COMPLETE TEST BANK FOR
LEHNE'S PHARMACOLOGY FOR NURSING CARE
10TH EDITION
BY JACQUELINE (ALL CHAPTERS 1-110 WITH VERIFIED ANSWERS PLUS
RATIONALES)
,TABLE OF CONTENTS
Chapter 1: Orientation To Pharmacology Test Bank.................................................................................................. 5
Chapter 2: Application Of Pharmacology In Nursing Practice Test Bank ................................................................. 8
Chapter 3: Drug Regulation, Development, Names, And Information Test Bank ................................................... 13
Chapter 4: Pharmacokinetics Test Bank ................................................................................................................... 16
Chapter 5: Pharmacodynamics Test Bank ................................................................................................................ 21
Chapter 6: Drug Interactions Test Bank ................................................................................................................... 24
Chapter 7: Adverse Drug Reactions And Medication Errors Test Bank .................................................................. 29
Chapter 8: Individual Variation In Drug Responses Test Bank ................................................................................ 34
Chapter 9: Drug Therapy During Pregnancy And Breast-Feeding Test Bank .......................................................... 38
Chapter 10: Drug Therapy In Pediatric Patients Test Bank ...................................................................................... 42
Chapter 11: Drug Therapy In Geriatric Patients Test Bank ...................................................................................... 46
Chapter 12: Basic Principles Of Neuropharmacology Test Bank............................................................................. 51
Chapter 13: Physiology Of The Peripheral Nervous System Test Bank .................................................................. 55
Chapter 14: Muscarinic Agonists And Antagonists Test Bank ................................................................................ 59
Chapter 15: Cholinesterase Inhibitors And Their Use In Myasthenia Gravis Test Bank ......................................... 63
Chapter 16: Drugs That Block Nicotinic Cholinergic Transmission: Neuromuscular Blocking Agents And
Ganglionic Blocking Agents .................................................................................................................................... 67
Chapter 17: Adrenergic Agonists Test Bank ............................................................................................................ 72
Chapter 18: Adrenergic Antagonists Test Bank ....................................................................................................... 77
Chapter 19: Indirect-Acting Antiadrenergic Agents Test Bank................................................................................ 83
Chapter 20: Introduction To Central Nervous System Pharmacology Test Bank .................................................... 88
Chapter 21: Drugs For Parkinson’s Disease Test Bank ............................................................................................ 91
Chapter 22: Alzheimer’s Disease Test Bank ............................................................................................................ 97
Chapter 23: Drugs For Multiple Sclerosis Test Bank ............................................................................................. 101
Chapter 24: Drugs For Epilepsy Test Bank ............................................................................................................ 106
Chapter 25: Drugs For Muscle Spasm And Spasticity Test Bank .......................................................................... 113
Chapter 26: Local Anesthetics Test Bank .............................................................................................................. 117
Chapter 27: General Anesthetics Test Bank ........................................................................................................... 122
Chapter 28: Opioid (Narcotic) Analgesics, Opioid Antagonists, And Nonopioid Centrally Acting Analgesics ... 127
Chapter 29: Pain Management In Patients With Cancer Test Bank ....................................................................... 133
Chapter 30: Drugs For Headache Test Bank .......................................................................................................... 140
Chapter 31: Antipsychotic Agents And Their Use In Schizophrenia Test Bank .................................................... 144
Chapter 32: Antidepressants Test Bank.................................................................................................................. 150
Chapter 33: Drugs For Bipolar Disorder Test Bank ............................................................................................... 157
Chapter 34: Sedative-Hypnotic Drugs Test Bank................................................................................................... 162
Chapter 35: Management Of Anxiety Disorders Test Bank ................................................................................... 169
Chapter 36: Central Nervous System Stimulants And Attention-Deficit/Hyperactivity Disorder .......................... 173
Chapter 37: Drug Abuse I: Basic Considerations Test Bank.................................................................................. 179
Chapter 38: Drug Abuse II: Alcohol Test Bank ..................................................................................................... 182
Chapter 39: Drug Abuse III: Nicotine And Smoking Test Bank ............................................................................ 189
Chapter 40: Drug Abuse IV: Major Drugs Of Abuse Other Than Alcohol And Nicotine Test Bank ..................... 193
,Chapter 41: Diuretics Test Bank ............................................................................................................................ 200
Chapter 42: Agents Affecting The Volume And Ion Content Of Body Fluids Test Bank...................................... 205
Chapter 43: Review Of Hemodynamics Test Bank ................................................................................................ 211
Chapter 44: Drugs Acting On The Renin-Angiotensin-Aldosterone System Test Bank ........................................ 214
Chapter 45: Calcium Channel Blockers Test Bank ................................................................................................ 219
Chapter 46: Vasodilators Test Bank ....................................................................................................................... 222
Chapter 47: Drugs For Hypertension Test Bank .................................................................................................... 226
Chapter 48: Drugs For Heart Failure Test Bank ..................................................................................................... 233
Chapter 49: Antidysrhythmic Drugs Test Bank ..................................................................................................... 241
Chapter 50: Prophylaxis Of Coronary Heart Disease: Drugs That Help Normalize Cholesterol And Triglyceride
Levels ..................................................................................................................................................................... 249
Chapter 51: Drugs For Angina Pectoris Test Bank ................................................................................................ 256
Chapter 52: Anticoagulant, Antiplatelet, And Thrombolytic Drugs Test Bank ..................................................... 262
Chapter 53: Management Of ST-Elevation Myocardial Infarction Test Bank ....................................................... 269
Chapter 54: Drugs For Hemophilia Test Bank ....................................................................................................... 273
Chapter 55: Drugs For Deficiency Anemias Test Bank ......................................................................................... 277
Chapter 56: Hematopoietic Agents Test Bank ....................................................................................................... 283
