Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
T T T T T T T T T T T T T T T T T T
will rely on knowledge of which topic?
T T T T T T
a. Clinical pharmacology T
b. Drug efficacy T
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS: D T
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. T T T T T T T T T T T T T T T
Clinical pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy
T T T T T T T T T T T T
measures the extent to which a given drug causes an intended effect. Pharmacokinetics is the
T T T T T T T T T T T T T T T
study of the impact of the body on a drug.
T T T T T T T T T
PTS: T T 1
2. What is a desired outcome when a drug is described as easy to administer?
T T T T T T T T T T T T T
a. It can be stored indefinitely without need for refrigeration.
T T T T T T T T
b. It does not interact significantly with other medications.
T T T T T T T
c. It enhances patient adherence to the drug regimen.
T T T T T T T
d. It is usually relatively inexpensive to produce.
T T T T T T
ANS: C T
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
T T T T T T T T T T T T T T T T T T T
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but
T T T T T T T T T T T T T T T T T T
those properties are independent of ease of administration.
T T T T T T T
PTS: T T 1
3. A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will
T T T T T T T T T T T T T T T T T
decrease pain up to 4 hours at a time. Based on this understanding of the drug’s effects by the
T T T T T T T T T T T T T T T T T T T
patient, the nurse will anticipate which outcome?
T T T T T T
a. Decreased chance of having a placebo effect T T T T T T
b. Decreased motivation to take the drug T T T T T
c. Improved compliance with the drug regimen T T T T T
d. Increased likelihood of drug overdose T T T T
ANS: C T
A drug is effective if it produces the intended effects, even if it also produces side effects.
T T T T T T T T T T T T T T T T T
Patients who understand both the risks and benefits of taking a medication are more likely to
T T T T T T T T T T T T T T T T
comply with the drug regimen.
T T T T
PTS: T T 1
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
MULTIPLE RESPONSE T
1. What are considered the ‘Big Three’ properties of an ideal drug? (Select all that apply.)
T T T T T T T T T T T T T T
a. Irreversible action T
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
T T T
ANS: B, C, D T T T
The ‘Big Three’ properties of the ideal drug are effectiveness, safety, and selectivity.
T T T T T T T T T T T T T
PTS: 1 T
2. Before administering a medication, what does the nurse need to know to evaluate how individual
T T T T T T T T T T T T T T T
patient variability might affect the patient’s response to the medication? (Select all that apply.)
T T T T T T T T T T T T T
a. Chemical stability of the medication T T T T
b. Ease of administration T T
c. Family medical history T T
d. Patient’s age T
e. Patient’s diagnosis T
ANS: C, D, E T T T
The family medical history can indicate genetic factors that may affect a patient’s response to a
T T T T T T T T T T T T T T T T
medication. Patients of different ages can respond differently to medications. The patient’s
T T T T T T T T T T T T
illness can affect how drugs are metabolized. The chemical stability of the medication and the
T T T T T T T T T T T T T T T
ease of administration are properties of drugs.
T T T T T T
PTS: T T 1
Chapter 02: Application of Pharmacology in Nursing Practice
T T T T T T T T
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
T T T T T T T
MULTIPLE CHOICE T
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
T T T T T T T T T T T T T T
instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
T T T T T T T T T T T T T T T T
The patient reports feeling jittery sometimes when taking the medication, and doesn’t feel that
T T T T T T T T T T T T T T
the medication is always effective. Which action is outside the nurse’s scope of practice?
T T T T T T T T T T T T T
a. Asking the patient to demonstrate the use of the inhaler
T T T T T T T T T
b. Assessing the patient’s exposure to tobacco smoke T T T T T T
c. Auscultating lung sounds and obtaining vital signs T T T T T T
d. Suggesting that the patient use 1 puff to reduce side effects T T T T T T T T T T
ANS: D T
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
It is not within the nurse’s scope of practice to change the dose of a medication without an order
T T T T T T T T T T T T T T T T T T T
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
T T T T T T T T T T T T T T T T
patient’s ability to administer the medication properly and is part of the nurse’s evaluation.
