Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology
b b b b b
Test Bank
b
MULTIPLEbCHOICE
1. Thebnursebisbteachingbabpatientbhowbabmedicationbworksbtobtreatbanbillness.bTobdobthis,bthebn
ursebwillbrelybonbknowledgebof:
a. clinicalbpharmacology.
b. drugbefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:b D
Pharmacotherapeuticsbisbthebstudybofbthebusebofbdrugsbtobdiagnose,btreat,bandbpreventbconditio
ns.bClinicalbpharmacologybisbconcernedbwithballbaspectsbofbdrug–
humanbinteractions.bDrugbefficacybmeasuresbthebextentbtobwhichbabgivenbdrugbcausesbanbintend
edbeffect.
Pharmacokineticsbisbthebstudybofbthebimpactbofbthebbodybonbabdrug.
DIF: CognitivebLevel:bComprehension
REF:bFourbBasicbTermsbTOP:b NursingbProcess:bImplementati
on
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Whatbdoesbitbmeanbwhenbabdrugbisbdescribedbasbeasybtobadminister?
a. Itbcanbbebstoredbindefinitelybwithoutbneedbforbrefrigeration.
b. Itbdoesbnotbinteractbsignificantlybwithbotherbmedications.
c. Itbenhancesbpatientbadherencebtobthebdrugbregimen.
d. Itbisbusuallybrelativelybinexpensivebtobproduce.
ANS:b C
Abmajorbbenefitbofbdrugsbthatbarebeasybtobadministerbisbthatbpatientsbtakingbthembarebmorebli
kelybtobcomplybwithbthebdrugbregimen.bDrugsbthatbarebeasybtobgivebmaybhavebthebotherbattri
butesblisted,bbutbthosebpropertiesbarebindependentbofbeasebofbadministration.
DIF: CognitivebLevel:bComprehension
REF:bAdditionalbPropertiesbofbanbIdealbDrug:bEasebofbAdministrationb
TOP:b NursingbProcess:bAssessment
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
3. Abpatientbtellsbthebnursebthatbhebwasbtoldbbybthebprescriberbthatbthebanalgesicbhebisbtakingbisbve
rybeffective.bWhichbstatementbbybthebpatientbdemonstratesbanbunderstandingbofbthebdrug‘sbeff
ectiveness?
a. ―Ibdon‘tbhavebtobworrybaboutbtoxicity,bsincebitbtakesbablargebamountbofbthisbdrugbtobc
ausebanboverdose.‖
b. ―Itbhasbnobsidebeffectsbandbdoesn‘tbinteractbwithbotherbdrugs.‖
c. ―Ibonlybhaveb tob takeb itb everyb12b hours.‖
d. ―Itbmightbmakebmebsleepy,bandbitblessensbpainbforbseveralbhoursbatbabtime.‖
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS:b D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Abdrugbisbeffectivebifbitbproducesbthebintendedbeffects,bevenbifbitbalsobproducesbsidebeffects.bBeca
usebnobdrugbisbcompletelybsafe,btheblevelbofbtoxicitybdoesbnotbdeterminebeffectiveness.bAllbdrugsb
havebsidebeffectsbandbmanybreactbwithbotherbsubstances;bthesebdobnotbaffectbthebdrug‘sbeffective
ness.bEasebofbadministrationbisbindependentbofbabdrug‘sbeffectiveness.
DIF: CognitivebLevel:bComprehension
REF:bPropertiesbofbanbIdealbDrugbTOP:b NursingbProcess:bEvaluation
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
MULTIPLEbRESPONSE
1. Whatbarebthebpropertiesbofbanbidealbdrug?b(Selectballbthatbapply.)
a. Irreversiblebaction
b. Predictability
c. Easebofbadministration
d. Chemicalbstability
e. Absimplebtradebname
ANS:b B,bC,bD
Inbadditionbtobpredictability,beasebofbadministration,bandbchemicalbstability,botherbpropertiesbi
ncludebabreversiblebactionbsobthatbanybharmbthebdrugbmaybcausebcanbbebundonebandbabsimplebge
nericbname,bbecausebgenericbnamesbarebusuallybcomplexbandbdifficultbtobrememberbandbprono
unce.