Chapter 57: Drugs For Diabetes Mellitus Test Bank.............................................................................................. 287
Chapter 58: Drugs For Thyroid Disorders Test Bank ............................................................................................. 293
Chapter 59: Drugs Related To Hypothalamic And Pituitary Function Test Bank.................................................. 299
Chapter 60: Drugs For Disorders Of The Adrenal Cortex Test Bank ..................................................................... 304
Chapter 61: Estrogens And Progestins: Basic Pharmacology And Noncontraceptive Applications ...................... 309
Chapter 62: Birth Control Test Bank ...................................................................................................................... 313
Chapter 63: Drug Therapy Of Infertility Test Bank ............................................................................................... 319
Chapter 64: Drugs That Affect Uterine Function Test Bank .................................................................................. 323
Chapter 65: Androgens Test Bank.......................................................................................................................... 327
Chapter 66: Drugs For Erectile Dysfunction And Benign Prostatic Hyperplasia Test Bank ................................. 332
Chapter 67: Review Of The Immune System Test Bank ........................................................................................ 336
Chapter 68: Childhood Immunization Test Bank ................................................................................................... 341
Chapter 69: Immunosuppressants Test Bank ......................................................................................................... 348
Chapter 70: Antihistamines Test Bank ................................................................................................................... 353
Chapter 71: Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs And Acetaminophen................ 359
Chapter 72: Glucocorticoids In Nonendocrine Disorders Test Bank ..................................................................... 365
Chapter 73: Drug Therapy Of Rheumatoid Arthritis Test Bank............................................................................. 372
Chapter 74: Drug Therapy Of Gout Test Bank....................................................................................................... 376
Chapter 75: Drugs Affecting Calcium Levels And Bone Mineralization Test Bank ............................................. 380
Chapter 76: Drugs For Asthma Test Bank.............................................................................................................. 386
Chapter 77: Drugs For Allergic Rhinitis, Cough, And Colds Test Bank ............................................................... 393
Chapter 78: Drugs For Peptic Ulcer Disease Test Bank ......................................................................................... 398
Chapter 79: Laxatives Test Bank............................................................................................................................ 403
Chapter 80: Other Gastrointestinal Drugs Test Bank ............................................................................................. 408
Chapter 81: Vitamins Test Bank ............................................................................................................................ 416
,Chapter 82: Drugs For Weight Loss Test Bank ...................................................................................................... 422
Chapter 83: Basic Principles Of Antimicrobial Therapy Test Bank....................................................................... 428
Chapter 84: Drugs That Weaken The Bacterial Cell Wall I: Penicillins Test Bank................................................ 434
Chapter 85: Drugs That Weaken The Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin,
Telavancin, Aztreonam, Teicoplanin, And Fosfomycin Test Bank ........................................................................ 440
Chapter 86: Bacteriostatic Inhibitors Of Protein Synthesis: Tetracyclines, Macrolides, And Others ..................... 445
Chapter 87: Aminoglycosides: Bactericidal Inhibitors Of Protein Synthesis Test Bank........................................ 453
Chapter 88: Sulfonamides And Trimethoprim Test Bank ...................................................................................... 460
Chapter 89: Drug Therapy Of Urinary Tract Infections Test Bank ........................................................................ 465
Chapter 90: Antimycobacterial Agents: Drugs For Tuberculosis, Leprosy, And Mycobacterium Avium Complex
Infection ................................................................................................................................................................. 471
Chapter 91: Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole, Daptomycin, Rifampin,
Rifaximin, Bacitracin, And Polymyxins ................................................................................................................ 479
Chapter 92: Antifungal Agents Test Bank.............................................................................................................. 483
Chapter 93: Antiviral Agents I: Drugs For Non-HIV Viral Infections Test Bank................................................... 492
Chapter 94: Antiviral Agents II: Drugs For HIV Infection And Related Opportunistic Infections ........................ 498
Chapter 95: Drug Therapy Of Sexually Transmitted Diseases Test Bank .............................................................. 504
Chapter 96: Antiseptics And Disinfectants Test Bank ........................................................................................... 509
Chapter 97: Anthelmintics Test Bank .................................................................................................................... 513
Chapter 98: Antiprotozoal Drugs I: Antimalarial Agents Test Bank...................................................................... 517
Chapter 99: Antiprotozoal Drugs II: Miscellaneous Agents Test Bank ................................................................. 522
Chapter 100: Ectoparasiticides Test Bank .............................................................................................................. 526
Chapter 101: Basic Principles Of Cancer Chemotherapy Test Bank ..................................................................... 531
Chapter 102: Anticancer Drugs I: Cytotoxic Agents Test Bank............................................................................. 537
Chapter 103: Anticancer Drugs II: Hormonal Agents, Targeted Drugs, And Other Noncytotoxic Anticancer Drugs
............................................................................................................................................................................... 544
Chapter 104: Drugs For The Eye Test Bank........................................................................................................... 549
Chapter 105: Drugs For The Skin Test Bank ......................................................................................................... 555
Chapter 106: Drugs For The Ear Test Bank ........................................................................................................... 563
Chapter 107: Miscellaneous Noteworthy Drugs Test Bank ................................................................................... 568
Chapter 108: Dietary Supplements Test Bank........................................................................................................ 572
Chapter 109: Management Of Poisoning Test Bank .............................................................................................. 576
Chapter 110: Potential Weapons Of Biologic, Radiologic, And Chemical Terrorism Test Bank ........................... 580
,Chapter 1: Orientation To Pharmacology
Test Bank
MULTIPLE CHOICE
1. The Nurse Is Teaching A Patient How A Medication Works To Treat An Illness. To Do
This, The Nurse Will Rely On Knowledge Of:
a. Clinical Pharmacology.
