TestBank
JacquelineBurchum,LauraRosenthal
Chapter1:OrientationtoPharmacologyTest .o x
Bank
x
MULTIPLECHOICE
1. Thenurseisteachingapatienthowamedicationworkstotreatanillness.Todothis,the .o .o .o
nurse x x willrelyonknowledgeof: .o
a. clinicalpharmacology.
.o
b. drugefficacy. .o
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: x D
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat,andpreventcond
itions. xClinicalp harmacologyisconcernedwith all aspectsofdrug– .o .o .o .o
humaninteractions. xDrug efficacy .o
xmeasurestheextenttowhich a given drug causesanxintended effect.
.o .o .o .o
Pharmacokineticsisthestudyoftheimpactofthe xbodyonadrug.
DIF: CognitivexLevel:xComprehension
REF:FourBasicTerms xTOP: x NursingProcess:
.o
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o
2. Whatdoes itmeanwhen a drugis described xaseasyto xadminister?
.o .o .o .o .o
a. Itcanbestoredindefinitelywithoutneedforrefrigeration. .o
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrugregimen.
d. Itisxusuallyrelativelyinexpensivetoproduce.
ANS: x C
Amajorbenefitofdrugsthatareeasytoadministeristhatpatientstakingthemaremorelikelyto x .o
x complywiththedrugregimen.Drugsthatareeasytogivemayhavetheotherattributeslisted,but
x x thoseproperties areindependentofease ofadministration.
.o .o
DIF: CognitiveLevel:Comprehension
xREF:AdditionalPropertiesofanIdealDrug:EaseofAdministratio
.o .o
nxTOP: xNursingProcess:xAssessment
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
3. Apatienttellsthenursethathewastoldbytheprescriberthattheanalgesicheistaking .o
is x x
x veryeffective.Whichstatementbythepatientdemonstratesanunderstandingof t .o
hedrug‘s x effectiveness?
a. ―Idon‘thavetoworryabouttoxicity,sinceittakesalargeamountofthisdrugtocau
.o .o
, se x x x an overdose.‖
.o
b. ―Ithasnosideeffectsanddoesn‘tinteractwithotherdrugs.‖
.o .o
c. ―Ionlyhaveto xtakeit x every12 xhours.‖
.o
d. ―Itmightmakemesleepy, x x anditlessenspainforseveralhoursatatime.‖
.o
ANS: x D
, Adrugiseffectiveifitproducestheintendedeffects,xevenifitalsoproducessideeffects.xBecause .o
x nodrugiscompletelysafe,theleveloftoxicitydoesnotdetermineeffectiveness.Alldrugs
.o .o
xhaveside
xeffectsand manyreact withothersubstances;thesedonotaffect thedrug‘seffectiveness.xEaseof
.o .o .o
x administrationisindependentofa drug‘seffectiveness. .o
DIF: CognitivexLevel:xComprehension
REF:PropertiesofanIdealDrug xTOP: x NursingProcess: .o
xEvaluation
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
MULTIPLERESPONSE .o
1. Whatarethepropertiesofanidealdrug?x(Selectallthatapply.)
.o
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletradename
ANS: x B,C,xD
In additiontopredictability,xeaseofadministration,xand chemicalxstability,otherproperties
.o .o
xincludeareversibleactionsothatanyharmthedrugmaycausecanbeundoneand asimplegeneri .o .o .o .o
c x
x name,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
DIF: CognitiveLevel:Comprehension
REF:PropertiesofanIdealDrug|AdditionalPropertiesofanIdealDrug
.o .o .o .o
TOP: x NursingProcess:xAssessment
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
2. Beforeadministeringa medication,whatdoesthenurseneedtoknowtoevaluatexhow
.o
xindividualpatientvariabilitymightaffectthepatient‘sresponsetothemedication?
.o
(Selectallthat xapply.)
x
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient‘sage
e. Patient‘sdiagnosis
ANS: x C,D,E
Thefamilymedicalhistorycanindicatexgeneticfactorsthatmayaffecta patient‘sresponsetoa .o .o
xmedication.Patientsofdifferentagesxcanxresponddifferentlytomedications.
xThepatient‘sillness
xcanaffecthowdrugsaremetabolized.Thechemicalstabilityofthemedicationandtheeaseof x
.o .o .o .o
x administrationarepropertiesofdrugs.
DIF: CognitivexLevel:xAnalysis
REF:SourcesofIndividualVariation xTOP: x NursingProcess:
.o .o
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential .o
, Chapter2:ApplicationofPharmacologyinNursingPracticeT
est Bank
x
MULTIPLECHOICE
1. Apatientisusingametered-
.o .o
doseinhalercontainingalbuterolforasthma.Themedicationlabel
xinstructsthepatienttoadminister―2puffsevery4 xhoursasneeded xforcoughingor
wheezing.‖Thepatient .o .o
xreportsfeelingjitterysometimeswhentakingthemedication,andshedoesn‘t
.o .o
xfeelthatthemedicationisalwayseffective.Whichis .o .o .o
xnotanappropriatenursinginterventionforthis xpatient?