DIF: CognitivebLevel:bComprehension
REF:bPropertiesbofbanbIdealbDrugb|bAdditionalbPropertiesbofbanbIdealbDrugb
TOP:b NursingbProcess:bAssessment
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Beforebadministeringbabmedication,bwhatbdoesbthebnursebneedbtobknowbtobevaluatebhow
individualbpatientbvariabilitybmightbaffectbthebpatient‘sbresponsebtobthebmedication?b(Selectballbthatb
apply.)
a. Chemicalbstabilitybofbthebmedication
b. Easebofbadministration
c. Familybmedicalbhistory
d. Patient‘sbage
e. Patient‘sbdiagnosis
ANS:b C,bD,bE
Thebfamilybmedicalbhistorybcanbindicatebgeneticbfactorsbthatbmaybaffectbabpatient‘sbresponsebtobab
medication.bPatientsbofbdifferentbagesbcanbrespondbdifferentlybtobmedications.bThebpatient‘sbilln
essbcanbaffectbhowbdrugsbarebmetabolized.bThebchemicalbstabilitybofbthebmedicationbandbthebeaseb
ofbadministrationbarebpropertiesbofbdrugs.
DIF: CognitivebLevel:bAnalysis
REF:bSourcesbofbIndividualbVariationbTOP:b NursingbProcess:bImplementati
on
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 2: Application of Pharmacology in Nursing Practice
b b b b b b b b
Test Bank
b
MULTIPLEbCHOICE
1. Abpatientbisbusingbabmetered-
dosebinhalerbcontainingbalbuterolbforbasthma.bThebmedicationblabelbinstructsbthebpatientbtoba
dministerb―2bpuffsbeveryb4bhoursbasbneededbforbcoughingbor
wheezing.‖bThebpatientbreportsbfeelingbjitterybsometimesbwhenbtakingbthebmedication,bandbshebd
oesn‘tbfeelbthatbthebmedicationbisbalwaysbeffective.bWhichbisbnotbanbappropriatebnursingbinterve
ntionbforbthisbpatient?
a. Askingbthebpatientbtobdemonstratebusebofbthebinhaler
b. Assessingbthebpatient‘sbexposurebtobtobaccobsmoke
c. Auscultatingblungbsoundsbandbobtainingbvitalbsigns
d. Suggestingbthatbthebpatientbusebonebpuffbtobreducebsidebeffects
ANS:b D
Itbisbnotbwithinbthebnurse‘sbscopebofbpracticebtobchangebthebdosebofbabmedicationbwithoutbanbor
derbfrombabprescriber.bAskingbthebpatientbtobdemonstratebinhalerbusebhelpsbthebnursebtobevalua
tebthebpatient‘sbabilitybtobadministerbthebmedicationbproperlybandbisbpartbofbthebnurse‘sbevaluati
on.bAssessingbtobaccobsmokebexposurebhelpsbthebnursebdeterminebwhetherbnondrugbtherapies
,bsuchbabsmokebavoidance,bcanbbebusedbasbanbadjunctbtobdrugbtherapy.bPerformingbabphysicalbas
sessmentbhelpsbthebnursebevaluatebthebpatient‘sbresponsebtobthebmedication.
DIF: CognitivebLevel:bApplication
REF:bApplyingbthebNursingbProcessbinbDrugbTherapy:bPreadministrationbAssessmentb[andballb
subsectionsbunderbthisbheading] TOP:b NursingbProcess:bImplementation
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Abpostoperativebpatientbisbbeingbdischargedbhomebwithbacetaminophen/hydrocodoneb(Lortab)bf
orbpain.bThebpatientbasksbthebnursebaboutbusingbTylenolbforbfever.bWhichbstatementbbybthebnurs
ebisbcorrect?
a. ―Itbisbnotbsafebtobtakebover-the-counterbdrugsbwithbprescriptionbmedications.‖
b. ―Takingbthebtwobmedicationsbtogetherbposesbabriskbofbdrugbtoxicity.‖
c. ―Therebarebnobknownbdrugbinteractions,bsobthisbwillbbebsafe.‖
d. ―TylenolbandbLortabbarebdifferentbdrugs,bsobtherebisbnobriskbofboverdose.‖
ANS:b B
Tylenolbisbthebtradebnamebandbacetaminophenbisbthebgenericbnamebforbthebsamebmedication.bItbisb
importantbtobteachbpatientsbtobbebawarebofbthebdifferentbnamesbforbthebsamebdrugbtobminimizebtheb
riskbofboverdose.bOver-the-
counterb(OTC)bmedicationsbandbprescriptionbmedicationsbmaybbebtakenbtogetherbunlessbsignific
antbharmfulbdrugbinteractionsbarebpossible.bEvenbthoughbnobdrugbinteractionsbarebatbplaybinbthisbc
ase,bbothbdrugsbcontainbacetaminophen,bwhichbcouldbleadbtobtoxicity.