b. Drug Efficacy.
c. Pharmacokinetics.
d. Pharmacotherapeutics.
ANS: D
Pharmacotherapeutics Is The Study Of The Use Of Drugs To Diagnose, Treat, And Prevent
Conditions. Clinical Pharmacology Is Concerned With All Aspects Of Drug–Human
Interactions. Drug Efficacy Measures The Extent To Which A Given Drug Causes An
Intended Effect.
Pharmacokinetics Is The Study Of The Impact Of The Body On A Drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. What Does It Mean When A Drug Is Described As Easy To Administer?
a. It Can Be Stored Indefinitely Without Need For Refrigeration.
b. It Does Not Interact Significantly With Other Medications.
c. It Enhances Patient Adherence To The Drug Regimen.
d. It Is Usually Relatively Inexpensive To Produce.
ANS: C
A Major Benefit Of Drugs That Are Easy To Administer Is That Patients Taking Them Are
More Likely To Comply With The Drug Regimen. Drugs That Are Easy To Give May Have
The Other Attributes Listed, But Those Properties Are Independent Of Ease Of
Administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties Of An Ideal Drug: Ease Of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
3. A Patient Tells The Nurse That He Was Told By The Prescriber That The Analgesic He Is
Taking Is Very Effective. Which Statement By The Patient Demonstrates An
Understanding Of The Drug’s Effectiveness?
,a. “I Don’t Have To Worry About Toxicity, Since It Takes A Large Amount Of
This Drug To Cause An Overdose.”
b. “It Has No Side Effects And Doesn’t Interact With Other Drugs.”
c. “I Only Have To Take It Every 12 Hours.”
d. “It Might Make Me Sleepy, And It Lessens Pain For Several Hours At A Time.”
ANS: D
, A Drug Is Effective If It Produces The Intended Effects, Even If It Also Produces Side Effects.
Because No Drug Is Completely Safe, The Level Of Toxicity Does Not Determine
Effectiveness. All Drugs Have Side Effects And Many React With Other Substances; These
Do Not Affect The Drug’s Effectiveness. Ease Of Administration Is Independent Of A Drug’s
Effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties Of An Ideal
Drug TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
MULTIPLE RESPONSE
1. What Are The Properties Of An Ideal Drug? (Select All That Apply.)
a. Irreversible Action
b. Predictability
c. Ease Of Administration
d. Chemical Stability
e. A Simple Trade Name
ANS: B, C, D
In Addition To Predictability, Ease Of Administration, And Chemical Stability, Other
Properties Include A Reversible Action So That Any Harm The Drug May Cause Can Be
Undone And A Simple Generic Name, Because Generic Names Are Usually Complex And
Difficult To Remember And Pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties Of An Ideal Drug | Additional Properties Of An Ideal
Drug TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. Before Administering A Medication, What Does The Nurse Need To Know To Evaluate
How Individual Patient Variability Might Affect The Patient’s Response To The Medication?
(Select All That Apply.)
a. Chemical Stability Of The Medication
b. Ease Of Administration
c. Family Medical History
d. Patient’s Age
e. Patient’s Diagnosis
ANS: C, D, E
The Family Medical History Can Indicate Genetic Factors That May Affect A Patient’s
Response To A Medication. Patients Of Different Ages Can Respond Differently To
Medications. The Patient’s Illness Can Affect How Drugs Are Metabolized. The Chemical
Stability Of The Medication And The Ease Of Administration Are Properties Of Drugs.