T T T T T T T T T T T T T
Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a
T T T T T T T T T T T T T
smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment
T T T T T T T T T T T T T T T
helps the nurse evaluate the patient’s response to the medication.
T T T T T T T T T
PTS: T T 1
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Norco] for
T T T T T T T T T T T
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is
T T T T T T T T T T T T T T T T T
correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
T T T T T T T T T T
b. “Taking the two medications together poses a risk of drug toxicity.”
T T T T T T T T T T
c. “There are no known drug interactions, so this will be safe.”
T T T T T T T T T T
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
T T T T T T T T T T T T
ANS: B T
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
T T T T T T T T T T T T T T T T T
important to teach patients to be aware of the different names for the same drug to minimize the
T T T T T T T T T T T T T T T T T T
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be
T T T T T T T T T T T
taken together unless significant harmful drug interactions are possible. Even though no drug
T T T T T T T T T T T T T
interactions are at play in this case, both drugs contain acetaminophen, which could lead to
T T T T T T T T T T T T T T T
toxicity.
PTS: T T 1
3. The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
T T T T T T T T T T T T T T T T
Which action by the nurse is part of the assessment step of the nursing process?
T T T T T T T T T T T T T T
a. Asking the prescriber for an order to monitor serum drug levels
T T T T T T T T T T
b. Monitoring the patient for drug interactions after giving the medication T T T T T T T T T
c. Questioning the patient about over-the-counter medications T T T T T
d. Taking the patient’s blood pressure throughout the course of treatment
T T T T T T T T T
ANS: C T
The assessment part of the nursing process involves gathering information before beginning
T T T T T T T T T T T T
treatment, and this includes asking about other medications the patient may be taking.
T T T T T T T T T T T T
Monitoring serum drug levels, watching for drug interactions, and checking vital signs after giving
T T T T T T T T T T T T T T
the medication are all part of the evaluation phase.
T T T T T T T T
PTS: T T 1
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10 (10
T T T T T T T T T T T T T T T T T T T T
being the most extreme pain). The prescriber has ordered acetaminophen [Tylenol] 650 mg PO
T T T T T T T T T T T T T T
every 6 hours PRN pain. What will the nurse do?
T T T T T T T T T
a. Ask the patient what medications have helped with pain in the past.
T T T T T T T T T T T
b. Contact the provider to request a different analgesic medication.
T T T T T T T T
c. Give the pain medication and reposition the patient to promote comfort.
T T T T T T T T T T
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
d. Request an order to administer the medication every 4 hours. T T T T T T T T T
ANS: B T
The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to
T T T T T T T T T T T T T T T
moderate pain, so the nurse should ask the prescriber to order a stronger analgesic medication.
T T T T T T T T T T T T T T T
Asking the patient to tell the nurse what has helped in the past is part of an initial assessment and
T T T T T T T T T T T T T T T T T T T T
should be done preoperatively and not when the patient is having severe pain. Because the patient
T T T T T T T T T T T T T T T T
is having severe pain, acetaminophen combined with nondrug therapies will not be sufficient.
T T T T T T T T T T T T T
Increasing the frequency of the dose of a medication for mild pain will not be effective.
T T T T T T T T T T T T T T T
PTS: T T 1
5. A patient newly diagnosed with diabetes is to be discharged from the hospital. The nurse
T T T T T T T T T T T T T T T
teaching this patient about home management should begin by doing what?
T T T T T T T T T T
a. Asking the patient to demonstrate how to measure and administer insulin
T T T T T T T T T T
b. Discussing methods of storing insulin and discarding syringes T T T T T T T
c. Giving information about how diet and exercise affect insulin requirements
T T T T T T T T T
d. Teaching the patient about the long-term consequences of poor diabetes controlT T T T T T T T T T
ANS: A T
Because insulin must be given correctly to control symptoms and because an overdose can be
T T T T T T T T T T T T T T T
fatal, it is most important for the patient to know how to administer it. Asking for a demonstration
T T T T T T T T T T T T T T T T T T
of technique is the best way to determine whether the patient has understood the teaching. When
T T T T T T T T T T T T T T T T
a patient is receiving a lot of new information, the information presented first is the most likely to
T T T T T T T T T T T T T T T T T T
be remembered. The other teaching points are important as well, but they are not as critical and
T T T T T T T T T T T T T T T T T
can be taught later.
