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Test Bank for Adams' Pharmacology for Nurses: A Pathophysiologic Approach 5th Edition

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Get instant access to the official test bank for Adams' Pharmacology for Nurses: A Pathophysiologic Approach 5th Edition. Includes comprehensive NCLEX-style questions and answers—perfect for nursing students and educators.

Instelling
Pharmacology
Vak
Pharmacology

















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Pharmacology
Vak
Pharmacology

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,Rationale 2: The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum.

Rationale 3: Knowledge of anatomy, physiology, and microbiology prepares the nurse to
understand pharmacology, not to provide care such as administration of medications.

Rationale 4: It is essential for the nurse to have a broad knowledge base of many sciences in
order to learn pharmacology.

Global Rationale: It is essential for the nurse to have a broad knowledge base of many sciences
in order to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology
to understand pharmacology, not because they are part of the curriculum. Pharmacology is an
outgrowth of anatomy, physiology, and microbiology, but this is not the reason for the nurse to
learn them. Knowledge of anatomy, physiology, and microbiology prepares the nurse to
understand pharmacology, not to provide care such as administration of medications.

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered
care: patient/family/community preferences, values; coordination and integration of care;
information, communication, and education; physical comfort and emotional support;
involvement of family and friends; and transition and community.
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
disciplines to inform decision making.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2 Explain the interdisciplinary nature of pharmacology, giving an example
of how knowledge from different sciences impacts the nurse’s role in drug administration.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Page
Number: 3



Question 3
Type: MCMA

The nursing instructor is teaching a pharmacology class to student nurses. The current focus is
pharmacology and therapeutics. The nursing instructor determines that learning has occurred
when the students make which comments?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

,Standard Text: Select all that apply.

1. "Pharmacology is the development of medicines."

2. "Pharmacology is the study of medicines."

3. "Therapeutics relates to drug use to treat suffering."

4. "Therapeutics is the study of drug interactions."

5. "Pharmacology is the study of drugs to prevent disease."

Correct Answer: 2,3,5

Rationale 1: Pharmacology is not the development of medicines

Rationale 2: Pharmacology is the study of medicines.

Rationale 3: Therapeutics is the use of drugs in the treatment of suffering.

Rationale 4: Therapeutics is not related to study of drug interactions.

Rationale 5: Pharmacotherapy is the application of drugs for the purpose of disease prevention.

Global Rationale: Pharmacology is the study of medicines and the use of drugs to relieve
suffering. Therapeutics is the study of disease prevention and treatment of suffering.
Pharmacotherapy is the application of drugs for the purpose of disease prevention.

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered
care: patient/family/community preferences, values; coordination and integration of care;
information, communication, and education; physical comfort and emotional support;
involvement of family and friends; and transition and community.
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
disciplines to inform decision making.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-3 Compare and contrast therapeutics and pharmacology.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Page
Number: 4

,Question 4
Type: MCSA

The nurse administers a vaccine to a child. What is the best understanding of the nurse as it
relates to the manufacture of this vaccine?

1. The vaccine is produced by natural plant extracts in the laboratory.

2. The vaccine is naturally produced in animal cells or microorganisms.

3. The vaccine is produced by a combination of animal and plant products.

4. The vaccine is most commonly synthesized in a laboratory.

Correct Answer: 2

Rationale 1: Vaccines are not produced by natural plant extracts.

Rationale 2: Vaccines are naturally produced in animal cells, microorganisms, or by the body
itself.

Rationale 3: Vaccines are not produced by a combination of animal and plant products.

Rationale 4: Vaccines are not synthesized in a laboratory.

Global Rationale: Vaccines are naturally produced in animal cells, microorganisms, or by the
body itself. Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural
plant extracts. Vaccines are not produced by a combination of animal and plant products.

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an
understanding of human growth and development, pathophysiology, pharmacology, medical
management and nursing management across the health-illness continuum, across lifespan,
and in all healthcare settings.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4 Compare and contrast traditional drugs, biologics, and complementary
and alternative medicine therapies.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Page
Number: 4

,Question 5
Type: MCSA
The older adult client has gastrointestinal bleeding. The client says to the nurse, "I don't
understand this. All I did was take ibuprofen (Advil) for my arthritis." Which plan would be best
as it relates to the nurse's education of this client?

1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical
drugs

2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol)

3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter
(OTC) medications

4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)

Correct Answer: 4

Rationale 1: The use of topical drugs may be an option, but the drug a client needs may not be
available in this form.

Rationale 2: Substitution of other drugs may be beneficial, but this cannot be done in all
situations.

Rationale 3: It is not a realistic plan to expect clients to contact their physician prior to taking
any over-the-counter (OTC) medication.

Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications.

Global Rationale: Since older adult clients account for the use of about 40% of all over-
thecounter (OTC) medications, it is essential for the nurse to teach clients about the
advantages, and the disadvantages, of these medications. Substitution of other drugs may be
beneficial, but this cannot be done in all situations. The use of topical drugs may be an option,
but the drug a client needs may not be available in this form. It is not a realistic plan to expect
clients to contact their physician prior to taking any over-the-counter (OTC) medication.

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.
AACN Essential Competencies: II.7 Promote factors that create a culture of safety and caring.

, NLN Competencies: Context and Environment: Health promotion/disease prevention.
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-9 Outline the major differences between prescription and over-
thecounter drugs.

MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Page
Number: 6

Question 6
Type: MCSA

The nursing instructor teaches the student nurses about the pharmacological classification of
drugs. The instructor evaluates that learning has occurred when the students make which
response?

1. "An anti-anginal treats angina."

2. "A calcium channel blocker blocks heart calcium channels."

3. "An antihypertensive lowers blood pressure."

4. "An anticoagulant influences blood clotting."

Correct Answer: 2

Rationale 1: To say that a drug treats angina addresses the therapeutic usefulness of the drug,
not the pharmacological classification.

Rationale 2: The pharmacological classification addresses a drug's mechanism of action, or how
a drug produces its effect in the body.

Rationale 3: To say that a drug lowers blood pressure addresses the therapeutic usefulness of
the drug, not the pharmacological classification.

Rationale 4: To say that a drug influences blood clotting addresses the therapeutic usefulness
of the drug, not the pharmacological classification.

Global Rationale: The pharmacological classification addresses a drug's mechanism of action, or
how a drug produces its effect in the body. To say that a drug influences blood clotting
addresses the therapeutic usefulness of the drug, not the pharmacological classification. To say
that a drug treats angina addresses the therapeutic usefulness of the drug, not the
pharmacological classification. To say that a drug lowers blood pressure addresses the
therapeutic usefulness of the drug, not the pharmacological classification.
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