DIF: Cognitive Level: Analysis REF: Sources Of Individual
Variation TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
,Chapter 2: Application Of Pharmacology In Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A Patient Is Using A Metered-Dose Inhaler Containing Albuterol For Asthma. The
Medication Label Instructs The Patient To Administer “2 Puffs Every 4 Hours As Needed
For Coughing Or Wheezing.” The Patient Reports Feeling Jittery Sometimes When Taking
The Medication, And She Doesn’t Feel That The Medication Is Always Effective. Which Is
Not An Appropriate Nursing Intervention For This Patient?
a. Asking The Patient To Demonstrate Use Of The Inhaler
b. Assessing The Patient’s Exposure To Tobacco Smoke
c. Auscultating Lung Sounds And Obtaining Vital Signs
d. Suggesting That The Patient Use One Puff To Reduce Side Effects
ANS: D
It Is Not Within The Nurse’s Scope Of Practice To Change The Dose Of A Medication
Without An Order From A Prescriber. Asking The Patient To Demonstrate Inhaler Use Helps
The Nurse To Evaluate The Patient’s Ability To Administer The Medication Properly And Is
Part Of The Nurse’s Evaluation. Assessing Tobacco Smoke Exposure Helps The Nurse
Determine Whether Nondrug Therapies, Such A Smoke Avoidance, Can Be Used As An
Adjunct To Drug Therapy. Performing A Physical Assessment Helps The Nurse Evaluate The
Patient’s Response To The Medication.
DIF: Cognitive Level: Application
REF: Applying The Nursing Process In Drug Therapy: Preadministration Assessment [And
All Subsections Under This Heading] TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. A Postoperative Patient Is Being Discharged Home With Acetaminophen/Hydrocodone
(Lortab) For Pain. The Patient Asks The Nurse About Using Tylenol For Fever. Which
Statement By The Nurse Is Correct?
a. “It Is Not Safe To Take Over-The-Counter Drugs With Prescription Medications.”
b. “Taking The Two Medications Together Poses A Risk Of Drug Toxicity.”
c. “There Are No Known Drug Interactions, So This Will Be Safe.”
d. “Tylenol And Lortab Are Different Drugs, So There Is No Risk Of Overdose.”
ANS: B
Tylenol Is The Trade Name And Acetaminophen Is The Generic Name For The Same
Medication. It Is Important To Teach Patients To Be Aware Of The Different Names For The
Same Drug To Minimize The Risk Of Overdose. Over-The-Counter (OTC) Medications And
Prescription Medications May Be Taken Together Unless Significant Harmful Drug
Interactions Are Possible. Even Though No Drug Interactions Are At Play In This Case, Both
Drugs Contain Acetaminophen, Which Could Lead To Toxicity.
DIF: Cognitive Level: Application
REF: Application Of Pharmacology In Patient Education: Dosage And Administration
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
, 3. The Nurse Is Preparing To Care For A Patient Who Will Be Taking An Antihypertensive
Medication. Which Action By The Nurse Is Part Of The Assessment Step Of The Nursing
Process?
a. Asking The Prescriber For An Order To Monitor Serum Drug Levels
b. Monitoring The Patient For Drug Interactions After Giving The Medication
c. Questioning The Patient About Over-The-Counter Medications
d. Taking The Patient’s Blood Pressure Throughout The Course Of Treatment
ANS: C
The Assessment Part Of The Nursing Process Involves Gathering Information Before
Beginning Treatment, And This Includes Asking About Other Medications The Patient May
Be Taking.
Monitoring Serum Drug Levels, Watching For Drug Interactions, And Checking Vital Signs
After Giving The Medication Are All Part Of The Evaluation Phase.
DIF: Cognitive Level: Application REF: Preadministration Assessment
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
4. A Postoperative Patient Reports Pain, Which The Patient Rates As An 8 On A Scale From
1 To 10 (10 Being The Most Extreme Pain). The Prescriber Has Ordered Acetaminophen
(Tylenol) 650 Mg PO Every 6 Hours PRN Pain. What Will The Nurse Do?
a. Ask The Patient What Medications Have Helped With Pain In The Past.
b. Contact The Provider To Request A Different Analgesic Medication.
c. Give The Pain Medication And Reposition The Patient To Promote Comfort.
d. Request An Order To Administer The Medication Every 4 Hours.
ANS: B
The Nursing Diagnosis For This Patient Is Severe Pain. Acetaminophen Is Given For Mild To
Moderate Pain, So The Nurse Should Ask The Prescriber To Order A Stronger Analgesic
Medication. Asking The Patient To Tell The Nurse What Has Helped In The Past Is A Part Of
An Initial Assessment And Should Be Done Preoperatively And Not When The Patient Is
Having Severe Pain. Because The Patient Is Having Severe Pain, Acetaminophen Combined
With Nondrug Therapies Will Not Be Sufficient. Increasing The Frequency Of The Dose Of A
Medication For Mild Pain Will Not Be Effective.
