TestBank for Introduction to Clinical
4
Pharmacology 11th Edition By Constance
Visovsky, CherylZambroski, Shirley, Hosler
Chapter1- 20CompleteGuideA+
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky:Introduction to Clinical Pharmacology, 11th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission
to a Long
term care facility before giving the patient‘s prescribed drugs. Which action should the LP
N consider to be the highest priority?
a. Obtain any special equipment that will be needed to give the patient‘s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient
4 and the patient‘s health condition.
d. Review the nursing care plan to verify that it
is accurate. ANS: C
Collecting and documenting data about the patient and the patient‘s health condition is a
critical step before any drugs are given. Information regarding the present illness, any si
gns and symptoms, review of medical records, drug history, and vital signs are needed
before drugs are given. Deciding on special equipment that will be needed to give the pat
ient‘s drug is part of the planning phase of the nursing process. Monitoring the patient fo
r his response to given drug is part of the evaluation stage of the nursing process. Review
ing the nursing care plan to verify that it is being followed accurately is part of the impl
ementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process rel
4
ated to the patient‘s prescribed drugs. Which action should the LPN take during this st
age?
a. Develop a nursing goal to plan the procedures needed to give drug.
,b. Develop a teaching plan for the patient regarding the drug‘s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about hi
s drug. ANS: D
Determining how much the patient understands about his drug is part of the diagnosis pha
4
se of the nursing process. Developing a nursing goal to plan the procedures needed to
give drug and developing a teaching plan for the patient regarding the drug‘s actions
4
are part of the planning phase of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression about the potential adverse effects of
a prescribed drug. What part of the nursing process related to drug therapy are you enga
4
ging in at this point of the teaching plan?
4
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to the
patient the drug‘s therapeutic effects, expected side effects, and potential adverse effect
s.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
, c. The serum potassium level is 3.8 mmol/L.
4
d. The patient‘s ECG shows normal sinus rhythm.
ANS: A
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such
as pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data co
llected from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign d
ata from a medical chart are examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement 4 provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain i
s severe. ANS: B
Measurable data obtained during a physical exam such as grimacing with movement i
4
s an example of objective data. Subjective data includes information presented by the pa
tient or Family that cannot be substantiated such as a wife‘s report of a patient‘s confusio
n, patient report of degree of alcohol consumption, and a patient‘s pain rating.
4
DIF: Cognitive Level: Remembering REF: p. 3
6. The LPN/VN is assessing a patient before giving a drug for blood pressure man
4
agement. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s
best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient 4 a full glass of water before giving the drug.
4
Pharmacology 11th Edition By Constance
Visovsky, CherylZambroski, Shirley, Hosler
Chapter1- 20CompleteGuideA+
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky:Introduction to Clinical Pharmacology, 11th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission
to a Long
term care facility before giving the patient‘s prescribed drugs. Which action should the LP
N consider to be the highest priority?
a. Obtain any special equipment that will be needed to give the patient‘s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient
4 and the patient‘s health condition.
d. Review the nursing care plan to verify that it
is accurate. ANS: C
Collecting and documenting data about the patient and the patient‘s health condition is a
critical step before any drugs are given. Information regarding the present illness, any si
gns and symptoms, review of medical records, drug history, and vital signs are needed
before drugs are given. Deciding on special equipment that will be needed to give the pat
ient‘s drug is part of the planning phase of the nursing process. Monitoring the patient fo
r his response to given drug is part of the evaluation stage of the nursing process. Review
ing the nursing care plan to verify that it is being followed accurately is part of the impl
ementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process rel
4
ated to the patient‘s prescribed drugs. Which action should the LPN take during this st
age?
a. Develop a nursing goal to plan the procedures needed to give drug.
,b. Develop a teaching plan for the patient regarding the drug‘s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about hi
s drug. ANS: D
Determining how much the patient understands about his drug is part of the diagnosis pha
4
se of the nursing process. Developing a nursing goal to plan the procedures needed to
give drug and developing a teaching plan for the patient regarding the drug‘s actions
4
are part of the planning phase of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression about the potential adverse effects of
a prescribed drug. What part of the nursing process related to drug therapy are you enga
4
ging in at this point of the teaching plan?
4
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to the
patient the drug‘s therapeutic effects, expected side effects, and potential adverse effect
s.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
, c. The serum potassium level is 3.8 mmol/L.
4
d. The patient‘s ECG shows normal sinus rhythm.
ANS: A
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such
as pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data co
llected from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign d
ata from a medical chart are examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement 4 provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain i
s severe. ANS: B
Measurable data obtained during a physical exam such as grimacing with movement i
4
s an example of objective data. Subjective data includes information presented by the pa
tient or Family that cannot be substantiated such as a wife‘s report of a patient‘s confusio
n, patient report of degree of alcohol consumption, and a patient‘s pain rating.
4
DIF: Cognitive Level: Remembering REF: p. 3
6. The LPN/VN is assessing a patient before giving a drug for blood pressure man
4
agement. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s
best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient 4 a full glass of water before giving the drug.
