Lehne's Pharmacology for Nursing Care -
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
Case Study Scenario
A 67-year-old patient with hypertension and type 2 diabetes is
admitted for pneumonia. The patient takes several prescribed
medications and reports using herbal supplements at home.
Assessment findings:
• BP: 152/88 mmHg
, • HR: 96 bpm
• Creatinine: 1.8 mg/dL
• Reports taking “natural supplements for immunity”
• States: “Natural products are safer than prescription
drugs.”
1. Multiple Response
Question
Which patient statements demonstrate misunderstanding
about pharmacology principles?
Select all that apply.
A. “Natural products cannot cause side effects.”
B. “All drugs have both therapeutic and adverse effects.”
C. “Prescription drugs are always safer than herbal medicines.”
D. “Drug interactions can occur with supplements.”
E. “Higher doses always produce better therapeutic effects.”
Correct Answers: A, C, E
Rationale
Pharmacologic agents—including herbal products—can
produce adverse effects and interactions. Increasing dose
increases risk of toxicity rather than guaranteeing therapeutic
improvement.
CJMM Phase
,Recognize Cues
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed.
Chapter 1: Orientation to Pharmacology
2. Bow-Tie Item
Situation
A nurse is evaluating medication safety for the patient.
Potential Cause Condition Nursing Action
Herbal Risk for drug Obtain complete
supplement use interaction medication history
Correct Selections
Cause: Herbal supplement use
Condition: Risk for drug interaction
Action: Obtain complete medication history
Rationale
Herbal products may alter pharmacologic response and must
be included in medication reconciliation.
CJMM Phases
Recognize Cues
Take Action
, Citation
Lehne’s Pharmacology for Nursing Care, 12th ed.
Chapter 1
3. Cloze Item
Question
Drug effects are categorized as (therapeutic / toxic / side
effects) when they produce the desired pharmacologic
response.
Correct Answer
Therapeutic
Rationale
Therapeutic effects represent the intended beneficial response
of medication therapy.
CJMM Phase
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
4. Clinical MCQ
Question
Elsevier 12th Edition
by Jacqueline Rosenjack Burchum, DNSc,
FNP-BC, CNE and Laura D. Rosenthal, DNP,
RN, ACNP-BC, FAANP
TEST BANK
Test Bank: Unit I – Introduction
Chapter 1: Orientation to Pharmacology
Source: Lehne's Pharmacology for Nursing Care
Case Study Scenario
A 67-year-old patient with hypertension and type 2 diabetes is
admitted for pneumonia. The patient takes several prescribed
medications and reports using herbal supplements at home.
Assessment findings:
• BP: 152/88 mmHg
, • HR: 96 bpm
• Creatinine: 1.8 mg/dL
• Reports taking “natural supplements for immunity”
• States: “Natural products are safer than prescription
drugs.”
1. Multiple Response
Question
Which patient statements demonstrate misunderstanding
about pharmacology principles?
Select all that apply.
A. “Natural products cannot cause side effects.”
B. “All drugs have both therapeutic and adverse effects.”
C. “Prescription drugs are always safer than herbal medicines.”
D. “Drug interactions can occur with supplements.”
E. “Higher doses always produce better therapeutic effects.”
Correct Answers: A, C, E
Rationale
Pharmacologic agents—including herbal products—can
produce adverse effects and interactions. Increasing dose
increases risk of toxicity rather than guaranteeing therapeutic
improvement.
CJMM Phase
,Recognize Cues
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed.
Chapter 1: Orientation to Pharmacology
2. Bow-Tie Item
Situation
A nurse is evaluating medication safety for the patient.
Potential Cause Condition Nursing Action
Herbal Risk for drug Obtain complete
supplement use interaction medication history
Correct Selections
Cause: Herbal supplement use
Condition: Risk for drug interaction
Action: Obtain complete medication history
Rationale
Herbal products may alter pharmacologic response and must
be included in medication reconciliation.
CJMM Phases
Recognize Cues
Take Action
, Citation
Lehne’s Pharmacology for Nursing Care, 12th ed.
Chapter 1
3. Cloze Item
Question
Drug effects are categorized as (therapeutic / toxic / side
effects) when they produce the desired pharmacologic
response.
Correct Answer
Therapeutic
Rationale
Therapeutic effects represent the intended beneficial response
of medication therapy.
CJMM Phase
Analyze Cues
Citation
Lehne’s Pharmacology for Nursing Care, 12th ed., Chapter 1
4. Clinical MCQ
Question
