Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology
Test Bank
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んでいました。彼は毎朝、
MULTIPLE CHOICE朝霧に包まれた森へ入り、木々の間から差し込む光をキャンバスに描いていました。
ある秋の日、太郎は森の奥で古い祠を見つけました。中には埃をかぶった小さな鏡が
1. The nurse 置かれていました。鏡を手に取ると、突然、自分の姿が年老いた老人に変わっている
is teaching a patient how a medication works to treat an illness. To do this, the
nurse will のが映りました。驚いた太郎は鏡を元に戻しましたが、その日から彼の絵は不思議な
rely on knowledge of:
a. clinical力を帯び始めました。描いた花は本当に香り、描いた川は本当に流れ、描いた鳥は本
pharmacology.
当に飛び立つようになったのです。村人たちは太郎の絵を「命を吹き込む絵」と呼び
b. drug efficacy.
、遠くから多くの人が見に来るようになりました。しかし太郎は次第に疲れ、鏡の呪
c. pharmacokinetics.
いだと気づきました。ある晩、彼は最後の絵を描きました。それは自分自身が若く笑
d. pharmacotherapeutics.
ANS: D っている姿でした。絵が完成した瞬間、鏡の中の老人は消え、太郎は再び若返りまし
た。それ以来、彼はただ自分の心のままに絵を描き続け、村は静かな幸福に包まれま
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
した。
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
В маленькой сибирской деревне жила старушка по имени Матрёна. Каждую зиму
d. It is usually relatively inexpensive to produce.
она вязала тёплые носки и варежки для всех детей в округе. Однажды, когда
ANS: C метель особенно сильно завывала, к её дому постучал незнакомец. Это был
молодой
A major benefit волкthat
of drugs с раненой лапой.
are easy to Матрёна,
administer is that не раздумывая,
patients taking themвпустила
are more его,
перевязала
likely to comply with theрану
drugиregimen.
дала миску
Drugsгорячего супа.
that are easy Волк
to give остался
may have theу неё
otherна несколько
attributes дней. Когда
listed, but рана
those зажила,
properties are он ушёл в лес,
independent но of
of ease каждую ночь приносил Матрёне дичь
administration.
— то зайца, то рябчика. Так прошла зима. Весной, когда снег растаял, волк
пришёл
DIF: Cognitive в последний
Level: Comprehensionраз и положил к порогу старый медный браслет с
REF: Additional Properties of an Ideal Drug: Ease of Administration
выгравированным волчьим следом. Матрёна надела его и с тех пор никогда не
TOP: Nursing Process: Assessment
MSC: NCLEX мёрзла,Clientдаже
NeedsвCategory:
самые лютые морозы.
Physiologic Дети
Integrity: выросли,and
Pharmacologic ноParenteral
каждый Therapies
год на Рождество
приносили ей свои рисунки и рассказывали, как тёплые носки Матрёны спасали
3. A patient их
tellsотthe
холода. А вheдеревне
nurse that говорили,
was told by что тот,
the prescriber that кто делает добро
the analgesic без ожидания
he is taking is
награды
very effective. Which statement by the patient demonstrates an understanding of the drug‘s
effectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
cause an overdose.‖
b. ―It has no side effects and doesn‘t interact with other drugs.‖
c. ―I only have to take it every 12 hours.‖
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS: D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug‘s
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient‘s response to the medication? (Select all
that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient‘s age
e. Patient‘s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient‘s response to
a medication. Patients of different ages can respond differently to medications. The patient‘s
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and she
doesn‘t feel that the medication is always effective. Which is not an appropriate nursing
intervention for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient‘s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use one puff to reduce side effects
ANS: D
It is not within the nurse‘s scope of practice to change the dose of a medication without an
order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
physical assessment helps the nurse evaluate the patient‘s response to the medication.
DIF: Cognitive Level: Application
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
subsections under this heading] TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
nurse is correct?
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
b. ―Taking the two medications together poses a risk of drug toxicity.‖
c. ―There are no known drug interactions, so this will be safe.‖
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It
is important to teach patients to be aware of the different names for the same drug to minimize
the risk of overdose. Over-the-counter (OTC) medications and prescription medications may
be taken together unless significant harmful drug interactions are possible. Even though no
drug interactions are at play in this case, both drugs contain acetaminophen, which could lead
to toxicity.
