Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Chapterv1:vOrientationvtovPharmacologyv
TestvBank
MULTIPLEvCHOICE
1. Thevnursevisvteachingvavpatientvhowvavmedicationvworksvtovtreatvanvillness.vTovdovthis,vthev
nursevwillvrelyvonvknowledgevof:
a. clinicalvpharmacology.
b. drugvefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:v D
Pharmacotherapeuticsvisvthevstudyvofvthevusevofvdrugsvtovdiagnose,vtreat,vandvpreventvconditi
ons.vClinicalvpharmacologyvisvconcernedvwithvallvaspectsvofvdrug–
humanvinteractions.vDrugvefficacyvmeasuresvthevextentvtovwhichvavgivenvdrugvcausesvanvinten
dedveffect.
Pharmacokineticsvisvthevstudyvofvthevimpactvofvthevbodyvonvavdrug.
DIF: CognitivevLevel:vComprehension
REF:vFourvBasicvTermsvTOP:v NursingvProcess:vImplementat
ion
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Whatvdoesvitvmeanvwhenvavdrugvisvdescribedvasveasyvtovadminister?
a. Itvcanvbevstoredvindefinitelyvwithoutvneedvforvrefrigeration.
b. Itvdoesvnotvinteractvsignificantlyvwithvothervmedications.
c. Itvenhancesvpatientvadherencevtovthevdrugvregimen.
d. Itvisvusuallyvrelativelyvinexpensivevtovproduce.
ANS:v C
Avmajorvbenefitvofvdrugsvthatvareveasyvtovadministervisvthatvpatientsvtakingvthemvarevmorev
likelyvtovcomplyvwithvthevdrugvregimen.vDrugsvthatvareveasyvtovgivevmayvhavevthevotherv
attributesvlisted,vbutvthosevpropertiesvarevindependentvofveasevofvadministration.
DIF: CognitivevLevel:vComprehension
REF:vAdditionalvPropertiesvofvanvIdealvDrug:vEasevofvAdministratio
nvTOP:v NursingvProcess:vAssessment
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
3. Avpatientvtellsvthevnursevthatvhevwasvtoldvbyvthevprescribervthatvthevanalgesicvhevisvtakingvisv
veryveffective.vWhichvstatementvbyvthevpatientvdemonstratesvanvunderstandingvofvthevdrug‘sv
effectiveness?
a. ―Ivdon‘tvhavevtovworryvaboutvtoxicity,vsincevitvtakesvavlargevamountvofvthisvdrugvtov
causevanvoverdose.‖
b. ―Itvhasvnovsideveffectsvandvdoesn‘tvinteractvwithvothervdrugs.‖
c. ―Ivonlyvhavev tov takev itv everyv12v hours.‖
d. ―Itvmightvmakevmevsleepy,vandvitvlessensvpainvforvseveralvhoursvatvavtime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
ANS:v D
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Avdrugvisveffectivevifvitvproducesvthevintendedveffects,vevenvifvitvalsovproducesvsideveffects.vBe
causevnovdrugvisvcompletelyvsafe,vthevlevelvofvtoxicityvdoesvnotvdetermineveffectiveness.vAllvdr
ugsvhavevsideveffectsvandvmanyvreactvwithvothervsubstances;vthesevdovnotvaffectvthevdrug‘sveffe
ctiveness.vEasevofvadministrationvisvindependentvofvavdrug‘sveffectiveness.
DIF: CognitivevLevel:vComprehension
REF:vPropertiesvofvanvIdealvDrugvTOP:v NursingvProcess:vEvaluation
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
MULTIPLEvRESPONSE
1. Whatvarevthevpropertiesvofvanvidealvdrug?v(Selectvallvthatvapply.)
a. Irreversiblevaction
b. Predictability
c. Easevofvadministration
d. Chemicalvstability
e. Avsimplevtradevname
ANS:v B,vC,vD
Invadditionvtovpredictability,veasevofvadministration,vandvchemicalvstability,vothervpropertiesv
includevavreversiblevactionvsovthatvanyvharmvthevdrugvmayvcausevcanvbevundonevandvavsimplev
genericvname,vbecausevgenericvnamesvarevusuallyvcomplexvandvdifficultvtovremembervandvpr
onounce.
