Test Bank For Introduc
To Clinical Pharmacol
10 Edition by Visovs
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEm CHOICE
1. ThemLPNmismcollectingmdatamformtheminitialmassessmentmofmampatientm uponmadmissionmtomamlong-termmcare
patient’smprescribedmdrugs.mWhichmactionmshouldmthemLPNmconsiderm tombemthemhighestmpriority?
a. Obtainmanymspecialmequipmentm thatmwillmbemneededmtomgivemthempatient’smdrug.
b. Monitormthempatientmformamresponsemtomthemdrugmgiven.
c. Collectmdatamaboutmthempatientmandmthempatient’smhealthmcondition.
d. Reviewmthemnursingmcaremplanmtomverifymthatmitmismaccurate.
ANS:m C
Collectingmandmdocumentingmdatamaboutmthempatientmandmthempatient’smhealthmconditionmismamcriticalmste
ven.mInformationmregardingmthempresentmillness,manymsignsmandmsymptoms,mreviewmofmmedicalmrecords,md
nsmaremneededmbeforemdrugsmaremgiven.mDecidingm onmspecialmequipmentmthatmwillmbemneededmtomgivemthe
m them planningmphasem ofm them nursing m process.m Monitoring m them patient m form hism responsem tom given m drugm ism
gemofmthemnursingmprocess.mReviewingmthemnursingm caremplanmtomverifymthatm itmismbeingmfollowedmaccurat
entationmstagemofmthemnursingmprocess.
DIF: CognitivemLevel:mApplying REF:mp.m2
2. ThemLPNmismworkingmwithmampatientminmthemplanningmstagemofmthemnursingmprocessmrelatedmtomthempatien
actionmshouldmthemLPNmtakemduringmthismstage?
a. Developm amnursingmgoalmtomplanmthemproceduresmneededmtomgivemdrug.
b. Developmamteachingmplanm formthempatientmregardingmthemdrug’smactions.
c. Determinemthatmthempatientmismexperiencingmthemexpectedmresponsemtomhismdrug.
d. Determinemhowm muchm thempatientmunderstandsmaboutmhismdrug.
ANS:m D
Determiningmhowmmuchmthempatientmunderstandsmaboutmhism drugmism partmofmthemdiagnosism phasemofmthe
ingm amnursingmgoalmtomplanmthemproceduresm neededmtomgivemdrugmandm developingmamteachingmplanmformth
rug’smactionsmarempartmofmthemplanningmphasemofmthemnursingmprocess.
DIF: CognitivemLevel:mApplying REF:mp.m2
3. Youmaremteachingmampatientm withmdepressionmaboutmthempotentialmadversemeffectsm ofmamprescribedmdrug.
processmrelatedmtomdrugmtherapymaremyoumengagingminmatmthismpointmofmthemteachingmplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:m C
Inmthemevaluationmphasemofmthemnursingm process,mthemLPNmunderstandsmandmteachesm tomthempatientmthem
,mexpectedmsidemeffects,mandmpotentialmadversemeffects.
DIF: CognitivemLevel:mRemembering REF:m p.m2
4. Whichmofmthemfollowingmismanmexamplemofmsubjectivemdata?
a. Thempatientmstatesmshemhasmpainminmhermleftmarm.
b. Themmedicalm chartmhasmamrecordedmbloodm pressurem ofm128/88.
c. Themserummpotassiummlevelmism3.8mmmol/L.
d. Thempatient’smECGmshowsmnormalmsinusmrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Them LPN/VNmismassessingmam patientm beforemgivingm amdrugm formbloodm pressuremmanagement.m Themnursem
90/50mmmmHg.mWhatmismthemnurse’smbestmaction?
a. HoldmthemdrugmandmreportmthembloodmpressuremtomthemRN.
b. Givemthempatientmamfullmglassmofmwatermbeforemgivingmthemdrug.
c. Comembackm inm 30mminutesmandmrecheckmthembloodm pressure.
d. Havemthempatientmperformmpursedmlipmbreathingmbeforemgivingmthemdrug.
ANS:m A
ThembestmactionmismtomholdmthemdrugmandmcontactmthemRN.mThempatientmmaymneedmanmadjustmentmtomthe
uremdrugmormswitchingmtomanothermdrug.mGivingmwatermwithmthemdrugmismnotmcontraindicatedmbutmdoesm no
riskmformhypotension.mPursedmlipmbreathingmhasmnomroleminmthismsituation.
