TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE
2024-2025
,CH 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To
dothis, the nursing attendantwill rely on knowledge of which topic?
a. Clinical pharmacology
b. Drugs efficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat,
and prevent conditions.Clinical pharmacology is concerned with all aspects of drugs-human
interactions. Drugs efficacy measures the extent to which a given drugs causes an intended
effect. Pharmacokinetics is the study of the impact of the body on a drugs.
POINTS: 1
2. What is a desired outcome when a drugs is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other drugs.
c. It enhances hospital client adherence to the drugs regimen.
d. It is usually relatively inexpensive to produce.
ACCURATE ANSWER:- C
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital clients
taking them are morelikely tocomply with the drugs regimen. Drugs that are easy to give may
have the other attributes listed, but those properties are independent of ease of administration.
POINTS: 1
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may cause
drowsiness and willdecrease pain up to 4 hours at a time. Based on this understanding of the
drugs’s effects by thehospital client, the nursing attendant will anticipate which outcome?
a. Decreased chance of having a placebo effect
b. Decreased motivation to take the drugs
c. Improved compliance with the drugs regimen
d. Increased likelihood of drugs overdose
ACCURATE ANSWER:- C
A drugs is effective if it produces the intended effects, even if it also produces side effects.
Hospital clients who understand both the risks and benefits of taking a drugs are more
likely tocomply with the drugs regimen.
POINTS: 1
,MULTIPLE RESPONSE
1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
a. Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
ACCURATE ANSWER:- B, C, D
Reasoning :->>>>The ‘Big Three’ properties of the ideal drugs are
effectiveness, safety, andselectivity.POINTS: 1
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
individualhospital client variability might affect the hospital client’s response to the drugs?
(Select allthat apply.)
a. Chemical stability of the drugs
b. Ease of administration
c. Family medical history
d. Hospital client’s age
e. Hospital client’s diagnosis
ACCURATE ANSWER:- C, D, E
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
hospital client’s response to adrugs. Hospital clients of different ages can respond differently
to drugs. The hospital client’s illness can affect how drugs are metabolized. The chemical
stability of the drugs and the ease of administration are properties of drugs.
POINTS: 1
, CH 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
labelinstructs the hospital client to administer “2 puffs every 4 hours as needed for coughing
or wheezing.”The hospital client reports feeling jittery sometimes when taking the drugs, and
doesn’t feel that the drugs is always effective. Which action is outside the nursing attendant’s
scope of practice?
a. Asking the hospital client to demonstrate the use of the inhaler
b. Assessing the hospital client’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the hospital client use 1 puff to reduce side effects
ACCURATE ANSWER:- D
Reasoning :->>>>It is not within the nursing attendant’s scope of practice to change the dose
of a drugs without an orderfrom a prescriber. Asking the hospital client to demonstrate inhaler
use helps the nursing attendant to evaluate the hospital client’s ability to administer the drugs
properly and ispart of the nursing attendant’s evaluation.
Assessing tobacco smoke exposure helps the nursing attendant determine whether nondrugs
therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy. Performing a
physical assessment helps the nursing attendant evaluate the hospital client’sresponse to the
drugs.
POINTS: 1
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
[Norco] for pain. The hospital client asks the nursing attendant about using Tylenol for fever.
Which statement bythe nursing attendant is correct?
a. “It is not safe to take over-the-counter drugs with prescription drugs.”
b. “Taking the two drugs together poses a risk of drugs toxicity.”
c. “There are no known drugs interactions, so this will be safe.”
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
ACCURATE ANSWER:- B
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
drugs may be taken together unless significant harmful drugs interactions are possible. Even
though no drugs interactions are at play in this case, both drugs contain acetaminophen, which
could lead to toxicity.
POINTS: 1
3. The nursing attendant is preparing to care for a hospital client who will be taking an
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step of
the nursing process?
a. Asking the prescriber for an order to monitor serum drugs levels
b. Monitoring the hospital client for drugs interactions after giving the drugs
c. Questioning the hospital client about over-the-counter drugs
d. Taking the hospital client’s blood pressure throughout the course of treatment
ACCURATE ANSWER:- C
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CHAPTERS 1-112|COMPLETE GUIDE
2024-2025
,CH 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. The nursing attendant is teaching a hospital client how a drugs works to treat an illness. To
dothis, the nursing attendantwill rely on knowledge of which topic?
a. Clinical pharmacology
b. Drugs efficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
ACCURATE ANSWER:- D
Reasoning :->>>> Pharmacotherapeutics is the study of the use of drugs to diagnose, treat,
and prevent conditions.Clinical pharmacology is concerned with all aspects of drugs-human
interactions. Drugs efficacy measures the extent to which a given drugs causes an intended
effect. Pharmacokinetics is the study of the impact of the body on a drugs.