DIF: CognitivevLevel:vComprehension
REF:vPropertiesvofvanvIdealvDrugv|vAdditionalvPropertiesvofvanvIdealvDru
gvTOP:v NursingvProcess:vAssessment
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Beforevadministeringvavmedication,vwhatvdoesvthevnursevneedvtovknowvtovevaluatevhow
individualvpatientvvariabilityvmightvaffectvthevpatient‘svresponsevtovthevmedication?v(Selectvallvth
atvapply.)
a. Chemicalvstabilityvofvthevmedication
b. Easevofvadministration
c. Familyvmedicalvhistory
d. Patient‘svage
e. Patient‘svdiagnosis
ANS:v C,vD,vE
Thevfamilyvmedicalvhistoryvcanvindicatevgeneticvfactorsvthatvmayvaffectvavpatient‘svresponsevtov
avmedication.vPatientsvofvdifferentvagesvcanvrespondvdifferentlyvtovmedications.vThevpatient‘svi
llnessvcanvaffectvhowvdrugsvarevmetabolized.vThevchemicalvstabilityvofvthevmedicationvandvthev
easevofvadministrationvarevpropertiesvofvdrugs.
DIF: CognitivevLevel:vAnalysis
REF:vSourcesvofvIndividualvVariationvTOP:v NursingvProcess:vImplementat
ion
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Chapterv2:vApplicationvofvPharmacologyvinvNursingvPracticev
TestvBank
MULTIPLEvCHOICE
1. Avpatientvisvusingvavmetered-
dosevinhalervcontainingvalbuterolvforvasthma.vThevmedicationvlabelvinstructsvthevpatientvtov
administerv―2vpuffsveveryv4vhoursvasvneededvforvcoughingvor
wheezing.‖vThevpatientvreportsvfeelingvjitteryvsometimesvwhenvtakingvthevmedication,vandvshev
doesn‘tvfeelvthatvthevmedicationvisvalwaysveffective.vWhichvisvnotvanvappropriatevnursingvinter
ventionvforvthisvpatient?
a. Askingvthevpatientvtovdemonstratevusevofvthevinhaler
b. Assessingvthevpatient‘svexposurevtovtobaccovsmoke
c. Auscultatingvlungvsoundsvandvobtainingvvitalvsigns
d. Suggestingvthatvthevpatientvusevonevpuffvtovreducevsideveffects
ANS:v D
Itvisvnotvwithinvthevnurse‘svscopevofvpracticevtovchangevthevdosevofvavmedicationvwithoutvanv
ordervfromvavprescriber.vAskingvthevpatientvtovdemonstratevinhalervusevhelpsvthevnursevtovev
aluatevthevpatient‘svabilityvtovadministervthevmedicationvproperlyvandvisvpartvofvthevnurse‘svev
aluation.vAssessingvtobaccovsmokevexposurevhelpsvthevnursevdeterminevwhethervnondrugvth
erapies,vsuchvavsmokevavoidance,vcanvbevusedvasvanvadjunctvtovdrugvtherapy.vPerformingvavp
hysicalvassessmentvhelpsvthevnursevevaluatevthevpatient‘svresponsevtovthevmedication.
DIF: CognitivevLevel:vApplication
REF:vApplyingvthevNursingvProcessvinvDrugvTherapy:vPreadministrationvAssessmentv[andval
lvsubsectionsvundervthisvheading] TOP:v NursingvProcess:vImplementation
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Avpostoperativevpatientvisvbeingvdischargedvhomevwithvacetaminophen/hydrocodonev(Lortab)v
forvpain.vThevpatientvasksvthevnursevaboutvusingvTylenolvforvfever.vWhichvstatementvbyvthevn
ursevisvcorrect?
a. ―Itvisvnotvsafevtovtakevover-the-countervdrugsvwithvprescriptionvmedications.‖
b. ―Takingvthevtwovmedicationsvtogethervposesvavriskvofvdrugvtoxicity.‖
c. ―Therevarevnovknownvdrugvinteractions,vsovthisvwillvbevsafe.‖
d. ―TylenolvandvLortabvarevdifferentvdrugs,vsovtherevisvnovriskvofvoverdose.‖
ANS:v B
Tylenolvisvthevtradevnamevandvacetaminophenvisvthevgenericvnamevforvthevsamevmedication.vItvi
svimportantvtovteachvpatientsvtovbevawarevofvthevdifferentvnamesvforvthevsamevdrugvtovminimizevt
hevriskvofvoverdose.vOver-the-
counterv(OTC)vmedicationsvandvprescriptionvmedicationsvmayvbevtakenvtogethervunlessvsignifi
cantvharmfulvdrugvinteractionsvarevpossible.vEvenvthoughvnovdrugvinteractionsvarevatvplayvinvthi
svcase,vbothvdrugsvcontainvacetaminophen,vwhichvcouldvleadvtovtoxicity.
