TESTkBANKkLEHNE'SkPHARMACOLOGYkFORkNURSINGkCA
RE,k12THkEDITIONkBYkJACQUELINEkBURCHUM,kLAURAkR
OSENTHAL/ALLkCHAPTERSk1-112|COMPLETEkGUIDEk2024-
2025
,CHk01:kOrientationktokPharmacology
Burchum:kLehne’skPharmacologykforkNursingkCare,k12THkEdition
MULTIPLEkCHOICE
1. Theknursingkattendantkiskteachingkakhospitalkclientkhowkakdrugskworksktoktreatkankillness.k
Tokdokthis,ktheknursingkattendantwillkrelykonkknowledgekofkwhichktopic?
a. Clinicalkpharmacology
b. Drugskefficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATEkANSWER:-k D
Reasoningk:-
>>>>kPharmacotherapeuticskiskthekstudykofkthekusekofkdrugsktokdiagnose,ktreat,kandkpreve
ntkconditions.Clinicalkpharmacologykiskconcernedkwithkallkaspectskofkdrugs-
humankinteractions.kDrugskefficacykmeasureskthekextentktokwhichkakgivenkdrugskcauseskank
intendedkeffect.kPharmacokineticskiskthekstudykofkthekimpactkofkthekbodykonkakdrugs.
POINTS:k 1
2. Whatkiskakdesiredkoutcomekwhenkakdrugskiskdescribedkaskeasyktokadminister?
a. Itkcankbekstoredkindefinitelykwithoutkneedkforkrefrigeration.
b. Itkdoesknotkinteractksignificantlykwithkotherkdrugs.
c. Itkenhanceskhospitalkclientkadherencektokthekdrugskregimen.
d. Itkiskusuallykrelativelykinexpensivektokproduce.
ACCURATEkANSWER:-k C
Reasoningk:-
>>>>Akmajorkbenefitkofkdrugskthatkarekeasyktokadministerkiskthatkhospitalkclientsktakingkthe
mkarekmoreklikelyktocomplykwithkthekdrugskregimen.kDrugskthatkarekeasyktokgivekmaykhavek
thekotherkattributesklisted,kbutkthosekpropertieskarekindependentkofkeasekofkadministration.
POINTS:k 1
3. Akhospitalkclientktellsktheknursingkattendantkthatkankanalgesickhekwillkbeginktakingkmaykcau
sekdrowsinesskandkwilldecreasekpainkupktok4khourskatkaktime.kBasedkonkthiskunderstandingko
fkthekdrugs’skeffectskbykthehospitalkclient,ktheknursingkattendantkwillkanticipatekwhichkoutco
me?
a. Decreasedkchancekofkhavingkakplacebokeffect
b. Decreasedkmotivationktoktakekthekdrugs
c. Improvedkcompliancekwithkthekdrugskregimen
d. Increasedklikelihoodkofkdrugskoverdose
ACCURATEkANSWER:-k C
Akdrugskiskeffectivekifkitkproduceskthekintendedkeffects,kevenkifkitkalsokproducesksidekeffe
cts.kHospitalkclientskwhokunderstandkbothkthekriskskandkbenefitskofktakingkakdrugskarekm
oreklikelyktocomplykwithkthek drugskregimen.
POINTS:k 1
,MULTIPLEkRESPONSE
1. Whatkarekconsideredkthek‘BigkThree’kpropertieskofkankidealkdrugs?k(Selectkallkthatkapply.)
a. Irreversiblekaction
b. Effectiveness
c. Safety
d. Selectivity
e. Akrecognizablektradekname
ACCURATEkANSWER:-k B,kC,kD
Reasoningk:-
>>>>Thek‘BigkThree’kpropertieskofkthekidealkdrugskarekeffectiveness,ksafety,k
andkselectivity.POINTS:k 1
2. Beforekadministeringkakdrugs,kwhatkdoesktheknursingkattendantkneedktokknowktokevaluatekho
wkindividualhospitalkclientkvariabilitykmightkaffectkthekhospitalkclient’skresponsektokthekdrugs
?k(Selectkallkthatkapply.)
a. Chemicalkstabilitykofkthekdrugs
b. Easekofkadministration
c. Familykmedicalkhistory
d. Hospitalkclient’skage
e. Hospitalkclient’skdiagnosis
ACCURATEkANSWER:-k C,kD,kE
Reasoningk:-
>>>>Thekfamilykmedicalkhistorykcankindicatekgenetickfactorskthatkmaykaffectkakhospitalkclie
nt’skresponsektokakdrugs.kHospitalkclientskofkdifferentkageskcankrespondkdifferentlyktokdrugs.k
Thekhospitalkclient’skillnesskcankaffectkhowkdrugskarekmetabolized.kThekchemicalkstabilityko
fkthekdrugskandkthekeasekofkadministrationkarekpropertieskofkdrugs.
