ADVANCED
PHARMACOLOGY
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical pharmacology is concerned with all aspects of drug-human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
listed, but those properties are independent of ease of administration.
,A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
effective. Which statement by the patient demonstrates an understanding of the drug's
effectiveness?
a. "I don't have to worry about toxicity, since it takes a large amount of this drug to cause an
overdose."
b. "It has no side effects and doesn't interact with other drugs."
c. "I only have to take it every 12 hours."
d. "It might make me sleepy, and it lessens pain for several hours at a time." - CORRECT
ANSWER -ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug's
effectiveness. Ease of administration is independent of a drug's effectiveness.
What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name - CORRECT ANSWER -ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient's response to the medication? (Select all
that apply.)
,a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient's age
e. Patient's diagnosis - CORRECT ANSWER -ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient's response to a
medication. Patients of different ages can respond differently to medications. The patient's
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
A zpatient zis zusing za zmetered-dose zinhaler zcontaining zalbuterol zfor zasthma. zThe
zmedication zlabel zinstructs zthe zpatient zto zadminister z"2 zpuffs zevery z4 zhours zas zneeded
zfor zcoughing zor zwheezing." zThe zpatient zreports zfeeling zjittery zsometimes zwhen ztaking
zthe zmedication, zand zshe zdoesn't zfeel zthat zthe zmedication zis zalways zeffective. zWhich zis
znot zan zappropriate znursing zintervention zfor zthis zpatient?
a. Asking zthe zpatient zto zdemonstrate zuse zof zthe zinhaler
b. Assessing zthe zpatient's zexposure zto ztobacco zsmoke
c. Auscultating zlung zsounds zand zobtaining zvital zsigns
d. Suggesting zthat zthe zpatient zuse zone zpuff zto zreduce zside zeffects z- zCORRECT z ANSWER
z-ANS: zD
It zis znot zwithin zthe znurse's zscope zof zpractice zto zchange zthe zdose zof za zmedication
zwithout zan zorder zfrom za zprescriber. zAsking zthe zpatient zto zdemonstrate zinhaler zuse zhelps
zthe znurse zto zevaluate zthe zpatient's z ability zto zadminister zthe zmedication zproperly zand zis
zpart zof zthe znurse's zevaluation. zAssessing ztobacco zsmoke zexposure zhelps zthe znurse
zdetermine zwhether znondrug ztherapies, zsuch za zsmoke zavoidance, zcan zbe zused zas zan
zadjunct zto zdrug ztherapy. zPerforming za zphysical zassessment zhelps zthe znurse zevaluate
zthe zpatient's zresponse zto zthe zmedication.
, A zpostoperative zpatient zis zbeing zdischarged zhome zwith zacetaminophen/hydrocodone
z(Lortab) zfor zpain. zThe zpatient zasks zthe znurse zabout zusing zTylenol zfor zfever. zWhich
zstatement zby zthe znurse zis zcorrect?
a. "It zis znot zsafe zto ztake zover-the-counter zdrugs zwith zprescription zmedications."
b. "Taking zthe ztwo zmedications ztogether zposes za zrisk zof zdrug ztoxicity."
c. "There zare zno zknown zdrug zinteractions, zso zthis zwill zbe zsafe."
d. "Tylenol zand zLortab zare zdifferent zdrugs, zso zthere zis zno zrisk zof zoverdose." z- zCORRECT
z ANSWER z-ANS: zB
Tylenol zis zthe ztrade zname zand zacetaminophen zis zthe zgeneric zname zfor zthe zsame
zmedication. zIt zis zimportant zto zteach zpatients zto zbe zaware zof zthe zdifferent znames zfor zthe
zsame zdrug zto zminimize zthe zrisk zof zoverdose. zOver-the-counter z(OTC) zmedications zand
zprescription zmedications zmay zbe ztaken ztogether zunless zsignificant zharmful zdrug
zinteractions zare zpossible. zEven zthough zno zdrug zinteractions zare zat zplay zin zthis zcase,
zboth zdrugs zcontain zacetaminophen, zwhich zcould zlead zto ztoxicity.
