Co
1|Page
nfi
TEST BANK Introduction to Clinical
de
Pharmacology 10th Edition by Constance
n
G. Visovsky
al
VERIFIED ACCURATE ANSWERS| CHAPTER 1-20
1|Page
, Co
2|Page
nfi
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
de
MULTIPLE CHOICE
n
1. The LPN is collecting data for the initial assessment of a patient upon admission to a Long-term care
facility before giving the patient‘s prescribed drugs. Which action should the LPN consider to be the
highest priority?
al
a. Obtain any special equipment that will be needed4 to give the patient‘s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient‘s health condition.
d. Review the nursing care plan to verify that it is accurate. ANSWER: C
Collecting and documenting data about the patient and the patient‘s health condition is a critical step
before any drugs are given. Information regarding the present illness, any signs and symptoms, review of
medical records, drug history, and vital signs are needed before drugs are given. Deciding on special
equipment that will be needed to give the patient‘s drug is part of the planning phase of the nursing
process. Monitoring the patient for his response to given drug is part of the evaluation stage of the nursing
process. Reviewing the nursing care plan to verify that it is being followed accurately is part of the
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related to the patient‘s
prescribed drugs. Which action should the LPN take during this stage?
a. Develop a4 nursing goal to plan4 the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug‘s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much4the patient understands about his drug. ANSWER: D
Determining how much the patient understands about his drug is part of the diagnosis phase of the
nursing process. Developing a nursing goal to plan the procedures needed to give drug and developing a
teaching plan for the patient regarding the drug‘s actions are part of the planning phase of the nursing
process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression4 about the potential adverse effects of a prescribed drug.
What part of the nursing process related to drug therapy are you engaging in at this point of the teaching
plan?
a. Assessment
b. Implementation
2|Page
, Co
3|Page
nfi
c. Evaluation
de
d. Diagnosis ANSWER: C
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘s
n
therapeutic effects, expected side effects, and potential adverse effects.
al
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient‘s ECG shows normal sinus rhythm.
ANSWER: A
Reports from4 the patient or patient‘s caregiver are considered subjective data. Symptoms such as pain,
nausea, or dizziness are examples of symptoms that cannot be seen and are data collected4 from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from4 a medical chart are
examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe. ANSWER: B
Measurable data obtained during a physical exam such as grimacing with movement is an example of
objective data. Subjective data4 includes information presented by the patient or Family that cannot be
substantiated4 such as a wife‘s report4 of a patient‘s confusion, patient report of degree of alcohol4
consumption, and a patient‘s pain rating.
DIF: Cognitive Level: Remembering REF: p. 3
3|Page
, Co
4|Page
nfi
6. The LPN/VN is assessing a patient before giving a drug4 for blood pressure management. The nurse
notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best action?
de
a. Hold the drug and report the blood pressure to the RN.
n
b. Give the patient a full glass of water before giving the drug.
al
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug. ANSWER: A
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose of
the blood pressure drug or switching to another drug. Giving water with the drug is not contraindicated
but does not recognize the patient‘s risk for hypotension. Pursed lip breathing has no role in this situation.
DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of
information indicates that the LPN has a clear understanding of objective assessment data?
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient‘s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports. ANSWER: D
The patient‘s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a
family member‘s description of the patient‘s pain, and history of current illness are examples of
subjective data.
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a4 follow-up appointment. The
office nurse reviews the patient‘s daily blood pressure recordings. Which4 stage of the nursing process
corresponds to this review?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation ANSWER: D
The evaluation phase involves examining the results that occur when4 the plan4 is implemented.
