TESTdBANK
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
d d d d
By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
d d d d d d
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
d d d d d d d d d d
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
d d d d d d
MULTIPLE CHOIC d
E
1. ThedLPNdisdcollectingddatadfordthedinitialdassessmentdofdadpatientdupondadmissiondtodadlong-
term care facility before giving the patient’s prescribed drugs. Which action should the LPN conside
d d d d d d d d d d d d d d
?
a. Obtain any special equipment that will be needed to give the patient’s drug.
d d d d d d d d d d d d
b. Monitor the patient for a response to the drug given.
d d d d d d d d d
c. Collect data about the patient and the patient’s health condition.
d d d d d d d d d
d. Review the nursing care plan to verify that it is accurate.
d d d d d d d d d d
ANS: C d
Collecting and documenting data about the patient and the patient’s health condition is a critical step
d d d d d d d d d d d d d d d
n. Information regarding the present illness, any signs and symptoms, review of medical records, drug
d d d d d d d d d d d d d d
e needed before drugs are given. Deciding on special equipment that will be needed to give the patient
d d d d d d d d d d d d d d d d d
ing phase of the nursing process. Monitoring the patient for his response to given drug is part of the e
d d d d d d d d d d d d d d d d d d d
ing process. Reviewing the nursing care plan to verify that it is being followed accurately is part of th
d d d d d d d d d d d d d d d d d d
of the nursing process.
d d d
DIF: Cognitive Level: Applying
d d d REF: p. 2 d d
2. ThedLPNdisdworkingdwithdadpatientdindthedplanningdstagedofdthednursingdprocessdrelateddtodthedpatient’sdp
ion should the LPN take during this stage?
d d d d d d d
a. Develop a nursing goal to plan the procedures needed to give drug.
d d d d d d d d d d d
b. Develop a teaching plan for the patient regarding the drug’s actions.
d d d d d d d d d d
c. Determine that the patient is experiencing the expected response to his drug.
d d d d d d d d d d d
d. Determine how much the patient understands about his drug.
d d d d d d d d
ANS: D d
Determining how much the patient understands about his drug is part of the diagnosis phase of the nu
d d d d d d d d d d d d d d d d d
eveloping a nursing goal to plan the procedures needed to give drug and developing a teaching plan fo
d d d d d d d d d d d d d d d d d
rding the drug’s actions are part of the planning phase of the nursing process.
d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 2 d d
3. Youdaredteachingdadpatientdwithddepressiondaboutdthedpotentialdadversedeffectsdofdadprescribedddrug.dW
ocess related to drug therapy are you engaging in at this point of the teaching plan?
d d d d d d d d d d d d d d d
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C d
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug
d d d d d d d d d d d d d d d d d
ected side effects, and potential adverse effects.
d d d d d d
DIF: Cognitive Level: Remembering REF: p. 2
d d d d d d
4. Whichd statementd providesd and exampled ofd objectived data?
,6. ThedLPN/VNdisdassessingdadpatientdbeforedgivingdaddrugdfordblooddpressuredmanagement.dThednursedno
/50 mm Hg. What is the nurse’s best action?
d d d d d d d d
a. Hold the drug and report the blood pressure to the RN.
d d d d d d d d d d
b. Give the patient a full glass of water before giving the drug.
d d d d d d d d d d d
c. Come back in 30 minutes and recheck the blood pressure.
d d d d d d d d d
d. Have the patient perform pursed lip breathing before giving the drug.
d d d d d d d d d d
ANS: A d
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose
d d d d d d d d d d d d d d d d d d d d
g or switching to another drug. Giving water with the drug is not contraindicated but does not recogniz
d d d d d d d d d d d d d d d d d
potension. Pursed lip breathing has no role in this situation.
d d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 4
d d d d d d
7. ThedLPNdisdcollectingdobjectiveddatadfordinclusiondindthednursingdassessment.dWhichdpiecedofdinformat
PN hasa clear understanding of objective assessment data?
d d d d d d d
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
d d d d d d d d d d d d d
b. Family members report that patient has been experiencing pain for 1 month.
d d d d d d d d d d d
c. Detailed history of the patient’s current illness upon admission.
d d d d d d d d
d. Compilation of past laboratory results and x-ray reports. d d d d d d d
ANS: D d
The patient’s past laboratory and x-
d d d d d
ray results are examples of objective data. A pain rating of 8/10, a family member’s descriptionof the
d d d d d d d d d d d d d d d d
y of current illness are examples of subjective data.
