Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
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\ which\ topic?
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.
PTS:\ \ 1
2. What\ is\ a\ desired\ outcome\ 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.
PTS:\ \ 1
3. A\ patient\ tells\ the\ nurse\ that\ an\ analgesic\ he\ will\ begin\ taking\ may\ cause\ drowsiness\ and\ will\
decrease\ pain\ up\ to\ 4\ hours\ at\ a\ time.\ Based\ on\ this\ understanding\ of\ the\ drug’s\ effects\ by\ the\
patient,\ the\ nurse\ will\ anticipate\ which\ outcome?
a. Decreased\ chance\ of\ having\ a\ placebo\ effect
b. Decreased\ motivation\ to\ take\ the\ drug
c. Improved\ compliance\ with\ the\ drug\ regimen
d. Increased\ likelihood\ of\ drug\ overdose
ANS:\ C
A\ drug\ is\ effective\ if\ it\ produces\ the\ intended\ effects,\ even\ if\ it\ also\ produces\ side\ effects.\
Patients\ who\ understand\ both\ the\ risks\ and\ benefits\ of\ taking\ a\ medication\ are\ more\ likely\ to\
comply\ with\ the\ drug\ regimen.
PTS:\ \ 1
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
MULTIPLE\ RESPONSE
1. What\ are\ considered\ the\ ‘Big\ Three’\ properties\ of\ an\ ideal\ drug?\ (Select\ all\ that\ apply.)
a. Irreversible\ action
b. Effectiveness
c. Safety
d. Selectivity
e. A\ recognizable\ trade\ name
ANS:\ B,\ C,\ D
The\ ‘Big\ Three’\ properties\ of\ the\ ideal\ drug\ are\ effectiveness,\ safety,\ and\ selectivity.\
PTS:\ 1
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.
PTS:\ \ 1
Chapter\ 02:\ Application\ of\ Pharmacology\ in\ Nursing\ Practice\
Burchum:\ Lehne’s\ Pharmacology\ for\ Nursing\ Care,\ 11th\ Edition
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\
doesn’t\ feel\ that\ the\ medication\ is\ always\ effective.\ Which\ action\ is\ outside\ the\ nurse’s\ scope\
of\ practice?
a. Asking\ the\ patient\ to\ demonstrate\ the\ 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\ 1\ puff\ to\ reduce\ side\ effects
ANS:\ D
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
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.
PTS:\ \ 1
2. A\ postoperative\ patient\ is\ being\ discharged\ home\ with\ acetaminophen/hydrocodone\ [Norco]\ 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\ Norco\ 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.
PTS:\ \ 1
3. The\ nurse\ is\ preparing\ to\ care\ for\ a\ patient\ who\ will\ be\ taking\ an\ antihypertensive\
medication.\ Which\ action\ by\ the\ nurse\ is\ part\ of\ the\ assessment\ step\ of\ the\ nursing\ process?
a. Asking\ the\ prescriber\ for\ an\ order\ to\ monitor\ serum\ drug\ levels
b. Monitoring\ the\ patient\ for\ drug\ interactions\ after\ giving\ the\ medication
c. Questioning\ the\ patient\ about\ over-the-counter\ medications
d. Taking\ the\ patient’s\ blood\ pressure\ throughout \ the\ course\ of\ treatment
ANS:\ C
The\ assessment\ part\ of\ the\ nursing\ process\ involves\ gathering\ information\ before\ beginning\
treatment,\ and\ this\ includes\ asking\ about\ other\ medications\ the\ patient\ may\ be\ taking.
Monitoring\ serum\ drug\ levels,\ watching\ for\ drug\ interactions,\ and\ checking\ vital\ signs\ after\
giving\ the\ medication\ are\ all\ part\ of\ the\ evaluation\ phase.
PTS:\ \ 1
4. A\ postoperative\ patient\ reports\ pain,\ which\ the\ patient\ rates\ as\ an\ 8\ on\ a\ scale\ from\ 1\ to\ 10\ (10\
being\ the\ most\ extreme\ pain).\ The\ prescriber\ has\ ordered\ acetaminophen\ [Tylenol]\ 650\ mg\ PO\
every\ 6\ hours\ PRN\ pain.\ What\ will\ the\ nurse\ do?
a. Ask\ the\ patient\ what\ medications\ have\ helped\ with\ pain\ in\ the\ past.
b. Contact\ the\ provider\ to\ request\ a\ different\ analgesic\ medication.
c. Give\ the\ pain\ medication\ and\ reposition\ the\ patient\ to\ promote\ comfort.