The znurse zis zpreparing zto zcare zfor za zpatient zwho zwill zbe ztaking zan zantihypertensive
zmedication. zWhich zaction zby zthe znurse zis zpart zof zthe zassessment zstep zof zthe znursing
zprocess?
a. Asking zthe zprescriber zfor zan zorder zto zmonitor zserum zdrug zlevels
b. Monitoring zthe zpatient zfor zdrug zinteractions zafter zgiving zthe zmedication
c. Questioning zthe zpatient zabout zover-the-counter zmedications
d. Taking zthe zpatient's zblood zpressure zthroughout zthe zcourse zof ztreatment z- zCORRECT
z ANSWER z-ANS: zC
The zassessment zpart zof zthe znursing zprocess zinvolves zgathering zinformation zbefore
zbeginning ztreatment, zand zthis zincludes zasking zabout zother zmedications zthe zpatient zmay
zbe ztaking. zMonitoring zserum zdrug zlevels, zwatching zfor zdrug zinteractions, zand zchecking
zvital zsigns zafter zgiving zthe zmedication zare zall zpart zof zthe zevaluation zphase.
A zpostoperative zpatient zreports zpain, zwhich zthe zpatient zrates zas zan z8 zon za zscale zfrom
z1 zto z10 z(10 zbeing zthe zmost zextreme zpain). zThe zprescriber zhas zordered zacetaminophen
z(Tylenol) z650 zmg zPO zevery z6 zhours zPRN zpain. zWhat zwill zthe znurse zdo?
PHARMACOLOGY
TEST BANK
The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics. - CORRECT ANSWER -ANS: D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
conditions. Clinical pharmacology is concerned with all aspects of drug-human interactions.
Drug efficacy measures the extent to which a given drug causes an intended effect.
Pharmacokinetics is the study of the impact of the body on a drug.
What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce. - CORRECT ANSWER -ANS: C
A major benefit of drugs that are easy to administer is that patients taking them are more likely
to comply with the drug regimen. Drugs that are easy to give may have the other attributes
listed, but those properties are independent of ease of administration.
,A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very
effective. Which statement by the patient demonstrates an understanding of the drug's
effectiveness?
a. "I don't have to worry about toxicity, since it takes a large amount of this drug to cause an
overdose."
b. "It has no side effects and doesn't interact with other drugs."
c. "I only have to take it every 12 hours."
d. "It might make me sleepy, and it lessens pain for several hours at a time." - CORRECT
ANSWER -ANS: D
A drug is effective if it produces the intended effects, even if it also produces side effects.
Because no drug is completely safe, the level of toxicity does not determine effectiveness. All
drugs have side effects and many react with other substances; these do not affect the drug's
effectiveness. Ease of administration is independent of a drug's effectiveness.
What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name - CORRECT ANSWER -ANS: B, C, D
In addition to predictability, ease of administration, and chemical stability, other properties
include a reversible action so that any harm the drug may cause can be undone and a simple
generic name, because generic names are usually complex and difficult to remember and
pronounce.
Before administering a medication, what does the nurse need to know to evaluate how
individual patient variability might affect the patient's response to the medication? (Select all
that apply.)
,a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient's age
e. Patient's diagnosis - CORRECT ANSWER -ANS: C, D, E
The family medical history can indicate genetic factors that may affect a patient's response to a
medication. Patients of different ages can respond differently to medications. The patient's
illness can affect how drugs are metabolized. The chemical stability of the medication and the
ease of administration are properties of drugs.
A zpatient zis zusing za zmetered-dose zinhaler zcontaining zalbuterol zfor zasthma. zThe
zmedication zlabel zinstructs zthe zpatient zto zadminister z"2 zpuffs zevery z4 zhours zas zneeded
zfor zcoughing zor zwheezing." zThe zpatient zreports zfeeling zjittery zsometimes zwhen ztaking
zthe zmedication, zand zshe zdoesn't zfeel zthat zthe zmedication zis zalways zeffective. zWhich zis
znot zan zappropriate znursing zintervention zfor zthis zpatient?
