TEST BANK a
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
a a a a
By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
a a a a a a
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
a a a a a a a a a a
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
a a a a a a
MULTIPLE CHOIC a
E
1. TheaLPNaisacollectingadataaforatheainitialaassessmentaofaaapatientauponaadmissionatoaaalong-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider
a a a a a a a a a a a a a a
a. Obtain any special equipment that will be needed to give the patient‘s drug.
a a a a a a a a a a a a
b. Monitor the patient for a response to the drug given. a a a a a a a a a
c. Collect data about the patient and the patient‘s health condition.
a a a a a a a a a
d. Review the nursing care plan to verify that it is accurate. a a a a a a a a a a
ANS: C a
Collecting and documenting data about the patient and the patient‘s health condition is a critical step b
a a a a a a a a a a a a a a a a
. Information regarding the present illness, any signs and symptoms, review of medical records, drug h
a a a a a a a a a a a a a a a
eeded before drugs are given. Deciding on special equipment that will be needed to give the patient‘s d
a a a a a a a a a a a a a a a a a
phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua
a a a a a a a a a a a a a a a a a a
rocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the imp
a a a a a a a a a a a a a a a a a a
nursing process. a
DIF: Cognitive Level: Applying
a a a REF: p. 2 a a
2. TheaLPNaisaworkingawithaaapatientainatheaplanningastageaofatheanursingaprocessarelatedatoatheapatient‘sapr
on should the LPN take during this stage?
a a a a a a a
a. Develop a nursing goal to plan the procedures needed to give drug. a a a a a a a a a a a
b. Develop a teaching plan for the patient regarding the drug‘s actions. a a a a a a a a a a
c. Determine that the patient is experiencing the expected response to his drug. a a a a a a a a a a a
d. Determine how much the patient understands about his drug. a a a a a a a a
ANS: D a
Determining how much the patient understands about his drug is part of the diagnosis phase of the nur
a a a a a a a a a a a a a a a a a
a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient
a a a a a a a a a a a a a a a a a a
ons are part of the planning phase of the nursing process.
a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 2 a a
3. Youaareateachingaaapatientawithadepressionaaboutatheapotentialaadverseaeffectsaofaaaprescribedadrug.aWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
a a a a a a a a a a a a a a a
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C a
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘
a a a a a a a a a a a a a a a a a
ide effects, and potential adverse effects.
a a a a a
DIF: Cognitive Level: Remembering REF: p. 2
a a a a a a
4. Whichaofatheafollowingaisaanaexampleaofasubjectiveadata?
a. Theapatientastatesasheahasapainainaheraleftaarm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a
6. TheaLPN/VNaisaassessingaaapatientabeforeagivingaaadrugaforabloodapressureamanagement.aTheanurseanot
50 mm Hg. What is the nurse‘s best action?
a a a a a a a a
a. Hold the drug and report the blood pressure to the RN.
a a a a a a a a a a
b. Give the patient a full glass of water before giving the drug.
a a a a a a a a a a a
c. Come back in 30 minutes and recheck the blood pressure.
a a a a a a a a a
d. Have the patient perform pursed lip breathing before giving the drug.
a a a a a a a a a a
ANS: A a
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose o
a a a a a a a a a a a a a a a a a a a a a
or switching to another drug. Giving water with the drug is not contraindicated but does not recognize t
a a a a a a a a a a a a a a a a a
tension. Pursed lip breathing has no role in this situation.
a a a a a a a a a
DIF: Cognitive Level: Remembering REF: p. 4
a a a a a a
7. TheaLPNaisacollectingaobjectiveadataaforainclusionainatheanursingaassessment.aWhichapieceaofainformatio
N hasa clear understanding of objective assessment data?
a a a a a a a
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
a a a a a a a a a a a a a
b. Family members report that patient has been experiencing pain for 1 month.
a a a a a a a a a a a
c. Detailed history of the patient‘s current illness upon admission.
a a a a a a a a
d. Compilation of past laboratory results and x-ray reports. a a a a a a a
ANS: D a
The patient‘s past laboratory and x-
a a a a a
ray results are examples of objective data. A pain rating of 8/10, a family member‘s descriptionof the p
a a a a a a a a a a a a a a a a a
rrent illness are examples of subjective data.
