Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+
x@ x@ x@
, Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+ x@ x@ x@
Chapter 1: Orientation to Pharmacology
x@ x@ x@ x@ x@
Test Bank
x@
MULTIPLE CHOICE x@
1. The nurse is teaching a patient how a medication works to treat an illness. To do
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
this, the nurse will rely on knowledge of:
@ x@ x@ x@ x@ x@ x@ x@
a. clinical pharmacology. x@
b. drug efficacy. x@
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D x@
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
conditions. Clinical pharmacology is concerned with all aspects of drug–
x@ x@ x@ x@ x@ x@ x@ x@ x@
human interactions. Drug efficacy measures the extent to which a given drug causes a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
n intended effect.
x@ x@
Pharmacokinetics is the study of the impact of the body on a drug.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Four Basic Terms TOP: Nursing Process: Implem
x@ x@ x@ x@ x @ x@ x@
entation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapi
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
es
2. What x@ does it mean when a drug is described as easy to administer?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. It x@ can be stored indefinitely without need for refrigeration.
x@ x@ x@ x@ x@ x@ x@
b. It x@ does not interact significantly with other medications.
x@ x@ x@ x@ x@ x@
c. It x@ enhances patient adherence to the drug regimen.
x@ x@ x@ x@ x@ x@
d. It x@ is usually relatively inexpensive to produce.
x@ x@ x@ x@ x@
ANS: C x@
A major benefit of drugs that are easy to administer is that patients taking them are m
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore likely to comply with the drug regimen. Drugs that are easy to give may have th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e other attributes listed, but those properties are independent of ease of administration.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Additional Properties of an Ideal Drug: Ease of Administratio
x@ x@ x@ x@ x@ x@ x@ x@ x@
n TOP: Nursing Process: Assessment
x@ x @ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
taking is very effective. Which statement by the patient demonstrates an understandin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g of the drug‘s effectiveness?
x@ x@ x@ x@
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
drug to cause an overdose.‖
x@ x@ x@ x@
b. ―It has no side effects and doesn‘t interact with other drugs.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
c. ―I only have to take it every 12 hours.‖
x@ x@ x@ x@ x@ x@ x@ x@
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
,Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+
x@ x@ x@
ANS: D x@
, Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+ x@ x@ x@
A drug is effective if it produces the intended effects, even if it also produces side eff
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ects. Because no drug is completely safe, the level of toxicity does not determine effect
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
iveness. All drugs have side effects and many react with other substances; these do no
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
t affect the drug‘s effectiveness. Ease of administration is independent of a drug‘s effe
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ctiveness.
DIF: Cognitive Level: Comprehension x@ x@
REF: Properties of an Ideal Drug TOP: Nursing Process: Evalua
x@ x@ x@ x@ x@ x@ x @ x@ x@
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
MULTIPLE RESPONSE x@
1. What are the properties of an ideal drug? (Select all that apply.)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Irreversible action x@
b. Predictability
c. Ease of administration x@ x@
d. Chemical stability x@
e. A simple trade name
x@ x@ x@
ANS: B, C, D x@ x@ x@
In addition to predictability, ease of administration, and chemical stability, other prope
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rties include a reversible action so that any harm the drug may cause can be undone a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nd a simple generic name, because generic names are usually complex and difficult to
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
remember and pronounce.
x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Properties of an Ideal Drug | Additional Properties of an Idea
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
l Drug TOP: Nursing Process: Assessment
x@ x@ x @ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
2. Before administering a medication, what does the nurse need to know to evaluate how
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
individual patient variability might affect the patient‘s response to the medication? (Sel
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ect all that apply.)
x@ x@ x@
a. Chemical stability of the medication x@ x@ x@ x@
b. Ease of administration x@ x@
c. Family medical history x@ x@
d. Patient‘s age x@
e. Patient‘s diagnosis x@
ANS: C, D, E x@ x@ x@
The family medical history can indicate genetic factors that may affect a patient‘s resp
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onse to a medication. Patients of different ages can respond differently to medications.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@The patient‘s illness can affect how drugs are metabolized. The chemical stability of th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e medication and the ease of administration are properties of drugs.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Analysis x@ x@
REF: Sources of Individual Variation TOP: Nursing Process: Imple
x@ x@ x@ x@ x@ x @ x@ x@
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+
x@ x@ x@
, Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+ x@ x@ x@
Chapter 1: Orientation to Pharmacology
x@ x@ x@ x@ x@
Test Bank
x@
MULTIPLE CHOICE x@
1. The nurse is teaching a patient how a medication works to treat an illness. To do
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
this, the nurse will rely on knowledge of:
@ x@ x@ x@ x@ x@ x@ x@
a. clinical pharmacology. x@
b. drug efficacy. x@
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: D x@
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
conditions. Clinical pharmacology is concerned with all aspects of drug–
x@ x@ x@ x@ x@ x@ x@ x@ x@
human interactions. Drug efficacy measures the extent to which a given drug causes a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
n intended effect.
