e36Test3636Bank
Chapter361:36Orientation36to36Pharmacology3
6Test36Bank
MULTIPLE36CHOICE
1. The36nurse36is36teaching36a36patient36how36a36medication36works36to36treat36an36illness.36To3
6do36this,36the36nurse36will36rely36on36knowledge36of:
a. clinical36pharmacology.
b. drug36efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:3 6 D
Pharmacotherapeutics36is36the36study36of36the36use36of36drugs36to36diagnose,36treat,36and36preve
nt36conditions.36Clinical36pharmacology36is36concerned36with36all36aspects36of36drug–
human36interactions.36Drug36efficacy36measures36the36extent36to36which36a36given36drug36causes
36an36intended36effect.
Pharmacokinetics36is36the36study36of36the36impact36of36the36body36on36a36drug.
DIF: Cognitive36Level:36Comprehension
REF:36Four36Basic36Terms36TOP:3 6 Nursing36Process:36Imple
mentation
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Pharmacologic36and36Parenteral36Ther
apies
2. What36does36it36mean36when36a36drug36is36described36as36easy36to36administer?
a. It36can36be36stored36indefinitely36without36need36for36refrigeration.
b. It36does36not36interact36significantly36with36other36medications.
c. It36enhances36patient36adherence36to36the36drug36regimen.
d. It36is36usually36relatively36inexpensive36to36produce.
ANS:3 6 C
A36major36benefit36of36drugs36that36are36easy36to36administer36is36that36patients36taking36them36
are36more36likely36to36comply36with36the36drug36regimen.36Drugs36that36are36easy36to36give36m
ay36have36the36other36attributes36listed,36but36those36properties36are36independent36of36ease36o
f36administration.
DIF: Cognitive36Level:36Comprehension
REF:36Additional36Properties36of36an36Ideal36Drug:36Ease36of36Administrat
ion36TOP:3 6 Nursing36Process:36Assessment
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Pharmacologic36and36Parenteral36Thera
pies
3. A36patient36tells36the36nurse36that36he36was36told36by36the36prescriber36that36the36analgesic36he
36is36taking36is36very36effective.36Which36statement36by36the36patient36demonstrates36an36unde
rstanding36of36the36drug‘s36effectiveness?
a. ―I36don‘t36have36to36worry36about36toxicity,36since36it36takes36a36large36amount36of36t
his36drug36to36cause36an36overdose.‖
b. ―It36has36no36side36effects36and36doesn‘t36interact36with36other36drugs.‖
c. ―I36only36have36to36take36it36every361236hours.‖
d. ―It36might36make36me36sleepy,36and36it36lessens36pain36for36several36hours36at36a36time.‖
ANS:3 6 D
, A36drug36is36effective36if36it36produces36the36intended36effects,36even36if36it36also36produces36sid
e36effects.36Because36no36drug36is36completely36safe,36the36level36of36toxicity36does36not36determi
ne36effectiveness.36All36drugs36have36side36effects36and36many36react36with36other36substances;36
these36do36not36affect36the36drug‘s36effectiveness.36Ease36of36administration36is36independent36o
f36a36drug‘s36effectiveness.
DIF: Cognitive36Level:36Comprehension
REF:36Properties36of36an36Ideal36Drug36TOP:3 6 Nursing36Process:36Eva
luation
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Pharmacologic36and36Parenteral36Thera
pies
MULTIPLE36RESPONSE
1. What36are36the36properties36of36an36ideal36drug?36(Select36all36that36apply.)
a. Irreversible36action
b. Predictability
c. Ease36of36administration
d. Chemical36stability
e. A36simple36trade36name
ANS:3 6 B,36C,36D
In36addition36to36predictability,36ease36of36administration,36and36chemical36stability,36other36pro
perties36include36a36reversible36action36so36that36any36harm36the36drug36may36cause36can36be36und
one36and36a36simple36generic36name,36because36generic36names36are36usually36complex36and36dif
ficult36to36remember36and36pronounce.
