Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio
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n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
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112|Complete Guide A+ f f f
Chapter 1: Orientation to Pharmacology
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Test Bank f f
MULTIPLE CHOICE f f
1.The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will re
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lyon knowledge of:
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a.clinical pharmacology. f f
b.drug efficacy. f f
c.pharmacokinetics. f
d.pharmacotherapeutics. f
ANS: D f f
Pharmacotherapeutics is the studyof the use of drugs to diagnose, treat, and prevent conditions. Clin f f f f f f f f f f f f f f f
ical pharmacology is concerned with all aspects of drug–
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human interactions. Drug efficacy measures the extent to which a given drug causes an intended effe
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ct. f
Pharmacokinetics is the study of the impact of the body on a drug. f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension TOP REF: Four Basic Terms
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: Nursing Process: Implementation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2.What does it mean when a drug is described as easy to administer? a.It can b
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e stored indefinitely without need for refrigeration.
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b.It does not interact significantly with other medications. c.It en
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hances patient adherence to the drug regimen. f f f f f f f
d.It is usually relatively inexpensive to produce.
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ANS: C f f
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
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comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, b
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ut those properties are independent of ease of administration.
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DIF: Cognitive Level: Comprehension f f f f
REF: Additional Properties of an Ideal Drug: Ease of Administration
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TOP: Nursing Process: Assessment f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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3.A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very effectiv
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e. Which statement by the patient demonstrates an understanding of the drug‘s effectiveness?
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a.―I don‘t have to worry about toxicity, since it takes a large amount of this drug to cause an o
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verdose.‖ f
b.―It has no side effects and doesn‘t interact with other drugs.‖
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c.―I only have to take it every 12 hours.‖ f f f f f f f f f
d.―It might make me sleepy, and it lessens pain for several hours at a time.‖
f f f f f f f f f f f f f f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio
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n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
ANS: D f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio
f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no d
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rug is completely safe, the level of toxicity does not determine effectiveness. All drugs have side effec
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ts and many react with other substances; these do not affect the drug‘s effectiveness. Ease of administr
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ation is independent of a drug‘s effectiveness.
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DIF: Cognitive Level: Comprehension TO REF: Properties of an Ideal Drug
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P: Nursing Process: Evaluation
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MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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MULTIPLE RESPONSE f f
1.What are the properties of an ideal drug? (Select all that apply.) a.Irrever
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sible action f f
b.Predictability f
c.Ease of administration f f f
d.Chemical stability f f
e.A simple trade name
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ANS: B, C, D f f f f
In addition to predictability, ease of administration, and chemical stability, other properties include
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a reversible action so that any harm the drug may cause can be undone and a simple generic name, bec
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ause generic names are usually complex and difficult to remember and pronounce.
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DIF: Cognitive Level: Comprehension
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REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
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TOP: Nursing Process: Assessment f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
2.Before administering a medication, what does the nurse need to know to evaluate how individual patien
f f f f f f f f f f f f f f f
t variability might affect the patient‘s response to the medication? (Select all that apply.)
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a.Chemical stability of the medication f f f f f
b.Ease of administration f f f
c.Family medical history f f f
d.Patient‘s age f f
e.Patient‘s diagnosis f f
ANS: C, D, E f f f f
The family medical history can indicate genetic factors that may affect a patient‘s response to a medic
f f f f f f f f f f f f f f f f
ation. Patients of different ages can respond differently to medications. The patient‘s illness can affec
f f f f f f f f f f f f f f
t how drugs are metabolized. The chemical stability of the medication and the ease of administration a
f f f f f f f f f f f f f f f f
re properties of drugs.
f f f f
DIF: Cognitive Level: Analysis f f f f
REF: Sources of Individual Variation TOP: Nurs f f f f f f
ing Process: Implementation
f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
f f f f f f f f f f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
Chapter 2: Application of Pharmacology in Nursing Practice Test
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Bank f
MULTIPLE CHOICE f f
1.A patient is using a metered-
f f f f f
dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer
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―2 puffs every 4 hours as needed for coughing or wheezing.‖ The patient reports feeling jittery someti
f f f f f f f f f f f f f f f f
mes when taking the medication, and she doesn‘t feel that the medication is always effective. Which is
f f f f f f f f f f f f f f f f f
not an appropriate nursing intervention for this patient?