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
d. Request\ an\ order\ to\ administer\ the\ medication\ every\ 4\ hours.
ANS:\ B
The\ nursing\ diagnosis\ for\ this\ patient\ is\ severe\ pain.\ Acetaminophen\ is\ given\ for\ mild\ to\
moderate\ pain,\ so\ the\ nurse\ should\ ask\ the\ prescriber\ to\ order\ a\ stronger\ analgesic\ medication.\
Asking\ the\ patient\ to\ tell\ the\ nurse\ what\ has\ helped\ in\ the\ past\ is\ part\ of\ an\ initial\ assessment\
and\ should\ be\ done\ preoperatively\ and\ not\ when\ the\ patient\ is\ having\ severe\ pain.\ Because\ the\
patient\ is\ having\ severe\ pain,\ acetaminophen\ combined\ with\ nondrug\ therapies\ will\ not\ be\
sufficient.\ Increasing\ the\ frequency\ of\ the\ dose\ of\ a\ medication\ for\ mild\ pain\ will\ not\ be\
effective.
PTS:\ \ 1
5. A\ patient\ newly\ diagnosed\ with\ diabetes\ is\ to\ be\ discharged\ from\ the\ hospital.\ The\ nurse\
teaching\ this\ patient\ about\ home\ management\ should\ begin\ by\ doing\ what?
a. Asking\ the\ patient\ to\ demonstrate\ how\ to\ measure\ and\ administer\ insulin
b. Discussing\ methods\ of\ storing\ insulin\ and\ discarding\ syringes
c. Giving\ information\ about\ how\ diet\ and\ exercise\ affect\ insulin\ requirements
d. Teaching\ the\ patient\ about\ the\ long-term\ consequences\ of\ poor\ diabetes\ control
ANS:\ A
Because\ insulin\ must\ be\ given\ correctly\ to\ control\ symptoms\ and\ because\ an\ overdose\ can\ be\
fatal,\ it\ is\ most\ important\ for\ the\ patient\ to\ know\ how\ to\ administer\ it.\ Asking\ for\ a\
demonstration\ of\ technique\ is\ the\ best\ way\ to\ determine\ whether\ the\ patient\ has\ understood\ the\
teaching.\ When\ a\ patient\ is\ receiving\ a\ lot\ of\ new\ information,\ the\ information\ presented\ first\ is\
the\ most\ likely\ to\ be\ remembered.\ The\ other\ teaching\ points\ are\ important\ as\ well,\ but\ they\ are\
not\ as\ critical\ and\ can\ be\ taught\ later.
PTS:\ \ 1
6. The\ nurse\ receives\ an\ order\ to\ give\ morphine\ 5\ mg\ IV\ every\ 2\ hours\ PRN\ pain.\ Which\ action\ is
not\ part\ of\ the\ six\ rights\ of\ drug\ administration?
a. Assessing\ the\ patient’s\ pain\ level\ 15\ to\ 30\ minutes\ after\ giving\ the\ medication
b. Checking\ the\ medication\ administration\ record\ to\ see\ when\ the\ last\ dose\ was\
administered
c. Consulting\ a\ drug\ manual\ to\ determine\ whether\ the\ amount\ the\ prescriber\ ordered\
is\ appropriate
d. Documenting\ the\ reason\ the\ medication\ was\ given\ in\ the\ patient’s\ electronic\
medical\ record
ANS:\ A
Assessing\ the\ patient’s\ pain\ after\ administering\ the\ medication\ is\ an\ important\ part\ of\ the\ nursing\
process\ when\ giving\ medications,\ but\ it\ is\ not\ part\ of\ the\ six\ rights\ of\ drug\ administration.
Checking\ to\ see\ when\ the\ last\ dose\ was\ given\ helps\ ensure\ that\ the\ medication\ is\ given\ at\ the\
right\ time.\ Consulting\ a\ drug\ manual\ helps\ ensure\ that\ the\ medication\ is\ given\ in\ the\ right\ dose.\
Documenting\ the\ reason\ for\ a\ pain\ medication\ is\ an\ important\ part\ of\ the\ right\ documentation—\
the\ sixth\ right.
