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 hypertension and osteoarthritis is
admitted. The patient takes five prescription medications and
two OTC drugs daily. The nurse notes the patient reports new
dizziness and nausea.
Question 1A – Recognize Cues
,Which findings suggest possible adverse drug effects?
Select all that apply.
A. Dizziness
B. Nausea
C. Use of multiple medications
D. History of hypertension
E. Age over 65
Correct Answers: A, B, C, E
Rationale:
Older adults and polypharmacy increase risk for adverse drug
reactions (ADRs). Symptoms such as dizziness and nausea may
indicate medication toxicity.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 1B – Analyze Cues
Which factor most increases the patient's risk for drug
interactions?
A. Hypertension
B. Age
C. Polypharmacy
D. Osteoarthritis
, Correct Answer: C
Rationale:
Polypharmacy is the primary risk factor for drug-drug
interactions and adverse events.
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 1C – Take Action
Which action should the nurse perform first?
A. Stop all medications
B. Obtain a complete medication history including OTC drugs
C. Administer antiemetic medication
D. Notify pharmacy of possible allergy
Correct Answer: B
Rationale:
Medication reconciliation identifies potential interactions,
duplications, or misuse.
CJMM Phase: Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
, 2. Unfolding Case Study
A patient receiving a new antihypertensive medication asks the
nurse:
“Why do I need to take this medication every day if I feel fine?”
Question 2A – Prioritize Hypotheses
The nurse recognizes the patient may not understand which
concept?
A. Therapeutic index
B. Preventive pharmacotherapy
C. Drug metabolism
D. Adverse drug reaction
Correct Answer: B
Rationale:
Many drugs are used to prevent disease progression, even
when symptoms are absent.
CJMM Phase: Analyze Cues / Prioritize Hypotheses
Question 2B – Generate Solutions
Which response by the nurse is best?
A. “You must take it or complications will occur.”
B. “This medication helps prevent complications like stroke.”
C. “You will feel better after a few days.”
D. “You only need it when symptoms occur.”
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 hypertension and osteoarthritis is
admitted. The patient takes five prescription medications and
two OTC drugs daily. The nurse notes the patient reports new
dizziness and nausea.
Question 1A – Recognize Cues
,Which findings suggest possible adverse drug effects?
Select all that apply.
A. Dizziness
B. Nausea
C. Use of multiple medications
D. History of hypertension
E. Age over 65
Correct Answers: A, B, C, E
Rationale:
Older adults and polypharmacy increase risk for adverse drug
reactions (ADRs). Symptoms such as dizziness and nausea may
indicate medication toxicity.
CJMM Phase: Recognize Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 1B – Analyze Cues
Which factor most increases the patient's risk for drug
interactions?
A. Hypertension
B. Age
C. Polypharmacy
D. Osteoarthritis
, Correct Answer: C
Rationale:
Polypharmacy is the primary risk factor for drug-drug
interactions and adverse events.
CJMM Phase: Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
Question 1C – Take Action
Which action should the nurse perform first?
A. Stop all medications
B. Obtain a complete medication history including OTC drugs
C. Administer antiemetic medication
D. Notify pharmacy of possible allergy
Correct Answer: B
Rationale:
Medication reconciliation identifies potential interactions,
duplications, or misuse.
CJMM Phase: Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1
, 2. Unfolding Case Study
A patient receiving a new antihypertensive medication asks the
nurse:
“Why do I need to take this medication every day if I feel fine?”
Question 2A – Prioritize Hypotheses
The nurse recognizes the patient may not understand which
concept?
A. Therapeutic index
B. Preventive pharmacotherapy
C. Drug metabolism
D. Adverse drug reaction
Correct Answer: B
Rationale:
Many drugs are used to prevent disease progression, even
when symptoms are absent.
CJMM Phase: Analyze Cues / Prioritize Hypotheses
Question 2B – Generate Solutions
Which response by the nurse is best?
A. “You must take it or complications will occur.”
B. “This medication helps prevent complications like stroke.”
C. “You will feel better after a few days.”
D. “You only need it when symptoms occur.”
