Lehne's Pharmacology for
c c
Nursing Care 10th Edition
c c c
TEST BANK
c
All 110 chapters complete
c c c
Question and Answers With
c c c
Rationale
A+ Rated Solution Guide
c c c
,Chapter 1: Orientation to Pharmacology Test Bank
c c c c c c
MULTIPLE CHOICE c
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
c c c c c c c c c c c c c c c c c c
will rely on knowledge of: a. clinical pharmacology.
c c c c c c c c
b. drug efficacy. c
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D c
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent c c c c c c c c c c c c c
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
c c c c c c c c c c c
Drug efficacy measures the extent to which a given drug causes an intended effect.
c c c c c c c c c c c c c c
Pharmacokinetics is the study of the impact of the body on a drug. c c c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c REF: Four Basic Terms c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. What does it mean when a drug is described as easy to administer?
c c c c c c c c c c c c
a. It can be stored indefinitely without need for refrigeration.
c c c c c c c c
b. It does not interact significantly with other medications.
c c c c c c c
c. It enhances patient adherence to the drug regimen.
c c c c c c c
d. It is usually relatively inexpensive to produce.
c c c c c c
ANS: C c
A major benefit of drugs that are easy to administer is that patients taking them are more likely
c c c c c c c c c c c c c c c c c
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
c c c c c c c c c c c c c c c c c
listed, but those properties are independent of ease of administration.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c c c
REF: Additional Properties of an Ideal Drug: Ease of Administration
c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
c c c c c c c c c c c c c c c c c c c
ceffective. Which statement by the patient demonstrates an understanding of the drug‘s
c c c c c c c c c c c
ceffectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to cause an
c c c c c c c c c c c c c c c c c c
overdose.‖ c
, b. ―It has no side effects and doesn‘t interact with other drugs.‖
c c c c c c c c c c
c. ―I only have to take it every 12 hours.‖
c c c c c c c c
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
c c c c c c c c c c c c c c
ANS: D c
A drug is effective if it produces the intended effects, even if it also produces side effects.
c c c c c c c c c c c c c c c c
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
c c c c c c c c c c c c c c c
drugs have side effects and many react with other substances; these do not affect the drug‘s
c c c c c c c c c c c c c c c c
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c REF: Properties of an Ideal Drug c c c c c c c
TOP: Nursing Process: Evaluation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
MULTIPLE RESPONSE c
1. What are the properties of an ideal drug? (Select all that apply.)
c c c c c c c c c c c
a. Irreversible action c
b. Predictability
c. Ease of administration c c
d. Chemical stability c
e. A simple trade name c c c
ANS: B, C, D c c c
In addition to predictability, ease of administration, and chemical stability, other properties
c c c c c c c c c c c
cinclude a reversible action so that any harm the drug may cause can be undone and a simple
c c c c c c c c c c c c c c c c c
cgeneric name, because generic names are usually complex and difficult to remember and
c c c c c c c c c c c c
cpronounce.
DIF: Cognitive Level: Comprehension
c c c
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
c c c c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. Before administering a medication, what does the nurse need to know to evaluate how individual
c c c c c c c c c c c c c c
cpatient variability might affect the patient‘s response to the medication? (Select all that apply.)
c c c c c c c c c c c c c
a. Chemical stability of the medication c c c c
b. Ease of administration c c
c. Family medical history c c
d. Patient‘s age c
e. Patient‘s diagnosis c
, ANS: C, D, E c c c
The family medical history can indicate genetic factors that may affect a patient‘s response to
c c c c c c c c c c c c c c
a medication. Patients of different ages can respond differently to medications. The patient‘s
c c c c c c c c c c c c c
illness can affect how drugs are metabolized. The chemical stability of the medication and the
c c c c c c c c c c c c c c c
ease of administration are properties of drugs.
