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
A 72-year-old patient with chronic pain is prescribed an opioid
analgesic. The nurse explains that the medication reduces pain
by binding to opioid receptors in the central nervous system.
Which pharmacologic concept is the nurse describing?
A. Pharmacokinetics
B. Pharmacodynamics
,C. Therapeutic index
D. Drug tolerance
Correct Answer: B
Rationale:
Pharmacodynamics refers to what the drug does to the body,
including receptor binding and mechanisms producing
therapeutic effects.
CJMM Phase: Recognize Cues, Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1.
Question 2
The nurse reviews the medication administration record before
giving a newly prescribed drug.
Which information is MOST important to verify to prevent
medication error?
A. Medication cost
B. Patient allergies
C. Manufacturer of drug
D. Color of medication
Correct Answer: B
,Rationale:
Checking allergies is critical to prevent serious adverse
reactions and is part of safe medication administration.
CJMM Phase: Recognize Cues, Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
Question 3
A nurse administers an antihypertensive medication. One hour
later, the patient’s blood pressure decreases from 170/98 mm
Hg to 130/80 mm Hg.
Which conclusion should the nurse make?
A. The medication caused an adverse reaction
B. The medication achieved the therapeutic effect
C. The medication caused toxicity
D. The medication produced drug resistance
Correct Answer: B
Rationale:
A therapeutic effect is the desired physiological response
produced by the medication.
CJMM Phase: Evaluate Outcomes
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
, Case Study – Unfolding Clinical Judgment
A patient with pneumonia is prescribed an antibiotic.
Question 4
The nurse reviews the drug reference before administration.
Which information helps the nurse understand how the drug
works in the body?
A. Pharmacokinetics
B. Pharmacodynamics
C. Bioavailability
D. Distribution
Correct Answer: B
Rationale:
Pharmacodynamics describes the mechanism of drug action
and physiologic effects.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
Multiple Response (Select All That Apply)
Question 5
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
A 72-year-old patient with chronic pain is prescribed an opioid
analgesic. The nurse explains that the medication reduces pain
by binding to opioid receptors in the central nervous system.
Which pharmacologic concept is the nurse describing?
A. Pharmacokinetics
B. Pharmacodynamics
,C. Therapeutic index
D. Drug tolerance
Correct Answer: B
Rationale:
Pharmacodynamics refers to what the drug does to the body,
including receptor binding and mechanisms producing
therapeutic effects.
CJMM Phase: Recognize Cues, Analyze Cues
Citation:
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1.
Question 2
The nurse reviews the medication administration record before
giving a newly prescribed drug.
Which information is MOST important to verify to prevent
medication error?
A. Medication cost
B. Patient allergies
C. Manufacturer of drug
D. Color of medication
Correct Answer: B
,Rationale:
Checking allergies is critical to prevent serious adverse
reactions and is part of safe medication administration.
CJMM Phase: Recognize Cues, Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
Question 3
A nurse administers an antihypertensive medication. One hour
later, the patient’s blood pressure decreases from 170/98 mm
Hg to 130/80 mm Hg.
Which conclusion should the nurse make?
A. The medication caused an adverse reaction
B. The medication achieved the therapeutic effect
C. The medication caused toxicity
D. The medication produced drug resistance
Correct Answer: B
Rationale:
A therapeutic effect is the desired physiological response
produced by the medication.
CJMM Phase: Evaluate Outcomes
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
, Case Study – Unfolding Clinical Judgment
A patient with pneumonia is prescribed an antibiotic.
Question 4
The nurse reviews the drug reference before administration.
Which information helps the nurse understand how the drug
works in the body?
A. Pharmacokinetics
B. Pharmacodynamics
C. Bioavailability
D. Distribution
Correct Answer: B
Rationale:
Pharmacodynamics describes the mechanism of drug action
and physiologic effects.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
Multiple Response (Select All That Apply)
Question 5
