Test Bank for Introduction to Clinical
4r 4r 4r 4r 4r 4r
Pharmacology 11th Edition By Constance
4r 4r 4r 4r 4r
Visovsky, Cheryl Zambroski, Shirley Hosler Chapter
4r 4r 4r 4r 4r 4r
1-20 Complete Guide A+
4r 4r 4r
,Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Visovsky:Introduction to Clinical Pharmacology, 11th Edition 4r 4r 4r 4r 4r
MULTIPLE CHOICE 4r
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Long-term care facility before giving the patient‘s prescribed drugs. Which action should the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
LPN consider to be the highest priority?
4r 4r 4r 4r 4r 4r
a. Obtain any special equipment that will be needed to give the patient‘s drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Monitor the patient for a response to the drug given.
4r 4r 4r 4r 4r 4r 4r 4r 4r
c. Collect data about the patient and the patient‘s health condition.
4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Review the nursing care plan to verify that it is
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
accurate. ANS: C 4r 4r
Collecting and documenting data about the patient and the patient‘s health condition is a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
critical step before any drugs are given. Information regarding the present illness, any signs
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
and symptoms, review of medical records, drug history, and vital signs are needed before
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drugs are given. Deciding on special equipment that will be needed to give the patient‘s
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drug is part of the planning phase of the nursing process. Monitoring the patient for his
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
response to given drug is part of the evaluation stage of the nursing process. Reviewing the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nursing care plan to verify that it is being followed accurately is part of the implementation
4r 4r 4r 4r 4r 4r 4 r 4r 4r 4r 4r 4r 4r 4r 4r 4r
stage of the nursing process.
4r 4r 4r 4r
DIF: Cognitive Level: Applying 4r 4r REF: p. 2 4r 4r
2. The LPN is working with a patient in the planning stage of the nursing process related
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
to the patient‘s prescribed drugs. Which action should the LPN take during this stage?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. Develop a nursing goal to plan the procedures needed to give drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Develop a teaching plan for the patient regarding the drug‘s actions.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
,Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 3
c. Determine that the patient is experiencing the expected response to his drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Determine how much the patient understands about his4r 4r 4r 4r 4r 4r 4r 4r
drug. ANS: D
4r 4r
Determining how much the patient understands about his drug is part of the diagnosis phase
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
of the nursing process. Developing a nursing goal to plan the procedures needed to give
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drug and developing a teaching plan for the patient regarding the drug‘s actions are part
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
of the planning phase of the nursing process.
4r 4r 4r 4r 4r 4r 4r
DIF: 4 r 4 r Cognitive Level: Applying 4r 4r 4 r 4 r REF: p. 2 4r 4r
3. You are teaching a patient with depression about the potential adverse effects of a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
prescribed drug. What part of the nursing process related to drug therapy are you engaging in
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
at this point of the teaching plan?
4r 4r 4r 4r 4r 4r
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
4r ANS: C 4r
In the evaluation phase of the nursing process, the LPN understands and teaches to the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
patient the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF: 4 r 4 r Cognitive Level: Remembering 4r 4r 4 r 4 r 4 r REF: 4r 4r p. 2 4r
4. Which of the following is an example of subjective data?
4r 4r 4r 4r 4r 4r 4r 4r 4r
a. The patient states she has pain in her left arm.
4r 4r 4r 4r 4r 4r 4r 4r 4r
b. The medical chart has a recorded blood pressure of 128/88.
4r 4r 4r 4r 4r 4r 4r 4r 4r
c. The serum potassium level is 3.8 mmol/L.
4r 4r 4r 4r 4r 4r
d. The patient‘s ECG shows normal sinus rhythm.
4r 4r 4r 4r 4r 4r
, Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 4
ANS: A 4r
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
medical chart are examples of objective data.
4r 4r 4r 4r 4r 4r
DIF: Cognitive Level: Remembering 4r 4r REF: p. 2 4r 4r
5. Which statement provides an example of objective data?
4r 4r 4r 4r 4r 4r 4r
a. The wife states the patient was confused last night.
4r 4r 4r 4r 4r 4r 4r 4r
b. Grimacing with movement is present during the examination.
4r 4r 4r 4r 4r 4r 4r
c. The patient reports moderate alcohol consumption.
4r 4r 4r 4r 4r
d. The patient states pain is
4r 4r 4r 4r 4r
severe. ANS: B 4r 4r
Measurable data obtained during a physical exam such as grimacing with movement is an
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
example of objective data. Subjective data includes information presented by the patient or
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Family that cannot be substantiated such as a wife‘s report of a patient‘s confusion, patient
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
report of degree of alcohol consumption, and a patient‘s pain rating.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF: Cognitive Level: Remembering 4r 4r REF: p. 3 4r 4r
6. The LPN/VN is assessing a patient before giving a drug for blood pressure
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
management. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
best action?
4r
a. Hold the drug and report the blood pressure to the RN.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Give the patient a full glass of water before giving the drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
c. Come back in 30 minutes and recheck the blood pressure.
