Med C
, 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.Mažame miestelyje prie upės gyveno Matas, kuris mėgo gaminti medinius žaislus.
pharmacotherapeutics.
Jo dirbtuvės buvo pilnos drožlių ir švelnaus medžio kvapo. Kiekvieną figūrėlę jis kūrė
atsargiai,
ANS: D išraižydamas smulkiausias detales.
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical
Vieną dieną pharmacology
vietos is concerned
darželis paprašė with all aspects
jo pagaminti of drug–human
kelis žaislus interactions.
vaikų kampeliui. Matas
Drug efficacy measures the extent to which a given drug causes
sugalvojo sukurti mažus gyvūnėlius – mešką, lapę ir arklį. an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
Kai Cognitive
DIF: žaislai buvo atvežti,
Level: vaikai iš karto
Comprehension REF:pradėjo suTerms
Four Basic jais žaisti. Juokas užpildė kambarį,
o auklėtojos
TOP: dėkojo
Nursing Process: Matui už jo pastangas.
Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Matas suprato, kad jo rankų darbas gali suteikti džiaugsmo ir paskatinti vaikų
vaizduotę.
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. Í It
litlum bæ við
enhances fjörðinn
patient bjó Sigríður,
adherence sem
to the drug hafði gaman af því að rækta litlar jurtir í
regimen.
d. gróðurhúsi. Þar inni var alltaf hlýtt, jafnvel þegar vindurinn blés kalt utan dyra.
It is usually relatively inexpensive to produce.
ANS: C
Dag einn
A major kom
benefit of nágranni
drugs that hennar
are easy og spurði hvort
to administer húnpatients
is that gæti kennt
takinghonum aðmore
them are rækta eigin
kryddjurtir.
likely to comply Sigríður
with thesýndi honum hvernig
drug regimen. áttiare
Drugs that aðeasy
sá fræjum
to give og
mayvökva með
have the hófi.
other
attributes listed, but those properties are independent of ease of administration.
Eftir nokkrar vikur spruttu fyrstu grænu laufin upp úr moldinni. Nágranninn var stoltur
af árangrinum
DIF: og þakkaði
Cognitive Level: henni kærlega.
Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing
Sigríður Process:
áttaði sigAssessment
á því að gleðin við að rækta plöntur verður enn meiri þegar henni
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
er deilt með öðrum.
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.”
ANS: D
Med C
, 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
Med C
, 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
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
Med C
, 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.Mažame miestelyje prie upės gyveno Matas, kuris mėgo gaminti medinius žaislus.
pharmacotherapeutics.
Jo dirbtuvės buvo pilnos drožlių ir švelnaus medžio kvapo. Kiekvieną figūrėlę jis kūrė
atsargiai,
ANS: D išraižydamas smulkiausias detales.
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical
Vieną dieną pharmacology
vietos is concerned
darželis paprašė with all aspects
jo pagaminti of drug–human
kelis žaislus interactions.
vaikų kampeliui. Matas
Drug efficacy measures the extent to which a given drug causes
sugalvojo sukurti mažus gyvūnėlius – mešką, lapę ir arklį. an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
Kai Cognitive
DIF: žaislai buvo atvežti,
Level: vaikai iš karto
Comprehension REF:pradėjo suTerms
Four Basic jais žaisti. Juokas užpildė kambarį,
o auklėtojos
TOP: dėkojo
Nursing Process: Matui už jo pastangas.
Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Matas suprato, kad jo rankų darbas gali suteikti džiaugsmo ir paskatinti vaikų
vaizduotę.
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. Í It
litlum bæ við
enhances fjörðinn
patient bjó Sigríður,
adherence sem
to the drug hafði gaman af því að rækta litlar jurtir í
regimen.
d. gróðurhúsi. Þar inni var alltaf hlýtt, jafnvel þegar vindurinn blés kalt utan dyra.
It is usually relatively inexpensive to produce.
ANS: C
Dag einn
A major kom
benefit of nágranni
drugs that hennar
are easy og spurði hvort
to administer húnpatients
is that gæti kennt
takinghonum aðmore
them are rækta eigin
kryddjurtir.
likely to comply Sigríður
with thesýndi honum hvernig
drug regimen. áttiare
Drugs that aðeasy
sá fræjum
to give og
mayvökva með
have the hófi.
other
attributes listed, but those properties are independent of ease of administration.
Eftir nokkrar vikur spruttu fyrstu grænu laufin upp úr moldinni. Nágranninn var stoltur
af árangrinum
DIF: og þakkaði
Cognitive Level: henni kærlega.
Comprehension
REF: Additional Properties of an Ideal Drug: Ease of Administration
TOP: Nursing
Sigríður Process:
áttaði sigAssessment
á því að gleðin við að rækta plöntur verður enn meiri þegar henni
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
er deilt með öðrum.
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.”
ANS: D
Med C
, 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
Med C
, 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
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
Med C