T T T
PTS: T T 1
6. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is
T T T T T T T T T T T T T T T T T T
not part of the six rights of drug administration?
T T T T T T T T
a. Assessing the patient’s pain level 15 to 30 minutes after giving the medication T T T T T T T T T T T T
b. Checking the medication administration record to see when the last dose was T T T T T T T T T T T T
administered
c. Consulting a drug manual to determine whether the amount the prescriber ordered T T T T T T T T T T T T
is appropriate T
d. Documenting the reason the medication was given in the patient’s electronic T T T T T T T T T T T
medical record T
ANS: A T
Assessing the patient’s pain after administering the medication is an important part of the nursing
T T T T T T T T T T T T T T T
process when giving medications, but it is not part of the six rights of drug administration.
T T T T T T T T T T T T T T T
Checking to see when the last dose was given helps ensure that the medication is given at the
T T T T T T T T T T T T T T T T T T
right time. Consulting a drug manual helps ensure that the medication is given in the right dose.
T T T T T T T T T T T T T T T T T
Documenting the reason for a pain medication is an important part of the right documentation—
T T T T T T T T T T T T T T T
the sixth right.
T T
PTS: T T 1
Chapter 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse
T T T T T T T T T T T T T T T T T T
will rely on knowledge of which topic?
T T T T T T
a. Clinical pharmacology T
b. Drug efficacy T
c. Pharmacokinetics
d. Pharmacotherapeutics
ANS: D T
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. T T T T T T T T T T T T T T T
Clinical pharmacology is concerned with all aspects of drug-human interactions. Drug efficacy
T T T T T T T T T T T T
measures the extent to which a given drug causes an intended effect. Pharmacokinetics is the
T T T T T T T T T T T T T T T
study of the impact of the body on a drug.
T T T T T T T T T
PTS: T T 1
2. What is a desired outcome when a drug is described as easy to administer?
T T T T T T T T T T T T T
a. It can be stored indefinitely without need for refrigeration.
T T T T T T T T
b. It does not interact significantly with other medications.
T T T T T T T
c. It enhances patient adherence to the drug regimen.
T T T T T T T
d. It is usually relatively inexpensive to produce.
T T T T T T
ANS: C T
A major benefit of drugs that are easy to administer is that patients taking them are more likely to
T T T T T T T T T T T T T T T T T T T
comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but
T T T T T T T T T T T T T T T T T T
those properties are independent of ease of administration.
T T T T T T T
PTS: T T 1
3. A patient tells the nurse that an analgesic he will begin taking may cause drowsiness and will
T T T T T T T T T T T T T T T T T
decrease pain up to 4 hours at a time. Based on this understanding of the drug’s effects by the
T T T T T T T T T T T T T T T T T T T
patient, the nurse will anticipate which outcome?
T T T T T T
a. Decreased chance of having a placebo effect T T T T T T
b. Decreased motivation to take the drug T T T T T
c. Improved compliance with the drug regimen T T T T T
d. Increased likelihood of drug overdose T T T T
ANS: C T
A drug is effective if it produces the intended effects, even if it also produces side effects.
T T T T T T T T T T T T T T T T T
Patients who understand both the risks and benefits of taking a medication are more likely to
T T T T T T T T T T T T T T T T
comply with the drug regimen.
T T T T
PTS: T T 1
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
MULTIPLE RESPONSE T
1. What are considered the ‘Big Three’ properties of an ideal drug? (Select all that apply.)
T T T T T T T T T T T T T T
a. Irreversible action T
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
T T T
ANS: B, C, D T T T
The ‘Big Three’ properties of the ideal drug are effectiveness, safety, and selectivity.