c c c c c c c
DIF: Cognitive Level: Analysis
c REF: Sources of Individual Variation c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
Chapter 2: Application of Pharmacology in Nursing Practice Test
c c c c c c c c
Bank
c
MULTIPLE CHOICE c
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
c c c c c c c c c c c c
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
c c c c c c c c c c c c c c c c
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and she
c c c c c c c c c c c c
doesn‘t feel that the medication is always effective. Which is not an appropriate nursing
c c c c c c c c c c c c c c
intervention for this patient?
c c c c
a. Asking the patient to demonstrate use of the inhaler c c c c c c c c
b. Assessing the patient‘s exposure to tobacco smoke c c c c c c
c. Auscultating lung sounds and obtaining vital signs c c c c c c
d. Suggesting that the patient use one puff to reduce side effects c c c c c c c c c c
ANS: D c
It is not within the nurse‘s scope of practice to change the dose of a medication without an
c c c c c c c c c c c c c c c c c
corder from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
c c c c c c c c c c c c c c
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
c c c c c c c c c c c c c c
cevaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
c c c c c c c c c c
ctherapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
c c c c c c c c c c c c c c c
cphysical assessment helps the nurse evaluate the patient‘s response to the medication.
c c c c c c c c c c c
DIF: Cognitive Level: Application
c c c
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
c c c c c c c c c c c
subsections under this heading] TOP: Nursing Process: Implementation
c c c c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
c c c c c c c c
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which statement
c c c c c c c c c c c c c c c
by the nurse is correct?
c c c c c
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
c c c c c c c c c c
b. ―Taking the two medications together poses a risk of drug toxicity.‖ c c c c c c c c c c
c. ―There are no known drug interactions, so this will be safe.‖c c c c c c c c c c
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ c c c c c c c c c c c c
c c
Nursing Care 10th Edition
c c c
TEST BANK
c
All 110 chapters complete
c c c
Question and Answers With
c c c
Rationale
A+ Rated Solution Guide
c c c
,Chapter 1: Orientation to Pharmacology Test Bank
c c c c c c
MULTIPLE CHOICE c
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
c c c c c c c c c c c c c c c c c c
will rely on knowledge of: a. clinical pharmacology.
c c c c c c c c
b. drug efficacy. c
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D c
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent c c c c c c c c c c c c c
conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions.
c c c c c c c c c c c
Drug efficacy measures the extent to which a given drug causes an intended effect.
c c c c c c c c c c c c c c
Pharmacokinetics is the study of the impact of the body on a drug. c c c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c REF: Four Basic Terms c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. What does it mean when a drug is described as easy to administer?
c c c c c c c c c c c c
a. It can be stored indefinitely without need for refrigeration.
c c c c c c c c
b. It does not interact significantly with other medications.
c c c c c c c
c. It enhances patient adherence to the drug regimen.
c c c c c c c
d. It is usually relatively inexpensive to produce.
c c c c c c
ANS: C c
A major benefit of drugs that are easy to administer is that patients taking them are more likely
c c c c c c c c c c c c c c c c c
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
c c c c c c c c c c c c c c c c c
listed, but those properties are independent of ease of administration.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c c c
REF: Additional Properties of an Ideal Drug: Ease of Administration
c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
c c c c c c c c c c c c c c c c c c c
ceffective. Which statement by the patient demonstrates an understanding of the drug‘s
c c c c c c c c c c c
ceffectiveness?
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to cause an
c c c c c c c c c c c c c c c c c c
overdose.‖ c
, b. ―It has no side effects and doesn‘t interact with other drugs.‖
c c c c c c c c c c
c. ―I only have to take it every 12 hours.‖
c c c c c c c c
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
c c c c c c c c c c c c c c
ANS: D c
A drug is effective if it produces the intended effects, even if it also produces side effects.
c c c c c c c c c c c c c c c c
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
c c c c c c c c c c c c c c c
drugs have side effects and many react with other substances; these do not affect the drug‘s
c c c c c c c c c c c c c c c c
effectiveness. Ease of administration is independent of a drug‘s effectiveness.
