TEST BANK m
INTRODUCTION TO CLINICAL
M M
PHARMACOLOGY
M
9TH EDITION
M
BY: CONSTANCE G. VISOVSKY
M M M
m TEST BANK m
, Introduction to Clinical Pharmacology, 9th Edition Test Bank by Constance G. Visovsky
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Contents:
Unit I: General Principles
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Chapter 1. Pharmacology and the Nursing Process in LPN Practice
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Chapter 2. Legal, Regulatory, and Ethical Aspects of Drug Administration
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Chapter 3. Principles of Pharmacology
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Unit II: Principle of Drug Administration
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Chapter 4. Drug Calculation: Preparing and Giving Drugs
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Unit III: Drug Categories
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Chapter 5. Anti-infective Drugs: Antibiotics, Antitubercular Drugs, Antifungals, Antiparasitics
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Chapter 6. Antivirals and Antiretrovirals
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Chapter 7. Drugs for Allergy and Respiratory Problems
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Chapter 8. Drugs Affecting the Renal/Urinary and Cardiovascular Systems
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Chapter 9. Drugs Affecting the Central Nervous System
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Chapter 10. Drugs Affecting the Peripheral Nervous System
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Chapter 11. Drugs for Pain Management
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Chapter 12. Anti-inflammatory, Anti-arthritis, and Antigout Drugs
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Chapter 13. Drugs for Gastrointestinal Problems
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Chapter 14. Drugs Affecting the Hematologic System
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Chapter 15. Immunomodulating Drugs
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Chapter 16. Drugs Affecting the Endocrine System
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Chapter 17. Drugs for Diabetes Management
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Chapter 18. Drugs for Ear and Eye Problems
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Chapter 19. Over-the-Counter Drugs, Herbal and Alternative Drugs, and Vitamins and Minerals
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,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
m m m m m m m m m
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
m m m m m m m
MULTIPLE CHOICE m
1. You are assessing the skin of a newly admitted patient and note a 2 inch area of redness at
m m m m m m m m m m m m m m m m m m
mthe sacrum. Which type of data are you collecting with this information?
m m m m m m m m m m m
a. Objective data m
b. Inspection
c. Subjective data m
d. Alternative therapy m
ANS: A m
Objective data are obtained by the healthcare provider during physical examination, or that are
m m m m m m m m m m m m m
measurable (i.e., laboratory results).
m m m m
DIF: Cognitive Level: Applying m m REF: p. 3 m m
2. Which part of the nursing process includes setting goals for the nursing care required
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mwhen giving drugs to a patient?
m m m m m
a. Assessment
b. Planning
c. Evaluation
d. Diagnosis
ANS: B m
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
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implementation, evaluation. It is in the planning step that the goals for nursing care related to
m m m m m m m m m m m m m m m m
drugs are set based upon data collected.
m m m m m m m
DIF: Cognitive Level: Remembering m m REF: p. 4 m m
3. When would it be appropriate to withhold a drug instead of giving it to a patient?
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a. When the order is written by hand
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b. When any part of the drug order is unclear
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c. When the drug improves the patient’s symptoms
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d. When the order contains both the generic and trade name of the drug
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ANS: B m
You must use good judgment in carrying out a drug order. If, in your judgment, the order
m m m m m m m m m m m m m m m m
is unclear, or incorrect, it should be withheld (not given) until your concerns can be
m m m m m m m m m m m m m m m
answered by the patient’s healthcare provider.
m m m m m m
DIF: Cognitive Level: Applying m m REF: p. 4 m m
4. Which action would you take to ensure that an order for a drug is accurate?
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a. Check the drug record with the Kardex file.
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b. Compare the order with the drug history. m m m m m m
c. Compare the order to the patient’s reason for admission.
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d. Check the drug record with the original healthcare provider’s order.
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, ANS: D m
Once the healthcare provider orders the drug, you must verify that the order is accurate.
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This is done by checking the drug chart or drug record with the healthcare provider’s
m m m m m m m m m m m m m m m
original order.
m m
DIF: Cognitive Level: Remembering m m REF: p. 4 m m
5. What do the nine “rights” of drug administration include?
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a. Right patient, drug, dose, route, time, reason, documentation, response, and right
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to refuse
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b. Right drug, diagnosis, time, patient, route, drug history, documents, and right
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to refuse
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c. Right drug, amount, route, time, nurse, reason, route, diagnosis, and documentation
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d. Right dose, time, healthcare provider, patient, route, documentation, response,
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and drug
m m
ANS: A m
There are nine “rights” of drug administration: you must identify the right patient, give the
m m m m m m m m m m m m m m
right drug at the right dose, right route, right time, for the right reason, using the right
m m m m m m m m m m m m m m m m m
documentation to record that the dose has been given, monitor the patient for the right
m m m m m m m m m m m m m m m
response, and note that the patient has the right to refuse a drug.
