Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+ y y y
Chapter 1: Orientation to Pharmacology
y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. Theynurseyisyteachingyaypatientyhowyaymedicationyworksytoytreatyanyillness.yToydoythis,ytheyn
urseywillyrelyyonyknowledgeyof:
a. clinicalypharmacology.
b. drugyefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:y D
Pharmacotherapeuticsyisytheystudyyofytheyuseyofydrugsytoydiagnose,ytreat,yandypreventyconditio
ns.yClinicalypharmacologyyisyconcernedywithyallyaspectsyofydrug–
humanyinteractions.yDrugyefficacyymeasuresytheyextentytoywhichyaygivenydrugycausesyanyintend
edyeffect.
Pharmacokineticsyisytheystudyyofytheyimpactyofytheybodyyonyaydrug.
DIF: CognitiveyLevel:yComprehension
REF:yFouryBasicyTermsyTOP:y NursingyProcess:yImplementati
on
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Whatydoesyitymeanywhenyaydrugyisydescribedyasyeasyytoyadminister?
a. Itycanybeystoredyindefinitelyywithoutyneedyforyrefrigeration.
b. Itydoesynotyinteractysignificantlyywithyotherymedications.
c. Ityenhancesypatientyadherenceytoytheydrugyregimen.
d. Ityisyusuallyyrelativelyyinexpensiveytoyproduce.
ANS:y C
Aymajorybenefityofydrugsythatyareyeasyytoyadministeryisythatypatientsytakingythemyareymoreyli
kelyytoycomplyywithytheydrugyregimen.yDrugsythatyareyeasyytoygiveymayyhaveytheyotheryattri
butesylisted,ybutythoseypropertiesyareyindependentyofyeaseyofyadministration.
DIF: CognitiveyLevel:yComprehension
REF:yAdditionalyPropertiesyofyanyIdealyDrug:yEaseyofyAdministrationy
TOP:y NursingyProcess:yAssessment
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
3. Aypatientytellsytheynurseythatyheywasytoldybyytheyprescriberythatytheyanalgesicyheyisytakingyisyve
ryyeffective.yWhichystatementybyytheypatientydemonstratesyanyunderstandingyofytheydrug‘syeff
ectiveness?
a. ―Iydon‘tyhaveytoyworryyaboutytoxicity,ysinceyitytakesyaylargeyamountyofythisydrugytoyc
auseyanyoverdose.‖
b. ―Ityhasynoysideyeffectsyandydoesn‘tyinteractywithyotherydrugs.‖
c. ―Iyonlyyhavey toy takey ity everyy12y hours.‖
d. ―Itymightymakeymeysleepy,yandyitylessensypainyforyseveralyhoursyatyaytime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+
y y y
ANS:y D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+
y y y
Aydrugyisyeffectiveyifyityproducesytheyintendedyeffects,yevenyifyityalsoyproducesysideyeffects.yBeca
useynoydrugyisycompletelyysafe,ytheylevelyofytoxicityydoesynotydetermineyeffectiveness.yAllydrugsy
haveysideyeffectsyandymanyyreactywithyotherysubstances;ytheseydoynotyaffectytheydrug‘syeffective
ness.yEaseyofyadministrationyisyindependentyofyaydrug‘syeffectiveness.
DIF: CognitiveyLevel:yComprehension
REF:yPropertiesyofyanyIdealyDrugyTOP:y NursingyProcess:yEvaluation
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
MULTIPLEyRESPONSE
1. Whatyareytheypropertiesyofyanyidealydrug?y(Selectyallythatyapply.)
a. Irreversibleyaction
b. Predictability
c. Easeyofyadministration
d. Chemicalystability
e. Aysimpleytradeyname
ANS:y B,yC,yD
Inyadditionytoypredictability,yeaseyofyadministration,yandychemicalystability,yotherypropertiesyi
ncludeyayreversibleyactionysoythatyanyyharmytheydrugymayycauseycanybeyundoneyandyaysimpleyge
nericyname,ybecauseygenericynamesyareyusuallyycomplexyandydifficultytoyrememberyandyprono
unce.