T T T T T T T T T T T T T
PTS: 1 T
2. Before administering a medication, what does the nurse need to know to evaluate how individual
T T T T T T T T T T T T T T T
patient variability might affect the patient’s response to the medication? (Select all that apply.)
T T T T T T T T T T T T T
a. Chemical stability of the medication T T T T
b. Ease of administration T T
c. Family medical history T T
d. Patient’s age T
e. Patient’s diagnosis T
ANS: C, D, E T T T
The family medical history can indicate genetic factors that may affect a patient’s response to a
T T T T T T T T T T T T T T T T
medication. Patients of different ages can respond differently to medications. The patient’s
T T T T T T T T T T T T
illness can affect how drugs are metabolized. The chemical stability of the medication and the
T T T T T T T T T T T T T T T
ease of administration are properties of drugs.
T T T T T T
PTS: T T 1
Chapter 02: Application of Pharmacology in Nursing Practice
T T T T T T T T
Burchum: Lehne’s Pharmacology for Nursing Care, 11th Edition
T T T T T T T
MULTIPLE CHOICE T
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
T T T T T T T T T T T T T T
instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
T T T T T T T T T T T T T T T T
The patient reports feeling jittery sometimes when taking the medication, and doesn’t feel that
T T T T T T T T T T T T T T
the medication is always effective. Which action is outside the nurse’s scope of practice?
T T T T T T T T T T T T T
a. Asking the patient to demonstrate the use of the inhaler
T T T T T T T T T
b. Assessing the patient’s exposure to tobacco smoke T T T T T T
c. Auscultating lung sounds and obtaining vital signs T T T T T T
d. Suggesting that the patient use 1 puff to reduce side effects T T T T T T T T T T
ANS: D T
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
It is not within the nurse’s scope of practice to change the dose of a medication without an order
T T T T T T T T T T T T T T T T T T T
from a prescriber. Asking the patient to demonstrate inhaler use helps the nurse to evaluate the
T T T T T T T T T T T T T T T T
patient’s ability to administer the medication properly and is part of the nurse’s evaluation.
T T T T T T T T T T T T T
Assessing tobacco smoke exposure helps the nurse determine whether nondrug therapies, such a
T T T T T T T T T T T T T
smoke avoidance, can be used as an adjunct to drug therapy. Performing a physical assessment
T T T T T T T T T T T T T T T
helps the nurse evaluate the patient’s response to the medication.
T T T T T T T T T
PTS: T T 1
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone [Norco] for
T T T T T T T T T T T
pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is
T T T T T T T T T T T T T T T T T
correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
T T T T T T T T T T
b. “Taking the two medications together poses a risk of drug toxicity.”
T T T T T T T T T T
c. “There are no known drug interactions, so this will be safe.”
T T T T T T T T T T
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
T T T T T T T T T T T T
ANS: B T
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
T T T T T T T T T T T T T T T T T
important to teach patients to be aware of the different names for the same drug to minimize the
T T T T T T T T T T T T T T T T T T
risk of overdose. Over-the-counter (OTC) medications and prescription medications may be
T T T T T T T T T T T
taken together unless significant harmful drug interactions are possible. Even though no drug
T T T T T T T T T T T T T
interactions are at play in this case, both drugs contain acetaminophen, which could lead to
T T T T T T T T T T T T T T T
toxicity.
PTS: T T 1
3. The nurse is preparing to care for a patient who will be taking an antihypertensive medication.
T T T T T T T T T T T T T T T T
Which action by the nurse is part of the assessment step of the nursing process?
T T T T T T T T T T T T T T
a. Asking the prescriber for an order to monitor serum drug levels
T T T T T T T T T T
b. Monitoring the patient for drug interactions after giving the medication T T T T T T T T T
c. Questioning the patient about over-the-counter medications T T T T T
d. Taking the patient’s blood pressure throughout the course of treatment
T T T T T T T T T
ANS: C T
The assessment part of the nursing process involves gathering information before beginning
T T T T T T T T T T T T
treatment, and this includes asking about other medications the patient may be taking.