DIF: Cognitive36Level:36Comprehension
REF:36Properties36of36an36Ideal36Drug36|36Additional36Properties36of36an36I
deal36Drug36TOP:3 6 Nursing36Process:36Assessment
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Pharmacologic36and36Parenteral36Thera
pies
2. Before36administering36a36medication,36what36does36the36nurse36need36to36know36to36evaluate36how
individual36patient36variability36might36affect36the36patient‘s36response36to36the36medication?36(S
elect36all36that36apply.)
a. Chemical36stability36of36the36medication
b. Ease36of36administration
c. Family36medical36history
d. Patient‘s36age
e. Patient‘s36diagnosis
ANS:3 6 C,36D,36E
The36family36medical36history36can36indicate36genetic36factors36that36may36affect36a36patient‘s36r
esponse36to36a36medication.36Patients36of36different36ages36can36respond36differently36to36medic
ations.36The36patient‘s36illness36can36affect36how36drugs36are36metabolized.36The36chemical36sta
bility36of36the36medication36and36the36ease36of36administration36are36properties36of36drugs.
DIF: Cognitive36Level:36Analysis
REF:36Sources36of36Individual36Variation36TOP:3 6 Nursing36Process:36Impl
ementation
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Reduction36of36Risk36Potential
, Chapter362:36Application36of36Pharmacology36in36Nursing36Practic
e36Test36Bank
MULTIPLE36CHOICE
1. A36patient36is36using36a36metered-
dose36inhaler36containing36albuterol36for36asthma.36The36medication36label36instructs36the36p
atient36to36administer36―236puffs36every36436hours36as36needed36for36coughing36or
wheezing.‖36The36patient36reports36feeling36jittery36sometimes36when36taking36the36medication,36
and36she36doesn‘t36feel36that36the36medication36is36always36effective.36Which36is36not36an36appro
priate36nursing36intervention36for36this36patient?
a. Asking36the36patient36to36demonstrate36use36of36the36inhaler
b. Assessing36the36patient‘s36exposure36to36tobacco36smoke
c. Auscultating36lung36sounds36and36obtaining36vital36signs
d. Suggesting36that36the36patient36use36one36puff36to36reduce36side36effects
ANS:3 6 D
It36is36not36within36the36nurse‘s36scope36of36practice36to36change36the36dose36of36a36medication36w
ithout36an36order36from36a36prescriber.36Asking36the36patient36to36demonstrate36inhaler36use36hel
ps36the36nurse36to
evaluate36the36patient‘s36ability36to36administer36the36medication36properly36and36is36part36of36the
36nurse‘s36evaluation.36Assessing36tobacco36smoke36exposure36helps36the36nurse36determine36w
hether36nondrug36therapies,36such36a36smoke36avoidance,36can36be36used36as36an36adjunct36to36dr
ug36therapy.36Performing36a36physical36assessment36helps36the36nurse36evaluate36the36patient‘s36
response36to36the36medication.
DIF: Cognitive36Level:36Application
REF:36Applying36the36Nursing36Process36in36Drug36Therapy:36Preadministration36Assessment
36[and36all36subsections36under36this36heading] TOP:3 6 Nursing36Process:36Implementation
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Pharmacologic36and36Parenteral36Ther
apies
2. A36postoperative36patient36is36being36discharged36home36with36acetaminophen/hydrocodone36(
Lortab)36for36pain.36The36patient36asks36the36nurse36about36using36Tylenol36for36fever.36Which3
6statement36by36the36nurse36is36correct?
a. ―It36is36not36safe36to36take36over-the-counter36drugs36with36prescription36medications.‖
b. ―Taking36the36two36medications36together36poses36a36risk36of36drug36toxicity.‖
c. ―There36are36no36known36drug36interactions,36so36this36will36be36safe.‖
d. ―Tylenol36and36Lortab36are36different36drugs,36so36there36is36no36risk36of36overdose.‖
ANS:3 6 B
Tylenol36is36the36trade36name36and36acetaminophen36is36the36generic36name36for36the36same36me
dication.36It36is36important36to36teach36patients36to36be36aware36of36the36different36names36for36the
36same36drug36to36minimize36the36risk36of36overdose.36Over-the-
counter36(OTC)36medications36and36prescription36medications36may36be36taken36together36unles
s36significant36harmful36drug36interactions36are36possible.36Even36though36no36drug36interactions
36are36at36play36in36this36case,36both36drugs36contain36acetaminophen,36which36could36lead36to36to
xicity.
DIF: Cognitive36Level:36Application
REF:36Application36of36Pharmacology36in36Patient36Education:36Dosage36and36Administ
ration36TOP:3 6 Nursing36Process:36Implementation
MSC:3 6 NCLEX36Client36Needs36Category:36Physiologic36Integrity:36Reduction36of36Risk36Potential