Test bank:
INTRODUCTION TO
CLINICAL
PHARMACOLOGY 10T
EDITION BY Constanc
Visovsky, Cheryl
Zambroski, Shirley
Hosler
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission to a l
before giving the
patient’s prescribed drugs. Which action should the LPN consider to be the highest pr
a. Obtain any special equipment that will be needed to give the patient’s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health condition
before any drugs are given. Information regarding the present illness, any signs and s
medical records, drug history, and vital signs are needed before drugs are given. Dec
equipment that will be needed to give the patient’s drug is part of the planning phase
process. Monitoring the patient for his response to given drug is part of the evaluation
process. Reviewing the nursing care plan to verify that it is being followed accurately
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related
prescribed drugs. Which
action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
ANS: D
Determining how much the patient understands about his drug is part of the diagnosi
nursing process. Developing a nursing goal to plan the procedures needed to give dru
teaching plan for the patient regarding the drug’s actions are part of the planning ph
process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression about the potential adverse effects of a pr
part of the nursing process related to drug therapy are you engaging in at this poin
plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to th
therapeutic effects, expected side effects, and potential adverse effects.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. The LPN/VN is assessing a patient before giving a drug for blood pressure manageme
blood pressure to be
90/50 mm Hg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
ANS: A
The best action is to hold the drug and contact the RN. The patient may need an adju
the blood pressure drug or switching to another drug. Giving water with the drug is no
does not recognize the patient’s risk for hypotension. Pursed lip breathing has no ro
DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which pie
indicates that the LPN hasa clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain
member’s descriptionof the patient’s pain, and history of current illness are examp
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a follow-up ap
nurse reviews the
patient’s daily blood pressure recordings. Which stage of the nursing process correspo
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The evaluation phase involves examining the results that occur when the plan is imple
patient’s daily blood pressure recording examines the patient’s response to the drug.
provides initial information about the patient, the problem, and anything that may cha
treatment. The planning phase involves using patient assessment data and diagnoses
care plans. The diagnosis phase involves decision-making about the patient’s problem
diagnoses made by the healthcare provider and nursing diagnoses developed through
Nursing Diagnosis Association (NANDA).
DIF: Cognitive Level: Remembering REF: p. 2
9. After receiving report, the LPN gives drugs to her assigned patients on the evening sh
stage of the nursing process does this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A
The implementation phase involves actively following the plan of care and accurately
the patients. The assessment phase involves obtaining initial information about the pa
anything that may change the choice of treatment. The planning phase involves using
data and diagnoses to set goals and write care plans. The diagnosis phase involves de
the patient’s problems, including medical diagnoses made by the healthcare provider
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. A patient is receiving an antibiotic for pneumonia. On the third day of the treatment r
appears on her chest, and she reports itching and shortness of breath. Which term
that has occurred?
a. Therapeutic effect
b. Adverse effect
c. Side effect
d. Overdose effect
ANS: B
An itchy rash with shortness of breath that develops in response to drug is an exampl
reaction or adverse effect to the antibiotic. Therapeutic effects occur when an antibiot
without causing any adverse effects. Side effects of drugs are known potential effects
that range from mild to moderate. An overdose occurs if a patient receives too much
DIF: Cognitive Level: Understanding REF: p. 9
12. An LPN enters a patient’s room to give a scheduled drug. Before administration, the p
can’t take that drug; I’m allergic to it.” What should the nurse do first?
a. Reassure the patient that the drug is needed and observations
regarding possible allergic symptoms will be made.
b. Review the patient record and encourage the patient to take
the drug if no allergies have been documented.
c. Assess the patient’s allergic history and notify the healthcare provider to
determine a course of action.
d. Document patient refusal and leave a note on the
patient chart for the healthcareprovider.
ANS: C
The patient has shared information that indicates the potential for the ordered drug to
effects. Before giving the drug, the nurse should investigate further by obtaining a mo
history and notifying the healthcare provider who wrote the order. Although the order
written, determining whether the drug’s benefits outweigh the risks is not an action w
the nurse’s practice. The nurse should not offer false reassurance and as an advocate
should investigate further before giving the drug. The patient has raised concerns reg
should promptly be brought to the provider’s attention. A note on the chart leaves
information to be missed.