c c c c c c c c c c
DIF: Cognitive Level: Comprehension
c REF: Properties of an Ideal Drug c c c c c c c
TOP: Nursing Process: Evaluation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
MULTIPLE RESPONSE c
1. What are the properties of an ideal drug? (Select all that apply.)
c c c c c c c c c c c
a. Irreversible action c
b. Predictability
c. Ease of administration c c
d. Chemical stability c
e. A simple trade name c c c
ANS: B, C, D c c c
In addition to predictability, ease of administration, and chemical stability, other properties
c c c c c c c c c c c
cinclude a reversible action so that any harm the drug may cause can be undone and a simple
c c c c c c c c c c c c c c c c c
cgeneric name, because generic names are usually complex and difficult to remember and
c c c c c c c c c c c c
cpronounce.
DIF: Cognitive Level: Comprehension
c c c
REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug
c c c c c c c c c c c c
TOP: Nursing Process: Assessment
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. Before administering a medication, what does the nurse need to know to evaluate how individual
c c c c c c c c c c c c c c
cpatient variability might affect the patient‘s response to the medication? (Select all that apply.)
c c c c c c c c c c c c c
a. Chemical stability of the medication c c c c
b. Ease of administration c c
c. Family medical history c c
d. Patient‘s age c
e. Patient‘s diagnosis c
, ANS: C, D, E c c c
The family medical history can indicate genetic factors that may affect a patient‘s response to
c c c c c c c c c c c c c c
a medication. Patients of different ages can respond differently to medications. The patient‘s
c c c c c c c c c c c c c
illness can affect how drugs are metabolized. The chemical stability of the medication and the
c c c c c c c c c c c c c c c
ease of administration are properties of drugs.
c c c c c c c
DIF: Cognitive Level: Analysis
c REF: Sources of Individual Variation c c c c c c
TOP: Nursing Process: Implementation
c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
c c c c c c c c c c
Chapter 2: Application of Pharmacology in Nursing Practice Test
c c c c c c c c
Bank
c
MULTIPLE CHOICE c
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication
c c c c c c c c c c c c
label instructs the patient to administer ―2 puffs every 4 hours as needed for coughing or
c c c c c c c c c c c c c c c c
wheezing.‖ The patient reports feeling jittery sometimes when taking the medication, and she
c c c c c c c c c c c c
doesn‘t feel that the medication is always effective. Which is not an appropriate nursing
c c c c c c c c c c c c c c
intervention for this patient?
c c c c
a. Asking the patient to demonstrate use of the inhaler c c c c c c c c
b. Assessing the patient‘s exposure to tobacco smoke c c c c c c
c. Auscultating lung sounds and obtaining vital signs c c c c c c
d. Suggesting that the patient use one puff to reduce side effects c c c c c c c c c c
ANS: D c
It is not within the nurse‘s scope of practice to change the dose of a medication without an
c c c c c c c c c c c c c c c c c
corder from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to
c c c c c c c c c c c c c c
evaluate the patient‘s ability to administer the medication properly and is part of the nurse‘s
c c c c c c c c c c c c c c
cevaluation. Assessing tobacco smoke exposure helps the nurse determine whether nondrug
c c c c c c c c c c
ctherapies, such a smoke avoidance, can be used as an adjunct to drug therapy. Performing a
c c c c c c c c c c c c c c c
cphysical assessment helps the nurse evaluate the patient‘s response to the medication.
c c c c c c c c c c c
DIF: Cognitive Level: Application
c c c
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment [and all
c c c c c c c c c c c
subsections under this heading] TOP: Nursing Process: Implementation
c c c c c c c
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c c
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
c c c c c c c c
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which statement
c c c c c c c c c c c c c c c
by the nurse is correct?
c c c c c
a. ―It is not safe to take over-the-counter drugs with prescription medications.‖
c c c c c c c c c c
b. ―Taking the two medications together poses a risk of drug toxicity.‖ c c c c c c c c c c
c. ―There are no known drug interactions, so this will be safe.‖c c c c c c c c c c
d. ―Tylenol and Lortab are different drugs, so there is no risk of overdose.‖ c c c c c c c c c c c c