DIF: Cognitive Level: Analysis REF: Analysis And Nursing
Diagnosis TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. A Patient Newly Diagnosed With Diabetes Is To Be Discharged From The Hospital. The
Nurse Teaching This Patient About Home Management Should Begin By Doing What?
a. Asking The Patient To Demonstrate How To Measure And Administer Insulin
b. Discussing Methods Of Storing Insulin And Discarding Syringes
c. Giving Information About How Diet And Exercise Affect Insulin Requirements
d. Teaching The Patient About The Long-Term Consequences Of Poor Diabetes Control
ANS: A
LEHNE'S PHARMACOLOGY FOR NURSING CARE
10TH EDITION
BY JACQUELINE (ALL CHAPTERS 1-110 WITH VERIFIED ANSWERS PLUS
RATIONALES)
,TABLE OF CONTENTS
Chapter 1: Orientation To Pharmacology Test Bank.................................................................................................. 5
Chapter 2: Application Of Pharmacology In Nursing Practice Test Bank ................................................................. 8
Chapter 3: Drug Regulation, Development, Names, And Information Test Bank ................................................... 13
Chapter 4: Pharmacokinetics Test Bank ................................................................................................................... 16
Chapter 5: Pharmacodynamics Test Bank ................................................................................................................ 21
Chapter 6: Drug Interactions Test Bank ................................................................................................................... 24
Chapter 7: Adverse Drug Reactions And Medication Errors Test Bank .................................................................. 29
Chapter 8: Individual Variation In Drug Responses Test Bank ................................................................................ 34
Chapter 9: Drug Therapy During Pregnancy And Breast-Feeding Test Bank .......................................................... 38
Chapter 10: Drug Therapy In Pediatric Patients Test Bank ...................................................................................... 42
Chapter 11: Drug Therapy In Geriatric Patients Test Bank ...................................................................................... 46
Chapter 12: Basic Principles Of Neuropharmacology Test Bank............................................................................. 51
Chapter 13: Physiology Of The Peripheral Nervous System Test Bank .................................................................. 55
Chapter 14: Muscarinic Agonists And Antagonists Test Bank ................................................................................ 59
Chapter 15: Cholinesterase Inhibitors And Their Use In Myasthenia Gravis Test Bank ......................................... 63
Chapter 16: Drugs That Block Nicotinic Cholinergic Transmission: Neuromuscular Blocking Agents And
Ganglionic Blocking Agents .................................................................................................................................... 67
Chapter 17: Adrenergic Agonists Test Bank ............................................................................................................ 72
Chapter 18: Adrenergic Antagonists Test Bank ....................................................................................................... 77
Chapter 19: Indirect-Acting Antiadrenergic Agents Test Bank................................................................................ 83
Chapter 20: Introduction To Central Nervous System Pharmacology Test Bank .................................................... 88
Chapter 21: Drugs For Parkinson’s Disease Test Bank ............................................................................................ 91
Chapter 22: Alzheimer’s Disease Test Bank ............................................................................................................ 97
Chapter 23: Drugs For Multiple Sclerosis Test Bank ............................................................................................. 101
Chapter 24: Drugs For Epilepsy Test Bank ............................................................................................................ 106
Chapter 25: Drugs For Muscle Spasm And Spasticity Test Bank .......................................................................... 113
Chapter 26: Local Anesthetics Test Bank .............................................................................................................. 117
Chapter 27: General Anesthetics Test Bank ........................................................................................................... 122
Chapter 28: Opioid (Narcotic) Analgesics, Opioid Antagonists, And Nonopioid Centrally Acting Analgesics ... 127
Chapter 29: Pain Management In Patients With Cancer Test Bank ....................................................................... 133
Chapter 30: Drugs For Headache Test Bank .......................................................................................................... 140
Chapter 31: Antipsychotic Agents And Their Use In Schizophrenia Test Bank .................................................... 144
Chapter 32: Antidepressants Test Bank.................................................................................................................. 150
Chapter 33: Drugs For Bipolar Disorder Test Bank ............................................................................................... 157
Chapter 34: Sedative-Hypnotic Drugs Test Bank................................................................................................... 162
Chapter 35: Management Of Anxiety Disorders Test Bank ................................................................................... 169
Chapter 36: Central Nervous System Stimulants And Attention-Deficit/Hyperactivity Disorder .......................... 173
Chapter 37: Drug Abuse I: Basic Considerations Test Bank.................................................................................. 179
Chapter 38: Drug Abuse II: Alcohol Test Bank ..................................................................................................... 182
Chapter 39: Drug Abuse III: Nicotine And Smoking Test Bank ............................................................................ 189
Chapter 40: Drug Abuse IV: Major Drugs Of Abuse Other Than Alcohol And Nicotine Test Bank ..................... 193
,Chapter 41: Diuretics Test Bank ............................................................................................................................ 200
Chapter 42: Agents Affecting The Volume And Ion Content Of Body Fluids Test Bank...................................... 205
Chapter 43: Review Of Hemodynamics Test Bank ................................................................................................ 211
Chapter 44: Drugs Acting On The Renin-Angiotensin-Aldosterone System Test Bank ........................................ 214
Chapter 45: Calcium Channel Blockers Test Bank ................................................................................................ 219
Chapter 46: Vasodilators Test Bank ....................................................................................................................... 222
Chapter 47: Drugs For Hypertension Test Bank .................................................................................................... 226
Chapter 48: Drugs For Heart Failure Test Bank ..................................................................................................... 233
Chapter 49: Antidysrhythmic Drugs Test Bank ..................................................................................................... 241
Chapter 50: Prophylaxis Of Coronary Heart Disease: Drugs That Help Normalize Cholesterol And Triglyceride
Levels ..................................................................................................................................................................... 249
Chapter 51: Drugs For Angina Pectoris Test Bank ................................................................................................ 256
Chapter 52: Anticoagulant, Antiplatelet, And Thrombolytic Drugs Test Bank ..................................................... 262
Chapter 53: Management Of ST-Elevation Myocardial Infarction Test Bank ....................................................... 269
Chapter 54: Drugs For Hemophilia Test Bank ....................................................................................................... 273
