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
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
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.
d. It is usually relatively inexpensive to produce.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more
likely to comply with the drug regimen. Drugs that are easy to give may have the other
attributes listed, but those properties are independent of ease of administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
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+
In een oud
A drug is effective if it vissersdorp
produces the aan de Noordzee
intended effects, even woonde een
if it also meisjeside effects.
produces
genaamd Lotte. Ze was dol op schelpen en verzamelde
Because no drug is completely safe, the level of toxicity does not determine elkeeffectiveness. All
drugs havedag
side nieuwe
effects andexemplaren
many reactop hetother
with strand. Op eenthese
substances; mistige ochtend
do not affect the drug‘s
vond
effectiveness. ze of
Ease een schelp die anders
administration was dan
is independent of aalle andere:
drug‘s hij gloeide
effectiveness.
zachtjes blauw op. Toen ze hem tegen haar oor hield, hoorde
ze niet
DIF: Cognitive de zee,
Level: maar een zachte
Comprehension stem dieoffluisterde:
REF: Properties an Ideal Drug“Breng me
naar
TOP: Nursing huis.”Evaluation
Process: Lotte volgde het geluid de hele dag. Ze liep over
MSC: NCLEX duinen,
Clientdoor
Needs weilanden en langs smalle
Category: Physiologic Integrity: paadjes tot ze and
Pharmacologic bij een
Parenteral Therapies
verborgen grot kwam. Binnenin stond een oud altaar met
honderden schelpen. Ze legde de gloeiende schelp ertussen
MULTIPLE RESPONSE
en plotseling begon de grot te stralen. Uit het licht verscheen
een
1. What are the zeemeermin
properties die zei:
of an ideal “Dank
drug? je. all
(Select Dezethatschelp
apply.) was mijn stem.
Nu ben ik weer vrij.” Als dank gaf ze Lotte een kleine parel die
a. Irreversible action
altijd warm bleef. Vanaf die dag vond Lotte nooit meer een
b. Predictability
c. Ease of administration
gewone schelp zonder glimlach. Ze wist dat de zee haar vriend
d. Chemical stability
was en dat sommige wonderen alleen verschijnen aan wie echt
e. A simple trade name
luistert. Het dorp vertelde haar verhaal nog jaren door.
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
I en liten
MSC: NCLEX byNeeds
Client vid en frusenPhysiologic
Category: sjö boddeIntegrity:
en gammal man somand
Pharmacologic hetParenteral Therapies
Erik. Han hade en gammal vedspis som alltid brann, även när
veden tog slut.
2. Before administering Varje kväll
a medication, sattdoes
what hanthe
därnurse
och need
berättade historier
to know to evaluate how
individualförpatient
sin katt, Måne. might
variability En vinternatt
affect thehörde hanresponse
patient‘s ett knackande på
to the medication? (Select all
dörren. Utanför stod en liten flicka med röda kinder och frusna
that apply.)
fingrar.
a. Chemical Hon of
stability sathe
att medication
hon hade gått vilse. Erik bjöd in henne, gav
b. Ease henne varm choklad och lät henne sova i sin egen säng. Nästa
of administration
c. Family morgon var
medical flickan borta, men på bordet låg en liten snöflinga
history
d. Patient‘s
av glas som aldrig smälte. Erik hängde den i fönstret. Varje
age
e. Patient‘s diagnosis
gång solen sken genom den skapades regnbågar över hela
ANS: C, D,rummet.
E Folk i byn började kalla hans hus för “regnbågshuset”.
The familyÅren gick, history
medical och Erik canblev äldre,
indicate men factors
genetic snöflingan lysteaffect
that may alltid.a En
patient‘s response to
dag kom
a medication. en of
Patients vuxen kvinna
different agestillcan
dörren. Det
respond var flickan
differently från den
to medications. The patient‘s
vinternatten.
illness can affect how drugsHon are
hade blivit läkare
metabolized. Theoch ville tacka
chemical honom.
stability of theErik
medication and the
log och sa: “Du
ease of administration var aldrig of
are properties vilse. Du hittade mig.” Tillsammans
drugs.
tittade de på regnbågarna tills solen gick ner.