Reviewing the patient‘s daily blood pressure recording examines the patient‘s response to the drug. The
assessment phase provides initial information about the patient, the problem, and anything that may
change the choice of treatment. The planning phase involves using patient assessment data and diagnoses
to set goals and write care plans. The diagnosis phase involves decision-making about the patient‘s
4|Page
1|Page
nfi
TEST BANK Introduction to Clinical
de
Pharmacology 10th Edition by Constance
n
G. Visovsky
al
VERIFIED ACCURATE ANSWERS| CHAPTER 1-20
1|Page
, Co
2|Page
nfi
Chapter 01: Pharmacology and the Nursing Process in LPN Practice
de
MULTIPLE CHOICE
n
1. The LPN is collecting data for the initial assessment of a patient upon admission to a Long-term care
facility before giving the patient‘s prescribed drugs. Which action should the LPN consider to be the
highest priority?
al
a. Obtain any special equipment that will be needed4 to give the patient‘s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient‘s health condition.
d. Review the nursing care plan to verify that it is accurate. ANSWER: C
Collecting and documenting data about the patient and the patient‘s health condition is a critical step
before any drugs are given. Information regarding the present illness, any signs and symptoms, review of
medical records, drug history, and vital signs are needed before drugs are given. Deciding on special
equipment that will be needed to give the patient‘s drug is part of the planning phase of the nursing
process. Monitoring the patient for his response to given drug is part of the evaluation stage of the nursing
process. Reviewing the nursing care plan to verify that it is being followed accurately is part of the
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related to the patient‘s
prescribed drugs. Which action should the LPN take during this stage?
a. Develop a4 nursing goal to plan4 the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug‘s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much4the patient understands about his drug. ANSWER: D
Determining how much the patient understands about his drug is part of the diagnosis phase of the
nursing process. Developing a nursing goal to plan the procedures needed to give drug and developing a
teaching plan for the patient regarding the drug‘s actions are part of the planning phase of the nursing
process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression4 about the potential adverse effects of a prescribed drug.
What part of the nursing process related to drug therapy are you engaging in at this point of the teaching
plan?
a. Assessment
b. Implementation
2|Page
, Co
3|Page
nfi
c. Evaluation
de
d. Diagnosis ANSWER: C
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘s
n
therapeutic effects, expected side effects, and potential adverse effects.
al
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient‘s ECG shows normal sinus rhythm.
ANSWER: A
Reports from4 the patient or patient‘s caregiver are considered subjective data. Symptoms such as pain,
nausea, or dizziness are examples of symptoms that cannot be seen and are data collected4 from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from4 a medical chart are
examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe. ANSWER: B
Measurable data obtained during a physical exam such as grimacing with movement is an example of
objective data. Subjective data4 includes information presented by the patient or Family that cannot be
substantiated4 such as a wife‘s report4 of a patient‘s confusion, patient report of degree of alcohol4
consumption, and a patient‘s pain rating.
DIF: Cognitive Level: Remembering REF: p. 3
3|Page
, Co
4|Page
nfi
6. The LPN/VN is assessing a patient before giving a drug4 for blood pressure management. The nurse
notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best action?
de
a. Hold the drug and report the blood pressure to the RN.
n
b. Give the patient a full glass of water before giving the drug.
al
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug. ANSWER: A
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose of
the blood pressure drug or switching to another drug. Giving water with the drug is not contraindicated
but does not recognize the patient‘s risk for hypotension. Pursed lip breathing has no role in this situation.
DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of
information indicates that the LPN has a clear understanding of objective assessment data?
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient‘s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports. ANSWER: D
The patient‘s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a
family member‘s description of the patient‘s pain, and history of current illness are examples of
subjective data.
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a4 follow-up appointment. The
office nurse reviews the patient‘s daily blood pressure recordings. Which4 stage of the nursing process
corresponds to this review?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation ANSWER: D
The evaluation phase involves examining the results that occur when4 the plan4 is implemented.
Reviewing the patient‘s daily blood pressure recording examines the patient‘s response to the drug. The
assessment phase provides initial information about the patient, the problem, and anything that may
change the choice of treatment. The planning phase involves using patient assessment data and diagnoses
to set goals and write care plans. The diagnosis phase involves decision-making about the patient‘s
4|Page