d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 3
d d d d d d
8. Adpatientdrecentlydbegandadtakingdblooddpressureddrugdanddpresentsdfordadfollow-
up appointment. The office nurse reviews the patient’s daily blood pressure recordings. Which stage
d d d d d d d d d d d d d
responds to this review? d d d
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D d
The evaluation phase involves examining the results that occur when the plan is implemented. Revie
d d d d d d d d d d d d d d
d pressure recording examines the patient’s response to the drug. The assessment phase provides initi
d d d d d d d d d d d d d d
ent, the problem, and anything that may change the choice of treatment. The planning phase involves
d d d d d d d d d d d d d d d
ta and diagnoses to set goals and write care plans. The diagnosis phase involves decision-
d d d d d d d d d d d d d d
making about the patient’s problems, including medical diagnoses made by the healthcare provider an
d d d d d d d d d d d d d
ped through the North American Nursing Diagnosis Association (NANDA).
d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 2
d d d d d d
9. Afterdreceivingdreport,dthedLPNdgivesddrugsdtodherdassigneddpatientsdondthedeveningdshift.dWithdwhichds
ocess does this activity correspond?
d d d d
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A d
The implementation phase involves actively following the plan of care and accurately giving ordered
d d d d d d d d d d d d d
, 11. Adpatientdisdreceivingdandantibioticdfordpneumonia.dOndthedthirdddaydofdthedtreatmentdregimen,dadrashdap
d shereports itching and shortness of breath. Which term describes the effect that has occurred?
d d d d d d d d d d d d d d
a. Therapeutic effect d
b. Adverse effect d
c. Side effect d
d. Overdose effect d
ANS: B d
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic r
d d d d d d d d d d d d d d d d d d d
ct to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any
d d d d d d d d d d d d d d
ffects of drugs are known potential effects of the antibiotic that range from mild to moderate. An overd
d d d d d d d d d d d d d d d d d
receives too much of a drug. d d d d d
DIF: Cognitive Level: Understanding REF: p. 9
d d d d d d
12. AndLPNdentersdadpatient’sdroomdtodgivedadscheduledddrug.dBeforedadministration,dthedpatientdstates,d“Idc
ug; I’m allergic to it.” What should the nurse do first?
d d d d d d d d d d
a. Reassure the patient that the drug is needed and observations regarding p
d d d d d d d d d d d
ossibleallergic symptoms will be made. d d d d
b. Review the patient record and encourage the patient to take the drug if n
d d d d d d d d d d d d d
oallergies have been documented. d d d
c. Assess the patient’s allergic history and notify the healthcare provider to
d d d d d d d d d d d
determine a course of action. d d d d
d. Document patient refusal and leave a note on the patient chart for t
d d d d d d d d d d d d
hehealthcareprovider.
ANS: C d
The patient has shared information that indicates the potential for the ordered drug to cause adverse ef
d d d d d d d d d d d d d d d d
g, the nurse should investigate further by obtaining a more detailed drug history and notifying the heal
d d d d d d d d d d d d d d d d
the order. Although the order may be accurately written, determining whether the drug’s benefits out
d d d d d d d d d d d d d d
ion within the legal scope of the nurse’s practice. The nurse should not offer false reassurance and as
d d d d d d d d d d d d d d d d d
ety, should investigate further before giving the drug. The patient has raised concerns regarding the d
d d d d d d d d d d d d d d d
be brought to the provider’s attention. A note on the chart leaves potential for information to be mi
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 4 d d
13. ThedLPNdisdpreparingdtodgivedthedinitialddosedofdandantibioticdtodadpatientddiagnoseddwithdandinfection.dT
oke outin a rash the last time I took that pill.” What action should the LPN take next?
d d d d d d d d d d d d d d d d d
a. Give the drug and check the patient in 30 minutes for a rash.
d d d d d d d d d d d d
b. Document that the patient refused the drug per agency policy. d d d d d d d d d
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d d d d d d d d d d d d d
d. Notify the registered nurse or healthcare provider.
d d d d d d
ANS: D d
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately
d d d d d d d d d d d d d d d
he drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not ref
d d d d d d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 9 d d
14. Whichd priorityd assessmentd mustd youd maked befored givingd anyd patientd ad drugd byd mouth?
a. Quizdthedpatientdaboutdthedactiondofdeachddrug.
b. Makedsuredthedpatientdcandswallow.
c. Finddoutdwhetherdthedpatientdprefersdcolddordroomdtemperaturedliquids.
d. Askdthedpatientdtodrepeatdhisdordherdnamedanddbirthdate.