DIF: CognitivebLevel:bApplication
REF:bApplicationbofbPharmacologybinbPatientbEducation:bDosagebandbAdministration
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 1: Orientation to Pharmacology
b b b b b
Test Bank
b
MULTIPLEbCHOICE
1. Thebnursebisbteachingbabpatientbhowbabmedicationbworksbtobtreatbanbillness.bTobdobthis,bthebn
ursebwillbrelybonbknowledgebof:
a. clinicalbpharmacology.
b. drugbefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:b D
Pharmacotherapeuticsbisbthebstudybofbthebusebofbdrugsbtobdiagnose,btreat,bandbpreventbconditio
ns.bClinicalbpharmacologybisbconcernedbwithballbaspectsbofbdrug–
humanbinteractions.bDrugbefficacybmeasuresbthebextentbtobwhichbabgivenbdrugbcausesbanbintend
edbeffect.
Pharmacokineticsbisbthebstudybofbthebimpactbofbthebbodybonbabdrug.
DIF: CognitivebLevel:bComprehension
REF:bFourbBasicbTermsbTOP:b NursingbProcess:bImplementati
on
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Whatbdoesbitbmeanbwhenbabdrugbisbdescribedbasbeasybtobadminister?
a. Itbcanbbebstoredbindefinitelybwithoutbneedbforbrefrigeration.
b. Itbdoesbnotbinteractbsignificantlybwithbotherbmedications.
c. Itbenhancesbpatientbadherencebtobthebdrugbregimen.
d. Itbisbusuallybrelativelybinexpensivebtobproduce.
ANS:b C
Abmajorbbenefitbofbdrugsbthatbarebeasybtobadministerbisbthatbpatientsbtakingbthembarebmorebli
kelybtobcomplybwithbthebdrugbregimen.bDrugsbthatbarebeasybtobgivebmaybhavebthebotherbattri
butesblisted,bbutbthosebpropertiesbarebindependentbofbeasebofbadministration.
DIF: CognitivebLevel:bComprehension
REF:bAdditionalbPropertiesbofbanbIdealbDrug:bEasebofbAdministrationb
TOP:b NursingbProcess:bAssessment
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
3. Abpatientbtellsbthebnursebthatbhebwasbtoldbbybthebprescriberbthatbthebanalgesicbhebisbtakingbisbve
rybeffective.bWhichbstatementbbybthebpatientbdemonstratesbanbunderstandingbofbthebdrug‘sbeff
ectiveness?
a. ―Ibdon‘tbhavebtobworrybaboutbtoxicity,bsincebitbtakesbablargebamountbofbthisbdrugbtobc
ausebanboverdose.‖
b. ―Itbhasbnobsidebeffectsbandbdoesn‘tbinteractbwithbotherbdrugs.‖
c. ―Ibonlybhaveb tob takeb itb everyb12b hours.‖
d. ―Itbmightbmakebmebsleepy,bandbitblessensbpainbforbseveralbhoursbatbabtime.‖
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
ANS:b D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Abdrugbisbeffectivebifbitbproducesbthebintendedbeffects,bevenbifbitbalsobproducesbsidebeffects.bBeca
usebnobdrugbisbcompletelybsafe,btheblevelbofbtoxicitybdoesbnotbdeterminebeffectiveness.bAllbdrugsb
havebsidebeffectsbandbmanybreactbwithbotherbsubstances;bthesebdobnotbaffectbthebdrug‘sbeffective
ness.bEasebofbadministrationbisbindependentbofbabdrug‘sbeffectiveness.
DIF: CognitivebLevel:bComprehension
REF:bPropertiesbofbanbIdealbDrugbTOP:b NursingbProcess:bEvaluation
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
MULTIPLEbRESPONSE
1. Whatbarebthebpropertiesbofbanbidealbdrug?b(Selectballbthatbapply.)
a. Irreversiblebaction
b. Predictability
c. Easebofbadministration
d. Chemicalbstability
e. Absimplebtradebname
ANS:b B,bC,bD
Inbadditionbtobpredictability,beasebofbadministration,bandbchemicalbstability,botherbpropertiesbi
ncludebabreversiblebactionbsobthatbanybharmbthebdrugbmaybcausebcanbbebundonebandbabsimplebge
nericbname,bbecausebgenericbnamesbarebusuallybcomplexbandbdifficultbtobrememberbandbprono
unce.