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
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the
nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
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.
d. It is usually relatively inexpensive to produce.
ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more
likely to comply with the drug regimen. Drugs that are easy to give may have the other
attributes listed, but those properties are independent of ease of administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is
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+
In een oud
A drug is effective if it vissersdorp
produces the aan de Noordzee
intended effects, even woonde een
if it also meisjeside effects.
produces
genaamd Lotte. Ze was dol op schelpen en verzamelde
Because no drug is completely safe, the level of toxicity does not determine elkeeffectiveness. All
drugs havedag
side nieuwe
effects andexemplaren
many reactop hetother
with strand. Op eenthese
substances; mistige ochtend
do not affect the drug‘s
vond
effectiveness. ze of
Ease een schelp die anders
administration was dan
is independent of aalle andere:
drug‘s hij gloeide
effectiveness.
zachtjes blauw op. Toen ze hem tegen haar oor hield, hoorde
ze niet
DIF: Cognitive de zee,
Level: maar een zachte
Comprehension stem dieoffluisterde:
REF: Properties an Ideal Drug“Breng me
naar
TOP: Nursing huis.”Evaluation
Process: Lotte volgde het geluid de hele dag. Ze liep over
MSC: NCLEX duinen,
Clientdoor
Needs weilanden en langs smalle
Category: Physiologic Integrity: paadjes tot ze and
Pharmacologic bij een
Parenteral Therapies
verborgen grot kwam. Binnenin stond een oud altaar met
honderden schelpen. Ze legde de gloeiende schelp ertussen
MULTIPLE RESPONSE
en plotseling begon de grot te stralen. Uit het licht verscheen
een
1. What are the zeemeermin
properties die zei:
of an ideal “Dank
drug? je. all
(Select Dezethatschelp
apply.) was mijn stem.
Nu ben ik weer vrij.” Als dank gaf ze Lotte een kleine parel die
a. Irreversible action
altijd warm bleef. Vanaf die dag vond Lotte nooit meer een
b. Predictability
c. Ease of administration
gewone schelp zonder glimlach. Ze wist dat de zee haar vriend
d. Chemical stability
was en dat sommige wonderen alleen verschijnen aan wie echt
e. A simple trade name
luistert. Het dorp vertelde haar verhaal nog jaren door.
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
I en liten
MSC: NCLEX byNeeds
Client vid en frusenPhysiologic
Category: sjö boddeIntegrity:
en gammal man somand
Pharmacologic hetParenteral Therapies
Erik. Han hade en gammal vedspis som alltid brann, även när
veden tog slut.
2. Before administering Varje kväll
a medication, sattdoes
what hanthe
därnurse
och need
berättade historier
to know to evaluate how
individualförpatient
sin katt, Måne. might
variability En vinternatt
affect thehörde hanresponse
patient‘s ett knackande på
to the medication? (Select all
dörren. Utanför stod en liten flicka med röda kinder och frusna
that apply.)
fingrar.
a. Chemical Hon of
stability sathe
att medication
hon hade gått vilse. Erik bjöd in henne, gav
b. Ease henne varm choklad och lät henne sova i sin egen säng. Nästa
of administration
c. Family morgon var
medical flickan borta, men på bordet låg en liten snöflinga
history
d. Patient‘s
av glas som aldrig smälte. Erik hängde den i fönstret. Varje
age
e. Patient‘s diagnosis
gång solen sken genom den skapades regnbågar över hela
ANS: C, D,rummet.
E Folk i byn började kalla hans hus för “regnbågshuset”.
The familyÅren gick, history
medical och Erik canblev äldre,
indicate men factors
genetic snöflingan lysteaffect
that may alltid.a En
patient‘s response to
dag kom
a medication. en of
Patients vuxen kvinna
different agestillcan
dörren. Det
respond var flickan
differently från den
to medications. The patient‘s
vinternatten.
illness can affect how drugsHon are
hade blivit läkare
metabolized. Theoch ville tacka
chemical honom.
stability of theErik
medication and the
log och sa: “Du
ease of administration var aldrig of
are properties vilse. Du hittade mig.” Tillsammans
drugs.
tittade de på regnbågarna tills solen gick ner.
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