x@ x@
Pharmacokinetics is the study of the impact of the body on a drug.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Four Basic Terms TOP: Nursing Process: Implem
x@ x@ x@ x@ x @ x@ x@
entation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapi
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
es
2. What x@ does it mean when a drug is described as easy to administer?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. It x@ can be stored indefinitely without need for refrigeration.
x@ x@ x@ x@ x@ x@ x@
b. It x@ does not interact significantly with other medications.
x@ x@ x@ x@ x@ x@
c. It x@ enhances patient adherence to the drug regimen.
x@ x@ x@ x@ x@ x@
d. It x@ is usually relatively inexpensive to produce.
x@ x@ x@ x@ x@
ANS: C x@
A major benefit of drugs that are easy to administer is that patients taking them are m
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore likely to comply with the drug regimen. Drugs that are easy to give may have th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e other attributes listed, but those properties are independent of ease of administration.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Additional Properties of an Ideal Drug: Ease of Administratio
x@ x@ x@ x@ x@ x@ x@ x@ x@
n TOP: Nursing Process: Assessment
x@ x @ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
taking is very effective. Which statement by the patient demonstrates an understandin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g of the drug‘s effectiveness?
x@ x@ x@ x@
a. ―I don‘t have to worry about toxicity, since it takes a large amount of this
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
drug to cause an overdose.‖
x@ x@ x@ x@
b. ―It has no side effects and doesn‘t interact with other drugs.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
c. ―I only have to take it every 12 hours.‖
x@ x@ x@ x@ x@ x@ x@ x@
d. ―It might make me sleepy, and it lessens pain for several hours at a time.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
,Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+
x@ x@ x@
ANS: D x@
, Test Bank Lehne's Pharmacology for Nursing Care, 12th E
x@ x@ x@ x@ x@ x@ x@ x@
dition by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x@ x@ x@ x@ x@ x@ x@
112|Complete Guide A+ x@ x@ x@
A drug is effective if it produces the intended effects, even if it also produces side eff
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ects. Because no drug is completely safe, the level of toxicity does not determine effect
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
iveness. All drugs have side effects and many react with other substances; these do no
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
t affect the drug‘s effectiveness. Ease of administration is independent of a drug‘s effe
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ctiveness.
DIF: Cognitive Level: Comprehension x@ x@
REF: Properties of an Ideal Drug TOP: Nursing Process: Evalua
x@ x@ x@ x@ x@ x@ x @ x@ x@
tion
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
MULTIPLE RESPONSE x@
1. What are the properties of an ideal drug? (Select all that apply.)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Irreversible action x@
b. Predictability
c. Ease of administration x@ x@
d. Chemical stability x@
e. A simple trade name
x@ x@ x@
ANS: B, C, D x@ x@ x@
In addition to predictability, ease of administration, and chemical stability, other prope
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rties include a reversible action so that any harm the drug may cause can be undone a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nd a simple generic name, because generic names are usually complex and difficult to
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
remember and pronounce.
x@ x@ x@
DIF: Cognitive Level: Comprehension x@ x@
REF: Properties of an Ideal Drug | Additional Properties of an Idea
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
l Drug TOP: Nursing Process: Assessment
x@ x@ x @ x@ x@
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapie
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
s
2. Before administering a medication, what does the nurse need to know to evaluate how
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
individual patient variability might affect the patient‘s response to the medication? (Sel
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ect all that apply.)
x@ x@ x@
a. Chemical stability of the medication x@ x@ x@ x@
b. Ease of administration x@ x@
c. Family medical history x@ x@
d. Patient‘s age x@
e. Patient‘s diagnosis x@
ANS: C, D, E x@ x@ x@
The family medical history can indicate genetic factors that may affect a patient‘s resp
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onse to a medication. Patients of different ages can respond differently to medications.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@The patient‘s illness can affect how drugs are metabolized. The chemical stability of th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e medication and the ease of administration are properties of drugs.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
DIF: Cognitive Level: Analysis x@ x@
REF: Sources of Individual Variation TOP: Nursing Process: Imple
x@ x@ x@ x@ x@ x @ x@ x@