DIF: CognitivevLevel:vApplication
REF:vApplicationvofvPharmacologyvinvPatientvEducation:vDosagevandvAdministration
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Chapterv1:vOrientationvtovPharmacologyv
TestvBank
MULTIPLEvCHOICE
1. Thevnursevisvteachingvavpatientvhowvavmedicationvworksvtovtreatvanvillness.vTovdovthis,vthev
nursevwillvrelyvonvknowledgevof:
a. clinicalvpharmacology.
b. drugvefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:v D
Pharmacotherapeuticsvisvthevstudyvofvthevusevofvdrugsvtovdiagnose,vtreat,vandvpreventvconditi
ons.vClinicalvpharmacologyvisvconcernedvwithvallvaspectsvofvdrug–
humanvinteractions.vDrugvefficacyvmeasuresvthevextentvtovwhichvavgivenvdrugvcausesvanvinten
dedveffect.
Pharmacokineticsvisvthevstudyvofvthevimpactvofvthevbodyvonvavdrug.
DIF: CognitivevLevel:vComprehension
REF:vFourvBasicvTermsvTOP:v NursingvProcess:vImplementat
ion
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Whatvdoesvitvmeanvwhenvavdrugvisvdescribedvasveasyvtovadminister?
a. Itvcanvbevstoredvindefinitelyvwithoutvneedvforvrefrigeration.
b. Itvdoesvnotvinteractvsignificantlyvwithvothervmedications.
c. Itvenhancesvpatientvadherencevtovthevdrugvregimen.
d. Itvisvusuallyvrelativelyvinexpensivevtovproduce.
ANS:v C
Avmajorvbenefitvofvdrugsvthatvareveasyvtovadministervisvthatvpatientsvtakingvthemvarevmorev
likelyvtovcomplyvwithvthevdrugvregimen.vDrugsvthatvareveasyvtovgivevmayvhavevthevotherv
attributesvlisted,vbutvthosevpropertiesvarevindependentvofveasevofvadministration.
DIF: CognitivevLevel:vComprehension
REF:vAdditionalvPropertiesvofvanvIdealvDrug:vEasevofvAdministratio
nvTOP:v NursingvProcess:vAssessment
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
3. Avpatientvtellsvthevnursevthatvhevwasvtoldvbyvthevprescribervthatvthevanalgesicvhevisvtakingvisv
veryveffective.vWhichvstatementvbyvthevpatientvdemonstratesvanvunderstandingvofvthevdrug‘sv
effectiveness?
a. ―Ivdon‘tvhavevtovworryvaboutvtoxicity,vsincevitvtakesvavlargevamountvofvthisvdrugvtov
causevanvoverdose.‖
b. ―Itvhasvnovsideveffectsvandvdoesn‘tvinteractvwithvothervdrugs.‖
c. ―Ivonlyvhavev tov takev itv everyv12v hours.‖
d. ―Itvmightvmakevmevsleepy,vandvitvlessensvpainvforvseveralvhoursvatvavtime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
ANS:v D
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Avdrugvisveffectivevifvitvproducesvthevintendedveffects,vevenvifvitvalsovproducesvsideveffects.vBe
causevnovdrugvisvcompletelyvsafe,vthevlevelvofvtoxicityvdoesvnotvdetermineveffectiveness.vAllvdr
ugsvhavevsideveffectsvandvmanyvreactvwithvothervsubstances;vthesevdovnotvaffectvthevdrug‘sveffe
ctiveness.vEasevofvadministrationvisvindependentvofvavdrug‘sveffectiveness.
DIF: CognitivevLevel:vComprehension
REF:vPropertiesvofvanvIdealvDrugvTOP:v NursingvProcess:vEvaluation
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
MULTIPLEvRESPONSE
1. Whatvarevthevpropertiesvofvanvidealvdrug?v(Selectvallvthatvapply.)
a. Irreversiblevaction
b. Predictability
c. Easevofvadministration
d. Chemicalvstability
e. Avsimplevtradevname
ANS:v B,vC,vD
Invadditionvtovpredictability,veasevofvadministration,vandvchemicalvstability,vothervpropertiesv
includevavreversiblevactionvsovthatvanyvharmvthevdrugvmayvcausevcanvbevundonevandvavsimplev
genericvname,vbecausevgenericvnamesvarevusuallyvcomplexvandvdifficultvtovremembervandvpr
onounce.