POINTS:k 1
, CHk02:kApplicationkofkPharmacologykinkNursingkPracticekBurch
um:kLehne’skPharmacologykforkNursingkCare,k12THkEdition
MULTIPLEkCHOICE
1. Akhospitalkclientkiskusingkakmetered-
dosekinhalerkcontainingkalbuterolkforkasthma.kThekdrugsklabelkinstructskthekhospitalkclientktok
administerk“2kpuffskeveryk4khourskaskneededkforkcoughingkorkwheezing.”kThekhospitalkclient
kreportskfeelingkjitteryksometimeskwhenktakingkthekdrugs,kandkdoesn’tkfeelkthatkthekdrugskisk
alwayskeffective.kWhichkactionkiskoutsidektheknursingkattendant’skscopekofkpractice?
a. Askingkthekhospitalkclientktokdemonstratekthekusekofkthekinhaler
b. Assessingkthekhospitalkclient’skexposurektoktobaccoksmoke
c. Auscultatingklungksoundskandkobtainingkvitalksigns
d. Suggestingkthatkthekhospitalkclientkusek1kpuffktokreduceksidekeffects
ACCURATEkANSWER:-k D
Reasoningk:-
>>>>Itkisknotkwithinktheknursingkattendant’skscopekofkpracticektokchangekthekdosekofkakdrug
skwithoutkankorderfromkakprescriber.kAskingkthekhospitalkclientktokdemonstratekinhalerkusekh
elpsktheknursingkattendantktokevaluatekthekhospitalkclient’skabilityktokadministerkthekdrugskpr
operlykandkiskpartkofktheknursingkattendant’skevaluation.
Assessingktobaccoksmokekexposurekhelpsktheknursingkattendantkdeterminekwhetherknondru
gsktherapies,ksuchkasmokekavoidance,kcankbekusedkaskankadjunctktokdrugsktherapy.kPerform
ingkakphysicalkassessmentk helpsktheknursingkattendantkevaluatekthekhospitalkclient’skrespons
ektokthekdrugs.
POINTS:k 1
2. Akpostoperativekhospitalkclientkiskbeingkdischargedkhomekwithkacetaminophen/hydrocodonek[
Norco]kforkpain.kThekhospitalkclientkasksktheknursingkattendantkaboutkusingkTylenolkforkfever.
kWhichkstatementkbyktheknursingkattendantk iskcorrect?
a. “Itkisknotksafektoktakekover-the-counterkdrugskwithkprescriptionkdrugs.”
b. “Takingkthektwokdrugsktogetherkposeskakriskkofkdrugsktoxicity.”
c. “Therekareknokknownkdrugskinteractions,ksokthiskwillkbeksafe.”
d. “TylenolkandkNorcokarekdifferentkdrugs,ksoktherekisknokriskkofkoverdose.”
ACCURATEkANSWER:-k B
Reasoningk:-
>>>>Tylenolkiskthektradeknamekandkacetaminophenkiskthekgenericknamekforktheksamekdrugs.kIt
kiskimportantktokteachkhospitalkclientsktokbekawarekofkthekdifferentknameskforktheksamekdrugskt
okminimizektheriskkofkoverdose.kOver-the-
counterk(OTC)kdrugskandkprescriptionkdrugskmaykbektakenktogetherkunlessksignificantkharmful
kdrugskinteractionskarekpossible.kEvenkthoughknokdrugskinteractionskarekatkplaykinkthiskcase,kb
othkdrugskcontainkacetaminophen,kwhichkcouldkleadktok toxicity.