DIF: CognitivemLevel:mRemembering REF:mmp.m4
7. ThemLPNmismcollectingm objectivemdatamforminclusionminmthemnursingmassessment.mWhichmpiecemofminformat
Nmhasamclearmunderstandingmofmobjectivemassessmentmdata?
a. Ampatient’smratingmofmchestmpainmasm8monmam1mtom10mscale.
b. Familymmembersmreportmthatmpatientmhasmbeenmexperiencingmpainm form1mmonth.
c. Detailedmhistorymofmthempatient’smcurrentmillnessmuponmadmission.
d. Compilationmofmpastmlaboratorymresultsmandmx-raymreports.
ANS:m D
Thempatient’smpastmlaboratorymandmx-
raymresultsmaremexamplesmofm objectivemdata.mAmpainmratingmofm8/10,mamfamilym member’smdescriptionofmthe
ymofmcurrentmillnessmaremexamplesmofmsubjectivemdata.
DIF: CognitivemLevel:mRemembering REF:m p.m3
8. Ampatientmrecentlymbeganmam takingmbloodm pressuremdrugmandm presentsmformamfollow-upm appointment.m Th
patient’smdailymbloodm pressuremrecordings.mWhichmstagemofmthemnursingmprocessmcorrespondsmtomthismrev
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:m D
Themevaluationmphaseminvolvesmexaminingmthemresultsmthatmoccurmwhenmthemplanmismimplemented.mRevie
dmpressuremrecordingmexaminesmthempatient’smresponsemtomthemdrug.mThemassessmentmphasemprovidesmin
atient,mthemproblem,mandmanythingm thatmmaymchangemthemchoicemofmtreatment.mThemplanningm phaseminv
entm datamandmdiagnosesmtomsetmgoalsmandmwritemcaremplans.mThemdiagnosismphaseminvolvesmdecision-
makingmaboutmthempatient’smproblems,m includingmmedicalmdiagnosesm madembym themhealthcaremproviderm
opedm throughm themNorthm Americanm Nursingm DiagnosismAssociationm(NANDA).
DIF: CognitivemLevel:mRemembering REF:mp.m2
9. Aftermreceivingmreport,mthemLPNmgivesmdrugsmtomhermassignedmpatientsmonmthemeveningm shift.mWithmwhich
processmdoesmthismactivitymcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:m A
Themimplementationmphaseminvolvesm activelymfollowingm themplanmofmcaremandmaccuratelymgivingmordered
ssessmentmphaseminvolvesmobtainingminitialminformationmaboutmthempatient,mthemproblem,mandmanythingm
mofmtreatment. m Them planningm phase m involves m usingm patient m assessment mdatam and mdiagnosesm tom setm goal
diagnosismphaseminvolvesmdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Ampatientmismreceivingmanmantibioticm formpneumonia.mOnmthemthirdmdaym ofmthemtreatmentmregimen,m amras
andmshemreportsmitchingmandmshortnessmofmbreath.mWhichmtermmdescribesmthemeffectmthatmhasmoccurre
a. Therapeuticm effect
b. Adversemeffect
c. Sidemeffect
d. Overdosem effect
ANS:m B
Anmitchymrashmwithmshortnessmofmbreathmthatmdevelopsminmresponsemtomdrugmismanmexamplemofmanmallergic
fectmtomthemantibiotic.mTherapeuticmeffectsmoccurmwhenmanmantibioticmfightsminfectionmwithoutmcausingman
m effects mof mdrugsm arem known m potential m effects m ofmthem antibioticm that mrangem fromm mild m tom moderate. m An
atientmreceivesmtoommuchmofmamdrug.
DIF: CognitivemLevel:mUnderstanding REF:m p.m9
12. AnmLPNmentersmampatient’smroommtomgivemamscheduledmdrug.mBeforemadministration,mthempatientmstates,m“
ug;m I’mmallergicmtomit.”mWhatmshouldmthemnursemdomfirst?
a. Reassuremthempatientmthatmthemdrugmismneededmandmobservationsmregardingm poss
iblemallergicmsymptomsmwillmbemmade.
b. Reviewmthempatientmrecordmandmencouragemthempatientmtomtakemthemdrugmi
fmnomallergiesmhavembeenmdocumented.
c. Assessmthempatient’smallergicmhistorymandmnotifymthemhealthcaremprovidermto
determinemam coursemofmaction.
d. Documentm patientmrefusalmandmleavemamnotemonmthempatientmchartmfor
m themhealthcareprovider.