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a.Asking the patient to demonstrate use of the inhaler f f f f f f f f f
b.Assessing the patient‘s exposure to tobacco smoke f f f f f f f
c.Auscultating lung sounds and obtaining vital signs f f f f f f f
d.Suggesting that the patient use one puff to reduce side effects f f f f f f f f f f f
ANS: D f f
It is not within the nurse‘s scope of practice to change the dose of a medication without an order from
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a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient‘s ab
f f f f f f f f f f f f f f f f
ility to administer the medication properly and is part of the nurse‘s evaluation. Assessing tobacco s
f f f f f f f f f f f f f f f
moke exposure helps the nurse determine whether nondrug therapies, such a smoke avoidance, can
f f f f f f f f f f f f f f
be used as an adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the
f f f f f f f f f f f f f f f f f
patient‘s response to the medication. f f f f f
DIF: Cognitive Level: Application f f f f
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all subsections und
f f f f f f f f f f f f f
er this heading]f TOP: Nursing Process: Implementation
f f f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
2.A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab) for pai
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n. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
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a.―It is not safe to take over-the- f f f f f f
counter drugs with prescription medications.‖ b.―Taking the two medications togethe f f f f f f f f f
r poses a risk of drug toxicity.‖
f f f f f f f
c.―There are no known drug interactions, so this will be safe.‖ f f f f f f f f f f f
d.―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ f f f f f f f f f f f f f
ANS: B f f
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is import f f f f f f f f f f f f f f f f f
ant to teach patients to be aware of the different names for the same drug to minimize the risk of overdos
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e. Over-the- f
counter (OTC) medications and prescription medications may be taken together unless significant ha f f f f f f f f f f f f
rmful drug interactions are possible. Even though no drug interactions are at play in this case, both dru
f f f f f f f f f f f f f f f f f
gs contain acetaminophen, which could lead to toxicity.
f f f f f f f f
DIF: Cognitive Level: Application f f f f
REF: Application of Pharmacology in Patient Education: Dosage and Administration
f f f f f f f f f f
f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
Chapter 1: Orientation to Pharmacology
f f f f f
Test Bank f f
MULTIPLE CHOICE f f
1.The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will re
f f f f f f f f f f f f f f f f f f f f
lyon knowledge of:
f f f f
a.clinical pharmacology. f f
b.drug efficacy. f f
c.pharmacokinetics. f
d.pharmacotherapeutics. f
ANS: D f f
Pharmacotherapeutics is the studyof the use of drugs to diagnose, treat, and prevent conditions. Clin f f f f f f f f f f f f f f f
ical pharmacology is concerned with all aspects of drug–
f f f f f f f f
human interactions. Drug efficacy measures the extent to which a given drug causes an intended effe
f f f f f f f f f f f f f f f
ct. f
Pharmacokinetics is the study of the impact of the body on a drug. f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension TOP REF: Four Basic Terms
f f f f f f f f
: Nursing Process: Implementation
f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
2.What does it mean when a drug is described as easy to administer? a.It can b
f f f f f f f f f f f f f f f
e stored indefinitely without need for refrigeration.
f f f f f f f
b.It does not interact significantly with other medications. c.It en
f f f f f f f f f
hances patient adherence to the drug regimen. f f f f f f f
d.It is usually relatively inexpensive to produce.
f f f f f f f
ANS: C f f
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
f f f f f f f f f f f f f f f f f f f
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, b
f f f f f f f f f f f f f f f f f
ut those properties are independent of ease of administration.
f f f f f f f f f
DIF: Cognitive Level: Comprehension f f f f
REF: Additional Properties of an Ideal Drug: Ease of Administration
f f f f f f f f f f
TOP: Nursing Process: Assessment f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
3.A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very effectiv
f f f f f f f f f f f f f f f f f f f f
e. Which statement by the patient demonstrates an understanding of the drug‘s effectiveness?
f f f f f f f f f f f f f
a.―I don‘t have to worry about toxicity, since it takes a large amount of this drug to cause an o
f f f f f f f f f f f f f f f f f f f
verdose.‖ f
b.―It has no side effects and doesn‘t interact with other drugs.‖
f f f f f f f f f f f
c.―I only have to take it every 12 hours.‖ f f f f f f f f f
d.―It might make me sleepy, and it lessens pain for several hours at a time.‖
f f f f f f f f f f f f f f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio
f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
ANS: D f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio
f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
A drug is effective if it produces the intended effects, even if it also produces side effects. Because no d
f f f f f f f f f f f f f f f f f f f
rug is completely safe, the level of toxicity does not determine effectiveness. All drugs have side effec
f f f f f f f f f f f f f f f f
ts and many react with other substances; these do not affect the drug‘s effectiveness. Ease of administr
f f f f f f f f f f f f f f f f
ation is independent of a drug‘s effectiveness.
