TEST BANK
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants
Laura D. Rosenthal, and Jacqueline Rosenjack Burchum
2nd Edition
,Table of Contents
Unit 01 Introduction 1
Unit 02 Basic Principles of Pharmacology 6
Unit 03 Drug Therapy Across the Life Span 15
Unit 04 Peripheral Nervous System Drugs 22
Unit 05 Central Nervous System Drugs 31
Unit 06 Drugs for Pain 38
Unit 07 Psychotherapeutic Drugs 43
Unit 08 Substance Use Disorders 51
Unit 09 Drugs That Affect the Heart, Blood Vessels, Blood, and Blood Volume 59
Unit 10 Drugs for Endocrine Disorders 68
Unit 11 Women’s Health 73
Unit 12 Men’s Health 78
Unit 13 Antiinflammatory, Antiallergic, and Immunologic Drugs 83
Unit 14 Drugs for Bone and Joint Disorders 91
Unit 15 Respiratory Tract Drugs 97
Unit 16 Gastrointestinal Drugs 102
Unit 17 Nutrition and Complimentary Therapies 110
Unit 18 Therapy of Infectious and Parasitic Diseases 116
Unit 19 Cancer Therapy 140
Unit 20 Drugs for Eyes, Ears, and Skin 145
Unit 21 Drugs Therapy in Acute Care 152
,Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & Physician Assistants, 2e (Rosenthal, 2021)
Unit 01: Introduction
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants, 2nd Edition
MULTIPLE CHOICE
1. A patient diagnosed with chronic pain calls to request an oxycodone
(Oxycontin) refill. Which action should the prescriber take initially?
a. Fax the renewal order to the pharmacy.
b. Arrange to schedule an appointment with the patient.
c. Verify the patient’s adherence to the prescribed drug regimen.
d. Determine the patient’s current medication dosage and pain level.
ANS: B
Schedule II medications are not eligible for refills, and prescriptions must be
handwritten. It is important to verify the patient’s adherence to the drug regimen
and determine the current dosage of medication and pain level; however, this can
be accomplished by scheduling an appointment and evaluating the patient in
person.
2. A metered-dose albuterol inhaler is prescribed for asthma management. The
patient reports feeling jittery sometimes when taking the medication, and does not
feel that the medication is always effective. Which action will the provider take to
best minimize patient risks and maximize medication effectiveness?
a. Ask the patient to demonstrate use of the inhaler and assess effectiveness.
b. Assess the patient’s exposure to first- and second-hand tobacco smoke.
c. Auscultate the patient's l u n W
gWsoWu.ndTsBaS
ndMo.bWtaS
in other relevant vital signs.
d. Decrease the dosage to reduce side effects.
ANS: C
Assessing and evaluating lung sounds as well as other vital signs helps determine
the patient's physical response to the medication and allows comparison to the
patient's baseline vital signs. Asking the patient to demonstrate inhaler use helps to
evaluate the patient’s ability to administer the medication properly and is part of an
effective evaluation, but is not a priority intervention based on the patient’s current
report. Assessing tobacco smoke exposure helps determine whether nondrug
1|Page
, Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & Physician Assistants, 2e (Rosenthal, 2021)
therapies, such as smoke avoidance, can be used as an adjunct to drug therapy,
but does not relate to the patient’s current problem. Rewriting the prescription to
decrease the dosage may address the degree of jitteriness experienced, but does
not address the patient’s concern that the drug is not always effective.
3. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning to the provider?
a. The patient had a recent yeast infection.
b. There is a family history of cervical cancer.
c. The patient drinks two glasses of wine every night.
d. The patient is
unemployed. ANS: C
2|Page
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants
Laura D. Rosenthal, and Jacqueline Rosenjack Burchum
2nd Edition
,Table of Contents
Unit 01 Introduction 1
Unit 02 Basic Principles of Pharmacology 6
Unit 03 Drug Therapy Across the Life Span 15
Unit 04 Peripheral Nervous System Drugs 22
Unit 05 Central Nervous System Drugs 31
Unit 06 Drugs for Pain 38
Unit 07 Psychotherapeutic Drugs 43
Unit 08 Substance Use Disorders 51
Unit 09 Drugs That Affect the Heart, Blood Vessels, Blood, and Blood Volume 59
Unit 10 Drugs for Endocrine Disorders 68
Unit 11 Women’s Health 73
Unit 12 Men’s Health 78
Unit 13 Antiinflammatory, Antiallergic, and Immunologic Drugs 83
Unit 14 Drugs for Bone and Joint Disorders 91
Unit 15 Respiratory Tract Drugs 97
Unit 16 Gastrointestinal Drugs 102
Unit 17 Nutrition and Complimentary Therapies 110
Unit 18 Therapy of Infectious and Parasitic Diseases 116
Unit 19 Cancer Therapy 140
Unit 20 Drugs for Eyes, Ears, and Skin 145
Unit 21 Drugs Therapy in Acute Care 152
,Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & Physician Assistants, 2e (Rosenthal, 2021)
Unit 01: Introduction
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants, 2nd Edition
MULTIPLE CHOICE
1. A patient diagnosed with chronic pain calls to request an oxycodone
(Oxycontin) refill. Which action should the prescriber take initially?
a. Fax the renewal order to the pharmacy.
b. Arrange to schedule an appointment with the patient.
c. Verify the patient’s adherence to the prescribed drug regimen.
d. Determine the patient’s current medication dosage and pain level.
ANS: B
Schedule II medications are not eligible for refills, and prescriptions must be
handwritten. It is important to verify the patient’s adherence to the drug regimen
and determine the current dosage of medication and pain level; however, this can
be accomplished by scheduling an appointment and evaluating the patient in
person.
2. A metered-dose albuterol inhaler is prescribed for asthma management. The
patient reports feeling jittery sometimes when taking the medication, and does not
feel that the medication is always effective. Which action will the provider take to
best minimize patient risks and maximize medication effectiveness?
a. Ask the patient to demonstrate use of the inhaler and assess effectiveness.
b. Assess the patient’s exposure to first- and second-hand tobacco smoke.
c. Auscultate the patient's l u n W
gWsoWu.ndTsBaS
ndMo.bWtaS
in other relevant vital signs.
d. Decrease the dosage to reduce side effects.
ANS: C
Assessing and evaluating lung sounds as well as other vital signs helps determine
the patient's physical response to the medication and allows comparison to the
patient's baseline vital signs. Asking the patient to demonstrate inhaler use helps to
evaluate the patient’s ability to administer the medication properly and is part of an
effective evaluation, but is not a priority intervention based on the patient’s current
report. Assessing tobacco smoke exposure helps determine whether nondrug
1|Page
, Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & Physician Assistants, 2e (Rosenthal, 2021)
therapies, such as smoke avoidance, can be used as an adjunct to drug therapy,
but does not relate to the patient’s current problem. Rewriting the prescription to
decrease the dosage may address the degree of jitteriness experienced, but does
not address the patient’s concern that the drug is not always effective.
3. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning to the provider?
a. The patient had a recent yeast infection.
b. There is a family history of cervical cancer.
c. The patient drinks two glasses of wine every night.
d. The patient is
unemployed. ANS: C
2|Page