ANS:m C
Thempatientmhasmsharedminformationmthatmindicatesmthempotentialmformthemorderedmdrugmtomcausemadvers
emdrug,mthemnursemshouldminvestigatemfurthermbymobtainingmammoremdetailedmdrugmhistorymandmnotifyingm
om wrotemthemorder.mAlthoughmthemordermmaymbemaccuratelymwritten,mdeterminingmwhethermthemdrug’smb
smnotmanmactionmwithinmthemlegalmscopemofmthemnurse’smpractice.mThemnursemshouldmnotmoffermfalsemreassu
formpatientmsafety,mshouldminvestigatemfurthermbeforemgivingmthemdrug.mThempatientmhasmraisedmconcerns
ouldmpromptlymbembroughtmtomthemprovider’smattention.mAmnotemonmthemchartmleavesmpotentialmforminfo
DIF: CognitivemLevel:mApplying REF:mmp.m4
13. ThemLPNmismpreparingmtomgivemtheminitialmdosemofmanmantibioticmtomam patientmdiagnosedmwithmanminfection
moutinmamrashmthemlastmtimemImtookmthatmpill.”mWhatmactionmshouldmthemLPNmtakemnext?
a. Givemthemdrugmandmcheckmthempatientminm 30mminutesmformamrash.
b. Documentmthatmthempatientmrefusedmthemdrugmpermagencym policy.
c. Leavemthemdrugmatmthembedsidemwhilemcheckingmthemchartmformthempatient’smallergies.
d. Notifymthemregisteredmnursemormhealthcaremprovider.
ANS:m D
Thismismampossiblemadversemreaction,mandmthemRNmormhealthcaremprovidermshouldmbemnotifiedmimmediatel
emthemdrugmtomseemifmitmdoesmcausemamrash.mDrugmshouldmnevermbemleftmatmthembedside.mThempatientmdi
DIF: CognitivemLevel:mApplying REF:m p.m9
14. Whichmprioritymassessmentmmustmyoummakembeforemgivingmanympatientmamdrugmbymmouth?
a. Quizmthempatientmaboutmthemactionmofmeachmdrug.
b. Makemsuremthempatientmcanmswallow.
c. Findmoutmwhethermthempatientmprefersmcoldm ormroommtemperaturemliquids.
d. Askmthempatientmtomrepeatmhismormhermnamemandmbirthdate.
ANS:m B
Beforemthempatientmcanmtakemanymdrugmbymmouth,mtheymmustmbemablemtomswallow.mAskingmthempatientmto
To Clinical Pharmacol
10 Edition by Visovs
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEm CHOICE
1. ThemLPNmismcollectingmdatamformtheminitialmassessmentmofmampatientm uponmadmissionmtomamlong-termmcare
patient’smprescribedmdrugs.mWhichmactionmshouldmthemLPNmconsiderm tombemthemhighestmpriority?
a. Obtainmanymspecialmequipmentm thatmwillmbemneededmtomgivemthempatient’smdrug.
b. Monitormthempatientmformamresponsemtomthemdrugmgiven.
c. Collectmdatamaboutmthempatientmandmthempatient’smhealthmcondition.
d. Reviewmthemnursingmcaremplanmtomverifymthatmitmismaccurate.
ANS:m C
Collectingmandmdocumentingmdatamaboutmthempatientmandmthempatient’smhealthmconditionmismamcriticalmste
ven.mInformationmregardingmthempresentmillness,manymsignsmandmsymptoms,mreviewmofmmedicalmrecords,md
nsmaremneededmbeforemdrugsmaremgiven.mDecidingm onmspecialmequipmentmthatmwillmbemneededmtomgivemthe
m them planningmphasem ofm them nursing m process.m Monitoring m them patient m form hism responsem tom given m drugm ism
gemofmthemnursingmprocess.mReviewingmthemnursingm caremplanmtomverifymthatm itmismbeingmfollowedmaccurat
entationmstagemofmthemnursingmprocess.
DIF: CognitivemLevel:mApplying REF:mp.m2
2. ThemLPNmismworkingmwithmampatientminmthemplanningmstagemofmthemnursingmprocessmrelatedmtomthempatien
actionmshouldmthemLPNmtakemduringmthismstage?
a. Developm amnursingmgoalmtomplanmthemproceduresmneededmtomgivemdrug.
b. Developmamteachingmplanm formthempatientmregardingmthemdrug’smactions.
c. Determinemthatmthempatientmismexperiencingmthemexpectedmresponsemtomhismdrug.
d. Determinemhowm muchm thempatientmunderstandsmaboutmhismdrug.
ANS:m D
Determiningmhowmmuchmthempatientmunderstandsmaboutmhism drugmism partmofmthemdiagnosism phasemofmthe
ingm amnursingmgoalmtomplanmthemproceduresm neededmtomgivemdrugmandm developingmamteachingmplanmformth
rug’smactionsmarempartmofmthemplanningmphasemofmthemnursingmprocess.
