a a a a a a a a
dition by Jacqueline Burchum, Laura Rosenthal A+
a a a a a a
Chapter 1: Orientation to Pharmacolog
a a a a
y Test Bank
a a
MULTIPLEaCHOICE
1. Theanurseaisateachingaaapatientahowaaamedicationaworksatoatreataanaillness.aToadoathis,atheanu
rseawillarelyaonaknowledgeaof:
a. clinicalapharmacology.
b. drugaefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:a D
Pharmacotherapeuticsaisatheastudyaofatheauseaofadrugsatoadiagnose,atreat,aandapreventaconditions.a
Clinicalapharmacologyaisaconcernedawithaallaaspectsaofadrug–
humanainteractions.aDrugaefficacyameasuresatheaextentatoawhichaaagivenadrugacausesaanaintendeda
effect.
Pharmacokineticsaisatheastudyaofatheaimpactaofatheabodyaonaaadrug.
DIF: CognitiveaLevel:aComprehension
REF:aFouraBasicaTermsaTOP:a NursingaProcess:aImplementati
on
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
2. Whatadoesaitameanawhenaaadrugaisadescribedaasaeasyatoaadminister?
a. Itacanabeastoredaindefinitelyawithoutaneedaforarefrigeration.
b. Itadoesanotainteractasignificantlyawithaotheramedications.
c. Itaenhancesapatientaadherenceatoatheadrugaregimen.
d. Itaisausuallyarelativelyainexpensiveatoaproduce.
ANS:a C
Aamajorabenefitaofadrugsathataareaeasyatoaadministeraisathatapatientsatakingathemaareamorealike
lyatoacomplyawithatheadrugaregimen.aDrugsathataareaeasyatoagiveamayahaveatheaotheraattribut
esalisted,abutathoseapropertiesaareaindependentaofaeaseaofaadministration.
DIF: CognitiveaLevel:aComprehension
REF:aAdditionalaPropertiesaofaanaIdealaDrug:aEaseaofaAdministrationaTOP:
a NursingaProcess:aAssessment
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
3. Aapatientatellsatheanurseathataheawasatoldabyatheaprescriberathatatheaanalgesicaheaisatakingaisave
ryaeffective.aWhichastatementabyatheapatientademonstratesaanaunderstandingaofatheadrug’saeffe
ctiveness?
a. “Iadon’tahaveatoaworryaaboutatoxicity,asinceaitatakesaaalargeaamountaofathisadrugatoaca
useaanaoverdose.”
b. “Itahasanoasideaeffectsaandadoesn’tainteractawithaotheradrugs.”
c. “Iaonlyahaveatoatakeaita everya12ahours.”
d. “Itamightamakeameasleepy,aandaitalessensapainaforaseveralahoursaataaatime.”
ANS:a D
, Aadrugaisaeffectiveaifaitaproducesatheaintendedaeffects,aevenaifaitaalsoaproducesasideaeffects.aBecausea
noadrugaisacompletelyasafe,athealevelaofatoxicityadoesanotadetermineaeffectiveness.aAlladrugsahaveasid
eaeffectsaandamanyareactawithaotherasubstances;atheseadoanotaaffectatheadrug’saeffectiveness.aEaseaof
aadministrationaisaindependentaofaaadrug’saeffectiveness.
DIF: CognitiveaLevel:aComprehension
REF:aPropertiesaofaanaIdealaDrugaTOP:a NursingaProcess:aEvaluation
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
MULTIPLEaRESPONSE
1. Whataareatheapropertiesaofaanaidealadrug?a(Selectaallathataapply.)
a. Irreversibleaaction
b. Predictability
c. Easeaofaadministration
d. Chemicalastability
e. Aasimpleatradeaname
ANS:a B,aC,aD
Inaadditionatoapredictability,aeaseaofaadministration,aandachemicalastability,aotherapropertiesainclu
deaaareversibleaactionasoathataanyaharmatheadrugamayacauseacanabeaundoneaandaaasimpleagenericana
me,abecauseagenericanamesaareausuallyacomplexaandadifficultatoarememberaandapronounce.
