Lehne's Pharmacology for Nursing Care -
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
A 68-year-old patient with hypertension and osteoarthritis is
admitted for medication review. The patient reports taking:
• Lisinopril 20 mg daily
• Ibuprofen 600 mg three times daily PRN
• An over-the-counter herbal supplement for joint pain
Vital signs:
,BP: 158/90 mmHg
HR: 82 bpm
Creatinine: 1.6 mg/dL (elevated)
Question 1 — Multiple Response (Select All That Apply)
The nurse is reviewing principles of pharmacology and
medication safety. Which factors should the nurse recognize as
increasing this patient’s risk for adverse drug reactions (ADRs)?
A. Advanced age
B. Polypharmacy
C. Use of OTC medications
D. Presence of chronic disease
E. Taking medications with food
Correct Answers:
A, B, C, D
Rationale:
Older adults, multiple medications, OTC use, and comorbid
disease significantly increase risk for drug interactions and
ADRs.
CJMM Phase:
Recognize Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1 –
Orientation to Pharmacology
,Question 2 — Bow-Tie Item
Condition:
Increased risk of adverse drug reactions
Which factors contribute and what should the nurse do first?
Potential Causes
• Aging physiology ✔
• Polypharmacy ✔
• High carbohydrate diet
• Regular exercise
Priority Action
• Review all medications including OTC ✔
Parameters to Monitor
• Renal function ✔
• Blood pressure ✔
• Skin turgor
Rationale:
Older adults with multiple medications require full medication
reconciliation and monitoring of renal function.
CJMM Phase:
Analyze Cues → Generate Solutions → Take Action
, Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 3 — Stand-alone MCQ
Which discipline primarily studies drug sources, properties, and
mechanisms of action?
A. Pathophysiology
B. Pharmacology
C. Toxicology
D. Epidemiology
Correct Answer:
B
Rationale:
Pharmacology is the scientific study of drugs, including their
sources, actions, and uses.
CJMM Phase:
Recognize Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
CASE STUDY SET 2 (Questions 4–6)
Scenario
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
A 68-year-old patient with hypertension and osteoarthritis is
admitted for medication review. The patient reports taking:
• Lisinopril 20 mg daily
• Ibuprofen 600 mg three times daily PRN
• An over-the-counter herbal supplement for joint pain
Vital signs:
,BP: 158/90 mmHg
HR: 82 bpm
Creatinine: 1.6 mg/dL (elevated)
Question 1 — Multiple Response (Select All That Apply)
The nurse is reviewing principles of pharmacology and
medication safety. Which factors should the nurse recognize as
increasing this patient’s risk for adverse drug reactions (ADRs)?
A. Advanced age
B. Polypharmacy
C. Use of OTC medications
D. Presence of chronic disease
E. Taking medications with food
Correct Answers:
A, B, C, D
Rationale:
Older adults, multiple medications, OTC use, and comorbid
disease significantly increase risk for drug interactions and
ADRs.
CJMM Phase:
Recognize Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1 –
Orientation to Pharmacology
,Question 2 — Bow-Tie Item
Condition:
Increased risk of adverse drug reactions
Which factors contribute and what should the nurse do first?
Potential Causes
• Aging physiology ✔
• Polypharmacy ✔
• High carbohydrate diet
• Regular exercise
Priority Action
• Review all medications including OTC ✔
Parameters to Monitor
• Renal function ✔
• Blood pressure ✔
• Skin turgor
Rationale:
Older adults with multiple medications require full medication
reconciliation and monitoring of renal function.
CJMM Phase:
Analyze Cues → Generate Solutions → Take Action
, Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 3 — Stand-alone MCQ
Which discipline primarily studies drug sources, properties, and
mechanisms of action?
A. Pathophysiology
B. Pharmacology
C. Toxicology
D. Epidemiology
Correct Answer:
B
Rationale:
Pharmacology is the scientific study of drugs, including their
sources, actions, and uses.
CJMM Phase:
Recognize Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
CASE STUDY SET 2 (Questions 4–6)
Scenario
