Test Bank for Lehne's Pharmacology for
Nursing Care, 12th Edition by Jacqueline
Burchum & Laura Rosenthal
ALL CHAPTERS 1-110| GUARANTEED A+
PASS| VERIFIED EXAM Q&As
TB
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, Chapter 1: Orientation to Pharmacology
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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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
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,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
CORRECT ANSWER: D
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
CORRECT ANSWER: 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
TB
Ac
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er
, 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
CORRECT ANSWER: 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
Chapter 2: Application of Pharmacology in Nursing Practice
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
CORRECT ANSWER: 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
TB
evaluate the patient‘s response to the medication.
Ac
4|Page
er
Nursing Care, 12th Edition by Jacqueline
Burchum & Laura Rosenthal
ALL CHAPTERS 1-110| GUARANTEED A+
PASS| VERIFIED EXAM Q&As
TB
Ac
1|Page
er
, Chapter 1: Orientation to Pharmacology
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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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
TB
Ac
2|Page
er
,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
CORRECT ANSWER: D
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
CORRECT ANSWER: 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
TB
Ac
3|Page
er
, 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
CORRECT ANSWER: 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
Chapter 2: Application of Pharmacology in Nursing Practice
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
CORRECT ANSWER: 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
TB
evaluate the patient‘s response to the medication.
Ac
4|Page
er