POINTS:k 1
3. Theknursingkattendantkiskpreparingktokcarekforkakhospitalkclientkwhokwillkbektakingkankantih
ypertensivekdrugs.Whichkactionkbyktheknursingkattendantkiskpartkofkthekassessmentkstepkofkt
heknursingkprocess?
a. Askingkthekprescriberkforkankorderktokmonitorkserumkdrugsklevels
b. Monitoringkthekhospitalkclientkforkdrugskinteractionskafterkgivingkthekdrugs
c. Questioningkthekhospitalkclientkaboutkover-the-counterkdrugs
d. Takingkthekhospitalkclient’skbloodkpressurekthroughoutkthekcoursekofktreatment
RE,k12THkEDITIONkBYkJACQUELINEkBURCHUM,kLAURAkR
OSENTHAL/ALLkCHAPTERSk1-112|COMPLETEkGUIDEk2024-
2025
,CHk01:kOrientationktokPharmacology
Burchum:kLehne’skPharmacologykforkNursingkCare,k12THkEdition
MULTIPLEkCHOICE
1. Theknursingkattendantkiskteachingkakhospitalkclientkhowkakdrugskworksktoktreatkankillness.k
Tokdokthis,ktheknursingkattendantwillkrelykonkknowledgekofkwhichktopic?
a. Clinicalkpharmacology
b. Drugskefficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATEkANSWER:-k D
Reasoningk:-
>>>>kPharmacotherapeuticskiskthekstudykofkthekusekofkdrugsktokdiagnose,ktreat,kandkpreve
ntkconditions.Clinicalkpharmacologykiskconcernedkwithkallkaspectskofkdrugs-
humankinteractions.kDrugskefficacykmeasureskthekextentktokwhichkakgivenkdrugskcauseskank
intendedkeffect.kPharmacokineticskiskthekstudykofkthekimpactkofkthekbodykonkakdrugs.
POINTS:k 1
2. Whatkiskakdesiredkoutcomekwhenkakdrugskiskdescribedkaskeasyktokadminister?
a. Itkcankbekstoredkindefinitelykwithoutkneedkforkrefrigeration.
b. Itkdoesknotkinteractksignificantlykwithkotherkdrugs.
c. Itkenhanceskhospitalkclientkadherencektokthekdrugskregimen.
d. Itkiskusuallykrelativelykinexpensivektokproduce.
ACCURATEkANSWER:-k C
Reasoningk:-
>>>>Akmajorkbenefitkofkdrugskthatkarekeasyktokadministerkiskthatkhospitalkclientsktakingkthe
mkarekmoreklikelyktocomplykwithkthekdrugskregimen.kDrugskthatkarekeasyktokgivekmaykhavek
thekotherkattributesklisted,kbutkthosekpropertieskarekindependentkofkeasekofkadministration.
POINTS:k 1
3. Akhospitalkclientktellsktheknursingkattendantkthatkankanalgesickhekwillkbeginktakingkmaykcau
sekdrowsinesskandkwilldecreasekpainkupktok4khourskatkaktime.kBasedkonkthiskunderstandingko
fkthekdrugs’skeffectskbykthehospitalkclient,ktheknursingkattendantkwillkanticipatekwhichkoutco
me?
a. Decreasedkchancekofkhavingkakplacebokeffect
b. Decreasedkmotivationktoktakekthekdrugs
c. Improvedkcompliancekwithkthekdrugskregimen
d. Increasedklikelihoodkofkdrugskoverdose
ACCURATEkANSWER:-k C
Akdrugskiskeffectivekifkitkproduceskthekintendedkeffects,kevenkifkitkalsokproducesksidekeffe
cts.kHospitalkclientskwhokunderstandkbothkthekriskskandkbenefitskofktakingkakdrugskarekm
oreklikelyktocomplykwithkthek drugskregimen.
POINTS:k 1
,MULTIPLEkRESPONSE
1. Whatkarekconsideredkthek‘BigkThree’kpropertieskofkankidealkdrugs?k(Selectkallkthatkapply.)
a. Irreversiblekaction
b. Effectiveness
c. Safety
d. Selectivity
e. Akrecognizablektradekname
ACCURATEkANSWER:-k B,kC,kD
Reasoningk:-
>>>>Thek‘BigkThree’kpropertieskofkthekidealkdrugskarekeffectiveness,ksafety,k
andkselectivity.POINTS:k 1
2. Beforekadministeringkakdrugs,kwhatkdoesktheknursingkattendantkneedktokknowktokevaluatekho
wkindividualhospitalkclientkvariabilitykmightkaffectkthekhospitalkclient’skresponsektokthekdrugs
?k(Selectkallkthatkapply.)
a. Chemicalkstabilitykofkthekdrugs
b. Easekofkadministration
c. Familykmedicalkhistory
d. Hospitalkclient’skage
e. Hospitalkclient’skdiagnosis
ACCURATEkANSWER:-k C,kD,kE
Reasoningk:-
>>>>Thekfamilykmedicalkhistorykcankindicatekgenetickfactorskthatkmaykaffectkakhospitalkclie
nt’skresponsektokakdrugs.kHospitalkclientskofkdifferentkageskcankrespondkdifferentlyktokdrugs.k
Thekhospitalkclient’skillnesskcankaffectkhowkdrugskarekmetabolized.kThekchemicalkstabilityko
fkthekdrugskandkthekeasekofkadministrationkarekpropertieskofkdrugs.
