**COMPREHENSIVE TEST
BANK FOR INTRODUCTION
TO CLINICAL
PHARMACOLOGY, 11TH
EDITION BY VISOVSKY
(CHAPTERS 1-23) –
DOWNLOADABLE PDF**
Question 1: The LPN is collecting data for the initial assessment of a patient upon
admission to a long-term care facility before giving the patient's prescribed drugs.
Which action should the LPN consider to be the highest priority?
A. Obtain any special equipment that will be needed to give the patient's drug.
B. Monitor the patient for a response to the drug given.
C. Collect data about the patient and the patient's health condition.
D. Review the nursing care plan to verify that it is accurate.
Correct Answer: C
Rationale: Collecting and documenting data about the patient and the patient's health
condition is a critical step before any drugs are given. Information regarding the present
illness, any signs and symptoms, review of medical records, drug history, and vital signs
are needed before drugs are given. Deciding on special equipment is part of the
planning phase. Monitoring for response is part of the evaluation stage. Reviewing the
nursing care plan is part of the implementation stage .
,Question 2: The LPN is working with a patient in the planning stage of the nursing
process related to the patient's prescribed drugs. Which action should the LPN
take during this stage?
A. Develop a nursing goal to plan the procedures needed to give drug.
B. Develop a teaching plan for the patient regarding the drug's actions.
C. Determine that the patient is experiencing the expected response to his drug.
D. Determine how much the patient understands about his drug.
Correct Answer: A
Rationale: Developing a nursing goal and developing a teaching plan are part of the
planning phase of the nursing process. Determining how much the patient understands
is part of the diagnosis phase. Determining whether the patient is experiencing the
expected response is part of the evaluation phase .
Question 3: You are teaching a patient with depression about the potential
adverse effects of a prescribed drug. What part of the nursing process related to
drug therapy are you engaging in at this point of the teaching plan?
A. Assessment
B. Implementation
C. Evaluation
D. Diagnosis
Correct Answer: C
Rationale: In the evaluation phase of the nursing process, the LPN understands and
teaches to the patient the drug's therapeutic effects, expected side effects, and potential
adverse effects .
Question 4: Which of the following is an example of subjective data?
,A. The patient states she has pain in her left arm.
B. The medical chart has a recorded blood pressure of 128/88.
C. The serum potassium level is 3.8 mmol/L.
D. The patient's ECG shows normal sinus rhythm.
Correct Answer: A
Rationale: Reports from the patient or patient's caregiver are considered subjective
data. Symptoms such as pain, nausea, or dizziness are examples of symptoms that
cannot be "seen" and are data collected from the patient, caregiver, or others.
Laboratory values, ECG results, or vital sign data from a medical chart are examples of
objective data .
Question 5: Which statement provides an example of objective data?
A. The wife states the patient was confused last night.
B. Grimacing with movement is present during the examination.
C. The patient reports moderate alcohol consumption.
D. The patient states pain is severe.
Correct Answer: B
Rationale: Measurable data obtained during a physical exam such as grimacing with
movement is an example of objective data. Subjective data includes information
presented by the patient or family that cannot be substantiated such as a wife's report
of a patient's confusion, patient report of degree of alcohol consumption, and a
patient's pain rating .
Question 6: The LPN/VN is assessing a patient before giving a drug for blood
pressure management. The nurse notes the blood pressure to be 90/50 mm Hg.
What is the nurse's best action?
A. Hold the drug and report the blood pressure to the RN.
B. Give the patient a full glass of water before giving the drug.
C. Come back in 30 minutes and recheck the blood pressure.
D. Have the patient perform pursed lip breathing before giving the drug.
, Correct Answer: A
Rationale: The best action is to hold the drug and contact the RN. A blood pressure of
90/50 mm Hg is below the normal range and may indicate hypotension. Administering
an antihypertensive medication could further lower the blood pressure and compromise
patient safety .
Question 7: A patient with newly diagnosed hypertension is prescribed a thiazide
diuretic. The patient asks how thiazide diuretic drugs reduce high blood pressure.
What is your best response?
A. "Thiazide diuretics reduce blood volume and relax vascular smooth muscle in the
arterioles, reducing blood pressure."
B. "Thiazide diuretics increase potassium excretion and slow heart contractions, reducing
blood pressure."
C. "Thiazide diuretics release sodium from cellular storage sites to reduce blood
pressure."
D. "Thiazide diuretics increase the reabsorption of sodium, potassium and chlorides,
reducing blood pressure."
Correct Answer: A
Rationale: Blood pressure is maintained by fluid volume in circulation, the force of heart
contractions, and the constriction of blood vessels that provide resistance. All diuretics
help lower blood pressure by reducing the amount of fluid (volume) in the blood.
Thiazide and thiazide-like diuretics also relax blood vessel smooth muscle, which
decreases vascular resistance to blood flow. The reduced volume and decreased
resistance result in lower blood pressure .
Question 8: You are teaching a patient about the side effects of diuretics. Which
health problem is a potential side effect or adverse reaction of any class of diuretic
drug?
