U
Chapter1:OrientationtoPharmacology
Test Bank
U V
MULTIPLECHOICE
1. Thenurseisteachingapatienthowa medication V U U workstotreatanillness.Todothis,thenurse
willrelyonknowledgeof:
U
a. clinicalpharmacology. V
b. drugefficacy. V
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:D U
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat, andpreventconditions. U
Clinicalpharmacologyisconcernedwith allaspectsofdrug–humaninteractions.Drugefficacy
U V
measurestheextenttowhichagivendrug causesanintendedeffect.
U U V
Pharmacokineticsisthestudyoftheimpactofthebodyonadrug.
DIF: CognitiveLevel:Comprehension REF:FourBasicTerms
TOP: NursingProcess:Implementation
U U
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V
2. What doesitmeanwhenadrugisdescribed
V aseasytoadminister? V U U U
a. Itcanbestoredindefinitelywithoutneedforrefrigeration.
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrugregimen.
d. Itisusuallyrelativelyinexpensivetoproduce.
ANS:C U
Amajorbenefitofdrugs thatareeasyto administeristhat patientstakingthemaremorelikely
U U V
tocomplywiththedrug regimen.Drugsthatareeasytogivemayhavetheotherattributes
U VU U
listed,but thosepropertiesareindependentofeaseofadministration.
U VU
DIF: CognitiveLevel:Comprehension
REF:AdditionalPropertiesofanIdealDrug:EaseofAdministration
U U
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
3. Apatienttellsthenursethathewastoldbytheprescriberthattheanalgesicheistakingisvery U
effective.Whichstatementbythepatientdemonstratesanunderstandingofthedrug’s
U
effectiveness?
U
a. “Idon’thaveto worryabouttoxicity,sinceittakesalargeamountofthisdrugtocause
V U U V
an overdose.”
U V
b. “Ithasnosideeffects anddoesn’tinteractwithotherdrugs.” U
c. “Ionlyhavetotakeit every12hours.”
V
d. “Itmightmakemesleepy,anditlessenspainforseveralhoursatatime.”
V V
ANS:D U
, Adrugiseffectiveifitproducestheintendedeffects,evenifitalsoproducessideeffects.Because U
nodrugiscompletelysafe,theleveloftoxicitydoesnotdetermineeffectiveness.Alldrugshave
U U U
sideeffectsandmanyreactwithothersubstances;thesedonotaffectthedrug’seffectiveness.Ease
U U n
ofadministrationisindependentofadrug’seffectiveness.
U
DIF: CognitiveLevel:Comprehension REF:PropertiesofanIdealDrug
V U
TOP: NursingProcess:Evaluation
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
MULTIPLERESPONSE
1. Whatarethepropertiesofanidealdrug?
V U U (Selectallthatapply.)
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletradename
ANS:B,C,D U
In additiontopredictability,easeofadministration,and chemicalstability,otherproperties
U n VU
includea reversible action sothatanyharmthedrugmaycausecanbeundoneand asimplegeneric
U VU U U n U
name,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
U
DIF: CognitiveLevel:Comprehension
REF:PropertiesofanIdealDrug|AdditionalPropertiesofanIdealDrug
n n n
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
2. Beforeadministeringamedication,whatdoesthenurseneedtoknowtoevaluatehow
V U
Uindividualpatientvariabilitymightaffectthepatient’sresponsetothemedication?(Selectallthat U
apply.)
U
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient’sage
e. Patient’sdiagnosis
ANS: C,D,E U n
Thefamilymedicalhistorycanindicategeneticfactorsthat mayaffectapatient’sresponsetoa
U U V
medication.Patientsofdifferentagescanresponddifferentlytomedications.Thepatient’sillness
U U U
canaffecthowdrugsaremetabolized.Thechemicalstabilityofthemedicationandtheeaseof
U U
administrationarepropertiesofdrugs.
U
DIF: CognitiveLevel:Analysis V REF:SourcesofIndividualVariation U
TOP: NursingProcess:Implementation
U U
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
,Chapter2:ApplicationofPharmacologyinNursingPractice
Test Bank
U V
MULTIPLECHOICE
1. Apatientisusingametered-doseinhalercontainingalbuterolforasthma.Themedicationlabel V U
Uinstructsthepatienttoadminister“2puffsevery4hoursasneededforcoughingor n U
Uwheezing.”Thepatientreportsfeelingjitterysometimeswhentakingthemedication,andshe
n U U
doesn’tfeelthatthemedicationisalwayseffective.Whichisnotanappropriatenursing
U U
interventionforthispatient?
