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 begins a newly
prescribed oral medication. The patient asks the nurse why a
lower dose was prescribed compared with younger adults.
Which explanation by the nurse is most accurate?
A. Older adults metabolize drugs faster
B. Aging can reduce hepatic metabolism and renal excretion
C. Older adults absorb medications poorly
D. Drug half-life is always shorter in elderly patients
,Correct Answer: B
Rationale: Aging often decreases liver metabolism and kidney
clearance, increasing drug accumulation and toxicity risk.
CJMM Phase: Recognize Cues / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
2. Unfolding Case Study (Part 2)
The same patient states they take several herbal supplements
along with prescribed medications.
What is the nurse’s priority response?
A. Advise stopping all supplements immediately
B. Assess which supplements are taken and report to the
provider
C. Inform the patient supplements are harmless
D. Document but take no further action
Correct Answer: B
Rationale: Supplements may cause drug interactions or
toxicity, requiring full medication reconciliation.
CJMM Phase: Recognize Cues / Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
,3. Unfolding Case Study (Part 3)
The patient later reports dizziness after the first dose.
Which nursing action is most appropriate?
A. Reassure the patient this is expected
B. Assess blood pressure and evaluate for adverse drug effect
C. Give the next dose early
D. Document and discharge patient
Correct Answer: B
Rationale: Nurses must monitor therapeutic response and
adverse reactions, especially during initial therapy.
CJMM Phase: Evaluate Outcomes / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
4. Unfolding Case Study (Part 4)
Which factor MOST increases the patient’s risk for adverse drug
reactions?
A. Age
B. Use of multiple medications
C. Presence of chronic disease
D. All of the above
Correct Answer: D
, Rationale: Polypharmacy, aging physiology, and comorbidities
all increase adverse drug reaction risk.
CJMM Phase: Prioritize Hypotheses
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
5. Select All That Apply
Which responsibilities are included in the nurse’s role in
pharmacology?
A. Administer medications safely
B. Monitor therapeutic responses
C. Diagnose diseases
D. Provide patient education
E. Identify adverse reactions
Correct Answers:
A, B, D, E
Rationale: Nurses administer drugs, monitor effects, detect
adverse reactions, and teach patients.
CJMM Phase: Generate Solutions
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
6. Select All That Apply
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 begins a newly
prescribed oral medication. The patient asks the nurse why a
lower dose was prescribed compared with younger adults.
Which explanation by the nurse is most accurate?
A. Older adults metabolize drugs faster
B. Aging can reduce hepatic metabolism and renal excretion
C. Older adults absorb medications poorly
D. Drug half-life is always shorter in elderly patients
,Correct Answer: B
Rationale: Aging often decreases liver metabolism and kidney
clearance, increasing drug accumulation and toxicity risk.
CJMM Phase: Recognize Cues / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
2. Unfolding Case Study (Part 2)
The same patient states they take several herbal supplements
along with prescribed medications.
What is the nurse’s priority response?
A. Advise stopping all supplements immediately
B. Assess which supplements are taken and report to the
provider
C. Inform the patient supplements are harmless
D. Document but take no further action
Correct Answer: B
Rationale: Supplements may cause drug interactions or
toxicity, requiring full medication reconciliation.
CJMM Phase: Recognize Cues / Take Action
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
,3. Unfolding Case Study (Part 3)
The patient later reports dizziness after the first dose.
Which nursing action is most appropriate?
A. Reassure the patient this is expected
B. Assess blood pressure and evaluate for adverse drug effect
C. Give the next dose early
D. Document and discharge patient
Correct Answer: B
Rationale: Nurses must monitor therapeutic response and
adverse reactions, especially during initial therapy.
CJMM Phase: Evaluate Outcomes / Analyze Cues
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
4. Unfolding Case Study (Part 4)
Which factor MOST increases the patient’s risk for adverse drug
reactions?
A. Age
B. Use of multiple medications
C. Presence of chronic disease
D. All of the above
Correct Answer: D
, Rationale: Polypharmacy, aging physiology, and comorbidities
all increase adverse drug reaction risk.
CJMM Phase: Prioritize Hypotheses
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
5. Select All That Apply
Which responsibilities are included in the nurse’s role in
pharmacology?
A. Administer medications safely
B. Monitor therapeutic responses
C. Diagnose diseases
D. Provide patient education
E. Identify adverse reactions
Correct Answers:
A, B, D, E
Rationale: Nurses administer drugs, monitor effects, detect
adverse reactions, and teach patients.
CJMM Phase: Generate Solutions
Citation: Lehne’s Pharmacology for Nursing Care, 12th ed.,
Chapter 1.
6. Select All That Apply