POINTS:k 1
, CHk02:kApplicationkofkPharmacologykinkNursingkPracticekBurch
um:kLehne’skPharmacologykforkNursingkCare,k12THkEdition
MULTIPLEkCHOICE
1. Akhospitalkclientkiskusingkakmetered-
dosekinhalerkcontainingkalbuterolkforkasthma.kThekdrugsklabelkinstructskthekhospitalkclientktok
administerk“2kpuffskeveryk4khourskaskneededkforkcoughingkorkwheezing.”kThekhospitalkclient
kreportskfeelingkjitteryksometimeskwhenktakingkthekdrugs,kandkdoesn’tkfeelkthatkthekdrugskisk
alwayskeffective.kWhichkactionkiskoutsidektheknursingkattendant’skscopekofkpractice?
a. Askingkthekhospitalkclientktokdemonstratekthekusekofkthekinhaler
b. Assessingkthekhospitalkclient’skexposurektoktobaccoksmoke
c. Auscultatingklungksoundskandkobtainingkvitalksigns
d. Suggestingkthatkthekhospitalkclientkusek1kpuffktokreduceksidekeffects
ACCURATEkANSWER:-k D
Reasoningk:-
>>>>Itkisknotkwithinktheknursingkattendant’skscopekofkpracticektokchangekthekdosekofkakdrug
skwithoutkankorderfromkakprescriber.kAskingkthekhospitalkclientktokdemonstratekinhalerkusekh
elpsktheknursingkattendantktokevaluatekthekhospitalkclient’skabilityktokadministerkthekdrugskpr
operlykandkiskpartkofktheknursingkattendant’skevaluation.
Assessingktobaccoksmokekexposurekhelpsktheknursingkattendantkdeterminekwhetherknondru
gsktherapies,ksuchkasmokekavoidance,kcankbekusedkaskankadjunctktokdrugsktherapy.kPerform
ingkakphysicalkassessmentk helpsktheknursingkattendantkevaluatekthekhospitalkclient’skrespons
ektokthekdrugs.
POINTS:k 1
2. Akpostoperativekhospitalkclientkiskbeingkdischargedkhomekwithkacetaminophen/hydrocodonek[
Norco]kforkpain.kThekhospitalkclientkasksktheknursingkattendantkaboutkusingkTylenolkforkfever.
kWhichkstatementkbyktheknursingkattendantk iskcorrect?
a. “Itkisknotksafektoktakekover-the-counterkdrugskwithkprescriptionkdrugs.”
b. “Takingkthektwokdrugsktogetherkposeskakriskkofkdrugsktoxicity.”
c. “Therekareknokknownkdrugskinteractions,ksokthiskwillkbeksafe.”
d. “TylenolkandkNorcokarekdifferentkdrugs,ksoktherekisknokriskkofkoverdose.”
ACCURATEkANSWER:-k B
Reasoningk:-
>>>>Tylenolkiskthektradeknamekandkacetaminophenkiskthekgenericknamekforktheksamekdrugs.kIt
kiskimportantktokteachkhospitalkclientsktokbekawarekofkthekdifferentknameskforktheksamekdrugskt
okminimizektheriskkofkoverdose.kOver-the-
counterk(OTC)kdrugskandkprescriptionkdrugskmaykbektakenktogetherkunlessksignificantkharmful
kdrugskinteractionskarekpossible.kEvenkthoughknokdrugskinteractionskarekatkplaykinkthiskcase,kb
othkdrugskcontainkacetaminophen,kwhichkcouldkleadktok toxicity.
POINTS:k 1
3. Theknursingkattendantkiskpreparingktokcarekforkakhospitalkclientkwhokwillkbektakingkankantih
ypertensivekdrugs.Whichkactionkbyktheknursingkattendantkiskpartkofkthekassessmentkstepkofkt
heknursingkprocess?
a. Askingkthekprescriberkforkankorderktokmonitorkserumkdrugsklevels
b. Monitoringkthekhospitalkclientkforkdrugskinteractionskafterkgivingkthekdrugs
c. Questioningkthekhospitalkclientkaboutkover-the-counterkdrugs
d. Takingkthekhospitalkclient’skbloodkpressurekthroughoutkthekcoursekofktreatment