DIF: CognitiveyLevel:yComprehension
REF:yPropertiesyofyanyIdealyDrugy|yAdditionalyPropertiesyofyanyIdealyDrugy
TOP:y NursingyProcess:yAssessment
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Beforeyadministeringyaymedication,ywhatydoesytheynurseyneedytoyknowytoyevaluateyhow
individualypatientyvariabilityymightyaffectytheypatient‘syresponseytoytheymedication?y(Selectyallythaty
apply.)
a. Chemicalystabilityyofytheymedication
b. Easeyofyadministration
c. Familyymedicalyhistory
d. Patient‘syage
e. Patient‘sydiagnosis
ANS:y C,yD,yE
Theyfamilyymedicalyhistoryycanyindicateygeneticyfactorsythatymayyaffectyaypatient‘syresponseytoyay
medication.yPatientsyofydifferentyagesycanyrespondydifferentlyytoymedications.yTheypatient‘syilln
essycanyaffectyhowydrugsyareymetabolized.yTheychemicalystabilityyofytheymedicationyandytheyeasey
ofyadministrationyareypropertiesyofydrugs.
DIF: CognitiveyLevel:yAnalysis
REF:ySourcesyofyIndividualyVariationyTOP:y NursingyProcess:yImplementati
on
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yReductionyofyRiskyPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+ y y y
Chapter 2: Application of Pharmacology in Nursing Practice
y y y y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. Aypatientyisyusingyaymetered-
doseyinhalerycontainingyalbuterolyforyasthma.yTheymedicationylabelyinstructsytheypatientytoya
dministery―2ypuffsyeveryy4yhoursyasyneededyforycoughingyor
wheezing.‖yTheypatientyreportsyfeelingyjitteryysometimesywhenytakingytheymedication,yandysheyd
oesn‘tyfeelythatytheymedicationyisyalwaysyeffective.yWhichyisynotyanyappropriateynursingyinterve
ntionyforythisypatient?
a. Askingytheypatientytoydemonstrateyuseyofytheyinhaler
b. Assessingytheypatient‘syexposureytoytobaccoysmoke
c. Auscultatingylungysoundsyandyobtainingyvitalysigns
d. Suggestingythatytheypatientyuseyoneypuffytoyreduceysideyeffects
ANS:y D
Ityisynotywithinytheynurse‘syscopeyofypracticeytoychangeytheydoseyofyaymedicationywithoutyanyor
deryfromyayprescriber.yAskingytheypatientytoydemonstrateyinhaleryuseyhelpsytheynurseytoyevalua
teytheypatient‘syabilityytoyadministerytheymedicationyproperlyyandyisypartyofytheynurse‘syevaluati
on.yAssessingytobaccoysmokeyexposureyhelpsytheynurseydetermineywhetherynondrugytherapies
,ysuchyaysmokeyavoidance,ycanybeyusedyasyanyadjunctytoydrugytherapy.yPerformingyayphysicalyas
sessmentyhelpsytheynurseyevaluateytheypatient‘syresponseytoytheymedication.
DIF: CognitiveyLevel:yApplication
REF:yApplyingytheyNursingyProcessyinyDrugyTherapy:yPreadministrationyAssessmenty[andyally
subsectionsyunderythisyheading] TOP:y NursingyProcess:yImplementation
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Aypostoperativeypatientyisybeingydischargedyhomeywithyacetaminophen/hydrocodoney(Lortab)yf
orypain.yTheypatientyasksytheynurseyaboutyusingyTylenolyforyfever.yWhichystatementybyytheynurs
eyisycorrect?
a. ―Ityisynotysafeytoytakeyover-the-counterydrugsywithyprescriptionymedications.‖
b. ―Takingytheytwoymedicationsytogetheryposesyayriskyofydrugytoxicity.‖
c. ―Thereyareynoyknownydrugyinteractions,ysoythisywillybeysafe.‖
d. ―TylenolyandyLortabyareydifferentydrugs,ysoythereyisynoyriskyofyoverdose.‖
ANS:y B
Tylenolyisytheytradeynameyandyacetaminophenyisytheygenericynameyforytheysameymedication.yItyisy
importantytoyteachypatientsytoybeyawareyofytheydifferentynamesyforytheysameydrugytoyminimizeythey
riskyofyoverdose.yOver-the-
countery(OTC)ymedicationsyandyprescriptionymedicationsymayybeytakenytogetheryunlessysignific
antyharmfulydrugyinteractionsyareypossible.yEvenythoughynoydrugyinteractionsyareyatyplayyinythisyc
ase,ybothydrugsycontainyacetaminophen,ywhichycouldyleadytoytoxicity.