a a a a a a
DIF: Cognitive Level: Remembering REF: p. 3
a a a a a a
8. Aapatientarecentlyabeganaaatakingabloodapressureadrugaandapresentsaforaaafollow-
up appointment. The office nurse reviews the patient‘s daily blood pressure recordings. Which stage o
a a a a a a a a a a a a a a
esponds to this review? a a a
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D a
The evaluation phase involves examining the results that occur when the plan is implemented. Review
a a a a a a a a a a a a a a
d pressure recording examines the patient‘s response to the drug. The assessment phase provides initia
a a a a a a a a a a a a a a
ent, the problem, and anything that may change the choice of treatment. The planning phase involves
a a a a a a a a a a a a a a a a
ta and diagnoses to set goals and write care plans. The diagnosis phase involves decision-
a a a a a a a a a a a a a a
making about the patient‘s problems, including medical diagnoses made by the healthcare provider an
a a a a a a a a a a a a a
ed through the North American Nursing Diagnosis Association (NANDA).
a a a a a a a a
DIF: Cognitive Level: Remembering REF: p. 2
a a a a a a
9. Afterareceivingareport,atheaLPNagivesadrugsatoaheraassignedapatientsaonatheaeveningashift.aWithawhichast
cess does this activity correspond?
a a a a
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A a
The implementation phase involves actively following the plan of care and accurately giving ordered
a a a a a a a a a a a a a a
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a
11. Aapatientaisareceivingaanaantibioticaforapneumonia.aOnatheathirdadayaofatheatreatmentaregimen,aaarashaapp
shereports itching and shortness of breath. Which term describes the effect that has occurred?
a a a a a a a a a a a a a
a. Therapeutic effect a
b. Adverse effect a
c. Side effect a
d. Overdose effect a
ANS: B a
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic re
a a a a a a a a a a a a a a a a a a a
t to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any ad
a a a a a a a a a a a a a a a
cts of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose
a a a a a a a a a a a a a a a a a
eives too much of a drug. a a a a a
DIF: Cognitive Level: Understanding REF: p. 9
a a a a a a
12. AnaLPNaentersa aapatient‘sarooma toagiveaaascheduleda drug.aBeforeaadministration,a theapatienta states,a―Iacan‘
I‘m allergic to it.‖ What should the nurse do first?
a a a a a a a a a
a. Reassure the patient that the drug is needed and observations regarding pa a a a a a a a a a a
ossibleallergic symptoms will be made. a a a a
b. Review the patient record and encourage the patient to take the drug if n
a a a a a a a a a a a a a
oallergies have been documented. a a a
c. Assess the patient‘s allergic history and notify the healthcare provider to d
a a a a a a a a a a a
etermine a course of action. a a a a
d. Document patient refusal and leave a note on the patient chart for th a a a a a a a a a a a a
ehealthcareprovider.
ANS: C a
The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
a a a a a a a a a a a a a a a a
, the nurse should investigate further by obtaining a more detailed drug history and notifying the healthc
a a a a a a a a a a a a a a a a
e order. Although the order may be accurately written, determining whether the drug‘s benefits outwe
a a a a a a a a a a a a a a
within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as an ad
a a a a a a a a a a a a a a a a a a a
hould investigate further before giving the drug. The patient has raised concerns regarding the drug th
a a a a a a a a a a a a a a a
ught to the provider‘s attention. A note on the chart leaves potential for information to be missed.
a a a a a a a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 4 a a
13. TheaLPNaisapreparingatoagiveatheainitialadoseaofaanaantibioticatoaaapatientadiagnosedawithaanainfection.aThe
ke outin a rash the last time I took that pill.‖ What action should the LPN take next?
a a a a a a a a a a a a a a a a a
a. Give the drug and check the patient in 30 minutes for a rash.
a a a a a a a a a a a a
b. Document that the patient refused the drug per agency policy. a a a a a a a a a
c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
a a a a a a a a a a a a a
d. Notify the registered nurse or healthcare provider. a a a a a a
ANS: D a
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately
a a a a a a a a a a a a a a a
e drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refus
a a a a a a a a a a a a a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 9 a a
14. Whichapriorityaassessmentamustayouamakeabeforeagivingaanyapatientaaadrugabyamouth?
a. Quizatheapatientaaboutatheaactionaofaeachadrug.
b. Makeasureatheapatientacanaswallow.
c. Findaoutawhetheratheapatientaprefersacoldaoraroomatemperaturealiquids.
d. Askatheapatientatoarepeatahisaoraheranameaandabirthdate.
