zan #zIdeal #zDrug #z| #zAdditional #zProperties #zof #zan
#zIdeal #zDrug #zTOP: # z Nursing #zProcess: #zAssessment
MSC: #z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. Before #zadministering #za #zmedication, #zwhat #zdoes #zthe #znurse #zneed #zto #zknow #zto #zevaluate
how #zindividual #zpatient #zvariability#zmight #zaffect #zthe #zpatient’s #zresponse #zto #zthe #zmedication?
#z
(Select #zall #zthat #zapply.)
#z
a. Chemical #zstability#zof #zthe #zmedication
b. Ease #zof #zadministration
c. Family#zmedical #zhistory
d. Patient’s #zage
e. Patient’s #zdiagnosis
ANS: # z C, #zD, #zE
The #zfamily #zmedical #zhistory #zcan #zindicate #zgenetic #zfactors #zthat #zmay #zaffect #za #zpatient’s
#zresponse #zto #za #zmedication. #zPatients #zof #zdifferent #zages #zcan #zrespond #zdifferently #zto
#zmedications. #zThe #zpatient’s #zillness #zcan #zaffect #zhow #zdrugs #zare #zmetabolized. #zThe #zchemical
#zstability#zof #zthe #zmedication #zand #zthe #zease #zof #zadministration #zare #zproperties #zof #zdrugs.
DIF: Cognitive #zLevel: #zAnalysis REF: #zSources #zof #zIndividual
#zVariation #zTOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zReduction #zof #zRisk #zPotential
Med
#zC
, Chapter 2: Application of Pharmacology in Nursing Practice
#z #z #z #z #z #z #z
Test Bank
#z #z
MULTIPLE #zCHOICE
1. A #zpatient #zis #zusing #za #zmetered-dose #zinhaler #zcontaining #zalbuterol #zfor #zasthma. #zThe
#zmedication #zlabel #zinstructs #zthe #zpatient #zto #zadminister #z“2 #zpuffs #zevery #z4 #zhours #zas
#zneeded #zfor #zcoughing #zor
wheezing.” #zThe #zpatient #zreports #zfeeling #zjittery#zsometimes #zwhen #ztaking #zthe #zmedication,
#zand #zshe #zdoesn’t #zfeel #zthat #zthe #zmedication #zis #zalways #zeffective. #zWhich #zis #znot #zan
#zappropriate #znursing #zintervention #zfor #zthis #zpatient?
a. Asking #zthe #zpatient #zto #zdemonstrate #zuse #zof #zthe #zinhaler
b. Assessing #zthe #zpatient’s #zexposure #zto #ztobacco #zsmoke
c. Auscultating #zlung #zsounds #zand #zobtaining #zvital #zsigns
d. Suggesting #zthat #zthe #zpatient #zuse #zone #zpuff #zto #zreduce #zside #zeffects
ANS: # z D
It #zis #znot #zwithin #zthe #znurse’s #zscope #zof #zpractice #zto #zchange #zthe #zdose #zof #za #zmedication
#zwithout #zan #zorder #zfrom #za #zprescriber. #zAsking #zthe #zpatient #zto #zdemonstrate #zinhaler #zuse
#zhelps #zthe #znurse #zto #zevaluate #zthe #zpatient’s #zability #zto #zadminister #zthe #zmedication #zproperly
#zand #zis #zpart #zof #zthe #znurse’s #zevaluation. #zAssessing #ztobacco #zsmoke #zexposure #zhelps #zthe
#znurse #zdetermine #zwhether #znondrug #ztherapies, #zsuch #za #zsmoke #zavoidance, #zcan #zbe #zused #zas
#zan #zadjunct #zto #zdrug #ztherapy. #zPerforming #za #zphysical #zassessment #zhelps #zthe #znurse
#zevaluate #zthe #zpatient’s #zresponse #zto #zthe #zmedication.
DIF: Cognitive #zLevel: #zApplication
REF: #zApplying #zthe #zNursing #zProcess #zin #zDrug #zTherapy: #zPreadministration #zAssessment
#z[and #zall #zsubsections #zunder #zthis #zheading] TOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. A #zpostoperative #zpatient #zis #zbeing #zdischarged #zhome #zwith #zacetaminophen/hydrocodone
(Lortab) #zfor #zpain. #zThe #zpatient #zasks #zthe #znurse #zabout #zusing #zTylenol #zfor #zfever. #zWhich
#z
statement #zby #zthe #znurse #zis #zcorrect?
#z
a. “It #zis #znot #zsafe #zto #ztake #zover-the-counter #zdrugs #zwith #zprescription #zmedications.”
b. “Taking #zthe #ztwo #zmedications #ztogether #zposes #za #zrisk #zof #zdrug #ztoxicity.”
c. “There #zare #zno #zknown #zdrug #zinteractions, #zso #zthis #zwill #zbe #zsafe.”
d. “Tylenol #zand #zLortab #zare #zdifferent #zdrugs, #zso #zthere #zis #zno #zrisk #zof #zoverdose.”