Chapter 55: Drugs For Deficiency Anemias Test Bank ......................................................................................... 277
Chapter 56: Hematopoietic Agents Test Bank ....................................................................................................... 283
Chapter 57: Drugs For Diabetes Mellitus Test Bank.............................................................................................. 287
Chapter 58: Drugs For Thyroid Disorders Test Bank ............................................................................................. 293
Chapter 59: Drugs Related To Hypothalamic And Pituitary Function Test Bank.................................................. 299
Chapter 60: Drugs For Disorders Of The Adrenal Cortex Test Bank ..................................................................... 304
Chapter 61: Estrogens And Progestins: Basic Pharmacology And Noncontraceptive Applications ...................... 309
Chapter 62: Birth Control Test Bank ...................................................................................................................... 313
Chapter 63: Drug Therapy Of Infertility Test Bank ............................................................................................... 319
Chapter 64: Drugs That Affect Uterine Function Test Bank .................................................................................. 323
Chapter 65: Androgens Test Bank.......................................................................................................................... 327
Chapter 66: Drugs For Erectile Dysfunction And Benign Prostatic Hyperplasia Test Bank ................................. 332
Chapter 67: Review Of The Immune System Test Bank ........................................................................................ 336
Chapter 68: Childhood Immunization Test Bank ................................................................................................... 341
Chapter 69: Immunosuppressants Test Bank ......................................................................................................... 348
Chapter 70: Antihistamines Test Bank ................................................................................................................... 353
Chapter 71: Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs And Acetaminophen................ 359
Chapter 72: Glucocorticoids In Nonendocrine Disorders Test Bank ..................................................................... 365
Chapter 73: Drug Therapy Of Rheumatoid Arthritis Test Bank............................................................................. 372
Chapter 74: Drug Therapy Of Gout Test Bank....................................................................................................... 376
Chapter 75: Drugs Affecting Calcium Levels And Bone Mineralization Test Bank ............................................. 380
Chapter 76: Drugs For Asthma Test Bank.............................................................................................................. 386
Chapter 77: Drugs For Allergic Rhinitis, Cough, And Colds Test Bank ............................................................... 393
Chapter 78: Drugs For Peptic Ulcer Disease Test Bank ......................................................................................... 398
Chapter 79: Laxatives Test Bank............................................................................................................................ 403
Chapter 80: Other Gastrointestinal Drugs Test Bank ............................................................................................. 408
Chapter 81: Vitamins Test Bank ............................................................................................................................ 416
,Chapter 82: Drugs For Weight Loss Test Bank ...................................................................................................... 422
Chapter 83: Basic Principles Of Antimicrobial Therapy Test Bank....................................................................... 428
Chapter 84: Drugs That Weaken The Bacterial Cell Wall I: Penicillins Test Bank................................................ 434
Chapter 85: Drugs That Weaken The Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin,
Telavancin, Aztreonam, Teicoplanin, And Fosfomycin Test Bank ........................................................................ 440
Chapter 86: Bacteriostatic Inhibitors Of Protein Synthesis: Tetracyclines, Macrolides, And Others ..................... 445
Chapter 87: Aminoglycosides: Bactericidal Inhibitors Of Protein Synthesis Test Bank........................................ 453
Chapter 88: Sulfonamides And Trimethoprim Test Bank ...................................................................................... 460
Chapter 89: Drug Therapy Of Urinary Tract Infections Test Bank ........................................................................ 465
Chapter 90: Antimycobacterial Agents: Drugs For Tuberculosis, Leprosy, And Mycobacterium Avium Complex
Infection ................................................................................................................................................................. 471
Chapter 91: Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole, Daptomycin, Rifampin,
Rifaximin, Bacitracin, And Polymyxins ................................................................................................................ 479
Chapter 92: Antifungal Agents Test Bank.............................................................................................................. 483
Chapter 93: Antiviral Agents I: Drugs For Non-HIV Viral Infections Test Bank................................................... 492
Chapter 94: Antiviral Agents II: Drugs For HIV Infection And Related Opportunistic Infections ........................ 498
Chapter 95: Drug Therapy Of Sexually Transmitted Diseases Test Bank .............................................................. 504
Chapter 96: Antiseptics And Disinfectants Test Bank ........................................................................................... 509
Chapter 97: Anthelmintics Test Bank .................................................................................................................... 513
Chapter 98: Antiprotozoal Drugs I: Antimalarial Agents Test Bank...................................................................... 517
Chapter 99: Antiprotozoal Drugs II: Miscellaneous Agents Test Bank ................................................................. 522
Chapter 100: Ectoparasiticides Test Bank .............................................................................................................. 526
Chapter 101: Basic Principles Of Cancer Chemotherapy Test Bank ..................................................................... 531
Chapter 102: Anticancer Drugs I: Cytotoxic Agents Test Bank............................................................................. 537
Chapter 103: Anticancer Drugs II: Hormonal Agents, Targeted Drugs, And Other Noncytotoxic Anticancer Drugs
............................................................................................................................................................................... 544
Chapter 104: Drugs For The Eye Test Bank........................................................................................................... 549
Chapter 105: Drugs For The Skin Test Bank ......................................................................................................... 555
Chapter 106: Drugs For The Ear Test Bank ........................................................................................................... 563
Chapter 107: Miscellaneous Noteworthy Drugs Test Bank ................................................................................... 568
Chapter 108: Dietary Supplements Test Bank........................................................................................................ 572
Chapter 109: Management Of Poisoning Test Bank .............................................................................................. 576
Chapter 110: Potential Weapons Of Biologic, Radiologic, And Chemical Terrorism Test Bank ........................... 580
,Chapter 1: Orientation To Pharmacology
Test Bank
MULTIPLE CHOICE
1. The Nurse Is Teaching A Patient How A Medication Works To Treat An Illness. To Do
This, The Nurse Will Rely On Knowledge Of:
a. Clinical Pharmacology.