DIF: CognitiveyLevel:yApplication
REF:yApplicationyofyPharmacologyyinyPatientyEducation:yDosageyandyAdministration
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+ y y y
Chapter 1: Orientation to Pharmacology
y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. Theynurseyisyteachingyaypatientyhowyaymedicationyworksytoytreatyanyillness.yToydoythis,ytheyn
urseywillyrelyyonyknowledgeyof:
a. clinicalypharmacology.
b. drugyefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:y D
Pharmacotherapeuticsyisytheystudyyofytheyuseyofydrugsytoydiagnose,ytreat,yandypreventyconditio
ns.yClinicalypharmacologyyisyconcernedywithyallyaspectsyofydrug–
humanyinteractions.yDrugyefficacyymeasuresytheyextentytoywhichyaygivenydrugycausesyanyintend
edyeffect.
Pharmacokineticsyisytheystudyyofytheyimpactyofytheybodyyonyaydrug.
DIF: CognitiveyLevel:yComprehension
REF:yFouryBasicyTermsyTOP:y NursingyProcess:yImplementati
on
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Whatydoesyitymeanywhenyaydrugyisydescribedyasyeasyytoyadminister?
a. Itycanybeystoredyindefinitelyywithoutyneedyforyrefrigeration.
b. Itydoesynotyinteractysignificantlyywithyotherymedications.
c. Ityenhancesypatientyadherenceytoytheydrugyregimen.
d. Ityisyusuallyyrelativelyyinexpensiveytoyproduce.
ANS:y C
Aymajorybenefityofydrugsythatyareyeasyytoyadministeryisythatypatientsytakingythemyareymoreyli
kelyytoycomplyywithytheydrugyregimen.yDrugsythatyareyeasyytoygiveymayyhaveytheyotheryattri
butesylisted,ybutythoseypropertiesyareyindependentyofyeaseyofyadministration.
DIF: CognitiveyLevel:yComprehension
REF:yAdditionalyPropertiesyofyanyIdealyDrug:yEaseyofyAdministrationy
TOP:y NursingyProcess:yAssessment
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
3. Aypatientytellsytheynurseythatyheywasytoldybyytheyprescriberythatytheyanalgesicyheyisytakingyisyve
ryyeffective.yWhichystatementybyytheypatientydemonstratesyanyunderstandingyofytheydrug‘syeff
ectiveness?
a. ―Iydon‘tyhaveytoyworryyaboutytoxicity,ysinceyitytakesyaylargeyamountyofythisydrugytoyc
auseyanyoverdose.‖
b. ―Ityhasynoysideyeffectsyandydoesn‘tyinteractywithyotherydrugs.‖
c. ―Iyonlyyhavey toy takey ity everyy12y hours.‖
d. ―Itymightymakeymeysleepy,yandyitylessensypainyforyseveralyhoursyatyaytime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+
y y y
ANS:y D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+
y y y
Aydrugyisyeffectiveyifyityproducesytheyintendedyeffects,yevenyifyityalsoyproducesysideyeffects.yBeca
useynoydrugyisycompletelyysafe,ytheylevelyofytoxicityydoesynotydetermineyeffectiveness.yAllydrugsy
haveysideyeffectsyandymanyyreactywithyotherysubstances;ytheseydoynotyaffectytheydrug‘syeffective
ness.yEaseyofyadministrationyisyindependentyofyaydrug‘syeffectiveness.
DIF: CognitiveyLevel:yComprehension
REF:yPropertiesyofyanyIdealyDrugyTOP:y NursingyProcess:yEvaluation
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
MULTIPLEyRESPONSE
1. Whatyareytheypropertiesyofyanyidealydrug?y(Selectyallythatyapply.)
a. Irreversibleyaction
b. Predictability
c. Easeyofyadministration
d. Chemicalystability
e. Aysimpleytradeyname
ANS:y B,yC,yD
Inyadditionytoypredictability,yeaseyofyadministration,yandychemicalystability,yotherypropertiesyi
ncludeyayreversibleyactionysoythatyanyyharmytheydrugymayycauseycanybeyundoneyandyaysimpleyge
nericyname,ybecauseygenericynamesyareyusuallyycomplexyandydifficultytoyrememberyandyprono
unce.