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
d d d d
By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
d d d d d d
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
d d d d d d d d d d
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
d d d d d d
MULTIPLE CHOIC d
E
1. ThedLPNdisdcollectingddatadfordthedinitialdassessmentdofdadpatientdupondadmissiondtodadlong-
term care facility before giving the patient’s prescribed drugs. Which action should the LPN conside
d d d d d d d d d d d d d d
?
a. Obtain any special equipment that will be needed to give the patient’s drug.
d d d d d d d d d d d d
b. Monitor the patient for a response to the drug given.
d d d d d d d d d
c. Collect data about the patient and the patient’s health condition.
d d d d d d d d d
d. Review the nursing care plan to verify that it is accurate.
d d d d d d d d d d
ANS: C d
Collecting and documenting data about the patient and the patient’s health condition is a critical step
d d d d d d d d d d d d d d d
n. Information regarding the present illness, any signs and symptoms, review of medical records, drug
d d d d d d d d d d d d d d
e needed before drugs are given. Deciding on special equipment that will be needed to give the patient
d d d d d d d d d d d d d d d d d
ing phase of the nursing process. Monitoring the patient for his response to given drug is part of the e
d d d d d d d d d d d d d d d d d d d
ing process. Reviewing the nursing care plan to verify that it is being followed accurately is part of th
d d d d d d d d d d d d d d d d d d
of the nursing process.
d d d
DIF: Cognitive Level: Applying
d d d REF: p. 2 d d
2. ThedLPNdisdworkingdwithdadpatientdindthedplanningdstagedofdthednursingdprocessdrelateddtodthedpatient’sdp
ion should the LPN take during this stage?
d d d d d d d
a. Develop a nursing goal to plan the procedures needed to give drug.
d d d d d d d d d d d
b. Develop a teaching plan for the patient regarding the drug’s actions.
d d d d d d d d d d
c. Determine that the patient is experiencing the expected response to his drug.
d d d d d d d d d d d
d. Determine how much the patient understands about his drug.
d d d d d d d d
ANS: D d
Determining how much the patient understands about his drug is part of the diagnosis phase of the nu
d d d d d d d d d d d d d d d d d
eveloping a nursing goal to plan the procedures needed to give drug and developing a teaching plan fo
d d d d d d d d d d d d d d d d d
rding the drug’s actions are part of the planning phase of the nursing process.
d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 2 d d
3. Youdaredteachingdadpatientdwithddepressiondaboutdthedpotentialdadversedeffectsdofdadprescribedddrug.dW
ocess related to drug therapy are you engaging in at this point of the teaching plan?
d d d d d d d d d d d d d d d
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C d
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug
d d d d d d d d d d d d d d d d d
ected side effects, and potential adverse effects.
d d d d d d
DIF: Cognitive Level: Remembering REF: p. 2
d d d d d d
4. Whichd statementd providesd and exampled ofd objectived data?
,6. ThedLPN/VNdisdassessingdadpatientdbeforedgivingdaddrugdfordblooddpressuredmanagement.dThednursedno
/50 mm Hg. What is the nurse’s best action?
d d d d d d d d
a. Hold the drug and report the blood pressure to the RN.
d d d d d d d d d d
b. Give the patient a full glass of water before giving the drug.
d d d d d d d d d d d
c. Come back in 30 minutes and recheck the blood pressure.
d d d d d d d d d
d. Have the patient perform pursed lip breathing before giving the drug.
d d d d d d d d d d
ANS: A d
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose
d d d d d d d d d d d d d d d d d d d d
g or switching to another drug. Giving water with the drug is not contraindicated but does not recogniz
d d d d d d d d d d d d d d d d d
potension. Pursed lip breathing has no role in this situation.
d d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 4
d d d d d d
7. ThedLPNdisdcollectingdobjectiveddatadfordinclusiondindthednursingdassessment.dWhichdpiecedofdinformat
PN hasa clear understanding of objective assessment data?
d d d d d d d
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
d d d d d d d d d d d d d
b. Family members report that patient has been experiencing pain for 1 month.
d d d d d d d d d d d
c. Detailed history of the patient’s current illness upon admission.
d d d d d d d d
d. Compilation of past laboratory results and x-ray reports. d d d d d d d
ANS: D d
The patient’s past laboratory and x-
d d d d d
ray results are examples of objective data. A pain rating of 8/10, a family member’s descriptionof the
d d d d d d d d d d d d d d d d
y of current illness are examples of subjective data.