DIF: Cognitive Level: Application
REF: Application of Pharmacology in Patient Education: Dosage and Administration
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology
Test Bank
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んでいました。彼は毎朝、
MULTIPLE CHOICE朝霧に包まれた森へ入り、木々の間から差し込む光をキャンバスに描いていました。
ある秋の日、太郎は森の奥で古い祠を見つけました。中には埃をかぶった小さな鏡が
1. The nurse 置かれていました。鏡を手に取ると、突然、自分の姿が年老いた老人に変わっている
is teaching a patient how a medication works to treat an illness. To do this, the
nurse will のが映りました。驚いた太郎は鏡を元に戻しましたが、その日から彼の絵は不思議な
rely on knowledge of:
a. clinical力を帯び始めました。描いた花は本当に香り、描いた川は本当に流れ、描いた鳥は本
pharmacology.
当に飛び立つようになったのです。村人たちは太郎の絵を「命を吹き込む絵」と呼び
b. drug efficacy.
、遠くから多くの人が見に来るようになりました。しかし太郎は次第に疲れ、鏡の呪
c. pharmacokinetics.
いだと気づきました。ある晩、彼は最後の絵を描きました。それは自分自身が若く笑
d. pharmacotherapeutics.
ANS: D っている姿でした。絵が完成した瞬間、鏡の中の老人は消え、太郎は再び若返りまし
た。それ以来、彼はただ自分の心のままに絵を描き続け、村は静かな幸福に包まれま
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
した。
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
В маленькой сибирской деревне жила старушка по имени Матрёна. Каждую зиму
d. It is usually relatively inexpensive to produce.
она вязала тёплые носки и варежки для всех детей в округе. Однажды, когда
ANS: C метель особенно сильно завывала, к её дому постучал незнакомец. Это был
молодой
A major benefit волкthat
of drugs с раненой лапой.
are easy to Матрёна,
administer is that не раздумывая,
patients taking themвпустила
are more его,
перевязала
likely to comply with theрану
drugиregimen.
дала миску
Drugsгорячего супа.
that are easy Волк
to give остался
may have theу неё
otherна несколько
attributes дней. Когда
listed, but рана
those зажила,
properties are он ушёл в лес,
independent но of
of ease каждую ночь приносил Матрёне дичь
administration.
— то зайца, то рябчика. Так прошла зима. Весной, когда снег растаял, волк
пришёл
DIF: Cognitive в последний
Level: Comprehensionраз и положил к порогу старый медный браслет с
REF: Additional Properties of an Ideal Drug: Ease of Administration
выгравированным волчьим следом. Матрёна надела его и с тех пор никогда не
TOP: Nursing Process: Assessment
MSC: NCLEX мёрзла,Clientдаже
NeedsвCategory:
самые лютые морозы.
Physiologic Дети
Integrity: выросли,and
Pharmacologic ноParenteral
каждый Therapies
год на Рождество
приносили ей свои рисунки и рассказывали, как тёплые носки Матрёны спасали
3. A patient их
tellsотthe
холода. А вheдеревне
nurse that говорили,
was told by что тот,
the prescriber that кто делает добро
the analgesic без ожидания
he is taking is
награды
very effective. Which statement by the patient demonstrates an understanding of the drug‘s
effectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to
cause an overdose.‖
b. ―It has no side effects and doesn‘t interact with other drugs.‖
c. ―I only have to take it every 12 hours.‖
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS: D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug‘s
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient‘s response to the medication? (Select all
that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient‘s age
e. Patient‘s diagnosis
ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient‘s response to
a medication. Patients of different ages can respond differently to medications. The patient‘s
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
DIF: Cognitive Level: Analysis REF: Sources of Individual Variation
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and she
doesn‘t feel that the medication is always effective. Which is not an appropriate nursing
intervention for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient‘s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the patient use one puff to reduce side effects
ANS: D
It is not within the nurse‘s scope of practice to change the dose of a medication without an
order from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
evaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
therapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
physical assessment helps the nurse evaluate the patient‘s response to the medication.
DIF: Cognitive Level: Application
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
subsections under this heading] TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab)
for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the
nurse is correct?
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
b. ―Taking the two medications together poses a risk of drug toxicity.‖
c. ―There are no known drug interactions, so this will be safe.‖
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖
ANS: B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It
is important to teach patients to be aware of the different names for the same drug to minimize
the risk of overdose. Over-the-counter (OTC) medications and prescription medications may
be taken together unless significant harmful drug interactions are possible. Even though no
drug interactions are at play in this case, both drugs contain acetaminophen, which could lead
to toxicity.
DIF: Cognitive Level: Application
REF: Application of Pharmacology in Patient Education: Dosage and Administration