4r 4r 4r 4r 4r 4r 4r 4r 4r
4r 4r 4r 4r 4r 4r
Pharmacology 11th Edition By Constance
4r 4r 4r 4r 4r
Visovsky, Cheryl Zambroski, Shirley Hosler Chapter
4r 4r 4r 4r 4r 4r
1-20 Complete Guide A+
4r 4r 4r
,Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 2
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Visovsky:Introduction to Clinical Pharmacology, 11th Edition 4r 4r 4r 4r 4r
MULTIPLE CHOICE 4r
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Long-term care facility before giving the patient‘s prescribed drugs. Which action should the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
LPN consider to be the highest priority?
4r 4r 4r 4r 4r 4r
a. Obtain any special equipment that will be needed to give the patient‘s drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Monitor the patient for a response to the drug given.
4r 4r 4r 4r 4r 4r 4r 4r 4r
c. Collect data about the patient and the patient‘s health condition.
4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Review the nursing care plan to verify that it is
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
accurate. ANS: C 4r 4r
Collecting and documenting data about the patient and the patient‘s health condition is a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
critical step before any drugs are given. Information regarding the present illness, any signs
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
and symptoms, review of medical records, drug history, and vital signs are needed before
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drugs are given. Deciding on special equipment that will be needed to give the patient‘s
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drug is part of the planning phase of the nursing process. Monitoring the patient for his
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
response to given drug is part of the evaluation stage of the nursing process. Reviewing the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
nursing care plan to verify that it is being followed accurately is part of the implementation
4r 4r 4r 4r 4r 4r 4 r 4r 4r 4r 4r 4r 4r 4r 4r 4r
stage of the nursing process.
4r 4r 4r 4r
DIF: Cognitive Level: Applying 4r 4r REF: p. 2 4r 4r
2. The LPN is working with a patient in the planning stage of the nursing process related
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
to the patient‘s prescribed drugs. Which action should the LPN take during this stage?
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
a. Develop a nursing goal to plan the procedures needed to give drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Develop a teaching plan for the patient regarding the drug‘s actions.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
,Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 3
c. Determine that the patient is experiencing the expected response to his drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
d. Determine how much the patient understands about his4r 4r 4r 4r 4r 4r 4r 4r
drug. ANS: D
4r 4r
Determining how much the patient understands about his drug is part of the diagnosis phase
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
of the nursing process. Developing a nursing goal to plan the procedures needed to give
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
drug and developing a teaching plan for the patient regarding the drug‘s actions are part
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
of the planning phase of the nursing process.
4r 4r 4r 4r 4r 4r 4r
DIF: 4 r 4 r Cognitive Level: Applying 4r 4r 4 r 4 r REF: p. 2 4r 4r
3. You are teaching a patient with depression about the potential adverse effects of a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
prescribed drug. What part of the nursing process related to drug therapy are you engaging in
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
at this point of the teaching plan?
4r 4r 4r 4r 4r 4r
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
4r ANS: C 4r
In the evaluation phase of the nursing process, the LPN understands and teaches to the
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
patient the drug‘s therapeutic effects, expected side effects, and potential adverse effects.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF: 4 r 4 r Cognitive Level: Remembering 4r 4r 4 r 4 r 4 r REF: 4r 4r p. 2 4r
4. Which of the following is an example of subjective data?
4r 4r 4r 4r 4r 4r 4r 4r 4r
a. The patient states she has pain in her left arm.
4r 4r 4r 4r 4r 4r 4r 4r 4r
b. The medical chart has a recorded blood pressure of 128/88.
4r 4r 4r 4r 4r 4r 4r 4r 4r
c. The serum potassium level is 3.8 mmol/L.
4r 4r 4r 4r 4r 4r
d. The patient‘s ECG shows normal sinus rhythm.
4r 4r 4r 4r 4r 4r
, Visovsky: Introduction to Clinical Pharmacology, 11th Edition
3i 3i 3i 3i 3i 3i 4
ANS: A 4r
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
pain, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
from the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
medical chart are examples of objective data.
4r 4r 4r 4r 4r 4r
DIF: Cognitive Level: Remembering 4r 4r REF: p. 2 4r 4r
5. Which statement provides an example of objective data?
4r 4r 4r 4r 4r 4r 4r
a. The wife states the patient was confused last night.
4r 4r 4r 4r 4r 4r 4r 4r
b. Grimacing with movement is present during the examination.
4r 4r 4r 4r 4r 4r 4r
c. The patient reports moderate alcohol consumption.
4r 4r 4r 4r 4r
d. The patient states pain is
4r 4r 4r 4r 4r
severe. ANS: B 4r 4r
Measurable data obtained during a physical exam such as grimacing with movement is an
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
example of objective data. Subjective data includes information presented by the patient or
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
Family that cannot be substantiated such as a wife‘s report of a patient‘s confusion, patient
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
report of degree of alcohol consumption, and a patient‘s pain rating.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
DIF: Cognitive Level: Remembering 4r 4r REF: p. 3 4r 4r
6. The LPN/VN is assessing a patient before giving a drug for blood pressure
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
management. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
best action?
4r
a. Hold the drug and report the blood pressure to the RN.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
b. Give the patient a full glass of water before giving the drug.
4r 4r 4r 4r 4r 4r 4r 4r 4r 4r 4r
c. Come back in 30 minutes and recheck the blood pressure.
4r 4r 4r 4r 4r 4r 4r 4r 4r