m m m m m m m m m m m m m
DIF: Cognitive Level: Remembering m m REF: p. 5 m m
6. Which action should you take to ensure that you are giving a drug to the right patient?
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a. Verifying the drug record with the patient name on the chart
m m m m m m m m m m
b. Verifying the patient’s room and bed number with the chart
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c. Asking the patient to state his or her birthdate and Social Security number
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d. Asking the patient to state their name and birthdate, and then checking the
m m m m m m m m m m m m
patients identification bracelet
m m m
ANS: D m
Before giving any drug, two forms of patient identifications should be used to identify the
m m m m m m m m m m m m m m
correct patient. Each patient should be asked his or her name, and another form of
m m m m m m m m m m m m m m m
identification, such as birthdate; then you should check the patient’s identification bracelet.
m m m m m m m m m m m m
DIF: Cognitive Level: Applying m m REF: p. 5 m m
7. Which category of drugs should be given exactly on schedule in order to maintain a
m m m m m m m m m m m m m m
mconsistent level of the drug in the body?
m m m m m m m
a. Steroids
b. Diuretics
c. Aspirin products m
d. Anticoagulants
ANS: D m
Certain drugs must be given at specific time interval (right time). Anticoagulants must be
m m m m m m m m m m m m m
given at the same time each day to maintain a therapeutic blood level in order to prevent
m m m m m m m m m m m m m m m m m
blood clots.
m m
DIF: Cognitive Level: Applying m m REF: p. 7 m m
8. Which nursing action is not appropriate when giving drugs to a patient?
m m m m m m m m m m m
INTRODUCTION TO CLINICAL
M M
PHARMACOLOGY
M
9TH EDITION
M
BY: CONSTANCE G. VISOVSKY
M M M
m TEST BANK m
, Introduction to Clinical Pharmacology, 9th Edition Test Bank by Constance G. Visovsky
m m m m m m m m m m m
Contents:
Unit I: General Principles
m m m
Chapter 1. Pharmacology and the Nursing Process in LPN Practice
m m m m m m m m m
Chapter 2. Legal, Regulatory, and Ethical Aspects of Drug Administration
m m m m m m m m m
Chapter 3. Principles of Pharmacology
m m m m
Unit II: Principle of Drug Administration
m m m m m
Chapter 4. Drug Calculation: Preparing and Giving Drugs
m m m m m m m
Unit III: Drug Categories
m m m
Chapter 5. Anti-infective Drugs: Antibiotics, Antitubercular Drugs, Antifungals, Antiparasitics
m m m m m m m m
Chapter 6. Antivirals and Antiretrovirals
m m m m
Chapter 7. Drugs for Allergy and Respiratory Problems
m m m m m m m
Chapter 8. Drugs Affecting the Renal/Urinary and Cardiovascular Systems
m m m m m m m m
Chapter 9. Drugs Affecting the Central Nervous System
m m m m m m m
Chapter 10. Drugs Affecting the Peripheral Nervous System
m m m m m m m
Chapter 11. Drugs for Pain Management
m m m m m
Chapter 12. Anti-inflammatory, Anti-arthritis, and Antigout Drugs
m m m m m m
Chapter 13. Drugs for Gastrointestinal Problems
m m m m m
Chapter 14. Drugs Affecting the Hematologic System
m m m m m m
Chapter 15. Immunomodulating Drugs
m m m
Chapter 16. Drugs Affecting the Endocrine System
m m m m m m
Chapter 17. Drugs for Diabetes Management
m m m m m
Chapter 18. Drugs for Ear and Eye Problems
m m m m m m m
Chapter 19. Over-the-Counter Drugs, Herbal and Alternative Drugs, and Vitamins and Minerals
m m m m m m m m m m m
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
m m m m m m m m m
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
m m m m m m m
MULTIPLE CHOICE m
1. You are assessing the skin of a newly admitted patient and note a 2 inch area of redness at
m m m m m m m m m m m m m m m m m m
mthe sacrum. Which type of data are you collecting with this information?
m m m m m m m m m m m
a. Objective data m
b. Inspection
c. Subjective data m
d. Alternative therapy m
ANS: A m
Objective data are obtained by the healthcare provider during physical examination, or that are
m m m m m m m m m m m m m
measurable (i.e., laboratory results).
