Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 2
,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 3
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Intro
x x x x x x x x x x
duction to Clinical Pharmacology, 10th Edition
x x x x x
MULTIPLE CHOICE x
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
x x x x x x x x x x x x x x x
Long-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider to
x x x x x x x x x x x x x x x x
be the highest priority?
x x x
a. Obtain any special equipment that will be needed to give the patient‘s drug.
x x x x x x x x x x x x
b. Monitor the patient for a response to the drug given.
x x x x x x x x x
c. Collect data about the patient and the patient‘s health condition.
x x x x x x x x x
d. Review the nursing care plan to verify that it is accurate. A
x x x x x x x x x x x
NS: C x
Collecting and documenting data about the patient and the patient‘s health condition is a critical ste
x x x x x x x x x x x x x x x
p before any drugs are given. Information regarding the present illness, any signs and symptoms, re
x x x x x x x x x x x x x x x
view of medical records, drug history, and vital signs are needed before drugs are given. Deciding o
x x x x x x x x x x x x x x x x
n special equipment that will be needed to give the patient‘s drug is part of the planning phase of the
x x x x x x x x x x x x x x x x x x x x
nursing process. Monitoring the patient for his response to given drug is part of the evaluation stage
x x x x x x x x x x x x x x x x x
of the nursing process. Reviewing the nursing care plan to verify that it is being followed accurately
x x x x x x x x x x x x x x x x x
is part of the implementation stage of the nursing process.
x x x x x x x x x
DIF: Cognitive Level: Applying x x REF: p. 2 x x
2. The LPN is working with a patient in the planning stage of the nursing process related to the
x x x x x x x x x x x x x x x x x x
patient‘s prescribed drugs. Which action should the LPN take during this stage?
x x x x x x x x x x x
a. Develop a nursing goal to plan the procedures needed to give drug.
x x x x x x x x x x x
b. Develop a teaching plan for the patient regarding the drug‘s actions.
x x x x x x x x x x
,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 4
c. Determine that the patient is experiencing the expected response to his drug.
x x x x x x x x x x x
d. Determine how much the patient understands about his drug.
x x x x x x x x x
ANS: D x
Determining how much the patient understands about his drug is part of the diagnosis phase of the
x x x x x x x x x x x x x x x x
nursing process. Developing a nursing goal to plan the procedures needed to give drug and devel
x x x x x x x x x x x x x x x x
oping a teaching plan for the patient regarding the drug‘s actions are part of the planning phase of
x x x x x x x x x x x x x x x x x x
the nursing process.
x x
DIF: Cognitive Level: Applying REF: p. 2
x x x x x x x x
3. You are teaching a patient with depression about the potential adverse effects of a prescrib
x x x x x x x x x x x x x x
ed drug. What part of the nursing process related to drug therapy are you engaging in at this point o
x x x x x x x x x x x x x x x x x x x
f the teaching plan?
x x x
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
x x
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the
x x x x x x x x x x x x x x x x
drug‘s therapeutic effects, expected side effects, and potential adverse effects.
x x x x x x x x x x
DIF: Cognitive Level: Remembering
x x x x x x x REF: p. 2 xx x
4. Which of the following is an example of subjective data?
x x x x x x x x x
a. The patient states she has pain in her left arm.
x x x x x x x x x
b. The medical chart has a recorded blood pressure of 128/88.
x x x x x x x x x
c. The serum potassium level is 3.8 mmol/L.
x x x x x x
d. The patient‘s ECG shows normal sinus rhythm.
x x x x x x
, Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 5
ANS: A x
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as pa
x x x x x x x x x x x x x x
in, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected from
x x x x x x x x x x x x x x x x x
the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical c
x x x x x x x x x x x x x x x x
hart are examples of objective data.
x x x x x
DIF: Cognitive Level: Remembering x x REF: p. 2 x x
5. Which statement provides an example of objective data?
x x x x x x x
a. The wife states the patient was confused last night.
x x x x x x x x
b. Grimacing with movement is present during the examination.
x x x x x x x
c. The patient reports moderate alcohol consumption.
x x x x x
d. The patient states pain is severe.
x x x x x x
ANS: B x
Measurable data obtained during a physical exam such as grimacing with movement is an example
x x x x x x x x x x x x x x x
of objective data. Subjective data includes information presented by the patient or Family that cann
x x x x x x x x x x x x x x
ot be substantiated such as a wife‘s report of a patient‘s confusion, patient report of degree of alcohol
x x x x x x x x x x x x x x x x x
consumption, and a patient‘s pain rating.
x x x x x x
DIF: Cognitive Level: Remembering x x REF: p. 3 x x
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. Th
x x x x x x x x x x x x x x
e nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best action?
x x x x x x x x x x x x x x x x
a. Hold the drug and report the blood pressure to the RN.
x x x x x x x x x x
b. Give the patient a full glass of water before giving the drug.
x x x x x x x x x x x
c. Come back in 30 minutes and recheck the blood pressure.