A. Dehydration
B. Heart failure
BANK FOR INTRODUCTION
TO CLINICAL
PHARMACOLOGY, 11TH
EDITION BY VISOVSKY
(CHAPTERS 1-23) –
DOWNLOADABLE PDF**
Question 1: The LPN is collecting data for the initial assessment of a patient upon
admission to a long-term care facility before giving the patient's prescribed drugs.
Which action should the LPN consider to be the highest priority?
A. Obtain any special equipment that will be needed to give the patient's drug.
B. Monitor the patient for a response to the drug given.
C. Collect data about the patient and the patient's health condition.
D. Review the nursing care plan to verify that it is accurate.
Correct Answer: C
Rationale: Collecting and documenting data about the patient and the patient's health
condition is a critical step before any drugs are given. Information regarding the present
illness, any signs and symptoms, review of medical records, drug history, and vital signs
are needed before drugs are given. Deciding on special equipment is part of the
planning phase. Monitoring for response is part of the evaluation stage. Reviewing the
nursing care plan is part of the implementation stage .
,Question 2: The LPN is working with a patient in the planning stage of the nursing
process related to the patient's prescribed drugs. Which action should the LPN
take during this stage?
A. Develop a nursing goal to plan the procedures needed to give drug.
B. Develop a teaching plan for the patient regarding the drug's actions.
C. Determine that the patient is experiencing the expected response to his drug.
D. Determine how much the patient understands about his drug.
Correct Answer: A
Rationale: Developing a nursing goal and developing a teaching plan are part of the
planning phase of the nursing process. Determining how much the patient understands
is part of the diagnosis phase. Determining whether the patient is experiencing the
expected response is part of the evaluation phase .
Question 3: You are teaching a patient with depression about the potential
adverse effects of a prescribed drug. What part of the nursing process related to
drug therapy are you engaging in at this point of the teaching plan?
A. Assessment
B. Implementation
C. Evaluation
D. Diagnosis
Correct Answer: C
Rationale: In the evaluation phase of the nursing process, the LPN understands and
teaches to the patient the drug's therapeutic effects, expected side effects, and potential
adverse effects .
Question 4: Which of the following is an example of subjective data?
,A. The patient states she has pain in her left arm.
B. The medical chart has a recorded blood pressure of 128/88.
C. The serum potassium level is 3.8 mmol/L.
D. The patient's ECG shows normal sinus rhythm.
Correct Answer: A
Rationale: Reports from the patient or patient's caregiver are considered subjective
data. Symptoms such as pain, nausea, or dizziness are examples of symptoms that
cannot be "seen" and are data collected from the patient, caregiver, or others.
Laboratory values, ECG results, or vital sign data from a medical chart are examples of
objective data .
Question 5: Which statement provides an example of objective data?
A. The wife states the patient was confused last night.
B. Grimacing with movement is present during the examination.
C. The patient reports moderate alcohol consumption.
D. The patient states pain is severe.
Correct Answer: B
Rationale: Measurable data obtained during a physical exam such as grimacing with
movement is an example of objective data. Subjective data includes information
presented by the patient or family that cannot be substantiated such as a wife's report
of a patient's confusion, patient report of degree of alcohol consumption, and a
patient's pain rating .
Question 6: The LPN/VN is assessing a patient before giving a drug for blood
pressure management. The nurse notes the blood pressure to be 90/50 mm Hg.
What is the nurse's best action?
A. Hold the drug and report the blood pressure to the RN.
B. Give the patient a full glass of water before giving the drug.
C. Come back in 30 minutes and recheck the blood pressure.
D. Have the patient perform pursed lip breathing before giving the drug.
, Correct Answer: A
Rationale: The best action is to hold the drug and contact the RN. A blood pressure of
90/50 mm Hg is below the normal range and may indicate hypotension. Administering
an antihypertensive medication could further lower the blood pressure and compromise
patient safety .
Question 7: A patient with newly diagnosed hypertension is prescribed a thiazide
diuretic. The patient asks how thiazide diuretic drugs reduce high blood pressure.
What is your best response?
A. "Thiazide diuretics reduce blood volume and relax vascular smooth muscle in the
arterioles, reducing blood pressure."
B. "Thiazide diuretics increase potassium excretion and slow heart contractions, reducing
blood pressure."
C. "Thiazide diuretics release sodium from cellular storage sites to reduce blood
pressure."
D. "Thiazide diuretics increase the reabsorption of sodium, potassium and chlorides,
reducing blood pressure."
Correct Answer: A
Rationale: Blood pressure is maintained by fluid volume in circulation, the force of heart
contractions, and the constriction of blood vessels that provide resistance. All diuretics
help lower blood pressure by reducing the amount of fluid (volume) in the blood.
Thiazide and thiazide-like diuretics also relax blood vessel smooth muscle, which
decreases vascular resistance to blood flow. The reduced volume and decreased
resistance result in lower blood pressure .
Question 8: You are teaching a patient about the side effects of diuretics. Which
health problem is a potential side effect or adverse reaction of any class of diuretic
drug?
A. Dehydration
B. Heart failure