POINTS: 1
2. What is a desired outcome when a drugs is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other drugs.
c. It enhances hospital client adherence to the drugs regimen.
d. It is usually relatively inexpensive to produce.
ACCURATE ANSWER:- C
Reasoning :->>>>A major benefit of drugs that are easy to administer is that hospital clients
taking them are morelikely tocomply with the drugs regimen. Drugs that are easy to give may
have the other attributes listed, but those properties are independent of ease of administration.
POINTS: 1
3. A hospital client tells the nursing attendant that an analgesic he will begin taking may cause
drowsiness and willdecrease pain up to 4 hours at a time. Based on this understanding of the
drugs’s effects by thehospital client, the nursing attendant will anticipate which outcome?
a. Decreased chance of having a placebo effect
b. Decreased motivation to take the drugs
c. Improved compliance with the drugs regimen
d. Increased likelihood of drugs overdose
ACCURATE ANSWER:- C
A drugs is effective if it produces the intended effects, even if it also produces side effects.
Hospital clients who understand both the risks and benefits of taking a drugs are more
likely tocomply with the drugs regimen.
POINTS: 1
,MULTIPLE RESPONSE
1. What are considered the ‘Big Three’ properties of an ideal drugs? (Select all that apply.)
a. Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
ACCURATE ANSWER:- B, C, D
Reasoning :->>>>The ‘Big Three’ properties of the ideal drugs are
effectiveness, safety, andselectivity.POINTS: 1
2. Before administering a drugs, what does the nursing attendant need to know to evaluate how
individualhospital client variability might affect the hospital client’s response to the drugs?
(Select allthat apply.)
a. Chemical stability of the drugs
b. Ease of administration
c. Family medical history
d. Hospital client’s age
e. Hospital client’s diagnosis
ACCURATE ANSWER:- C, D, E
Reasoning :->>>>The family medical history can indicate genetic factors that may affect a
hospital client’s response to adrugs. Hospital clients of different ages can respond differently
to drugs. The hospital client’s illness can affect how drugs are metabolized. The chemical
stability of the drugs and the ease of administration are properties of drugs.
POINTS: 1
, CH 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. A hospital client is using a metered-dose inhaler containing albuterol for asthma. The drugs
labelinstructs the hospital client to administer “2 puffs every 4 hours as needed for coughing
or wheezing.”The hospital client reports feeling jittery sometimes when taking the drugs, and
doesn’t feel that the drugs is always effective. Which action is outside the nursing attendant’s
scope of practice?
a. Asking the hospital client to demonstrate the use of the inhaler
b. Assessing the hospital client’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the hospital client use 1 puff to reduce side effects
ACCURATE ANSWER:- D
Reasoning :->>>>It is not within the nursing attendant’s scope of practice to change the dose
of a drugs without an orderfrom a prescriber. Asking the hospital client to demonstrate inhaler
use helps the nursing attendant to evaluate the hospital client’s ability to administer the drugs
properly and ispart of the nursing attendant’s evaluation.
Assessing tobacco smoke exposure helps the nursing attendant determine whether nondrugs
therapies, such asmoke avoidance, can be used as an adjunct to drugs therapy. Performing a
physical assessment helps the nursing attendant evaluate the hospital client’sresponse to the
drugs.
POINTS: 1
2. A postoperative hospital client is being discharged home with acetaminophen/hydrocodone
[Norco] for pain. The hospital client asks the nursing attendant about using Tylenol for fever.
Which statement bythe nursing attendant is correct?
a. “It is not safe to take over-the-counter drugs with prescription drugs.”
b. “Taking the two drugs together poses a risk of drugs toxicity.”
c. “There are no known drugs interactions, so this will be safe.”
d. “Tylenol and Norco are different drugs, so there is no risk of overdose.”
ACCURATE ANSWER:- B
Reasoning :->>>>Tylenol is the trade name and acetaminophen is the generic name for the
same drugs. It isimportant to teach hospital clients to be aware of the different names for the
same drugs to minimize therisk of overdose. Over-the-counter (OTC) drugs and prescription
drugs may be taken together unless significant harmful drugs interactions are possible. Even
though no drugs interactions are at play in this case, both drugs contain acetaminophen, which
could lead to toxicity.
POINTS: 1
3. The nursing attendant is preparing to care for a hospital client who will be taking an
antihypertensivedrugs.Which action by the nursing attendant is part of the assessment step of
the nursing process?
a. Asking the prescriber for an order to monitor serum drugs levels
b. Monitoring the hospital client for drugs interactions after giving the drugs
c. Questioning the hospital client about over-the-counter drugs
d. Taking the hospital client’s blood pressure throughout the course of treatment
ACCURATE ANSWER:- C