x x x x x x x x x
x x x x x x 2
,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 3
Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky:Intro
x x x x x x x x x x
duction to Clinical Pharmacology, 10th Edition
x x x x x
MULTIPLE CHOICE x
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
x x x x x x x x x x x x x x x
Long-
term care facility before giving the patient‘s prescribed drugs. Which action should the LPN consider to
x x x x x x x x x x x x x x x x
be the highest priority?
x x x
a. Obtain any special equipment that will be needed to give the patient‘s drug.
x x x x x x x x x x x x
b. Monitor the patient for a response to the drug given.
x x x x x x x x x
c. Collect data about the patient and the patient‘s health condition.
x x x x x x x x x
d. Review the nursing care plan to verify that it is accurate. A
x x x x x x x x x x x
NS: C x
Collecting and documenting data about the patient and the patient‘s health condition is a critical ste
x x x x x x x x x x x x x x x
p before any drugs are given. Information regarding the present illness, any signs and symptoms, re
x x x x x x x x x x x x x x x
view of medical records, drug history, and vital signs are needed before drugs are given. Deciding o
x x x x x x x x x x x x x x x x
n special equipment that will be needed to give the patient‘s drug is part of the planning phase of the
x x x x x x x x x x x x x x x x x x x x
nursing process. Monitoring the patient for his response to given drug is part of the evaluation stage
x x x x x x x x x x x x x x x x x
of the nursing process. Reviewing the nursing care plan to verify that it is being followed accurately
x x x x x x x x x x x x x x x x x
is part of the implementation stage of the nursing process.
x x x x x x x x x
DIF: Cognitive Level: Applying x x REF: p. 2 x x
2. The LPN is working with a patient in the planning stage of the nursing process related to the
x x x x x x x x x x x x x x x x x x
patient‘s prescribed drugs. Which action should the LPN take during this stage?
x x x x x x x x x x x
a. Develop a nursing goal to plan the procedures needed to give drug.
x x x x x x x x x x x
b. Develop a teaching plan for the patient regarding the drug‘s actions.
x x x x x x x x x x
,Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 4
c. Determine that the patient is experiencing the expected response to his drug.
x x x x x x x x x x x
d. Determine how much the patient understands about his drug.
x x x x x x x x x
ANS: D x
Determining how much the patient understands about his drug is part of the diagnosis phase of the
x x x x x x x x x x x x x x x x
nursing process. Developing a nursing goal to plan the procedures needed to give drug and devel
x x x x x x x x x x x x x x x x
oping a teaching plan for the patient regarding the drug‘s actions are part of the planning phase of
x x x x x x x x x x x x x x x x x x
the nursing process.
x x
DIF: Cognitive Level: Applying REF: p. 2
x x x x x x x x
3. You are teaching a patient with depression about the potential adverse effects of a prescrib
x x x x x x x x x x x x x x
ed drug. What part of the nursing process related to drug therapy are you engaging in at this point o
x x x x x x x x x x x x x x x x x x x
f the teaching plan?
x x x
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
x x
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the
x x x x x x x x x x x x x x x x
drug‘s therapeutic effects, expected side effects, and potential adverse effects.
x x x x x x x x x x
DIF: Cognitive Level: Remembering
x x x x x x x REF: p. 2 xx x
4. Which of the following is an example of subjective data?
x x x x x x x x x
a. The patient states she has pain in her left arm.
x x x x x x x x x
b. The medical chart has a recorded blood pressure of 128/88.
x x x x x x x x x
c. The serum potassium level is 3.8 mmol/L.
x x x x x x
d. The patient‘s ECG shows normal sinus rhythm.
x x x x x x
, Visovsky: Introduction to Clinical Pharmacology, 10th Edition
x x x x x x 5
ANS: A x
Reports from the patient or patient‘s caregiver are considered subjective data. Symptoms such as pa
x x x x x x x x x x x x x x
in, nausea, or dizziness are examples of symptoms that cannot be ―seen‖ and are data collected from
x x x x x x x x x x x x x x x x x
the patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical c
x x x x x x x x x x x x x x x x
hart are examples of objective data.
x x x x x
DIF: Cognitive Level: Remembering x x REF: p. 2 x x
5. Which statement provides an example of objective data?
x x x x x x x
a. The wife states the patient was confused last night.
x x x x x x x x
b. Grimacing with movement is present during the examination.
x x x x x x x
c. The patient reports moderate alcohol consumption.
x x x x x
d. The patient states pain is severe.
x x x x x x
ANS: B x
Measurable data obtained during a physical exam such as grimacing with movement is an example
x x x x x x x x x x x x x x x
of objective data. Subjective data includes information presented by the patient or Family that cann
x x x x x x x x x x x x x x
ot be substantiated such as a wife‘s report of a patient‘s confusion, patient report of degree of alcohol
x x x x x x x x x x x x x x x x x
consumption, and a patient‘s pain rating.
x x x x x x
DIF: Cognitive Level: Remembering x x REF: p. 3 x x
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. Th
x x x x x x x x x x x x x x
e nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse‘s best action?
x x x x x x x x x x x x x x x x
a. Hold the drug and report the blood pressure to the RN.
x x x x x x x x x x
b. Give the patient a full glass of water before giving the drug.
x x x x x x x x x x x
c. Come back in 30 minutes and recheck the blood pressure.
x x x x x x x x x