DIF: CognitiveaLevel:aComprehension
REF:aPropertiesaofaanaIdealaDruga|aAdditionalaPropertiesaofaanaIdealaDrugaT
OP:a NursingaProcess:aAssessment
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
2. Beforeaadministeringaaamedication,awhatadoesatheanurseaneedatoaknowatoaevaluateahowaindividu
alapatientavariabilityamightaaffectatheapatient’saresponseatoatheamedication?a(Selectaallathataapply
.)
a. Chemicalastabilityaofatheamedication
b. Easeaofaadministration
c. Familyamedicalahistory
d. Patient’saage
e. Patient’sadiagnosis
ANS:a C,aD,aE
Theafamilyamedicalahistoryacanaindicateageneticafactorsathatamayaaffectaaapatient’saresponseatoaaa
medication.aPatientsaofadifferentaagesacanarespondadifferentlyatoamedications.aTheapatient’sailln
essacanaaffectahowadrugsaareametabolized.aTheachemicalastabilityaofatheamedicationaandatheaeaseao
faadministrationaareapropertiesaofadrugs.
DIF: CognitiveaLevel:aAnalysis
REF:aSourcesaofaIndividualaVariationaTOP:a NursingaProcess:aImplementati
on
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aReductionaofaRiskaPotential
,Chapter 2: Application of Pharmacology in Nursing Pr
a a a a a a a
actice Test Bank
a a
MULTIPLEaCHOICE
1. Aapatientaisausingaaametered-
doseainhaleracontainingaalbuterolaforaasthma.aTheamedicationalabelainstructsatheapatientatoaa
dministera“2apuffsaeverya4ahoursaasaneededaforacoughingaor
wheezing.”aTheapatientareportsafeelingajitteryasometimesawhenatakingatheamedication,aandasheadoes
n’tafeelathatatheamedicationaisaalwaysaeffective.aWhichaisanotaanaappropriateanursingainterventionafo
rathisapatient?
a. Askingatheapatientatoademonstrateauseaofatheainhaler
b. Assessingatheapatient’saexposureatoatobaccoasmoke
c. Auscultatingalungasoundsaandaobtainingavitalasigns
d. Suggestingathatatheapatientauseaoneapuffatoareduceasideaeffects
ANS:a D
Itaisanotawithinatheanurse’sascopeaofapracticeatoachangeatheadoseaofaaamedicationawithoutaanaorderaf
romaaaprescriber.aAskingatheapatientatoademonstrateainhalerauseahelpsatheanurseatoaevaluateatheapat
ient’saabilityatoaadministeratheamedicationaproperlyaandaisapartaofatheanurse’saevaluation.aAssessin
gatobaccoasmokeaexposureahelpsatheanurseadetermineawhetheranondrugatherapies,asuchaaasmokeaa
voidance,acanabeausedaasaanaadjunctatoadrugatherapy.aPerformingaaaphysicalaassessmentahelpsathea
nurseaevaluateatheapatient’saresponseatoatheamedication.
DIF: CognitiveaLevel:aApplication
REF:aApplyingatheaNursingaProcessainaDrugaTherapy:aPreadministrationaAssessmenta[andaallas
ubsectionsaunderathisaheading] TOP:a NursingaProcess:aImplementation
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
2. Aapostoperativeapatientaisabeingadischargedahomeawithaacetaminophen/hydrocodonea(Lortab)af
orapain.aTheapatientaasksatheanurseaaboutausingaTylenolaforafever.aWhichastatementabyatheanurs
eaisacorrect?
a. “Itaisanotasafeatoatakeaover-the-counteradrugsawithaprescriptionamedications.”
b. “Takingatheatwoamedicationsatogetheraposesaaariskaofadrugatoxicity.”
c. “Thereaareanoaknownadrugainteractions,asoathisawillabeasafe.”
d. “TylenolaandaLortabaareadifferentadrugs,asoathereaisanoariskaofaoverdose.”