ANS: # z B
Tylenol #zis #zthe #ztrade #zname #zand #zacetaminophen #zis #zthe #zgeneric #zname #zfor #zthe #zsame
#zmedication. #z It #zis #zimportant #zto #zteach #zpatients #zto #zbe #zaware #zof #zthe #zdifferent #znames #zfor #zthe
#zsame #zdrug #zto #zminimize #zthe #zrisk #zof #zoverdose. #zOver-the-counter #z(OTC) #zmedications #zand
#zprescription #zmedications #zmay #zbe #ztaken #ztogether #zunless #zsignificant #zharmful #zdrug
#zinteractions #zare #zpossible. #zEven #zthough #zno #zdrug #zinteractions #zare #zat #zplay #zin #zthis #zcase,
#zboth #zdrugs #zcontain #zacetaminophen, #zwhich #zcould #zlead #zto #ztoxicity.
DIF: Cognitive #zLevel: #zApplication
REF: #zApplication #zof #zPharmacology #zin #zPatient #zEducation: #zDosage #zand
#zAdministration #zTOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zReduction #zof #zRisk #zPotential
Med
#zC
#zC
,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
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
Med
#zC
, A #zdrug #zis #zeffective #zif #zit #zproduces #zthe #zintended #zeffects, #zeven #zif #zit #zalso #zproduces #zside
#zeffects. #zBecause #zno #zdrug #zis #zcompletely#zsafe, #zthe #zlevel #zof #ztoxicity#zdoes #znot #zdetermine
#zeffectiveness. #zAll #zdrugs #zhave #zside #zeffects #zand #zmany #zreact #zwith #zother #zsubstances; #zthese
#zdo #znot #zaffect #zthe #zdrug’s #zeffectiveness. #zEase #zof #zadministration #zis #zindependent #zof #za
#zdrug’s #zeffectiveness.
DIF: Cognitive #zLevel: #zComprehension REF: #zProperties #zof #zan #zIdeal
#zDrug #zTOP: # z Nursing #zProcess: #zEvaluation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
MULTIPLE #zRESPONSE
1. What #zare #zthe #zproperties #zof #zan #zideal #zdrug? #z (Select #zall #zthat #zapply.)
a. Irreversible #zaction
b. Predictability
c. Ease #zof #zadministration
d. Chemical #zstability
e. A #zsimple #ztrade #zname
ANS: # z B, #zC, #zD
In #zaddition #zto #zpredictability, #zease #zof #zadministration, #zand #zchemical #zstability, #zother
#zproperties #zinclude #za #zreversible #zaction #zso #zthat #zany#zharm #zthe #zdrug #zmay #zcause #zcan #zbe
#zundone #zand #za #zsimple #zgeneric #zname, #zbecause #zgeneric #znames #zare #zusually #zcomplex #zand
#zdifficult #zto #zremember #zand #zpronounce.
DIF: Cognitive #zLevel: #zComprehension
REF: #zProperties #zof #zan #zIdeal #zDrug #z| #zAdditional #zProperties #zof #zan
#zIdeal #zDrug #zTOP: # z Nursing #zProcess: #zAssessment
MSC: #z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. Before #zadministering #za #zmedication, #zwhat #zdoes #zthe #znurse #zneed #zto #zknow #zto #zevaluate
how #zindividual #zpatient #zvariability#zmight #zaffect #zthe #zpatient’s #zresponse #zto #zthe #zmedication?
#z
(Select #zall #zthat #zapply.)
#z
a. Chemical #zstability#zof #zthe #zmedication
b. Ease #zof #zadministration
c. Family#zmedical #zhistory
d. Patient’s #zage
e. Patient’s #zdiagnosis
ANS: # z C, #zD, #zE
The #zfamily #zmedical #zhistory #zcan #zindicate #zgenetic #zfactors #zthat #zmay #zaffect #za #zpatient’s
#zresponse #zto #za #zmedication. #zPatients #zof #zdifferent #zages #zcan #zrespond #zdifferently #zto
#zmedications. #zThe #zpatient’s #zillness #zcan #zaffect #zhow #zdrugs #zare #zmetabolized. #zThe #zchemical
#zstability#zof #zthe #zmedication #zand #zthe #zease #zof #zadministration #zare #zproperties #zof #zdrugs.
