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
CASE STUDY 1 (Questions 1–3)
A 72-year-old patient with hypertension and osteoarthritis is
admitted for dizziness.
Medications include:
• Lisinopril
• Ibuprofen
, • Diphenhydramine (OTC)
• Newly prescribed metoprolol
The nurse reviews the medication list before administration.
1. Case Study – Recognizing Cues
Which findings suggest potential medication-related risk
factors for adverse drug effects?
Select all that apply.
A. Advanced age
B. Use of OTC medication
C. Taking multiple medications
D. Hypertension diagnosis
E. Use of a beta blocker
Correct Answers: A, B, C
Rationale:
Older adults, polypharmacy, and OTC medication use increase
the risk for drug interactions and adverse reactions.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
2. Case Study – Analyzing Cues
,Which pharmacologic concept best explains the patient's
increased sensitivity to medications with aging?
A. Increased therapeutic index
B. Reduced renal drug clearance
C. Faster hepatic metabolism
D. Increased protein binding
Correct Answer: B
Rationale:
Aging decreases renal function, slowing drug elimination and
increasing risk of toxicity.
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
3. Case Study – Take Action
Which nursing action is most appropriate before administering
the new medication?
A. Administer all medications together
B. Review possible drug interactions
C. Delay the medication indefinitely
D. Ask the patient to stop OTC drugs immediately
Correct Answer: B
, Rationale:
Medication reconciliation and interaction review are essential
to prevent adverse drug events.
CJMM Phase: Generate Solutions / Take Action
CASE STUDY 2 (Questions 4–6)
A patient receives a first dose of morphine for postoperative
pain.
Thirty minutes later, the patient reports significant pain relief.
4. Case Study – Analyze Cues
The pain relief demonstrates which pharmacologic principle?
A. Pharmacokinetics
B. Therapeutic effect
C. Toxic effect
D. Idiosyncratic reaction
Correct Answer: B
Rationale:
The intended beneficial drug response is the therapeutic effect.
CJMM Phase: Analyze Cues
5. Case Study – Prioritize Hypotheses
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
CASE STUDY 1 (Questions 1–3)
A 72-year-old patient with hypertension and osteoarthritis is
admitted for dizziness.
Medications include:
• Lisinopril
• Ibuprofen
, • Diphenhydramine (OTC)
• Newly prescribed metoprolol
The nurse reviews the medication list before administration.
1. Case Study – Recognizing Cues
Which findings suggest potential medication-related risk
factors for adverse drug effects?
Select all that apply.
A. Advanced age
B. Use of OTC medication
C. Taking multiple medications
D. Hypertension diagnosis
E. Use of a beta blocker
Correct Answers: A, B, C
Rationale:
Older adults, polypharmacy, and OTC medication use increase
the risk for drug interactions and adverse reactions.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
2. Case Study – Analyzing Cues
,Which pharmacologic concept best explains the patient's
increased sensitivity to medications with aging?
A. Increased therapeutic index
B. Reduced renal drug clearance
C. Faster hepatic metabolism
D. Increased protein binding
Correct Answer: B
Rationale:
Aging decreases renal function, slowing drug elimination and
increasing risk of toxicity.
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
3. Case Study – Take Action
Which nursing action is most appropriate before administering
the new medication?
A. Administer all medications together
B. Review possible drug interactions
C. Delay the medication indefinitely
D. Ask the patient to stop OTC drugs immediately
Correct Answer: B
, Rationale:
Medication reconciliation and interaction review are essential
to prevent adverse drug events.
CJMM Phase: Generate Solutions / Take Action
CASE STUDY 2 (Questions 4–6)
A patient receives a first dose of morphine for postoperative
pain.
Thirty minutes later, the patient reports significant pain relief.
4. Case Study – Analyze Cues
The pain relief demonstrates which pharmacologic principle?
A. Pharmacokinetics
B. Therapeutic effect
C. Toxic effect
D. Idiosyncratic reaction
Correct Answer: B
Rationale:
The intended beneficial drug response is the therapeutic effect.
CJMM Phase: Analyze Cues
5. Case Study – Prioritize Hypotheses