ANS:a B
Tylenolaisatheatradeanameaandaacetaminophenaisatheagenericanameaforatheasameamedication.aItaisai
mportantatoateachapatientsatoabeaawareaofatheadifferentanamesaforatheasameadrugatoaminimizeatheari
skaofaoverdose.aOver-the-
countera(OTC)amedicationsaandaprescriptionamedicationsamayabeatakenatogetheraunlessasignifica
ntaharmfuladrugainteractionsaareapossible.aEvenathoughanoadrugainteractionsaareaataplayainathisacas
e,abothadrugsacontainaacetaminophen,awhichacouldaleadatoatoxicity.
DIF: CognitiveaLevel:aApplication
REF:aApplicationaofaPharmacologyainaPatientaEducation:aDosageaandaAdministrationaTOP:
a NursingaProcess:aImplementation
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aReductionaofaRiskaPotential
, 3. Theanurseaisapreparingatoacareaforaaapatientawhoawillabeatakingaanaantihypertensiveamedication.aW
hichaactionabyatheanurseaisapartaofatheaassessmentastepaofatheanursingaprocess?
a. Askingatheaprescriberaforaanaorderatoamonitoraserumadrugalevels
b. Monitoringatheapatientaforadrugainteractionsaafteragivingatheamedication
c. Questioningatheapatientaaboutaover-the-counteramedications
d. Takingatheapatient’sabloodapressureathroughoutatheacourseaofatreatment
ANS:a C
Theaassessmentapartaofatheanursingaprocessainvolvesagatheringainformationabeforeabeginningatreatm
ent,aandathisaincludesaaskingaaboutaotheramedicationsatheapatientamayabeataking.
Monitoringaserumadrugalevels,awatchingaforadrugainteractions,aandacheckingavitalasignsaafteragivinga
theamedicationaareaallapartaofatheaevaluationaphase.
DIF: CognitiveaLevel:aApplication
REF:aPreadministrationaAssessmentaTOP:a NursingaProcess:aAssessment
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aReductionaofaRiskaPotential
4. Aapostoperativeapatientareportsapain,awhichatheapatientaratesaasaana8aonaaascaleafroma1atoa10a(1
0abeingatheamostaextremeapain).aTheaprescriberahasaorderedaacetaminophena(Tylenol)a650amga
POaeverya6ahoursaPRNapain.aWhatawillatheanurseado?
a. Askatheapatientawhatamedicationsahaveahelpedawithapainainatheapast.
b. Contactatheaprovideratoarequestaaadifferentaanalgesicamedication.
c. Giveatheapainamedicationaandarepositionatheapatientatoapromoteacomfort.
d. Requestaanaorderatoaadministeratheamedicationaeverya4ahours.
ANS:a B
Theanursingadiagnosisaforathisapatientaisasevereapain.aAcetaminophenaisagivenaforamildatoamoderatea
pain,asoatheanurseashouldaaskatheaprescriberatoaorderaaastrongeraanalgesicamedication.aAskingatheapat
ientatoatellatheanurseawhatahasahelpedainatheapastaisaaapartaofaanainitialaassessmentaandashouldabeadonea
preoperativelyaandanotawhenatheapatientaisahavingasevereapain.aBecauseatheapatientaisahavingaseverea
pain,aacetaminophenacombinedawithanondrugatherapiesawillanotabeasufficient.aIncreasingatheafreque
ncyaofatheadoseaofaaamedicationaforamildapainawillanotabeaeffective.
DIF: CognitiveaLevel:aAnalysis
REF:aAnalysisaandaNursingaDiagnosisaTOP:a NursingaProcess:aDiagnosis
MSC:a NCLEXaClientaNeedsaCategory:aPhysiologicaIntegrity:aPharmacologicaandaParenteralaTherapies
5. Aapatientanewlyadiagnosedawithadiabetesaisatoabeadischargedafromatheahospital.aTheanurseate
achingathisapatientaaboutahomeamanagementashouldabeginabyadoingawhat?
a. Askingatheapatientatoademonstrateahowatoameasureaandaadministerainsulin
b. Discussingamethodsaofastoringainsulinaandadiscardingasyringes
c. Givingainformationaaboutahowadietaandaexerciseaaffectainsulinarequirements
d. Teachingatheapatientaaboutathealong-termaconsequencesaofapooradiabetesacontrol
ANS:a A