DIF: CognitivevLevel:vComprehension
REF:vPropertiesvofvanvIdealvDrugv|vAdditionalvPropertiesvofvanvIdealvDru
gvTOP:v NursingvProcess:vAssessment
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Beforevadministeringvavmedication,vwhatvdoesvthevnursevneedvtovknowvtovevaluatevhow
individualvpatientvvariabilityvmightvaffectvthevpatient‘svresponsevtovthevmedication?v(Selectvallvth
atvapply.)
a. Chemicalvstabilityvofvthevmedication
b. Easevofvadministration
c. Familyvmedicalvhistory
d. Patient‘svage
e. Patient‘svdiagnosis
ANS:v C,vD,vE
Thevfamilyvmedicalvhistoryvcanvindicatevgeneticvfactorsvthatvmayvaffectvavpatient‘svresponsevtov
avmedication.vPatientsvofvdifferentvagesvcanvrespondvdifferentlyvtovmedications.vThevpatient‘svi
llnessvcanvaffectvhowvdrugsvarevmetabolized.vThevchemicalvstabilityvofvthevmedicationvandvthev
easevofvadministrationvarevpropertiesvofvdrugs.
DIF: CognitivevLevel:vAnalysis
REF:vSourcesvofvIndividualvVariationvTOP:v NursingvProcess:vImplementat
ion
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vReductionvofvRiskvPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
v v v v v v v v
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
v v v v v v v
112|Complete Guide A+
v v v
Chapterv2:vApplicationvofvPharmacologyvinvNursingvPracticev
TestvBank
MULTIPLEvCHOICE
1. Avpatientvisvusingvavmetered-
dosevinhalervcontainingvalbuterolvforvasthma.vThevmedicationvlabelvinstructsvthevpatientvtov
administerv―2vpuffsveveryv4vhoursvasvneededvforvcoughingvor
wheezing.‖vThevpatientvreportsvfeelingvjitteryvsometimesvwhenvtakingvthevmedication,vandvshev
doesn‘tvfeelvthatvthevmedicationvisvalwaysveffective.vWhichvisvnotvanvappropriatevnursingvinter
ventionvforvthisvpatient?
a. Askingvthevpatientvtovdemonstratevusevofvthevinhaler
b. Assessingvthevpatient‘svexposurevtovtobaccovsmoke
c. Auscultatingvlungvsoundsvandvobtainingvvitalvsigns
d. Suggestingvthatvthevpatientvusevonevpuffvtovreducevsideveffects
ANS:v D
Itvisvnotvwithinvthevnurse‘svscopevofvpracticevtovchangevthevdosevofvavmedicationvwithoutvanv
ordervfromvavprescriber.vAskingvthevpatientvtovdemonstratevinhalervusevhelpsvthevnursevtovev
aluatevthevpatient‘svabilityvtovadministervthevmedicationvproperlyvandvisvpartvofvthevnurse‘svev
aluation.vAssessingvtobaccovsmokevexposurevhelpsvthevnursevdeterminevwhethervnondrugvth
erapies,vsuchvavsmokevavoidance,vcanvbevusedvasvanvadjunctvtovdrugvtherapy.vPerformingvavp
hysicalvassessmentvhelpsvthevnursevevaluatevthevpatient‘svresponsevtovthevmedication.
DIF: CognitivevLevel:vApplication
REF:vApplyingvthevNursingvProcessvinvDrugvTherapy:vPreadministrationvAssessmentv[andval
lvsubsectionsvundervthisvheading] TOP:v NursingvProcess:vImplementation
MSC:v NCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
2. Avpostoperativevpatientvisvbeingvdischargedvhomevwithvacetaminophen/hydrocodonev(Lortab)v
forvpain.vThevpatientvasksvthevnursevaboutvusingvTylenolvforvfever.vWhichvstatementvbyvthevn
ursevisvcorrect?
a. ―Itvisvnotvsafevtovtakevover-the-countervdrugsvwithvprescriptionvmedications.‖
b. ―Takingvthevtwovmedicationsvtogethervposesvavriskvofvdrugvtoxicity.‖
c. ―Therevarevnovknownvdrugvinteractions,vsovthisvwillvbevsafe.‖
d. ―TylenolvandvLortabvarevdifferentvdrugs,vsovtherevisvnovriskvofvoverdose.‖
ANS:v B
Tylenolvisvthevtradevnamevandvacetaminophenvisvthevgenericvnamevforvthevsamevmedication.vItvi
svimportantvtovteachvpatientsvtovbevawarevofvthevdifferentvnamesvforvthevsamevdrugvtovminimizevt
hevriskvofvoverdose.vOver-the-
counterv(OTC)vmedicationsvandvprescriptionvmedicationsvmayvbevtakenvtogethervunlessvsignifi
cantvharmfulvdrugvinteractionsvarevpossible.vEvenvthoughvnovdrugvinteractionsvarevatvplayvinvthi
svcase,vbothvdrugsvcontainvacetaminophen,vwhichvcouldvleadvtovtoxicity.
DIF: CognitivevLevel:vApplication
REF:vApplicationvofvPharmacologyvinvPatientvEducation:vDosagevandvAdministration