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
a a a a
By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
a a a a a a
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
a a a a a a a a a a
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
a a a a a a
MULTIPLE CHOIC a
E
1. TheaLPNaisacollectingadataaforatheainitialaassessmentaofaaapatientauponaadmissionatoaaalong-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider
a a a a a a a a a a a a a a
a. Obtain any special equipment that will be needed to give the patient‘s drug.
a a a a a a a a a a a a
b. Monitor the patient for a response to the drug given. a a a a a a a a a
c. Collect data about the patient and the patient‘s health condition.
a a a a a a a a a
d. Review the nursing care plan to verify that it is accurate. a a a a a a a a a a
ANS: C a
Collecting and documenting data about the patient and the patient‘s health condition is a critical step b
a a a a a a a a a a a a a a a a
. Information regarding the present illness, any signs and symptoms, review of medical records, drug h
a a a a a a a a a a a a a a a
eeded before drugs are given. Deciding on special equipment that will be needed to give the patient‘s d
a a a a a a a a a a a a a a a a a
phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalua
a a a a a a a a a a a a a a a a a a
rocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the imp
a a a a a a a a a a a a a a a a a a
nursing process. a
DIF: Cognitive Level: Applying
a a a REF: p. 2 a a
2. TheaLPNaisaworkingawithaaapatientainatheaplanningastageaofatheanursingaprocessarelatedatoatheapatient‘sapr
on should the LPN take during this stage?
a a a a a a a
a. Develop a nursing goal to plan the procedures needed to give drug. a a a a a a a a a a a
b. Develop a teaching plan for the patient regarding the drug‘s actions. a a a a a a a a a a
c. Determine that the patient is experiencing the expected response to his drug. a a a a a a a a a a a
d. Determine how much the patient understands about his drug. a a a a a a a a
ANS: D a
Determining how much the patient understands about his drug is part of the diagnosis phase of the nur
a a a a a a a a a a a a a a a a a
a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patient
a a a a a a a a a a a a a a a a a a
ons are part of the planning phase of the nursing process.
a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 2 a a
3. Youaareateachingaaapatientawithadepressionaaboutatheapotentialaadverseaeffectsaofaaaprescribedadrug.aWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
a a a a a a a a a a a a a a a
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C a
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘
a a a a a a a a a a a a a a a a a
ide effects, and potential adverse effects.
a a a a a
DIF: Cognitive Level: Remembering REF: p. 2
a a a a a a
4. Whichaofatheafollowingaisaanaexampleaofasubjectiveadata?
a. Theapatientastatesasheahasapainainaheraleftaarm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a
6. TheaLPN/VNaisaassessingaaapatientabeforeagivingaaadrugaforabloodapressureamanagement.aTheanurseanot
50 mm Hg. What is the nurse‘s best action?
a a a a a a a a
a. Hold the drug and report the blood pressure to the RN.
a a a a a a a a a a
b. Give the patient a full glass of water before giving the drug.
a a a a a a a a a a a
c. Come back in 30 minutes and recheck the blood pressure.
a a a a a a a a a
d. Have the patient perform pursed lip breathing before giving the drug.
a a a a a a a a a a
ANS: A a
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose o
a a a a a a a a a a a a a a a a a a a a a
or switching to another drug. Giving water with the drug is not contraindicated but does not recognize t
a a a a a a a a a a a a a a a a a
tension. Pursed lip breathing has no role in this situation.
a a a a a a a a a
DIF: Cognitive Level: Remembering REF: p. 4
a a a a a a
7. TheaLPNaisacollectingaobjectiveadataaforainclusionainatheanursingaassessment.aWhichapieceaofainformatio
N hasa clear understanding of objective assessment data?
a a a a a a a
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
a a a a a a a a a a a a a
b. Family members report that patient has been experiencing pain for 1 month.
a a a a a a a a a a a
c. Detailed history of the patient‘s current illness upon admission.
a a a a a a a a
d. Compilation of past laboratory results and x-ray reports. a a a a a a a
ANS: D a
The patient‘s past laboratory and x-
a a a a a
ray results are examples of objective data. A pain rating of 8/10, a family member‘s descriptionof the p
a a a a a a a a a a a a a a a a a
rrent illness are examples of subjective data.