f f f f f f f
DIF: Cognitive Level: Comprehension TO REF: Properties of an Ideal Drug
f f f f f f f f f f
P: Nursing Process: Evaluation
f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
MULTIPLE RESPONSE f f
1.What are the properties of an ideal drug? (Select all that apply.) a.Irrever
f f f f f f f f f f f f
sible action f f
b.Predictability f
c.Ease of administration f f f
d.Chemical stability f f
e.A simple trade name
f f f f
ANS: B, C, D f f f f
In addition to predictability, ease of administration, and chemical stability, other properties include
f f f f f f f f f f f f f
a reversible action so that any harm the drug may cause can be undone and a simple generic name, bec
f f f f f f f f f f f f f f f f f f f
ause generic names are usually complex and difficult to remember and pronounce.
f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension
f f f f
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
f f f f f f f f f f f f f
TOP: Nursing Process: Assessment f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
2.Before administering a medication, what does the nurse need to know to evaluate how individual patien
f f f f f f f f f f f f f f f
t variability might affect the patient‘s response to the medication? (Select all that apply.)
f f f f f f f f f f f f f f
a.Chemical stability of the medication f f f f f
b.Ease of administration f f f
c.Family medical history f f f
d.Patient‘s age f f
e.Patient‘s diagnosis f f
ANS: C, D, E f f f f
The family medical history can indicate genetic factors that may affect a patient‘s response to a medic
f f f f f f f f f f f f f f f f
ation. Patients of different ages can respond differently to medications. The patient‘s illness can affec
f f f f f f f f f f f f f f
t how drugs are metabolized. The chemical stability of the medication and the ease of administration a
f f f f f f f f f f f f f f f f
re properties of drugs.
f f f f
DIF: Cognitive Level: Analysis f f f f
REF: Sources of Individual Variation TOP: Nurs f f f f f f
ing Process: Implementation
f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
f f f f f f f f f f f
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editio f f f f f f f f
n by Jacqueline Burchum, Laura Rosenthal Chapter 1-
f f f f f f f
112|Complete Guide A+ f f f
Chapter 2: Application of Pharmacology in Nursing Practice Test
f f f f f f f f f
Bank f
MULTIPLE CHOICE f f
1.A patient is using a metered-
f f f f f
dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer
f f f f f f f f f f f f f f
―2 puffs every 4 hours as needed for coughing or wheezing.‖ The patient reports feeling jittery someti
f f f f f f f f f f f f f f f f
mes when taking the medication, and she doesn‘t feel that the medication is always effective. Which is
f f f f f f f f f f f f f f f f f
not an appropriate nursing intervention for this patient?
f f f f f f f f
a.Asking the patient to demonstrate use of the inhaler f f f f f f f f f
b.Assessing the patient‘s exposure to tobacco smoke f f f f f f f
c.Auscultating lung sounds and obtaining vital signs f f f f f f f
d.Suggesting that the patient use one puff to reduce side effects f f f f f f f f f f f
ANS: D f f
It is not within the nurse‘s scope of practice to change the dose of a medication without an order from
f f f f f f f f f f f f f f f f f f f f
a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the patient‘s ab
f f f f f f f f f f f f f f f f
ility to administer the medication properly and is part of the nurse‘s evaluation. Assessing tobacco s
f f f f f f f f f f f f f f f
moke exposure helps the nurse determine whether nondrug therapies, such a smoke avoidance, can
f f f f f f f f f f f f f f
be used as an adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the
f f f f f f f f f f f f f f f f f
patient‘s response to the medication. f f f f f
DIF: Cognitive Level: Application f f f f
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all subsections und
f f f f f f f f f f f f f
er this heading]f TOP: Nursing Process: Implementation
f f f f f f
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
f f f f f f f f f f f
2.A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab) for pai
f f f f f f f f f f f
n. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
f f f f f f f f f f f f f f f f f f
a.―It is not safe to take over-the- f f f f f f
counter drugs with prescription medications.‖ b.―Taking the two medications togethe f f f f f f f f f
r poses a risk of drug toxicity.‖
f f f f f f f
c.―There are no known drug interactions, so this will be safe.‖ f f f f f f f f f f f
d.―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ f f f f f f f f f f f f f
ANS: B f f
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is import f f f f f f f f f f f f f f f f f
ant to teach patients to be aware of the different names for the same drug to minimize the risk of overdos
f f f f f f f f f f f f f f f f f f f f
e. Over-the- f
counter (OTC) medications and prescription medications may be taken together unless significant ha f f f f f f f f f f f f
rmful drug interactions are possible. Even though no drug interactions are at play in this case, both dru
f f f f f f f f f f f f f f f f f
gs contain acetaminophen, which could lead to toxicity.
f f f f f f f f
DIF: Cognitive Level: Application f f f f
REF: Application of Pharmacology in Patient Education: Dosage and Administration
f f f f f f f f f f