PTS:\ \ 1
Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
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\ which\ topic?
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.
PTS:\ \ 1
2. What\ is\ a\ desired\ outcome\ 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.
PTS:\ \ 1
3. A\ patient\ tells\ the\ nurse\ that\ an\ analgesic\ he\ will\ begin\ taking\ may\ cause\ drowsiness\ and\ will\
decrease\ pain\ up\ to\ 4\ hours\ at\ a\ time.\ Based\ on\ this\ understanding\ of\ the\ drug’s\ effects\ by\ the\
patient,\ the\ nurse\ will\ anticipate\ which\ outcome?
a. Decreased\ chance\ of\ having\ a\ placebo\ effect
b. Decreased\ motivation\ to\ take\ the\ drug
c. Improved\ compliance\ with\ the\ drug\ regimen
d. Increased\ likelihood\ of\ drug\ overdose
ANS:\ C
A\ drug\ is\ effective\ if\ it\ produces\ the\ intended\ effects,\ even\ if\ it\ also\ produces\ side\ effects.\
Patients\ who\ understand\ both\ the\ risks\ and\ benefits\ of\ taking\ a\ medication\ are\ more\ likely\ to\
comply\ with\ the\ drug\ regimen.
PTS:\ \ 1
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
MULTIPLE\ RESPONSE
1. What\ are\ considered\ the\ ‘Big\ Three’\ properties\ of\ an\ ideal\ drug?\ (Select\ all\ that\ apply.)
a. Irreversible\ action
b. Effectiveness
c. Safety
d. Selectivity
e. A\ recognizable\ trade\ name
ANS:\ B,\ C,\ D
The\ ‘Big\ Three’\ properties\ of\ the\ ideal\ drug\ are\ effectiveness,\ safety,\ and\ selectivity.\
PTS:\ 1
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.
PTS:\ \ 1
Chapter\ 02:\ Application\ of\ Pharmacology\ in\ Nursing\ Practice\
Burchum:\ Lehne’s\ Pharmacology\ for\ Nursing\ Care,\ 11th\ Edition
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\
doesn’t\ feel\ that\ the\ medication\ is\ always\ effective.\ Which\ action\ is\ outside\ the\ nurse’s\ scope\
of\ practice?
a. Asking\ the\ patient\ to\ demonstrate\ the\ 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\ 1\ puff\ to\ reduce\ side\ effects
ANS:\ D
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
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.
PTS:\ \ 1
2. A\ postoperative\ patient\ is\ being\ discharged\ home\ with\ acetaminophen/hydrocodone\ [Norco]\ 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\ Norco\ 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.
PTS:\ \ 1
3. The\ nurse\ is\ preparing\ to\ care\ for\ a\ patient\ who\ will\ be\ taking\ an\ antihypertensive\
medication.\ Which\ action\ by\ the\ nurse\ is\ part\ of\ the\ assessment\ step\ of\ the\ nursing\ process?
a. Asking\ the\ prescriber\ for\ an\ order\ to\ monitor\ serum\ drug\ levels
b. Monitoring\ the\ patient\ for\ drug\ interactions\ after\ giving\ the\ medication
c. Questioning\ the\ patient\ about\ over-the-counter\ medications
d. Taking\ the\ patient’s\ blood\ pressure\ throughout \ the\ course\ of\ treatment
ANS:\ C
The\ assessment\ part\ of\ the\ nursing\ process\ involves\ gathering\ information\ before\ beginning\
treatment,\ and\ this\ includes\ asking\ about\ other\ medications\ the\ patient\ may\ be\ taking.
Monitoring\ serum\ drug\ levels,\ watching\ for\ drug\ interactions,\ and\ checking\ vital\ signs\ after\
giving\ the\ medication\ are\ all\ part\ of\ the\ evaluation\ phase.
PTS:\ \ 1
4. A\ postoperative\ patient\ reports\ pain,\ which\ the\ patient\ rates\ as\ an\ 8\ on\ a\ scale\ from\ 1\ to\ 10\ (10\
being\ the\ most\ extreme\ pain).\ The\ prescriber\ has\ ordered\ acetaminophen\ [Tylenol]\ 650\ mg\ PO\
every\ 6\ hours\ PRN\ pain.\ What\ will\ the\ nurse\ do?
a. Ask\ the\ patient\ what\ medications\ have\ helped\ with\ pain\ in\ the\ past.
b. Contact\ the\ provider\ to\ request\ a\ different\ analgesic\ medication.
c. Give\ the\ pain\ medication\ and\ reposition\ the\ patient\ to\ promote\ comfort.