DIF: CognitivemLevel:mApplying REF:mp.m2
3. Youmaremteachingmampatientm withmdepressionmaboutmthempotentialmadversemeffectsm ofmamprescribedmdrug.
processmrelatedmtomdrugmtherapymaremyoumengagingminmatmthismpointmofmthemteachingmplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:m C
Inmthemevaluationmphasemofmthemnursingm process,mthemLPNmunderstandsmandmteachesm tomthempatientmthem
,mexpectedmsidemeffects,mandmpotentialmadversemeffects.
DIF: CognitivemLevel:mRemembering REF:m p.m2
4. Whichmofmthemfollowingmismanmexamplemofmsubjectivemdata?
a. Thempatientmstatesmshemhasmpainminmhermleftmarm.
b. Themmedicalm chartmhasmamrecordedmbloodm pressurem ofm128/88.
c. Themserummpotassiummlevelmism3.8mmmol/L.
d. Thempatient’smECGmshowsmnormalmsinusmrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Them LPN/VNmismassessingmam patientm beforemgivingm amdrugm formbloodm pressuremmanagement.m Themnursem
90/50mmmmHg.mWhatmismthemnurse’smbestmaction?
a. HoldmthemdrugmandmreportmthembloodmpressuremtomthemRN.
b. Givemthempatientmamfullmglassmofmwatermbeforemgivingmthemdrug.
c. Comembackm inm 30mminutesmandmrecheckmthembloodm pressure.
d. Havemthempatientmperformmpursedmlipmbreathingmbeforemgivingmthemdrug.
ANS:m A
ThembestmactionmismtomholdmthemdrugmandmcontactmthemRN.mThempatientmmaymneedmanmadjustmentmtomthe
uremdrugmormswitchingmtomanothermdrug.mGivingmwatermwithmthemdrugmismnotmcontraindicatedmbutmdoesm no
riskmformhypotension.mPursedmlipmbreathingmhasmnomroleminmthismsituation.
DIF: CognitivemLevel:mRemembering REF:mmp.m4
7. ThemLPNmismcollectingm objectivemdatamforminclusionminmthemnursingmassessment.mWhichmpiecemofminformat
Nmhasamclearmunderstandingmofmobjectivemassessmentmdata?
a. Ampatient’smratingmofmchestmpainmasm8monmam1mtom10mscale.
b. Familymmembersmreportmthatmpatientmhasmbeenmexperiencingmpainm form1mmonth.
c. Detailedmhistorymofmthempatient’smcurrentmillnessmuponmadmission.
d. Compilationmofmpastmlaboratorymresultsmandmx-raymreports.
ANS:m D
Thempatient’smpastmlaboratorymandmx-
raymresultsmaremexamplesmofm objectivemdata.mAmpainmratingmofm8/10,mamfamilym member’smdescriptionofmthe
ymofmcurrentmillnessmaremexamplesmofmsubjectivemdata.
DIF: CognitivemLevel:mRemembering REF:m p.m3
8. Ampatientmrecentlymbeganmam takingmbloodm pressuremdrugmandm presentsmformamfollow-upm appointment.m Th
patient’smdailymbloodm pressuremrecordings.mWhichmstagemofmthemnursingmprocessmcorrespondsmtomthismrev
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:m D
Themevaluationmphaseminvolvesmexaminingmthemresultsmthatmoccurmwhenmthemplanmismimplemented.mRevie
dmpressuremrecordingmexaminesmthempatient’smresponsemtomthemdrug.mThemassessmentmphasemprovidesmin
atient,mthemproblem,mandmanythingm thatmmaymchangemthemchoicemofmtreatment.mThemplanningm phaseminv
entm datamandmdiagnosesmtomsetmgoalsmandmwritemcaremplans.mThemdiagnosismphaseminvolvesmdecision-
makingmaboutmthempatient’smproblems,m includingmmedicalmdiagnosesm madembym themhealthcaremproviderm
opedm throughm themNorthm Americanm Nursingm DiagnosismAssociationm(NANDA).
