TEST BANK FOR Pharmacology and the
Nursing Process 9th Edition ISBN: 978-
0323529495
Course
Pharmacology and the Nursing
1. Pharmacokinetics – Multiple Choice
A patient receives a drug with a half-life of 8 hours. How many hours will it take for the drug to
be approximately 75% eliminated from the body?
A. 8 hours
B. 12 hours
C. 16 hours
D. 24 hours
Answer: C. 16 hours
Rationale: After two half-lives (8h + 8h), 75% of the drug is eliminated.
2. Nursing Process – Assessment
Before administering digoxin, which action should the nurse take FIRST?
A. Assess the patient’s serum potassium level
B. Monitor respiratory rate
C. Measure blood glucose
D. Evaluate bowel sounds
Answer: A. Assess the patient’s serum potassium level
Rationale: Hypokalemia increases digoxin toxicity risk.
3. Medication Errors – True/False
T/F: A near miss in medication administration does not require documentation if the patient was
not harmed.
Answer: False
Rationale: All medication errors, including near misses, must be reported to improve system
safety.
,4. Pediatric Dosage – Fill in the Blank
A 5-year-old child weighs 20 kg. The prescribed amoxicillin dose is 20 mg/kg/day divided into
two doses. How many mg should the child receive per dose?
Answer: 200 mg
Rationale: 20 mg × 20 kg = 400 mg/day → 200 mg every 12 hours.
5. Drug Interactions – Multiple Choice
Which statement is correct regarding the administration of tetracycline and antacids?
A. They should be administered simultaneously
B. Tetracycline is best absorbed with antacids
C. Antacids inhibit the absorption of tetracycline
D. Tetracycline increases antacid potency
Answer: C. Antacids inhibit the absorption of tetracycline
Rationale: Antacids contain metal ions that bind tetracycline, reducing its absorption.
6. Patient Education – Select All That Apply
The nurse is teaching a patient about a newly prescribed corticosteroid. Which points should be
included in the education? (Select all that apply)
A. Do not stop the drug abruptly
B. Monitor for signs of infection
C. Limit fluid intake
D. Take the medication with food
E. Expect immediate therapeutic effects
Answers: A, B, D
Rationale: Abrupt cessation can cause adrenal crisis. Corticosteroids suppress immunity and
cause GI upset; they should be taken with food.
7. Legal and Ethical – Multiple Choice
A nurse administers a medication without checking the patient’s allergy bracelet. The patient has
an anaphylactic reaction. This is an example of:
A. Beneficence
B. Negligence
C. Autonomy
D. Justice
, Answer: B. Negligence
Rationale: Failing to follow standard procedure is negligence.
8. Drug Class – Matching
Match each drug with its correct class:
1. Metoprolol
2. Lisinopril
3. Furosemide
4. Warfarin
A. Beta-blocker
B. ACE inhibitor
C. Loop diuretic
D. Anticoagulant
Answers:
1–A
2–B
3–C
4–D
9. Drug Calculations – Multiple Choice
Order: 1.5 mg of digoxin IV
Available: Digoxin 0.5 mg/mL
How many mL will the nurse administer?
A. 1 mL
B. 2 mL
C. 3 mL
D. 0.5 mL
Answer: C. 3 mL
Rationale: 1.5 ÷ 0.5 = 3 mL
10. Side Effects – Clinical Scenario
A patient taking an ACE inhibitor reports a persistent dry cough. What should the nurse do?
A. Instruct the patient to stop the medication
Nursing Process 9th Edition ISBN: 978-
0323529495
Course
Pharmacology and the Nursing
1. Pharmacokinetics – Multiple Choice
A patient receives a drug with a half-life of 8 hours. How many hours will it take for the drug to
be approximately 75% eliminated from the body?
A. 8 hours
B. 12 hours
C. 16 hours
D. 24 hours
Answer: C. 16 hours
Rationale: After two half-lives (8h + 8h), 75% of the drug is eliminated.
2. Nursing Process – Assessment
Before administering digoxin, which action should the nurse take FIRST?
A. Assess the patient’s serum potassium level
B. Monitor respiratory rate
C. Measure blood glucose
D. Evaluate bowel sounds
Answer: A. Assess the patient’s serum potassium level
Rationale: Hypokalemia increases digoxin toxicity risk.
3. Medication Errors – True/False
T/F: A near miss in medication administration does not require documentation if the patient was
not harmed.
Answer: False
Rationale: All medication errors, including near misses, must be reported to improve system
safety.
,4. Pediatric Dosage – Fill in the Blank
A 5-year-old child weighs 20 kg. The prescribed amoxicillin dose is 20 mg/kg/day divided into
two doses. How many mg should the child receive per dose?
Answer: 200 mg
Rationale: 20 mg × 20 kg = 400 mg/day → 200 mg every 12 hours.
5. Drug Interactions – Multiple Choice
Which statement is correct regarding the administration of tetracycline and antacids?
A. They should be administered simultaneously
B. Tetracycline is best absorbed with antacids
C. Antacids inhibit the absorption of tetracycline
D. Tetracycline increases antacid potency
Answer: C. Antacids inhibit the absorption of tetracycline
Rationale: Antacids contain metal ions that bind tetracycline, reducing its absorption.
6. Patient Education – Select All That Apply
The nurse is teaching a patient about a newly prescribed corticosteroid. Which points should be
included in the education? (Select all that apply)
A. Do not stop the drug abruptly
B. Monitor for signs of infection
C. Limit fluid intake
D. Take the medication with food
E. Expect immediate therapeutic effects
Answers: A, B, D
Rationale: Abrupt cessation can cause adrenal crisis. Corticosteroids suppress immunity and
cause GI upset; they should be taken with food.
7. Legal and Ethical – Multiple Choice
A nurse administers a medication without checking the patient’s allergy bracelet. The patient has
an anaphylactic reaction. This is an example of:
A. Beneficence
B. Negligence
C. Autonomy
D. Justice
, Answer: B. Negligence
Rationale: Failing to follow standard procedure is negligence.
8. Drug Class – Matching
Match each drug with its correct class:
1. Metoprolol
2. Lisinopril
3. Furosemide
4. Warfarin
A. Beta-blocker
B. ACE inhibitor
C. Loop diuretic
D. Anticoagulant
Answers:
1–A
2–B
3–C
4–D
9. Drug Calculations – Multiple Choice
Order: 1.5 mg of digoxin IV
Available: Digoxin 0.5 mg/mL
How many mL will the nurse administer?
A. 1 mL
B. 2 mL
C. 3 mL
D. 0.5 mL
Answer: C. 3 mL
Rationale: 1.5 ÷ 0.5 = 3 mL
10. Side Effects – Clinical Scenario
A patient taking an ACE inhibitor reports a persistent dry cough. What should the nurse do?
A. Instruct the patient to stop the medication
