Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
, QUESTION 1 (MCQ)
Clinical Scenario:
A nurse administers an oral beta-blocker to a patient with
hypertension.
Question Stem:
Which concept best explains why the drug takes longer to
produce an effect compared to IV administration?
Options:
A. First-pass metabolism
B. Drug receptor affinity
C. Plasma protein binding
D. Therapeutic index
Correct Answer:
A. First-pass metabolism
Rationale:
Oral drugs undergo metabolism in the liver before reaching
systemic circulation, reducing bioavailability and delaying onset.
Distractor Analysis:
• B: Related to effect strength, not onset
• C: Affects distribution, not timing
• D: Refers to safety margin
,Nursing Process:
Assessment (primary) — Evaluate route effectiveness
Other steps ensure correct drug choice and monitoring
NCJMM:
Recognize cues, Analyze cues
Difficulty:
Easy
Bloom’s:
Understand
NCLEX Category:
Pharmacological Therapies
Learning Objective:
Explain pharmacokinetic differences between routes.
QUESTION 2 (SATA)
Scenario:
A patient is prescribed warfarin.
Question:
Which findings require immediate nursing action?
, Options:
A. INR 4.5
B. Black tarry stool
C. Nosebleeds
D. BP 120/80
E. Hemoglobin 8 g/dL
Correct Answers:
A, B, C, E
Rationale:
These indicate bleeding risk and excessive anticoagulation.
Distractor:
• D: Normal BP
Nursing Process:
Assessment — Identify bleeding
NCJMM:
Recognize cues, Prioritize hypotheses
Difficulty:
Moderate
Bloom’s:
Analyze
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
TEST BANK
, QUESTION 1 (MCQ)
Clinical Scenario:
A nurse administers an oral beta-blocker to a patient with
hypertension.
Question Stem:
Which concept best explains why the drug takes longer to
produce an effect compared to IV administration?
Options:
A. First-pass metabolism
B. Drug receptor affinity
C. Plasma protein binding
D. Therapeutic index
Correct Answer:
A. First-pass metabolism
Rationale:
Oral drugs undergo metabolism in the liver before reaching
systemic circulation, reducing bioavailability and delaying onset.
Distractor Analysis:
• B: Related to effect strength, not onset
• C: Affects distribution, not timing
• D: Refers to safety margin
,Nursing Process:
Assessment (primary) — Evaluate route effectiveness
Other steps ensure correct drug choice and monitoring
NCJMM:
Recognize cues, Analyze cues
Difficulty:
Easy
Bloom’s:
Understand
NCLEX Category:
Pharmacological Therapies
Learning Objective:
Explain pharmacokinetic differences between routes.
QUESTION 2 (SATA)
Scenario:
A patient is prescribed warfarin.
Question:
Which findings require immediate nursing action?
, Options:
A. INR 4.5
B. Black tarry stool
C. Nosebleeds
D. BP 120/80
E. Hemoglobin 8 g/dL
Correct Answers:
A, B, C, E
Rationale:
These indicate bleeding risk and excessive anticoagulation.
Distractor:
• D: Normal BP
Nursing Process:
Assessment — Identify bleeding
NCJMM:
Recognize cues, Prioritize hypotheses
Difficulty:
Moderate
Bloom’s:
Analyze