U
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessingthepatient’sexposuretotobaccosmoke
c. Auscultatinglungsoundsandobtainingvitalsigns
d. Suggestingthatthepatientuseonepufftoreducesideeffects
ANS:D U
It isnotwithinthenurse’sscopeofpracticetochangethedoseofamedicationwithoutanorder
U V
fromaprescriber. Askingthepatienttodemonstrateinhalerusehelpsthenursetoevaluatethe
U U
patient’sabilitytoadministerthemedicationproperlyandispartofthenurse’sevaluation.
U U
Assessingtobaccosmokeexposurehelpsthenursedeterminewhethernondrugtherapies,sucha
smokeavoidance,canbeusedasanadjuncttodrugtherapy.Performingap
U hysicalassessment V U n Un Un Un U
helpsthenurseevaluatethepatient’sresponsetothemedication.
U
DIF: CognitiveLevel:Application
REF:ApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment[andall
U V
subsectionsunderthisheading]
U TOP:NursingProcess:Implementation U
MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U U
2. Apostoperativepatientisbeingdischargedhomewithacetaminophen/hydrocodone(Lortab)for U
pain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurseis
U
correct?
U
a. “Itisnotsafetotakeover-the-counterdrugswithprescriptionmedications.”
b. “Taking thetwomedications togetherposesariskofdrugtoxicity.”
V U
c. “Therearenoknowndruginteractions,sothis willbesafe.” U
d. “Tylenoland Lortabaredifferentdrugs, sothereisnoriskofoverdose.”
VU U
ANS:B U
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication.Itis U
importanttoteach patientstobeawareofthedifferentnames
U V forthesamedrugtominimizetherisk U U U
ofoverdose.Over-the-counter(OTC)medicationsand prescriptionmedicationsmaybetaken
U U VU
togetherunlesssignificantharmfuldruginteractionsarepossible.Eventhoughnodruginteractions
U
areatplayinthiscase,bothdrugscontainacetaminophen,whichcouldleadtotoxicity.
U V U
DIF: CognitiveLevel:Application V
REF:ApplicationofPharmacologyinPatientEducation:DosageandAdministrationTOP:
V U
NursingProcess:Implementation
U V
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
, 3. Thenurseispreparingto careforapatientwhowillbetakinganantihypertensive medication.Which
V U U U n U
U actionbythenurseispartoftheassessmentstepofthenursingprocess? U V
a. Askingtheprescriberforanordertomonitorserumdruglevels V
b. Monitoringthepatientfordruginteractionsaftergivingthemedication
c. Questioningthepatientaboutover-the-countermedications
d. Takingthepatient’sbloodpressurethroughoutthecourseoftreatment
V
ANS:C U
Theassessmentpartofthenursingprocessinvolvesgatheringinformationbeforebeginning
treatment,andthisincludesaskingaboutothermedicationsthepatientmaybetaking.
U
Monitoringserumdruglevels,watchingfordruginteractions,andcheckingvitalsignsafter U U
givingthemedicationareallpartoftheevaluationphase.
U V U
DIF: CognitiveLevel:Application REF:PreadministrationAssessment
V n
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
4. Apostoperativepatientreportspain,whichthepatientratesasan8onascalefrom1to10(10being U
the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650mg PO
U U U U U U U U U U U U
every6hoursPRNpain.Whatwillthenursedo?
U
a. Askthepatientwhatmedicationshavehelpedwithpaininthepast.
U V
b. Contacttheprovidertorequestadifferentanalgesicmedication.
c. Givethepainmedicationandrepositionthepatienttopromotecomfort.
d. Requestanordertoadministerthemedicationevery4hours.
ANS:B U
Thenursingdiagnosisforthispatientisseverepain.Acetaminophenisgivenformildtomoderate U U
pain,sothenurseshouldasktheprescribertoorderastrongeranalgesicmedication.Askingthe
U U
patienttotellthenursewhathashelpedinthepastisapart
U ofaninitialassessmentandshouldbedone V U U U U U U U V
preoperativelyandnot whenthepatientishavingseverepain.Becausethepatientishavingsevere
U VU V V
pain,acetaminophencombinedwithnondrugtherapieswillnotbesufficient.Increasingthe
U U
frequencyofthedoseofamedicationformildpainwillnotbeeffective.
U
DIF: CognitiveLevel:Analysis REF:AnalysisandNursingDiagnosis
TOP: NursingProcess:Diagnosis
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
5. Apatientnewlydiagnosedwithdiabetesistobedischargedfromthehospital.Thenurse U
teachingthispatientabouthomemanagementshouldbeginbydoingwhat?
U
a. Askingthepatienttodemonstratehowtomeasureandadministerinsulin
b. Discussingmethodsofstoringinsulinanddiscardingsyringes V
c. Givinginformation about howdietandexerciseaffectinsulin requirements VU U
d. Teachingthepatient about thelong-termconsequencesofpoordiabetescontrol
V U U
ANS:A U
Chapter1:OrientationtoPharmacology
Test Bank
U V
MULTIPLECHOICE
1. Thenurseisteachingapatienthowa medication V U U workstotreatanillness.Todothis,thenurse
willrelyonknowledgeof:
U
a. clinicalpharmacology. V
b. drugefficacy. V
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:D U
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat, andpreventconditions. U
Clinicalpharmacologyisconcernedwith allaspectsofdrug–humaninteractions.Drugefficacy
U V
measurestheextenttowhichagivendrug causesanintendedeffect.