DIF: CognitivemLevel:mRemembering REF:mp.m2
9. Aftermreceivingmreport,mthemLPNmgivesmdrugsmtomhermassignedmpatientsmonmthemeveningm shift.mWithmwhich
processmdoesmthismactivitymcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:m A
Themimplementationmphaseminvolvesm activelymfollowingm themplanmofmcaremandmaccuratelymgivingmordered
ssessmentmphaseminvolvesmobtainingminitialminformationmaboutmthempatient,mthemproblem,mandmanythingm
mofmtreatment. m Them planningm phase m involves m usingm patient m assessment mdatam and mdiagnosesm tom setm goal
diagnosismphaseminvolvesmdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Ampatientmismreceivingmanmantibioticm formpneumonia.mOnmthemthirdmdaym ofmthemtreatmentmregimen,m amras
andmshemreportsmitchingmandmshortnessmofmbreath.mWhichmtermmdescribesmthemeffectmthatmhasmoccurre
a. Therapeuticm effect
b. Adversemeffect
c. Sidemeffect
d. Overdosem effect
ANS:m B
Anmitchymrashmwithmshortnessmofmbreathmthatmdevelopsminmresponsemtomdrugmismanmexamplemofmanmallergic
fectmtomthemantibiotic.mTherapeuticmeffectsmoccurmwhenmanmantibioticmfightsminfectionmwithoutmcausingman
m effects mof mdrugsm arem known m potential m effects m ofmthem antibioticm that mrangem fromm mild m tom moderate. m An
atientmreceivesmtoommuchmofmamdrug.
DIF: CognitivemLevel:mUnderstanding REF:m p.m9
12. AnmLPNmentersmampatient’smroommtomgivemamscheduledmdrug.mBeforemadministration,mthempatientmstates,m“
ug;m I’mmallergicmtomit.”mWhatmshouldmthemnursemdomfirst?
a. Reassuremthempatientmthatmthemdrugmismneededmandmobservationsmregardingm poss
iblemallergicmsymptomsmwillmbemmade.
b. Reviewmthempatientmrecordmandmencouragemthempatientmtomtakemthemdrugmi
fmnomallergiesmhavembeenmdocumented.
c. Assessmthempatient’smallergicmhistorymandmnotifymthemhealthcaremprovidermto
determinemam coursemofmaction.
d. Documentm patientmrefusalmandmleavemamnotemonmthempatientmchartmfor
m themhealthcareprovider.
ANS:m C
Thempatientmhasmsharedminformationmthatmindicatesmthempotentialmformthemorderedmdrugmtomcausemadvers
emdrug,mthemnursemshouldminvestigatemfurthermbymobtainingmammoremdetailedmdrugmhistorymandmnotifyingm
om wrotemthemorder.mAlthoughmthemordermmaymbemaccuratelymwritten,mdeterminingmwhethermthemdrug’smb
smnotmanmactionmwithinmthemlegalmscopemofmthemnurse’smpractice.mThemnursemshouldmnotmoffermfalsemreassu
formpatientmsafety,mshouldminvestigatemfurthermbeforemgivingmthemdrug.mThempatientmhasmraisedmconcerns
ouldmpromptlymbembroughtmtomthemprovider’smattention.mAmnotemonmthemchartmleavesmpotentialmforminfo
DIF: CognitivemLevel:mApplying REF:mmp.m4
13. ThemLPNmismpreparingmtomgivemtheminitialmdosemofmanmantibioticmtomam patientmdiagnosedmwithmanminfection
moutinmamrashmthemlastmtimemImtookmthatmpill.”mWhatmactionmshouldmthemLPNmtakemnext?
a. Givemthemdrugmandmcheckmthempatientminm 30mminutesmformamrash.
b. Documentmthatmthempatientmrefusedmthemdrugmpermagencym policy.
c. Leavemthemdrugmatmthembedsidemwhilemcheckingmthemchartmformthempatient’smallergies.
d. Notifymthemregisteredmnursemormhealthcaremprovider.
ANS:m D
Thismismampossiblemadversemreaction,mandmthemRNmormhealthcaremprovidermshouldmbemnotifiedmimmediatel
emthemdrugmtomseemifmitmdoesmcausemamrash.mDrugmshouldmnevermbemleftmatmthembedside.mThempatientmdi
DIF: CognitivemLevel:mApplying REF:m p.m9
14. Whichmprioritymassessmentmmustmyoummakembeforemgivingmanympatientmamdrugmbymmouth?
a. Quizmthempatientmaboutmthemactionmofmeachmdrug.
b. Makemsuremthempatientmcanmswallow.
c. Findmoutmwhethermthempatientmprefersmcoldm ormroommtemperaturemliquids.
d. Askmthempatientmtomrepeatmhismormhermnamemandmbirthdate.
ANS:m B
Beforemthempatientmcanmtakemanymdrugmbymmouth,mtheymmustmbemablemtomswallow.mAskingmthempatientmto
