Lehne's Pharmacology for Nursing Care -
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
Question
Which findings represent potential medication safety
concerns?
(Select all that apply)
A. Use of herbal supplement
B. Multiple prescribers
C. Age over 65
D. PRN ibuprofen use
E. Polypharmacy
,Correct Answers
A, B, C, E
Rationale
• Herbal supplements may interact with prescribed drugs.
• Multiple prescribers increase risk for medication
duplication.
• Older adults have altered pharmacokinetics and
pharmacodynamics.
• Polypharmacy significantly increases adverse drug
reactions.
• PRN ibuprofen alone is not necessarily unsafe but requires
monitoring.
CJMM Phase
Recognize Cues
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 2 – Case Study
The same patient asks the nurse:
"Why does my medication affect me differently than my
neighbor?"
,Question
Which factors can influence individual drug responses?
(Select all that apply)
A. Age
B. Genetics
C. Diet
D. Organ function
E. Route of administration
Correct Answers
A, B, C, D, E
Rationale
Drug response variability is influenced by:
• Age-related pharmacokinetics
• Genetic differences
• Dietary interactions
• Liver and kidney function
• Route of administration
CJMM Phase
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
, Question 3 – Case Study
The nurse develops a medication safety plan for the patient.
Question
Which nursing interventions should be prioritized to reduce
medication errors?
A. Maintain an updated medication list
B. Encourage use of one pharmacy
C. Assess renal function regularly
D. Administer medications exactly as ordered
Correct Answers
A, B, C, D
Rationale
Medication safety strategies include:
• Medication reconciliation
• Single pharmacy use
• Organ function monitoring
• Adherence to safe administration principles
CJMM Phase
Generate Solutions
Take Action
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
Question
Which findings represent potential medication safety
concerns?
(Select all that apply)
A. Use of herbal supplement
B. Multiple prescribers
C. Age over 65
D. PRN ibuprofen use
E. Polypharmacy
,Correct Answers
A, B, C, E
Rationale
• Herbal supplements may interact with prescribed drugs.
• Multiple prescribers increase risk for medication
duplication.
• Older adults have altered pharmacokinetics and
pharmacodynamics.
• Polypharmacy significantly increases adverse drug
reactions.
• PRN ibuprofen alone is not necessarily unsafe but requires
monitoring.
CJMM Phase
Recognize Cues
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
Question 2 – Case Study
The same patient asks the nurse:
"Why does my medication affect me differently than my
neighbor?"
,Question
Which factors can influence individual drug responses?
(Select all that apply)
A. Age
B. Genetics
C. Diet
D. Organ function
E. Route of administration
Correct Answers
A, B, C, D, E
Rationale
Drug response variability is influenced by:
• Age-related pharmacokinetics
• Genetic differences
• Dietary interactions
• Liver and kidney function
• Route of administration
CJMM Phase
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
, Question 3 – Case Study
The nurse develops a medication safety plan for the patient.
Question
Which nursing interventions should be prioritized to reduce
medication errors?
A. Maintain an updated medication list
B. Encourage use of one pharmacy
C. Assess renal function regularly
D. Administer medications exactly as ordered
Correct Answers
A, B, C, D
Rationale
Medication safety strategies include:
• Medication reconciliation
• Single pharmacy use
• Organ function monitoring
• Adherence to safe administration principles
CJMM Phase
Generate Solutions
Take Action
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