U U V
Pharmacokineticsisthestudyoftheimpactofthebodyonadrug.
DIF: CognitiveLevel:Comprehension REF:FourBasicTerms
TOP: NursingProcess:Implementation
U U
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V
2. What doesitmeanwhenadrugisdescribed
V aseasytoadminister? V U U U
a. Itcanbestoredindefinitelywithoutneedforrefrigeration.
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrugregimen.
d. Itisusuallyrelativelyinexpensivetoproduce.
ANS:C U
Amajorbenefitofdrugs thatareeasyto administeristhat patientstakingthemaremorelikely
U U V
tocomplywiththedrug regimen.Drugsthatareeasytogivemayhavetheotherattributes
U VU U
listed,but thosepropertiesareindependentofeaseofadministration.
U VU
DIF: CognitiveLevel:Comprehension
REF:AdditionalPropertiesofanIdealDrug:EaseofAdministration
U U
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
3. Apatienttellsthenursethathewastoldbytheprescriberthattheanalgesicheistakingisvery U
effective.Whichstatementbythepatientdemonstratesanunderstandingofthedrug’s
U
effectiveness?
U
a. “Idon’thaveto worryabouttoxicity,sinceittakesalargeamountofthisdrugtocause
V U U V
an overdose.”
U V
b. “Ithasnosideeffects anddoesn’tinteractwithotherdrugs.” U
c. “Ionlyhavetotakeit every12hours.”
V
d. “Itmightmakemesleepy,anditlessenspainforseveralhoursatatime.”
V V
ANS:D U
, Adrugiseffectiveifitproducestheintendedeffects,evenifitalsoproducessideeffects.Because U
nodrugiscompletelysafe,theleveloftoxicitydoesnotdetermineeffectiveness.Alldrugshave
U U U
sideeffectsandmanyreactwithothersubstances;thesedonotaffectthedrug’seffectiveness.Ease
U U n
ofadministrationisindependentofadrug’seffectiveness.
U
DIF: CognitiveLevel:Comprehension REF:PropertiesofanIdealDrug
V U
TOP: NursingProcess:Evaluation
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
MULTIPLERESPONSE
1. Whatarethepropertiesofanidealdrug?
V U U (Selectallthatapply.)
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletradename
ANS:B,C,D U
In additiontopredictability,easeofadministration,and chemicalstability,otherproperties
U n VU
includea reversible action sothatanyharmthedrugmaycausecanbeundoneand asimplegeneric
U VU U U n U
name,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
U
DIF: CognitiveLevel:Comprehension
REF:PropertiesofanIdealDrug|AdditionalPropertiesofanIdealDrug
n n n
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
2. Beforeadministeringamedication,whatdoesthenurseneedtoknowtoevaluatehow
V U
Uindividualpatientvariabilitymightaffectthepatient’sresponsetothemedication?(Selectallthat U
apply.)
U
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient’sage
e. Patient’sdiagnosis
ANS: C,D,E U n
Thefamilymedicalhistorycanindicategeneticfactorsthat mayaffectapatient’sresponsetoa
U U V
medication.Patientsofdifferentagescanresponddifferentlytomedications.Thepatient’sillness
U U U
canaffecthowdrugsaremetabolized.Thechemicalstabilityofthemedicationandtheeaseof
U U
administrationarepropertiesofdrugs.
U
DIF: CognitiveLevel:Analysis V REF:SourcesofIndividualVariation U
TOP: NursingProcess:Implementation
U U
MSC: NCLEXClient NeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
,Chapter2:ApplicationofPharmacologyinNursingPractice
Test Bank
U V
MULTIPLECHOICE
1. Apatientisusingametered-doseinhalercontainingalbuterolforasthma.Themedicationlabel V U
Uinstructsthepatienttoadminister“2puffsevery4hoursasneededforcoughingor n U
Uwheezing.”Thepatientreportsfeelingjitterysometimeswhentakingthemedication,andshe
n U U
doesn’tfeelthatthemedicationisalwayseffective.Whichisnotanappropriatenursing
U U
interventionforthispatient?
U
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessingthepatient’sexposuretotobaccosmoke
c. Auscultatinglungsoundsandobtainingvitalsigns
d. Suggestingthatthepatientuseonepufftoreducesideeffects
ANS:D U
It isnotwithinthenurse’sscopeofpracticetochangethedoseofamedicationwithoutanorder
U V
fromaprescriber. Askingthepatienttodemonstrateinhalerusehelpsthenursetoevaluatethe
U U
patient’sabilitytoadministerthemedicationproperlyandispartofthenurse’sevaluation.