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessingthepatient‘sexposuretotobaccosmoke
.o
c. Auscultatinglungsoundsxandobtainingvitalsigns .o
d. Suggestingthatthepatient xuseonepufftoreducesideeffects
.o
ANS: x D
Itisnotwithinthenurse‘sscopeofpracticetochangethedoseofamedicationwithoutanorderfrom
.o
x x aprescriber.Askingthepatienttodemonstrateinhalerusehelpsthenurseto
.o
evaluatethepatient‘sabilityto
xadministerthemedicationproperlyandispartofthenurse‘sevaluation.
xAssessingtobaccosmokeexposurehelps thenursedeterminewhethernondrugtherapies, .o
xsucha smoke x avoidance,canbeusedasanadjuncttodrugtherapy.
.o .o
xPerformingaphysicalassessmenthelpsthenurse
x evaluatethepatient‘sresponsetothemedication.
DIF: CognitiveLevel:Application
REF:
xApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment[an .o
dall xsubsectionsunderthisheading] TOP: x NursingProcess:
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o
2. Apostoperativepatientisbeingdischargedhomewithacetaminophen/hydrocodone(L
.o .o .o .o
ortab)for
xpain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurs
eis x x correct?
a. ―Itisnotsafetotakeover-the-counterdrugswith prescriptionmedications.‖ .o
b. ―Taking the two x x medications togetherposesa riskofdrugtoxicity.‖
.o .o .o
c. ―Therearenoknowndruginteractions,sothiswill x x besafe.‖
.o
d. ―Tylenoland x x x Lortabaredifferent drugs,sothereisnorisk ofoverdose.‖ .o .o
ANS: x B
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication. .o
xItis
x importanttoteachpatientstobeawareofthedifferentnamesforthesamedrugtominimize
.o .o .o
theriskof x x overdose.xOver-the-
counter(OTC)medicationsand prescriptionmedicationsmaybetaken .o
xtogetherunlesssignificantharmfuldruginteractionsarepossible. xEventhoughnodrug
xinteractionsareat playinthis case,both .o .o
JacquelineBurchum,LauraRosenthal
Chapter1:OrientationtoPharmacologyTest .o x
Bank
x
MULTIPLECHOICE
1. Thenurseisteachingapatienthowamedicationworkstotreatanillness.Todothis,the .o .o .o
nurse x x willrelyonknowledgeof: .o
a. clinicalpharmacology.
.o
b. drugefficacy. .o
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: x D
Pharmacotherapeuticsisthestudyoftheuseofdrugstodiagnose,treat,andpreventcond
itions. xClinicalp harmacologyisconcernedwith all aspectsofdrug– .o .o .o .o
humaninteractions. xDrug efficacy .o
xmeasurestheextenttowhich a given drug causesanxintended effect.
.o .o .o .o
Pharmacokineticsisthestudyoftheimpactofthe xbodyonadrug.
DIF: CognitivexLevel:xComprehension
REF:FourBasicTerms xTOP: x NursingProcess:
.o
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o
2. Whatdoes itmeanwhen a drugis described xaseasyto xadminister?
.o .o .o .o .o
a. Itcanbestoredindefinitelywithoutneedforrefrigeration. .o
b. Itdoesnotinteractsignificantlywithothermedications.
c. Itenhancespatientadherencetothedrugregimen.
d. Itisxusuallyrelativelyinexpensivetoproduce.
ANS: x C
Amajorbenefitofdrugsthatareeasytoadministeristhatpatientstakingthemaremorelikelyto x .o
x complywiththedrugregimen.Drugsthatareeasytogivemayhavetheotherattributeslisted,but
x x thoseproperties areindependentofease ofadministration.
.o .o
DIF: CognitiveLevel:Comprehension
xREF:AdditionalPropertiesofanIdealDrug:EaseofAdministratio
.o .o
nxTOP: xNursingProcess:xAssessment
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
3. Apatienttellsthenursethathewastoldbytheprescriberthattheanalgesicheistaking .o
is x x
x veryeffective.Whichstatementbythepatientdemonstratesanunderstandingof t .o
hedrug‘s x effectiveness?
a. ―Idon‘thavetoworryabouttoxicity,sinceittakesalargeamountofthisdrugtocau
.o .o
, se x x x an overdose.‖
.o
b. ―Ithasnosideeffectsanddoesn‘tinteractwithotherdrugs.‖
.o .o
c. ―Ionlyhaveto xtakeit x every12 xhours.‖
.o
d. ―Itmightmakemesleepy, x x anditlessenspainforseveralhoursatatime.‖
.o
ANS: x D
, Adrugiseffectiveifitproducestheintendedeffects,xevenifitalsoproducessideeffects.xBecause .o
x nodrugiscompletelysafe,theleveloftoxicitydoesnotdetermineeffectiveness.Alldrugs
.o .o
xhaveside
xeffectsand manyreact withothersubstances;thesedonotaffect thedrug‘seffectiveness.xEaseof
.o .o .o
x administrationisindependentofa drug‘seffectiveness. .o
DIF: CognitivexLevel:xComprehension
REF:PropertiesofanIdealDrug xTOP: x NursingProcess: .o
xEvaluation
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
MULTIPLERESPONSE .o
1. Whatarethepropertiesofanidealdrug?x(Selectallthatapply.)
.o
a. Irreversibleaction
b. Predictability
c. Easeofadministration
d. Chemicalstability
e. Asimpletradename
ANS: x B,C,xD
In additiontopredictability,xeaseofadministration,xand chemicalxstability,otherproperties
.o .o
xincludeareversibleactionsothatanyharmthedrugmaycausecanbeundoneand asimplegeneri .o .o .o .o
c x
x name,becausegenericnamesareusuallycomplexanddifficulttorememberandpronounce.
