This is Part 1 of the Nursing Pharmacology 12th
Edition Comprehensive Test Bank by Linda Lane
Lilley, Shelly Rainforth Collins, and Julie S. Snyder.
# PART 1 of 5: Pharmacology Basics and Drugs Affecting the Central Nervous
System
## (Chapters 1–17)
---
### Chapter 1: The Nursing Process and Drug Therapy — Questions 1–8
---
**Q1.** A nurse is preparing to administer a medication to a client. Which
action best reflects the "right client" component of medication administration?
A. Verifying the medication order against the client's electronic health record.
B. Checking the client's identification using two identifiers before
administration.
C. Confirming the medication dose is appropriate for the client's age.
D. Documenting the medication administration immediately after giving the
drug.
**Correct Answer: B**
**Rationale:** The "right client" requires verification using two identifiers
(e.g., name and date of birth) before administration. Verifying the order reflects
,the "right medication." Checking dose appropriateness relates to the "right
dose." Documentation is a separate but essential step.
---
**Q2.** A nurse is assessing a client who reports taking multiple herbal
supplements. Which action should the nurse take first?
A. Instruct the client to stop all herbal supplements immediately.
B. Obtain a detailed history of all supplements and prescribed medications.
C. Notify the healthcare provider that the client is taking herbals.
D. Document the supplements in the client's record as "non-compliant."
**Correct Answer: B**
**Rationale:** Assessment is the first step of the nursing process. Obtaining a
detailed history identifies potential interactions. Instructing the client to stop all
supplements without assessment is premature. Notification and documentation
follow assessment.
---
**Q3.** A nurse is evaluating a client's response to a new medication. Which
finding best indicates the medication is achieving its therapeutic effect?
A. The client reports no adverse effects.
B. The client's laboratory values are within normal limits.
C. The client's symptoms have improved as expected.
D. The client is able to take the medication without difficulty.
,**Correct Answer: C**
**Rationale:** Therapeutic effect is evaluated by improvement in the
condition being treated. Absence of adverse effects, normal labs, and ease of
administration do not confirm therapeutic effectiveness.
---
**Q4.** A nurse is teaching a client about a new prescription. Which statement
by the client indicates a need for further teaching?
A. "I will take this medication at the same time every day."
B. "I should stop taking this medication as soon as I feel better."
C. "I will check with my pharmacist before taking any over-the-counter drugs."
D. "I will keep a list of all my medications with me at all times."
**Correct Answer: B**
**Rationale:** Stopping a medication when feeling better can lead to relapse
or complications, especially with antibiotics and chronic disease medications.
Taking medications consistently, checking for interactions, and maintaining a
medication list are all appropriate.
---
**Q5.** A nurse is preparing to administer a medication that has a narrow
therapeutic index. Which action is the priority?
, A. Administering the medication with food to reduce GI upset.
B. Monitoring serum drug levels and assessing for toxicity.
C. Teaching the client about common side effects.
D. Documenting the administration time accurately.
**Correct Answer: B**
**Rationale:** Narrow therapeutic index drugs (e.g., digoxin, lithium,
warfarin) require close monitoring of serum levels and toxicity signs because
small changes can cause harm. Food administration, teaching, and
documentation are important but secondary to safety monitoring.
---
**Q6.** A nurse is reviewing a medication order that appears to have an
unclear dose. Which action should the nurse take?
A. Administer the dose as written and document the concern.
B. Clarify the order with the prescriber before administration.
C. Ask another nurse to interpret the order.
D. Administer the lowest possible dose and monitor.
**Correct Answer: B**
**Rationale:** Unclear or illegible orders must be clarified with the
prescriber before administration. Administering, guessing, or asking another
nurse to interpret all risk medication errors.
---
Edition Comprehensive Test Bank by Linda Lane
Lilley, Shelly Rainforth Collins, and Julie S. Snyder.
# PART 1 of 5: Pharmacology Basics and Drugs Affecting the Central Nervous
System
## (Chapters 1–17)
---
### Chapter 1: The Nursing Process and Drug Therapy — Questions 1–8
---
**Q1.** A nurse is preparing to administer a medication to a client. Which
action best reflects the "right client" component of medication administration?
A. Verifying the medication order against the client's electronic health record.
B. Checking the client's identification using two identifiers before
administration.
C. Confirming the medication dose is appropriate for the client's age.
D. Documenting the medication administration immediately after giving the
drug.
**Correct Answer: B**
**Rationale:** The "right client" requires verification using two identifiers
(e.g., name and date of birth) before administration. Verifying the order reflects
,the "right medication." Checking dose appropriateness relates to the "right
dose." Documentation is a separate but essential step.
---
**Q2.** A nurse is assessing a client who reports taking multiple herbal
supplements. Which action should the nurse take first?
A. Instruct the client to stop all herbal supplements immediately.
B. Obtain a detailed history of all supplements and prescribed medications.
C. Notify the healthcare provider that the client is taking herbals.
D. Document the supplements in the client's record as "non-compliant."
**Correct Answer: B**
**Rationale:** Assessment is the first step of the nursing process. Obtaining a
detailed history identifies potential interactions. Instructing the client to stop all
supplements without assessment is premature. Notification and documentation
follow assessment.
---
**Q3.** A nurse is evaluating a client's response to a new medication. Which
finding best indicates the medication is achieving its therapeutic effect?
A. The client reports no adverse effects.
B. The client's laboratory values are within normal limits.
C. The client's symptoms have improved as expected.
D. The client is able to take the medication without difficulty.
,**Correct Answer: C**
**Rationale:** Therapeutic effect is evaluated by improvement in the
condition being treated. Absence of adverse effects, normal labs, and ease of
administration do not confirm therapeutic effectiveness.
---
**Q4.** A nurse is teaching a client about a new prescription. Which statement
by the client indicates a need for further teaching?
A. "I will take this medication at the same time every day."
B. "I should stop taking this medication as soon as I feel better."
C. "I will check with my pharmacist before taking any over-the-counter drugs."
D. "I will keep a list of all my medications with me at all times."
**Correct Answer: B**
**Rationale:** Stopping a medication when feeling better can lead to relapse
or complications, especially with antibiotics and chronic disease medications.
Taking medications consistently, checking for interactions, and maintaining a
medication list are all appropriate.
---
**Q5.** A nurse is preparing to administer a medication that has a narrow
therapeutic index. Which action is the priority?
, A. Administering the medication with food to reduce GI upset.
B. Monitoring serum drug levels and assessing for toxicity.
C. Teaching the client about common side effects.
D. Documenting the administration time accurately.
**Correct Answer: B**
**Rationale:** Narrow therapeutic index drugs (e.g., digoxin, lithium,
warfarin) require close monitoring of serum levels and toxicity signs because
small changes can cause harm. Food administration, teaching, and
documentation are important but secondary to safety monitoring.
---
**Q6.** A nurse is reviewing a medication order that appears to have an
unclear dose. Which action should the nurse take?
A. Administer the dose as written and document the concern.
B. Clarify the order with the prescriber before administration.
C. Ask another nurse to interpret the order.
D. Administer the lowest possible dose and monitor.
**Correct Answer: B**
**Rationale:** Unclear or illegible orders must be clarified with the
prescriber before administration. Administering, guessing, or asking another
nurse to interpret all risk medication errors.
---