d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 3
d d d d d d
8. Adpatientdrecentlydbegandadtakingdblooddpressureddrugdanddpresentsdfordadfollow-
up appointment. The office nurse reviews the patient’s daily blood pressure recordings. Which stage
d d d d d d d d d d d d d
responds to this review? d d d
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D d
The evaluation phase involves examining the results that occur when the plan is implemented. Revie
d d d d d d d d d d d d d d
d pressure recording examines the patient’s response to the drug. The assessment phase provides initi
d d d d d d d d d d d d d d
ent, the problem, and anything that may change the choice of treatment. The planning phase involves
d d d d d d d d d d d d d d d
ta and diagnoses to set goals and write care plans. The diagnosis phase involves decision-
d d d d d d d d d d d d d d
making about the patient’s problems, including medical diagnoses made by the healthcare provider an
d d d d d d d d d d d d d
ped through the North American Nursing Diagnosis Association (NANDA).
d d d d d d d d
DIF: Cognitive Level: Remembering REF: p. 2
d d d d d d
9. Afterdreceivingdreport,dthedLPNdgivesddrugsdtodherdassigneddpatientsdondthedeveningdshift.dWithdwhichds
ocess does this activity correspond?
d d d d
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A d
The implementation phase involves actively following the plan of care and accurately giving ordered
d d d d d d d d d d d d d
, 11. Adpatientdisdreceivingdandantibioticdfordpneumonia.dOndthedthirdddaydofdthedtreatmentdregimen,dadrashdap
d shereports itching and shortness of breath. Which term describes the effect that has occurred?
d d d d d d d d d d d d d d
a. Therapeutic effect d
b. Adverse effect d
c. Side effect d
d. Overdose effect d
ANS: B d
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic r
d d d d d d d d d d d d d d d d d d d
ct to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any
d d d d d d d d d d d d d d
ffects of drugs are known potential effects of the antibiotic that range from mild to moderate. An overd
d d d d d d d d d d d d d d d d d
receives too much of a drug. d d d d d
DIF: Cognitive Level: Understanding REF: p. 9
d d d d d d
12. AndLPNdentersdadpatient’sdroomdtodgivedadscheduledddrug.dBeforedadministration,dthedpatientdstates,d“Idc
ug; I’m allergic to it.” What should the nurse do first?
d d d d d d d d d d
a. Reassure the patient that the drug is needed and observations regarding p
d d d d d d d d d d d
ossibleallergic symptoms will be made. d d d d
b. Review the patient record and encourage the patient to take the drug if n
d d d d d d d d d d d d d
oallergies have been documented. d d d
c. Assess the patient’s allergic history and notify the healthcare provider to
d d d d d d d d d d d
determine a course of action. d d d d
d. Document patient refusal and leave a note on the patient chart for t
d d d d d d d d d d d d
hehealthcareprovider.
ANS: C d
The patient has shared information that indicates the potential for the ordered drug to cause adverse ef
d d d d d d d d d d d d d d d d
g, the nurse should investigate further by obtaining a more detailed drug history and notifying the heal
d d d d d d d d d d d d d d d d
the order. Although the order may be accurately written, determining whether the drug’s benefits out
d d d d d d d d d d d d d d
ion within the legal scope of the nurse’s practice. The nurse should not offer false reassurance and as
d d d d d d d d d d d d d d d d d
ety, should investigate further before giving the drug. The patient has raised concerns regarding the d
d d d d d d d d d d d d d d d
be brought to the provider’s attention. A note on the chart leaves potential for information to be mi
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 4 d d
13. ThedLPNdisdpreparingdtodgivedthedinitialddosedofdandantibioticdtodadpatientddiagnoseddwithdandinfection.dT
oke outin a rash the last time I took that pill.” What action should the LPN take next?
d d d d d d d d d d d d d d d d d
a. Give the drug and check the patient in 30 minutes for a rash.
d d d d d d d d d d d d
b. Document that the patient refused the drug per agency policy. d d d d d d d d d
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d d d d d d d d d d d d d
d. Notify the registered nurse or healthcare provider.
d d d d d d
ANS: D d
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately
d d d d d d d d d d d d d d d
he drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not ref
d d d d d d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Applying
d d d REF: p. 9 d d
14. Whichd priorityd assessmentd mustd youd maked befored givingd anyd patientd ad drugd byd mouth?
a. Quizdthedpatientdaboutdthedactiondofdeachddrug.
b. Makedsuredthedpatientdcandswallow.
c. Finddoutdwhetherdthedpatientdprefersdcolddordroomdtemperaturedliquids.
d. Askdthedpatientdtodrepeatdhisdordherdnamedanddbirthdate.