DIF: CognitiveLevel:Comprehension
REF:PropertiesofanIdealDrug|AdditionalPropertiesofanIdealDrug
.o .o .o .o
TOP: x NursingProcess:xAssessment
MSC:
x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o .o
2. Beforeadministeringa medication,whatdoesthenurseneedtoknowtoevaluatexhow
.o
xindividualpatientvariabilitymightaffectthepatient‘sresponsetothemedication?
.o
(Selectallthat xapply.)
x
a. Chemicalstabilityofthemedication
b. Easeofadministration
c. Familymedicalhistory
d. Patient‘sage
e. Patient‘sdiagnosis
ANS: x C,D,E
Thefamilymedicalhistorycanindicatexgeneticfactorsthatmayaffecta patient‘sresponsetoa .o .o
xmedication.Patientsofdifferentagesxcanxresponddifferentlytomedications.
xThepatient‘sillness
xcanaffecthowdrugsaremetabolized.Thechemicalstabilityofthemedicationandtheeaseof x
.o .o .o .o
x administrationarepropertiesofdrugs.
DIF: CognitivexLevel:xAnalysis
REF:SourcesofIndividualVariation xTOP: x NursingProcess:
.o .o
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:ReductionofRiskPotential .o
, Chapter2:ApplicationofPharmacologyinNursingPracticeT
est Bank
x
MULTIPLECHOICE
1. Apatientisusingametered-
.o .o
doseinhalercontainingalbuterolforasthma.Themedicationlabel
xinstructsthepatienttoadminister―2puffsevery4 xhoursasneeded xforcoughingor
wheezing.‖Thepatient .o .o
xreportsfeelingjitterysometimeswhentakingthemedication,andshedoesn‘t
.o .o
xfeelthatthemedicationisalwayseffective.Whichis .o .o .o
xnotanappropriatenursinginterventionforthis xpatient?
a. Askingthepatienttodemonstrateuseoftheinhaler
b. Assessingthepatient‘sexposuretotobaccosmoke
.o
c. Auscultatinglungsoundsxandobtainingvitalsigns .o
d. Suggestingthatthepatient xuseonepufftoreducesideeffects
.o
ANS: x D
Itisnotwithinthenurse‘sscopeofpracticetochangethedoseofamedicationwithoutanorderfrom
.o
x x aprescriber.Askingthepatienttodemonstrateinhalerusehelpsthenurseto
.o
evaluatethepatient‘sabilityto
xadministerthemedicationproperlyandispartofthenurse‘sevaluation.
xAssessingtobaccosmokeexposurehelps thenursedeterminewhethernondrugtherapies, .o
xsucha smoke x avoidance,canbeusedasanadjuncttodrugtherapy.
.o .o
xPerformingaphysicalassessmenthelpsthenurse
x evaluatethepatient‘sresponsetothemedication.
DIF: CognitiveLevel:Application
REF:
xApplyingtheNursingProcessinDrugTherapy:PreadministrationAssessment[an .o
dall xsubsectionsunderthisheading] TOP: x NursingProcess:
xImplementation
MSC: x NCLEXClientNeedsCategory:PhysiologicIntegrity:PharmacologicandParenteralTherapies
.o .o .o
2. Apostoperativepatientisbeingdischargedhomewithacetaminophen/hydrocodone(L
.o .o .o .o
ortab)for
xpain.ThepatientasksthenurseaboutusingTylenolforfever.Whichstatementbythenurs
eis x x correct?
a. ―Itisnotsafetotakeover-the-counterdrugswith prescriptionmedications.‖ .o
b. ―Taking the two x x medications togetherposesa riskofdrugtoxicity.‖
.o .o .o
c. ―Therearenoknowndruginteractions,sothiswill x x besafe.‖
.o
d. ―Tylenoland x x x Lortabaredifferent drugs,sothereisnorisk ofoverdose.‖ .o .o
ANS: x B
Tylenolisthetradenameandacetaminophenisthegenericnameforthesamemedication. .o
xItis
x importanttoteachpatientstobeawareofthedifferentnamesforthesamedrugtominimize
.o .o .o
theriskof x x overdose.xOver-the-
counter(OTC)medicationsand prescriptionmedicationsmaybetaken .o
xtogetherunlesssignificantharmfuldruginteractionsarepossible. xEventhoughnodrug
xinteractionsareat playinthis case,both .o .o