b. Drug Efficacy.
c. Pharmacokinetics.
d. Pharmacotherapeutics.
ANS: D
Pharmacotherapeutics Is The Study Of The Use Of Drugs To Diagnose, Treat, And Prevent
Conditions. Clinical Pharmacology Is Concerned With All Aspects Of Drug–Human
Interactions. Drug Efficacy Measures The Extent To Which A Given Drug Causes An
Intended Effect.
Pharmacokinetics Is The Study Of The Impact Of The Body On A Drug.
DIF: Cognitive Level: Comprehension REF: Four Basic Terms
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. What Does It Mean When A Drug Is Described As Easy To Administer?
a. It Can Be Stored Indefinitely Without Need For Refrigeration.
b. It Does Not Interact Significantly With Other Medications.
c. It Enhances Patient Adherence To The Drug Regimen.
d. It Is Usually Relatively Inexpensive To Produce.
ANS: C
A Major Benefit Of Drugs That Are Easy To Administer Is That Patients Taking Them Are
More Likely To Comply With The Drug Regimen. Drugs That Are Easy To Give May Have
The Other Attributes Listed, But Those Properties Are Independent Of Ease Of
Administration.
DIF: Cognitive Level: Comprehension
REF: Additional Properties Of An Ideal Drug: Ease Of Administration
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
3. A Patient Tells The Nurse That He Was Told By The Prescriber That The Analgesic He Is
Taking Is Very Effective. Which Statement By The Patient Demonstrates An
Understanding Of The Drug’s Effectiveness?
,a. “I Don’t Have To Worry About Toxicity, Since It Takes A Large Amount Of
This Drug To Cause An Overdose.”
b. “It Has No Side Effects And Doesn’t Interact With Other Drugs.”
c. “I Only Have To Take It Every 12 Hours.”
d. “It Might Make Me Sleepy, And It Lessens Pain For Several Hours At A Time.”
ANS: D
, A Drug Is Effective If It Produces The Intended Effects, Even If It Also Produces Side Effects.
Because No Drug Is Completely Safe, The Level Of Toxicity Does Not Determine
Effectiveness. All Drugs Have Side Effects And Many React With Other Substances; These
Do Not Affect The Drug’s Effectiveness. Ease Of Administration Is Independent Of A Drug’s
Effectiveness.
DIF: Cognitive Level: Comprehension REF: Properties Of An Ideal
Drug TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
MULTIPLE RESPONSE
1. What Are The Properties Of An Ideal Drug? (Select All That Apply.)
a. Irreversible Action
b. Predictability
c. Ease Of Administration
d. Chemical Stability
e. A Simple Trade Name
ANS: B, C, D
In Addition To Predictability, Ease Of Administration, And Chemical Stability, Other
Properties Include A Reversible Action So That Any Harm The Drug May Cause Can Be
Undone And A Simple Generic Name, Because Generic Names Are Usually Complex And
Difficult To Remember And Pronounce.
DIF: Cognitive Level: Comprehension
REF: Properties Of An Ideal Drug | Additional Properties Of An Ideal
Drug TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. Before Administering A Medication, What Does The Nurse Need To Know To Evaluate
How Individual Patient Variability Might Affect The Patient’s Response To The Medication?
(Select All That Apply.)
a. Chemical Stability Of The Medication
b. Ease Of Administration
c. Family Medical History
d. Patient’s Age
e. Patient’s Diagnosis
ANS: C, D, E
The Family Medical History Can Indicate Genetic Factors That May Affect A Patient’s
Response To A Medication. Patients Of Different Ages Can Respond Differently To
Medications. The Patient’s Illness Can Affect How Drugs Are Metabolized. The Chemical
Stability Of The Medication And The Ease Of Administration Are Properties Of Drugs.