DIF: CognitiveyLevel:yComprehension
REF:yPropertiesyofyanyIdealyDrugy|yAdditionalyPropertiesyofyanyIdealyDrugy
TOP:y NursingyProcess:yAssessment
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Beforeyadministeringyaymedication,ywhatydoesytheynurseyneedytoyknowytoyevaluateyhow
individualypatientyvariabilityymightyaffectytheypatient‘syresponseytoytheymedication?y(Selectyallythaty
apply.)
a. Chemicalystabilityyofytheymedication
b. Easeyofyadministration
c. Familyymedicalyhistory
d. Patient‘syage
e. Patient‘sydiagnosis
ANS:y C,yD,yE
Theyfamilyymedicalyhistoryycanyindicateygeneticyfactorsythatymayyaffectyaypatient‘syresponseytoyay
medication.yPatientsyofydifferentyagesycanyrespondydifferentlyytoymedications.yTheypatient‘syilln
essycanyaffectyhowydrugsyareymetabolized.yTheychemicalystabilityyofytheymedicationyandytheyeasey
ofyadministrationyareypropertiesyofydrugs.
DIF: CognitiveyLevel:yAnalysis
REF:ySourcesyofyIndividualyVariationyTOP:y NursingyProcess:yImplementati
on
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yReductionyofyRiskyPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
y y y y y y y y
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
y y y y y y y
112|Complete Guide A+ y y y
Chapter 2: Application of Pharmacology in Nursing Practice
y y y y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. Aypatientyisyusingyaymetered-
doseyinhalerycontainingyalbuterolyforyasthma.yTheymedicationylabelyinstructsytheypatientytoya
dministery―2ypuffsyeveryy4yhoursyasyneededyforycoughingyor
wheezing.‖yTheypatientyreportsyfeelingyjitteryysometimesywhenytakingytheymedication,yandysheyd
oesn‘tyfeelythatytheymedicationyisyalwaysyeffective.yWhichyisynotyanyappropriateynursingyinterve
ntionyforythisypatient?
a. Askingytheypatientytoydemonstrateyuseyofytheyinhaler
b. Assessingytheypatient‘syexposureytoytobaccoysmoke
c. Auscultatingylungysoundsyandyobtainingyvitalysigns
d. Suggestingythatytheypatientyuseyoneypuffytoyreduceysideyeffects
ANS:y D
Ityisynotywithinytheynurse‘syscopeyofypracticeytoychangeytheydoseyofyaymedicationywithoutyanyor
deryfromyayprescriber.yAskingytheypatientytoydemonstrateyinhaleryuseyhelpsytheynurseytoyevalua
teytheypatient‘syabilityytoyadministerytheymedicationyproperlyyandyisypartyofytheynurse‘syevaluati
on.yAssessingytobaccoysmokeyexposureyhelpsytheynurseydetermineywhetherynondrugytherapies
,ysuchyaysmokeyavoidance,ycanybeyusedyasyanyadjunctytoydrugytherapy.yPerformingyayphysicalyas
sessmentyhelpsytheynurseyevaluateytheypatient‘syresponseytoytheymedication.
DIF: CognitiveyLevel:yApplication
REF:yApplyingytheyNursingyProcessyinyDrugyTherapy:yPreadministrationyAssessmenty[andyally
subsectionsyunderythisyheading] TOP:y NursingyProcess:yImplementation
MSC:y NCLEXyClientyNeedsyCategory:yPhysiologicyIntegrity:yPharmacologicyandyParenteralyTherapies
2. Aypostoperativeypatientyisybeingydischargedyhomeywithyacetaminophen/hydrocodoney(Lortab)yf
orypain.yTheypatientyasksytheynurseyaboutyusingyTylenolyforyfever.yWhichystatementybyytheynurs
eyisycorrect?
a. ―Ityisynotysafeytoytakeyover-the-counterydrugsywithyprescriptionymedications.‖
b. ―Takingytheytwoymedicationsytogetheryposesyayriskyofydrugytoxicity.‖
c. ―Thereyareynoyknownydrugyinteractions,ysoythisywillybeysafe.‖
d. ―TylenolyandyLortabyareydifferentydrugs,ysoythereyisynoyriskyofyoverdose.‖
ANS:y B
Tylenolyisytheytradeynameyandyacetaminophenyisytheygenericynameyforytheysameymedication.yItyisy
importantytoyteachypatientsytoybeyawareyofytheydifferentynamesyforytheysameydrugytoyminimizeythey
riskyofyoverdose.yOver-the-
countery(OTC)ymedicationsyandyprescriptionymedicationsymayybeytakenytogetheryunlessysignific
antyharmfulydrugyinteractionsyareypossible.yEvenythoughynoydrugyinteractionsyareyatyplayyinythisyc
ase,ybothydrugsycontainyacetaminophen,ywhichycouldyleadytoytoxicity.
DIF: CognitiveyLevel:yApplication
REF:yApplicationyofyPharmacologyyinyPatientyEducation:yDosageyandyAdministration