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
d. Request\ an\ order\ to\ administer\ the\ medication\ every\ 4\ hours.
ANS:\ B
The\ nursing\ diagnosis\ for\ this\ patient\ is\ severe\ pain.\ Acetaminophen\ is\ given\ for\ mild\ to\
moderate\ pain,\ so\ the\ nurse\ should\ ask\ the\ prescriber\ to\ order\ a\ stronger\ analgesic\ medication.\
Asking\ the\ patient\ to\ tell\ the\ nurse\ what\ has\ helped\ in\ the\ past\ is\ part\ of\ an\ initial\ assessment\
and\ should\ be\ done\ preoperatively\ and\ not\ when\ the\ patient\ is\ having\ severe\ pain.\ Because\ the\
patient\ is\ having\ severe\ pain,\ acetaminophen\ combined\ with\ nondrug\ therapies\ will\ not\ be\
sufficient.\ Increasing\ the\ frequency\ of\ the\ dose\ of\ a\ medication\ for\ mild\ pain\ will\ not\ be\
effective.
PTS:\ \ 1
5. A\ patient\ newly\ diagnosed\ with\ diabetes\ is\ to\ be\ discharged\ from\ the\ hospital.\ The\ nurse\
teaching\ this\ patient\ about\ home\ management\ should\ begin\ by\ doing\ what?
a. Asking\ the\ patient\ to\ demonstrate\ how\ to\ measure\ and\ administer\ insulin
b. Discussing\ methods\ of\ storing\ insulin\ and\ discarding\ syringes
c. Giving\ information\ about\ how\ diet\ and\ exercise\ affect\ insulin\ requirements
d. Teaching\ the\ patient\ about\ the\ long-term\ consequences\ of\ poor\ diabetes\ control
ANS:\ A
Because\ insulin\ must\ be\ given\ correctly\ to\ control\ symptoms\ and\ because\ an\ overdose\ can\ be\
fatal,\ it\ is\ most\ important\ for\ the\ patient\ to\ know\ how\ to\ administer\ it.\ Asking\ for\ a\
demonstration\ of\ technique\ is\ the\ best\ way\ to\ determine\ whether\ the\ patient\ has\ understood\ the\
teaching.\ When\ a\ patient\ is\ receiving\ a\ lot\ of\ new\ information,\ the\ information\ presented\ first\ is\
the\ most\ likely\ to\ be\ remembered.\ The\ other\ teaching\ points\ are\ important\ as\ well,\ but\ they\ are\
not\ as\ critical\ and\ can\ be\ taught\ later.
PTS:\ \ 1
6. The\ nurse\ receives\ an\ order\ to\ give\ morphine\ 5\ mg\ IV\ every\ 2\ hours\ PRN\ pain.\ Which\ action\ is
not\ part\ of\ the\ six\ rights\ of\ drug\ administration?
a. Assessing\ the\ patient’s\ pain\ level\ 15\ to\ 30\ minutes\ after\ giving\ the\ medication
b. Checking\ the\ medication\ administration\ record\ to\ see\ when\ the\ last\ dose\ was\
administered
c. Consulting\ a\ drug\ manual\ to\ determine\ whether\ the\ amount\ the\ prescriber\ ordered\
is\ appropriate
d. Documenting\ the\ reason\ the\ medication\ was\ given\ in\ the\ patient’s\ electronic\
medical\ record
ANS:\ A
Assessing\ the\ patient’s\ pain\ after\ administering\ the\ medication\ is\ an\ important\ part\ of\ the\ nursing\
process\ when\ giving\ medications,\ but\ it\ is\ not\ part\ of\ the\ six\ rights\ of\ drug\ administration.
Checking\ to\ see\ when\ the\ last\ dose\ was\ given\ helps\ ensure\ that\ the\ medication\ is\ given\ at\ the\
right\ time.\ Consulting\ a\ drug\ manual\ helps\ ensure\ that\ the\ medication\ is\ given\ in\ the\ right\ dose.\
Documenting\ the\ reason\ for\ a\ pain\ medication\ is\ an\ important\ part\ of\ the\ right\ documentation—\
the\ sixth\ right.
PTS:\ \ 1