DIF: Cognitive Level: Analysis REF: Sources Of Individual
Variation TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
,Chapter 2: Application Of Pharmacology In Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A Patient Is Using A Metered-Dose Inhaler Containing Albuterol For Asthma. The
Medication Label Instructs The Patient To Administer “2 Puffs Every 4 Hours As Needed
For Coughing Or Wheezing.” The Patient Reports Feeling Jittery Sometimes When Taking
The Medication, And She Doesn’t Feel That The Medication Is Always Effective. Which Is
Not An Appropriate Nursing Intervention For This Patient?
a. Asking The Patient To Demonstrate Use Of The Inhaler
b. Assessing The Patient’s Exposure To Tobacco Smoke
c. Auscultating Lung Sounds And Obtaining Vital Signs
d. Suggesting That The Patient Use One Puff To Reduce Side Effects
ANS: D
It Is Not Within The Nurse’s Scope Of Practice To Change The Dose Of A Medication
Without An Order From A Prescriber. Asking The Patient To Demonstrate Inhaler Use Helps
The Nurse To Evaluate The Patient’s Ability To Administer The Medication Properly And Is
Part Of The Nurse’s Evaluation. Assessing Tobacco Smoke Exposure Helps The Nurse
Determine Whether Nondrug Therapies, Such A Smoke Avoidance, Can Be Used As An
Adjunct To Drug Therapy. Performing A Physical Assessment Helps The Nurse Evaluate The
Patient’s Response To The Medication.
DIF: Cognitive Level: Application
REF: Applying The Nursing Process In Drug Therapy: Preadministration Assessment [And
All Subsections Under This Heading] TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
2. A Postoperative Patient Is Being Discharged Home With Acetaminophen/Hydrocodone
(Lortab) For Pain. The Patient Asks The Nurse About Using Tylenol For Fever. Which
Statement By The Nurse Is Correct?
a. “It Is Not Safe To Take Over-The-Counter Drugs With Prescription Medications.”
b. “Taking The Two Medications Together Poses A Risk Of Drug Toxicity.”
c. “There Are No Known Drug Interactions, So This Will Be Safe.”
d. “Tylenol And Lortab Are Different Drugs, So There Is No Risk Of Overdose.”
ANS: B
Tylenol Is The Trade Name And Acetaminophen Is The Generic Name For The Same
Medication. It Is Important To Teach Patients To Be Aware Of The Different Names For The
Same Drug To Minimize The Risk Of Overdose. Over-The-Counter (OTC) Medications And
Prescription Medications May Be Taken Together Unless Significant Harmful Drug
Interactions Are Possible. Even Though No Drug Interactions Are At Play In This Case, Both
Drugs Contain Acetaminophen, Which Could Lead To Toxicity.
DIF: Cognitive Level: Application
REF: Application Of Pharmacology In Patient Education: Dosage And Administration
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
, 3. The Nurse Is Preparing To Care For A Patient Who Will Be Taking An Antihypertensive
Medication. Which Action By The Nurse Is Part Of The Assessment Step Of The Nursing
Process?
a. Asking The Prescriber For An Order To Monitor Serum Drug Levels
b. Monitoring The Patient For Drug Interactions After Giving The Medication
c. Questioning The Patient About Over-The-Counter Medications
d. Taking The Patient’s Blood Pressure Throughout The Course Of Treatment
ANS: C
The Assessment Part Of The Nursing Process Involves Gathering Information Before
Beginning Treatment, And This Includes Asking About Other Medications The Patient May
Be Taking.
Monitoring Serum Drug Levels, Watching For Drug Interactions, And Checking Vital Signs
After Giving The Medication Are All Part Of The Evaluation Phase.
DIF: Cognitive Level: Application REF: Preadministration Assessment
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
4. A Postoperative Patient Reports Pain, Which The Patient Rates As An 8 On A Scale From
1 To 10 (10 Being The Most Extreme Pain). The Prescriber Has Ordered Acetaminophen
(Tylenol) 650 Mg PO Every 6 Hours PRN Pain. What Will The Nurse Do?
a. Ask The Patient What Medications Have Helped With Pain In The Past.
b. Contact The Provider To Request A Different Analgesic Medication.
c. Give The Pain Medication And Reposition The Patient To Promote Comfort.
d. Request An Order To Administer The Medication Every 4 Hours.
ANS: B
The Nursing Diagnosis For This Patient Is Severe Pain. Acetaminophen Is Given For Mild To
Moderate Pain, So The Nurse Should Ask The Prescriber To Order A Stronger Analgesic
Medication. Asking The Patient To Tell The Nurse What Has Helped In The Past Is A Part Of
An Initial Assessment And Should Be Done Preoperatively And Not When The Patient Is
Having Severe Pain. Because The Patient Is Having Severe Pain, Acetaminophen Combined
With Nondrug Therapies Will Not Be Sufficient. Increasing The Frequency Of The Dose Of A
Medication For Mild Pain Will Not Be Effective.
DIF: Cognitive Level: Analysis REF: Analysis And Nursing
Diagnosis TOP: Nursing Process: Diagnosis
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. A Patient Newly Diagnosed With Diabetes Is To Be Discharged From The Hospital. The
Nurse Teaching This Patient About Home Management Should Begin By Doing What?
a. Asking The Patient To Demonstrate How To Measure And Administer Insulin
b. Discussing Methods Of Storing Insulin And Discarding Syringes
c. Giving Information About How Diet And Exercise Affect Insulin Requirements
d. Teaching The Patient About The Long-Term Consequences Of Poor Diabetes Control
ANS: A