DIF: CognitivebLevel:bComprehension
REF:bPropertiesbofbanbIdealbDrugb|bAdditionalbPropertiesbofbanbIdealbDrugb
TOP:b NursingbProcess:bAssessment
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Beforebadministeringbabmedication,bwhatbdoesbthebnursebneedbtobknowbtobevaluatebhow
individualbpatientbvariabilitybmightbaffectbthebpatient‘sbresponsebtobthebmedication?b(Selectballbthatb
apply.)
a. Chemicalbstabilitybofbthebmedication
b. Easebofbadministration
c. Familybmedicalbhistory
d. Patient‘sbage
e. Patient‘sbdiagnosis
ANS:b C,bD,bE
Thebfamilybmedicalbhistorybcanbindicatebgeneticbfactorsbthatbmaybaffectbabpatient‘sbresponsebtobab
medication.bPatientsbofbdifferentbagesbcanbrespondbdifferentlybtobmedications.bThebpatient‘sbilln
essbcanbaffectbhowbdrugsbarebmetabolized.bThebchemicalbstabilitybofbthebmedicationbandbthebeaseb
ofbadministrationbarebpropertiesbofbdrugs.
DIF: CognitivebLevel:bAnalysis
REF:bSourcesbofbIndividualbVariationbTOP:b NursingbProcess:bImplementati
on
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th
Edition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
112|Complete Guide A+
Chapter 2: Application of Pharmacology in Nursing Practice
b b b b b b b b
Test Bank
b
MULTIPLEbCHOICE
1. Abpatientbisbusingbabmetered-
dosebinhalerbcontainingbalbuterolbforbasthma.bThebmedicationblabelbinstructsbthebpatientbtoba
dministerb―2bpuffsbeveryb4bhoursbasbneededbforbcoughingbor
wheezing.‖bThebpatientbreportsbfeelingbjitterybsometimesbwhenbtakingbthebmedication,bandbshebd
oesn‘tbfeelbthatbthebmedicationbisbalwaysbeffective.bWhichbisbnotbanbappropriatebnursingbinterve
ntionbforbthisbpatient?
a. Askingbthebpatientbtobdemonstratebusebofbthebinhaler
b. Assessingbthebpatient‘sbexposurebtobtobaccobsmoke
c. Auscultatingblungbsoundsbandbobtainingbvitalbsigns
d. Suggestingbthatbthebpatientbusebonebpuffbtobreducebsidebeffects
ANS:b D
Itbisbnotbwithinbthebnurse‘sbscopebofbpracticebtobchangebthebdosebofbabmedicationbwithoutbanbor
derbfrombabprescriber.bAskingbthebpatientbtobdemonstratebinhalerbusebhelpsbthebnursebtobevalua
tebthebpatient‘sbabilitybtobadministerbthebmedicationbproperlybandbisbpartbofbthebnurse‘sbevaluati
on.bAssessingbtobaccobsmokebexposurebhelpsbthebnursebdeterminebwhetherbnondrugbtherapies
,bsuchbabsmokebavoidance,bcanbbebusedbasbanbadjunctbtobdrugbtherapy.bPerformingbabphysicalbas
sessmentbhelpsbthebnursebevaluatebthebpatient‘sbresponsebtobthebmedication.
DIF: CognitivebLevel:bApplication
REF:bApplyingbthebNursingbProcessbinbDrugbTherapy:bPreadministrationbAssessmentb[andballb
subsectionsbunderbthisbheading] TOP:b NursingbProcess:bImplementation
MSC:b NCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bPharmacologicbandbParenteralbTherapies
2. Abpostoperativebpatientbisbbeingbdischargedbhomebwithbacetaminophen/hydrocodoneb(Lortab)bf
orbpain.bThebpatientbasksbthebnursebaboutbusingbTylenolbforbfever.bWhichbstatementbbybthebnurs
ebisbcorrect?
a. ―Itbisbnotbsafebtobtakebover-the-counterbdrugsbwithbprescriptionbmedications.‖
b. ―Takingbthebtwobmedicationsbtogetherbposesbabriskbofbdrugbtoxicity.‖
c. ―Therebarebnobknownbdrugbinteractions,bsobthisbwillbbebsafe.‖
d. ―TylenolbandbLortabbarebdifferentbdrugs,bsobtherebisbnobriskbofboverdose.‖
ANS:b B
Tylenolbisbthebtradebnamebandbacetaminophenbisbthebgenericbnamebforbthebsamebmedication.bItbisb
importantbtobteachbpatientsbtobbebawarebofbthebdifferentbnamesbforbthebsamebdrugbtobminimizebtheb
riskbofboverdose.bOver-the-
counterb(OTC)bmedicationsbandbprescriptionbmedicationsbmaybbebtakenbtogetherbunlessbsignific
antbharmfulbdrugbinteractionsbarebpossible.bEvenbthoughbnobdrugbinteractionsbarebatbplaybinbthisbc
ase,bbothbdrugsbcontainbacetaminophen,bwhichbcouldbleadbtobtoxicity.
DIF: CognitivebLevel:bApplication
REF:bApplicationbofbPharmacologybinbPatientbEducation:bDosagebandbAdministration