T T T T T T T T T T T T
Monitoring serum drug levels, watching for drug interactions, and checking vital signs after giving
T T T T T T T T T T T T T T
the medication are all part of the evaluation phase.
T T T T T T T T
PTS: T T 1
4. A postoperative patient reports pain, which the patient rates as an 8 on a scale from 1 to 10 (10
T T T T T T T T T T T T T T T T T T T T
being the most extreme pain). The prescriber has ordered acetaminophen [Tylenol] 650 mg PO
T T T T T T T T T T T T T T
every 6 hours PRN pain. What will the nurse do?
T T T T T T T T T
a. Ask the patient what medications have helped with pain in the past.
T T T T T T T T T T T
b. Contact the provider to request a different analgesic medication.
T T T T T T T T
c. Give the pain medication and reposition the patient to promote comfort.
T T T T T T T T T T
, Lehne’s Pharmacology for Nursing Care 11th Edition Test Bank
d. Request an order to administer the medication every 4 hours. T T T T T T T T T
ANS: B T
The nursing diagnosis for this patient is severe pain. Acetaminophen is given for mild to
T T T T T T T T T T T T T T T
moderate pain, so the nurse should ask the prescriber to order a stronger analgesic medication.
T T T T T T T T T T T T T T T
Asking the patient to tell the nurse what has helped in the past is part of an initial assessment and
T T T T T T T T T T T T T T T T T T T T
should be done preoperatively and not when the patient is having severe pain. Because the patient
T T T T T T T T T T T T T T T T
is having severe pain, acetaminophen combined with nondrug therapies will not be sufficient.
T T T T T T T T T T T T T
Increasing the frequency of the dose of a medication for mild pain will not be effective.
T T T T T T T T T T T T T T T
PTS: T T 1
5. A patient newly diagnosed with diabetes is to be discharged from the hospital. The nurse
T T T T T T T T T T T T T T T
teaching this patient about home management should begin by doing what?
T T T T T T T T T T
a. Asking the patient to demonstrate how to measure and administer insulin
T T T T T T T T T T
b. Discussing methods of storing insulin and discarding syringes T T T T T T T
c. Giving information about how diet and exercise affect insulin requirements
T T T T T T T T T
d. Teaching the patient about the long-term consequences of poor diabetes controlT T T T T T T T T T
ANS: A T
Because insulin must be given correctly to control symptoms and because an overdose can be
T T T T T T T T T T T T T T T
fatal, it is most important for the patient to know how to administer it. Asking for a demonstration
T T T T T T T T T T T T T T T T T T
of technique is the best way to determine whether the patient has understood the teaching. When
T T T T T T T T T T T T T T T T
a patient is receiving a lot of new information, the information presented first is the most likely to
T T T T T T T T T T T T T T T T T T
be remembered. The other teaching points are important as well, but they are not as critical and
T T T T T T T T T T T T T T T T T
can be taught later.
T T T
PTS: T T 1
6. The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is
T T T T T T T T T T T T T T T T T T
not part of the six rights of drug administration?
T T T T T T T T
a. Assessing the patient’s pain level 15 to 30 minutes after giving the medication T T T T T T T T T T T T
b. Checking the medication administration record to see when the last dose was T T T T T T T T T T T T
administered
c. Consulting a drug manual to determine whether the amount the prescriber ordered T T T T T T T T T T T T
is appropriate T
d. Documenting the reason the medication was given in the patient’s electronic T T T T T T T T T T T
medical record T
ANS: A T
Assessing the patient’s pain after administering the medication is an important part of the nursing
T T T T T T T T T T T T T T T
process when giving medications, but it is not part of the six rights of drug administration.
T T T T T T T T T T T T T T T
Checking to see when the last dose was given helps ensure that the medication is given at the
T T T T T T T T T T T T T T T T T T
right time. Consulting a drug manual helps ensure that the medication is given in the right dose.
T T T T T T T T T T T T T T T T T
Documenting the reason for a pain medication is an important part of the right documentation—
T T T T T T T T T T T T T T T
the sixth right.
T T
PTS: T T 1
