TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY, 11TH
EDITION (VISOVSKY, ZAMBRZOSKI & HOSLER) — CHAPTERS 1–20
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Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Source: Introduction to Clinical Pharmacology, 11th Edition by Visovsky
MULTIPLE CHOICE QUESTIONS
1.
The LPN is collecting data for the initial assessment of a patient upon admission to a long-term care
facility before giving the prescribed drugs. Which action should the LPN consider as the highest priority?
a. Obtain any special equipment that will be needed to administer 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
Rationale: Collecting and documenting data about the patient and their health condition is a critical step
before administering drugs. This includes information about the present illness, signs and symptoms,
medical history, drug history, and vital signs.
2.
The LPN is working with a patient during the planning stage of the nursing process related to prescribed
drugs. Which action should the LPN take during this stage?
a. Develop a nursing goal to plan procedures needed to administer the drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine how much the patient understands about their drug.
d. Determine that the patient is experiencing the expected response to the drug.
Answer: c
Rationale: Understanding how much the patient knows about their drug is part of the diagnosis phase.
Developing nursing goals or a teaching plan falls under the planning phase.
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3.
You are teaching a patient with depression about the potential adverse effects of a prescribed drug.
Which stage of the nursing process are you engaging in at this point?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
Answer: b
Rationale: Teaching a patient about drug effects, both therapeutic and adverse, is part of the
implementation phase, where the nurse provides instructions and explanations about care.
4.
Which of the following is an example of subjective data?
a. The patient states they have pain in their left arm.
b. The medical chart shows a recorded blood pressure of 128/88 mmHg.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
Answer: a
Rationale: Subjective data includes reports from the patient about symptoms that cannot be directly
observed or measured, such as pain or nausea.
5.
Which statement provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is observed during the examination.
c. The patient reports moderate alcohol consumption.
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d. The patient states the pain is severe.
Answer: b
Rationale: Objective data is measurable and observed directly, such as grimacing during movement.
Subjective data includes patient or caregiver-reported information like pain or alcohol consumption.
6.
The LPN is assessing a patient before giving a drug for blood pressure management. The nurse notes the
patient’s blood pressure to be 90/50 mmHg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a glass of water before administering the drug.
c. Recheck the blood pressure after 30 minutes.
d. Instruct the patient to perform pursed-lip breathing before administering the drug.
Answer: a
Rationale: Holding the drug and notifying the RN is appropriate when the patient’s blood pressure is too
low, indicating a potential risk for adverse effects.
7.
After receiving a report, the LPN administers medications to her assigned patients during the evening
shift. This activity corresponds to which stage of the nursing process?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
Answer: a
Rationale: Implementation involves carrying out the care plan, including administering prescribed
medications to patients.
8.