a. Asking zthe zpatient zto zdemonstrate zuse zof zthe zinhaler
b. Assessing zthe zpatient's zexposure zto ztobacco zsmoke
c. Auscultating zlung zsounds zand zobtaining zvital zsigns
d. Suggesting zthat zthe zpatient zuse zone zpuff zto zreduce zside zeffects z- zCORRECT z ANSWER
z-ANS: zD
It zis znot zwithin zthe znurse's zscope zof zpractice zto zchange zthe zdose zof za zmedication
zwithout zan zorder zfrom za zprescriber. zAsking zthe zpatient zto zdemonstrate zinhaler zuse zhelps
zthe znurse zto zevaluate zthe zpatient's z ability zto zadminister zthe zmedication zproperly zand zis
zpart zof zthe znurse's zevaluation. zAssessing ztobacco zsmoke zexposure zhelps zthe znurse
zdetermine zwhether znondrug ztherapies, zsuch za zsmoke zavoidance, zcan zbe zused zas zan
zadjunct zto zdrug ztherapy. zPerforming za zphysical zassessment zhelps zthe znurse zevaluate
zthe zpatient's zresponse zto zthe zmedication.
, A zpostoperative zpatient zis zbeing zdischarged zhome zwith zacetaminophen/hydrocodone
z(Lortab) zfor zpain. zThe zpatient zasks zthe znurse zabout zusing zTylenol zfor zfever. zWhich
zstatement zby zthe znurse zis zcorrect?
a. "It zis znot zsafe zto ztake zover-the-counter zdrugs zwith zprescription zmedications."
b. "Taking zthe ztwo zmedications ztogether zposes za zrisk zof zdrug ztoxicity."
c. "There zare zno zknown zdrug zinteractions, zso zthis zwill zbe zsafe."
d. "Tylenol zand zLortab zare zdifferent zdrugs, zso zthere zis zno zrisk zof zoverdose." z- zCORRECT
z ANSWER z-ANS: zB
Tylenol zis zthe ztrade zname zand zacetaminophen zis zthe zgeneric zname zfor zthe zsame
zmedication. zIt zis zimportant zto zteach zpatients zto zbe zaware zof zthe zdifferent znames zfor zthe
zsame zdrug zto zminimize zthe zrisk zof zoverdose. zOver-the-counter z(OTC) zmedications zand
zprescription zmedications zmay zbe ztaken ztogether zunless zsignificant zharmful zdrug
zinteractions zare zpossible. zEven zthough zno zdrug zinteractions zare zat zplay zin zthis zcase,
zboth zdrugs zcontain zacetaminophen, zwhich zcould zlead zto ztoxicity.
The znurse zis zpreparing zto zcare zfor za zpatient zwho zwill zbe ztaking zan zantihypertensive
zmedication. zWhich zaction zby zthe znurse zis zpart zof zthe zassessment zstep zof zthe znursing
zprocess?
a. Asking zthe zprescriber zfor zan zorder zto zmonitor zserum zdrug zlevels
b. Monitoring zthe zpatient zfor zdrug zinteractions zafter zgiving zthe zmedication
c. Questioning zthe zpatient zabout zover-the-counter zmedications
d. Taking zthe zpatient's zblood zpressure zthroughout zthe zcourse zof ztreatment z- zCORRECT
z ANSWER z-ANS: zC
The zassessment zpart zof zthe znursing zprocess zinvolves zgathering zinformation zbefore
zbeginning ztreatment, zand zthis zincludes zasking zabout zother zmedications zthe zpatient zmay
zbe ztaking. zMonitoring zserum zdrug zlevels, zwatching zfor zdrug zinteractions, zand zchecking
zvital zsigns zafter zgiving zthe zmedication zare zall zpart zof zthe zevaluation zphase.
A zpostoperative zpatient zreports zpain, zwhich zthe zpatient zrates zas zan z8 zon za zscale zfrom
z1 zto z10 z(10 zbeing zthe zmost zextreme zpain). zThe zprescriber zhas zordered zacetaminophen
z(Tylenol) z650 zmg zPO zevery z6 zhours zPRN zpain. zWhat zwill zthe znurse zdo?
