Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Original NCLEX-RN Pharmacology Revision Question Bank
Part 1 – Pharmacology Basics
Topic: The Nursing Process and Drug Therapy
Questions 1–2
Original educational content developed for NCLEX-RN review
and nursing pharmacology education. Inspired by standard
nursing pharmacology competencies and the nursing process,
but not reproduced from any textbook or publisher test bank.
Question 1
Item Type
Multiple-Choice Question (MCQ)
Difficulty: Easy–Moderate
Clinical Scenario
,A medical-surgical nurse is preparing to administer the first
dose of an oral angiotensin-converting enzyme (ACE) inhibitor
to a 67-year-old patient newly diagnosed with hypertension.
During the medication assessment, the patient states, "I've had
swelling of my lips after taking a blood pressure medicine
several years ago, but I don't remember its name."
Question Stem
What is the nurse's priority action?
Answer Options
A. Administer the medication and observe for swelling.
B. Hold the medication and notify the prescribing provider
before administration.
C. Ask the patient to take the medication with food to reduce
adverse effects.
D. Administer half the prescribed dose and monitor blood
pressure.
Correct Answer
B. Hold the medication and notify the prescribing provider
before administration.
, Comprehensive Rationale
Why B is Correct
The assessment phase of the nursing process always precedes
medication administration. A history of lip or facial swelling
after taking an antihypertensive strongly suggests previous ACE
inhibitor-induced angioedema, a potentially life-threatening
adverse drug reaction.
Administering another ACE inhibitor may rapidly produce
airway edema requiring emergency intervention.
The nurse must:
• recognize the cue
• withhold the medication
• notify the prescriber
• document the allergy/history
• monitor airway status if symptoms recur
This reflects safe medication administration and prevention of
medication errors.
Pharmacologic Principles
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Original NCLEX-RN Pharmacology Revision Question Bank
Part 1 – Pharmacology Basics
Topic: The Nursing Process and Drug Therapy
Questions 1–2
Original educational content developed for NCLEX-RN review
and nursing pharmacology education. Inspired by standard
nursing pharmacology competencies and the nursing process,
but not reproduced from any textbook or publisher test bank.
Question 1
Item Type
Multiple-Choice Question (MCQ)
Difficulty: Easy–Moderate
Clinical Scenario
,A medical-surgical nurse is preparing to administer the first
dose of an oral angiotensin-converting enzyme (ACE) inhibitor
to a 67-year-old patient newly diagnosed with hypertension.
During the medication assessment, the patient states, "I've had
swelling of my lips after taking a blood pressure medicine
several years ago, but I don't remember its name."
Question Stem
What is the nurse's priority action?
Answer Options
A. Administer the medication and observe for swelling.
B. Hold the medication and notify the prescribing provider
before administration.
C. Ask the patient to take the medication with food to reduce
adverse effects.
D. Administer half the prescribed dose and monitor blood
pressure.
Correct Answer
B. Hold the medication and notify the prescribing provider
before administration.
, Comprehensive Rationale
Why B is Correct
The assessment phase of the nursing process always precedes
medication administration. A history of lip or facial swelling
after taking an antihypertensive strongly suggests previous ACE
inhibitor-induced angioedema, a potentially life-threatening
adverse drug reaction.
Administering another ACE inhibitor may rapidly produce
airway edema requiring emergency intervention.
The nurse must:
• recognize the cue
• withhold the medication
• notify the prescriber
• document the allergy/history
• monitor airway status if symptoms recur
This reflects safe medication administration and prevention of
medication errors.
Pharmacologic Principles