U U
Assessingtobaccosmokeexposurehelpsthenursedeterminewhethernondrugtherapies,sucha
smokeavoidance,canbeusedasanadjuncttodrugtherapy.Performingap
U hysicalassessment V U n Un Un Un U
helpsthenurseevaluatethepatient’sresponsetothemedication.
U
DIF: CognitiveLevel:Application
REF:ApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment[andall
U V
subsectionsunderthisheading]
U TOP:NursingProcess:Implementation U
MSC: NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U U
2. Apostoperativepatientisbeingdischargedhomewithacetaminophen/hydrocodone(Lortab)for U
pain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurseis
U
correct?
U
a. “Itisnotsafetotakeover-the-counterdrugswithprescriptionmedications.”
b. “Taking thetwomedications togetherposesariskofdrugtoxicity.”
V U
c. “Therearenoknowndruginteractions,sothis willbesafe.” U
d. “Tylenoland Lortabaredifferentdrugs, sothereisnoriskofoverdose.”
VU U
ANS:B U
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication.Itis U
importanttoteach patientstobeawareofthedifferentnames
U V forthesamedrugtominimizetherisk U U U
ofoverdose.Over-the-counter(OTC)medicationsand prescriptionmedicationsmaybetaken
U U VU
togetherunlesssignificantharmfuldruginteractionsarepossible.Eventhoughnodruginteractions
U
areatplayinthiscase,bothdrugscontainacetaminophen,whichcouldleadtotoxicity.
U V U
DIF: CognitiveLevel:Application V
REF:ApplicationofPharmacologyinPatientEducation:DosageandAdministrationTOP:
V U
NursingProcess:Implementation
U V
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
, 3. Thenurseispreparingto careforapatientwhowillbetakinganantihypertensive medication.Which
V U U U n U
U actionbythenurseispartoftheassessmentstepofthenursingprocess? U V
a. Askingtheprescriberforanordertomonitorserumdruglevels V
b. Monitoringthepatientfordruginteractionsaftergivingthemedication
c. Questioningthepatientaboutover-the-countermedications
d. Takingthepatient’sbloodpressurethroughoutthecourseoftreatment
V
ANS:C U
Theassessmentpartofthenursingprocessinvolvesgatheringinformationbeforebeginning
treatment,andthisincludesaskingaboutothermedicationsthepatientmaybetaking.
U
Monitoringserumdruglevels,watchingfordruginteractions,andcheckingvitalsignsafter U U
givingthemedicationareallpartoftheevaluationphase.
U V U
DIF: CognitiveLevel:Application REF:PreadministrationAssessment
V n
TOP: NursingProcess:Assessment
U U
MSC:NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential
U V V
4. Apostoperativepatientreportspain,whichthepatientratesasan8onascalefrom1to10(10being U
the most extreme pain). The prescriber has ordered acetaminophen (Tylenol) 650mg PO
U U U U U U U U U U U U
every6hoursPRNpain.Whatwillthenursedo?
U
a. Askthepatientwhatmedicationshavehelpedwithpaininthepast.
U V
b. Contacttheprovidertorequestadifferentanalgesicmedication.
c. Givethepainmedicationandrepositionthepatienttopromotecomfort.
d. Requestanordertoadministerthemedicationevery4hours.
ANS:B U
Thenursingdiagnosisforthispatientisseverepain.Acetaminophenisgivenformildtomoderate U U
pain,sothenurseshouldasktheprescribertoorderastrongeranalgesicmedication.Askingthe
U U
patienttotellthenursewhathashelpedinthepastisapart
U ofaninitialassessmentandshouldbedone V U U U U U U U V
preoperativelyandnot whenthepatientishavingseverepain.Becausethepatientishavingsevere
U VU V V
pain,acetaminophencombinedwithnondrugtherapieswillnotbesufficient.Increasingthe
U U
frequencyofthedoseofamedicationformildpainwillnotbeeffective.
U
DIF: CognitiveLevel:Analysis REF:AnalysisandNursingDiagnosis
TOP: NursingProcess:Diagnosis
U U
MSC:NCLEXClient NeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
U V V
5. Apatientnewlydiagnosedwithdiabetesistobedischargedfromthehospital.Thenurse U
teachingthispatientabouthomemanagementshouldbeginbydoingwhat?
U
a. Askingthepatienttodemonstratehowtomeasureandadministerinsulin
b. Discussingmethodsofstoringinsulinanddiscardingsyringes V
c. Givinginformation about howdietandexerciseaffectinsulin requirements VU U
d. Teachingthepatient about thelong-termconsequencesofpoordiabetescontrol
V U U
ANS:A U