m m m m
DIF: Cognitive Level: Applying m m REF: p. 3 m m
2. Which part of the nursing process includes setting goals for the nursing care required
m m m m m m m m m m m m m
mwhen giving drugs to a patient?
m m m m m
a. Assessment
b. Planning
c. Evaluation
d. Diagnosis
ANS: B m
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
m m m m m m m m m m m m m
implementation, evaluation. It is in the planning step that the goals for nursing care related to
m m m m m m m m m m m m m m m m
drugs are set based upon data collected.
m m m m m m m
DIF: Cognitive Level: Remembering m m REF: p. 4 m m
3. When would it be appropriate to withhold a drug instead of giving it to a patient?
m m m m m m m m m m m m m m m
a. When the order is written by hand
m m m m m m
b. When any part of the drug order is unclear
m m m m m m m m
c. When the drug improves the patient’s symptoms
m m m m m m
d. When the order contains both the generic and trade name of the drug
m m m m m m m m m m m m
ANS: B m
You must use good judgment in carrying out a drug order. If, in your judgment, the order
m m m m m m m m m m m m m m m m
is unclear, or incorrect, it should be withheld (not given) until your concerns can be
m m m m m m m m m m m m m m m
answered by the patient’s healthcare provider.
m m m m m m
DIF: Cognitive Level: Applying m m REF: p. 4 m m
4. Which action would you take to ensure that an order for a drug is accurate?
m m m m m m m m m m m m m m
a. Check the drug record with the Kardex file.
m m m m m m m
b. Compare the order with the drug history. m m m m m m
c. Compare the order to the patient’s reason for admission.
m m m m m m m m
d. Check the drug record with the original healthcare provider’s order.
m m m m m m m m m
, ANS: D m
Once the healthcare provider orders the drug, you must verify that the order is accurate.
m m m m m m m m m m m m m m
This is done by checking the drug chart or drug record with the healthcare provider’s
m m m m m m m m m m m m m m m
original order.
m m
DIF: Cognitive Level: Remembering m m REF: p. 4 m m
5. What do the nine “rights” of drug administration include?
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a. Right patient, drug, dose, route, time, reason, documentation, response, and right
m m m m m m m m m m
to refuse
m m
b. Right drug, diagnosis, time, patient, route, drug history, documents, and right
m m m m m m m m m m
to refuse
m m
c. Right drug, amount, route, time, nurse, reason, route, diagnosis, and documentation
m m m m m m m m m m
d. Right dose, time, healthcare provider, patient, route, documentation, response,
m m m m m m m m
and drug
m m
ANS: A m
There are nine “rights” of drug administration: you must identify the right patient, give the
m m m m m m m m m m m m m m
right drug at the right dose, right route, right time, for the right reason, using the right
m m m m m m m m m m m m m m m m m
documentation to record that the dose has been given, monitor the patient for the right
m m m m m m m m m m m m m m m
response, and note that the patient has the right to refuse a drug.
m m m m m m m m m m m m m
DIF: Cognitive Level: Remembering m m REF: p. 5 m m
6. Which action should you take to ensure that you are giving a drug to the right patient?
m m m m m m m m m m m m m m m m
a. Verifying the drug record with the patient name on the chart
m m m m m m m m m m
b. Verifying the patient’s room and bed number with the chart
m m m m m m m m m
c. Asking the patient to state his or her birthdate and Social Security number
m m m m m m m m m m m m
d. Asking the patient to state their name and birthdate, and then checking the
m m m m m m m m m m m m
patients identification bracelet
m m m
ANS: D m
Before giving any drug, two forms of patient identifications should be used to identify the
m m m m m m m m m m m m m m
correct patient. Each patient should be asked his or her name, and another form of
m m m m m m m m m m m m m m m
identification, such as birthdate; then you should check the patient’s identification bracelet.
m m m m m m m m m m m m
DIF: Cognitive Level: Applying m m REF: p. 5 m m
7. Which category of drugs should be given exactly on schedule in order to maintain a
m m m m m m m m m m m m m m
mconsistent level of the drug in the body?
m m m m m m m
a. Steroids
b. Diuretics
c. Aspirin products m
d. Anticoagulants
ANS: D m
Certain drugs must be given at specific time interval (right time). Anticoagulants must be
m m m m m m m m m m m m m
given at the same time each day to maintain a therapeutic blood level in order to prevent
m m m m m m m m m m m m m m m m m
blood clots.
m m
DIF: Cognitive Level: Applying m m REF: p. 7 m m
8. Which nursing action is not appropriate when giving drugs to a patient?
m m m m m m m m m m m