a a a a a a
DIF: Cognitive Level: Remembering REF: p. 3
a a a a a a
8. Aapatientarecentlyabeganaaatakingabloodapressureadrugaandapresentsaforaaafollow-
up appointment. The office nurse reviews the patient‘s daily blood pressure recordings. Which stage o
a a a a a a a a a a a a a a
esponds to this review? a a a
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D a
The evaluation phase involves examining the results that occur when the plan is implemented. Review
a a a a a a a a a a a a a a
d pressure recording examines the patient‘s response to the drug. The assessment phase provides initia
a a a a a a a a a a a a a a
ent, the problem, and anything that may change the choice of treatment. The planning phase involves
a a a a a a a a a a a a a a a a
ta and diagnoses to set goals and write care plans. The diagnosis phase involves decision-
a a a a a a a a a a a a a a
making about the patient‘s problems, including medical diagnoses made by the healthcare provider an
a a a a a a a a a a a a a
ed through the North American Nursing Diagnosis Association (NANDA).
a a a a a a a a
DIF: Cognitive Level: Remembering REF: p. 2
a a a a a a
9. Afterareceivingareport,atheaLPNagivesadrugsatoaheraassignedapatientsaonatheaeveningashift.aWithawhichast
cess does this activity correspond?
a a a a
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A a
The implementation phase involves actively following the plan of care and accurately giving ordered
a a a a a a a a a a a a a a
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
a a a a a a a
a
a
11. Aapatientaisareceivingaanaantibioticaforapneumonia.aOnatheathirdadayaofatheatreatmentaregimen,aaarashaapp
shereports itching and shortness of breath. Which term describes the effect that has occurred?
a a a a a a a a a a a a a
a. Therapeutic effect a
b. Adverse effect a
c. Side effect a
d. Overdose effect a
ANS: B a
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic re
a a a a a a a a a a a a a a a a a a a
t to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any ad
a a a a a a a a a a a a a a a
cts of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose
a a a a a a a a a a a a a a a a a
eives too much of a drug. a a a a a
DIF: Cognitive Level: Understanding REF: p. 9
a a a a a a
12. AnaLPNaentersa aapatient‘sarooma toagiveaaascheduleda drug.aBeforeaadministration,a theapatienta states,a―Iacan‘
I‘m allergic to it.‖ What should the nurse do first?
a a a a a a a a a
a. Reassure the patient that the drug is needed and observations regarding pa a a a a a a a a a a
ossibleallergic symptoms will be made. a a a a
b. Review the patient record and encourage the patient to take the drug if n
a a a a a a a a a a a a a
oallergies have been documented. a a a
c. Assess the patient‘s allergic history and notify the healthcare provider to d
a a a a a a a a a a a
etermine a course of action. a a a a
d. Document patient refusal and leave a note on the patient chart for th a a a a a a a a a a a a
ehealthcareprovider.
ANS: C a
The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
a a a a a a a a a a a a a a a a
, the nurse should investigate further by obtaining a more detailed drug history and notifying the healthc
a a a a a a a a a a a a a a a a
e order. Although the order may be accurately written, determining whether the drug‘s benefits outwe
a a a a a a a a a a a a a a
within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as an ad
a a a a a a a a a a a a a a a a a a a
hould investigate further before giving the drug. The patient has raised concerns regarding the drug th
a a a a a a a a a a a a a a a
ught to the provider‘s attention. A note on the chart leaves potential for information to be missed.
a a a a a a a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 4 a a
13. TheaLPNaisapreparingatoagiveatheainitialadoseaofaanaantibioticatoaaapatientadiagnosedawithaanainfection.aThe
ke outin a rash the last time I took that pill.‖ What action should the LPN take next?
a a a a a a a a a a a a a a a a a
a. Give the drug and check the patient in 30 minutes for a rash.
a a a a a a a a a a a a
b. Document that the patient refused the drug per agency policy. a a a a a a a a a
c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
a a a a a a a a a a a a a
d. Notify the registered nurse or healthcare provider. a a a a a a
ANS: D a
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately
a a a a a a a a a a a a a a a
e drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refus
a a a a a a a a a a a a a a a a a a a a a a
DIF: Cognitive Level: Applying
a a a REF: p. 9 a a
14. Whichapriorityaassessmentamustayouamakeabeforeagivingaanyapatientaaadrugabyamouth?
a. Quizatheapatientaaboutatheaactionaofaeachadrug.
b. Makeasureatheapatientacanaswallow.
c. Findaoutawhetheratheapatientaprefersacoldaoraroomatemperaturealiquids.
d. Askatheapatientatoarepeatahisaoraheranameaandabirthdate.