DIF: Cognitive #zLevel: #zAnalysis REF: #zSources #zof #zIndividual
#zVariation #zTOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zReduction #zof #zRisk #zPotential
Med
#zC
, Chapter 2: Application of Pharmacology in Nursing Practice
#z #z #z #z #z #z #z
Test Bank
#z #z
MULTIPLE #zCHOICE
1. A #zpatient #zis #zusing #za #zmetered-dose #zinhaler #zcontaining #zalbuterol #zfor #zasthma. #zThe
#zmedication #zlabel #zinstructs #zthe #zpatient #zto #zadminister #z“2 #zpuffs #zevery #z4 #zhours #zas
#zneeded #zfor #zcoughing #zor
wheezing.” #zThe #zpatient #zreports #zfeeling #zjittery#zsometimes #zwhen #ztaking #zthe #zmedication,
#zand #zshe #zdoesn’t #zfeel #zthat #zthe #zmedication #zis #zalways #zeffective. #zWhich #zis #znot #zan
#zappropriate #znursing #zintervention #zfor #zthis #zpatient?
a. Asking #zthe #zpatient #zto #zdemonstrate #zuse #zof #zthe #zinhaler
b. Assessing #zthe #zpatient’s #zexposure #zto #ztobacco #zsmoke
c. Auscultating #zlung #zsounds #zand #zobtaining #zvital #zsigns
d. Suggesting #zthat #zthe #zpatient #zuse #zone #zpuff #zto #zreduce #zside #zeffects
ANS: # z D
It #zis #znot #zwithin #zthe #znurse’s #zscope #zof #zpractice #zto #zchange #zthe #zdose #zof #za #zmedication
#zwithout #zan #zorder #zfrom #za #zprescriber. #zAsking #zthe #zpatient #zto #zdemonstrate #zinhaler #zuse
#zhelps #zthe #znurse #zto #zevaluate #zthe #zpatient’s #zability #zto #zadminister #zthe #zmedication #zproperly
#zand #zis #zpart #zof #zthe #znurse’s #zevaluation. #zAssessing #ztobacco #zsmoke #zexposure #zhelps #zthe
#znurse #zdetermine #zwhether #znondrug #ztherapies, #zsuch #za #zsmoke #zavoidance, #zcan #zbe #zused #zas
#zan #zadjunct #zto #zdrug #ztherapy. #zPerforming #za #zphysical #zassessment #zhelps #zthe #znurse
#zevaluate #zthe #zpatient’s #zresponse #zto #zthe #zmedication.
DIF: Cognitive #zLevel: #zApplication
REF: #zApplying #zthe #zNursing #zProcess #zin #zDrug #zTherapy: #zPreadministration #zAssessment
#z[and #zall #zsubsections #zunder #zthis #zheading] TOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. A #zpostoperative #zpatient #zis #zbeing #zdischarged #zhome #zwith #zacetaminophen/hydrocodone
(Lortab) #zfor #zpain. #zThe #zpatient #zasks #zthe #znurse #zabout #zusing #zTylenol #zfor #zfever. #zWhich
#z
statement #zby #zthe #znurse #zis #zcorrect?
#z
a. “It #zis #znot #zsafe #zto #ztake #zover-the-counter #zdrugs #zwith #zprescription #zmedications.”
b. “Taking #zthe #ztwo #zmedications #ztogether #zposes #za #zrisk #zof #zdrug #ztoxicity.”
c. “There #zare #zno #zknown #zdrug #zinteractions, #zso #zthis #zwill #zbe #zsafe.”
d. “Tylenol #zand #zLortab #zare #zdifferent #zdrugs, #zso #zthere #zis #zno #zrisk #zof #zoverdose.”
ANS: # z B
Tylenol #zis #zthe #ztrade #zname #zand #zacetaminophen #zis #zthe #zgeneric #zname #zfor #zthe #zsame
#zmedication. #z It #zis #zimportant #zto #zteach #zpatients #zto #zbe #zaware #zof #zthe #zdifferent #znames #zfor #zthe
#zsame #zdrug #zto #zminimize #zthe #zrisk #zof #zoverdose. #zOver-the-counter #z(OTC) #zmedications #zand
#zprescription #zmedications #zmay #zbe #ztaken #ztogether #zunless #zsignificant #zharmful #zdrug
#zinteractions #zare #zpossible. #zEven #zthough #zno #zdrug #zinteractions #zare #zat #zplay #zin #zthis #zcase,
#zboth #zdrugs #zcontain #zacetaminophen, #zwhich #zcould #zlead #zto #ztoxicity.
DIF: Cognitive #zLevel: #zApplication
REF: #zApplication #zof #zPharmacology #zin #zPatient #zEducation: #zDosage #zand
#zAdministration #zTOP: # z Nursing #zProcess: #zImplementation
MSC: # z NCLEX #zClient #zNeeds #zCategory: #zPhysiologic #zIntegrity: #zReduction #zof #zRisk #zPotential
Med
#zC
