Lehne's Pharmacology for Nursing
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
QUESTION 1 – MCQ
Clinical Scenario
A nurse administers oral morphine to a postoperative patient.
Question Stem
Which factor most significantly affects the absorption of this
medication?
Options
A. Hepatic enzyme activity
B. Gastric pH and motility
C. Renal blood flow
D. Plasma protein binding
Correct Answer
B. Gastric pH and motility
Rationale
Absorption of oral drugs is influenced by gastric pH, motility,
and presence of food, which determine how quickly the drug
reaches systemic circulation.
Incorrect Option Analysis
, • A: Affects metabolism, not absorption
• C: Impacts excretion
• D: Influences distribution
Nursing Process
Assessment
NCJMM
Recognize Cues, Analyze Cues
Difficulty
Easy
Bloom’s
Understand
NCLEX Category
Pharmacological Therapies
Learning Objective
Identify factors affecting drug absorption.
QUESTION 2 – SATA
Scenario
A patient is prescribed warfarin.
, Question
Which nursing interventions promote safe therapy? (Select all
that apply)
Options
A. Monitor INR regularly
B. Encourage consistent vitamin K intake
C. Administer IM injections when possible
D. Assess for bleeding
E. Double dose if missed
Correct Answers
A, B, D
Rationale
Warfarin requires INR monitoring, bleeding assessment, and
consistent vitamin K intake to maintain therapeutic effect.
Incorrect Options
• C: IM injections increase bleeding risk
• E: Doubling dose increases hemorrhage risk
Nursing Process
Implementation
NCJMM
Take Action, Evaluate Outcomes
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
QUESTION 1 – MCQ
Clinical Scenario
A nurse administers oral morphine to a postoperative patient.
Question Stem
Which factor most significantly affects the absorption of this
medication?
Options
A. Hepatic enzyme activity
B. Gastric pH and motility
C. Renal blood flow
D. Plasma protein binding
Correct Answer
B. Gastric pH and motility
Rationale
Absorption of oral drugs is influenced by gastric pH, motility,
and presence of food, which determine how quickly the drug
reaches systemic circulation.
Incorrect Option Analysis
, • A: Affects metabolism, not absorption
• C: Impacts excretion
• D: Influences distribution
Nursing Process
Assessment
NCJMM
Recognize Cues, Analyze Cues
Difficulty
Easy
Bloom’s
Understand
NCLEX Category
Pharmacological Therapies
Learning Objective
Identify factors affecting drug absorption.
QUESTION 2 – SATA
Scenario
A patient is prescribed warfarin.
, Question
Which nursing interventions promote safe therapy? (Select all
that apply)
Options
A. Monitor INR regularly
B. Encourage consistent vitamin K intake
C. Administer IM injections when possible
D. Assess for bleeding
E. Double dose if missed
Correct Answers
A, B, D
Rationale
Warfarin requires INR monitoring, bleeding assessment, and
consistent vitamin K intake to maintain therapeutic effect.
Incorrect Options
• C: IM injections increase bleeding risk
• E: Doubling dose increases hemorrhage risk
Nursing Process
Implementation
NCJMM
Take Action, Evaluate Outcomes