DIF: Cognitive Level: Applying REF: p. 4
13. The LPN is preparing to give the initial dose of an antibiotic to a patient diagnosed wit
patient says, “I broke outin a rash the last time I took that pill.” What action should
a. Give the drug and check the patient in 30 minutes for a rash.
b. Document that the patient refused the drug per agency policy.
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d. Notify the registered nurse or healthcare provider.
ANS: D
This is a possible adverse reaction, and the RN or healthcare provider should be notifi
You would never give the drug to see if it does cause a rash. Drug should never be
The patient did not refuse the drug.
DIF: Cognitive Level: Applying REF: p. 9
14. Which priority assessment must you make before giving any patient a drug by mouth
a. Quiz the patient about the action of each drug.
b. Make sure the patient can swallow.
c. Find out whether the patient prefers cold or room temperature liquids.
d. Ask the patient to repeat his or her name and birthdate.
ANS: B
INTRODUCTION TO
CLINICAL
PHARMACOLOGY 10T
EDITION BY Constanc
Visovsky, Cheryl
Zambroski, Shirley
Hosler
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission to a l
before giving the
patient’s prescribed drugs. Which action should the LPN consider to be the highest pr
a. Obtain any special equipment that will be needed to give the patient’s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health condition
before any drugs are given. Information regarding the present illness, any signs and s
medical records, drug history, and vital signs are needed before drugs are given. Dec
equipment that will be needed to give the patient’s drug is part of the planning phase
process. Monitoring the patient for his response to given drug is part of the evaluation
process. Reviewing the nursing care plan to verify that it is being followed accurately
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related
prescribed drugs. Which
action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
ANS: D
Determining how much the patient understands about his drug is part of the diagnosi
nursing process. Developing a nursing goal to plan the procedures needed to give dru
teaching plan for the patient regarding the drug’s actions are part of the planning ph
process.
DIF: Cognitive Level: Applying REF: p. 2
3. You are teaching a patient with depression about the potential adverse effects of a pr
part of the nursing process related to drug therapy are you engaging in at this poin
plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to th
therapeutic effects, expected side effects, and potential adverse effects.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. The LPN/VN is assessing a patient before giving a drug for blood pressure manageme
blood pressure to be
90/50 mm Hg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
ANS: A
The best action is to hold the drug and contact the RN. The patient may need an adju
the blood pressure drug or switching to another drug. Giving water with the drug is no
does not recognize the patient’s risk for hypotension. Pursed lip breathing has no ro
DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which pie
indicates that the LPN hasa clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain
member’s descriptionof the patient’s pain, and history of current illness are examp
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a follow-up ap
nurse reviews the
patient’s daily blood pressure recordings. Which stage of the nursing process correspo
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The evaluation phase involves examining the results that occur when the plan is imple
patient’s daily blood pressure recording examines the patient’s response to the drug.
provides initial information about the patient, the problem, and anything that may cha
treatment. The planning phase involves using patient assessment data and diagnoses
care plans. The diagnosis phase involves decision-making about the patient’s problem
diagnoses made by the healthcare provider and nursing diagnoses developed through
Nursing Diagnosis Association (NANDA).
DIF: Cognitive Level: Remembering REF: p. 2
9. After receiving report, the LPN gives drugs to her assigned patients on the evening sh
stage of the nursing process does this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A
The implementation phase involves actively following the plan of care and accurately
the patients. The assessment phase involves obtaining initial information about the pa
anything that may change the choice of treatment. The planning phase involves using
data and diagnoses to set goals and write care plans. The diagnosis phase involves de
the patient’s problems, including medical diagnoses made by the healthcare provider
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. A patient is receiving an antibiotic for pneumonia. On the third day of the treatment r
appears on her chest, and she reports itching and shortness of breath. Which term
that has occurred?
a. Therapeutic effect
b. Adverse effect
c. Side effect
d. Overdose effect
ANS: B
An itchy rash with shortness of breath that develops in response to drug is an exampl
reaction or adverse effect to the antibiotic. Therapeutic effects occur when an antibiot
without causing any adverse effects. Side effects of drugs are known potential effects
that range from mild to moderate. An overdose occurs if a patient receives too much
DIF: Cognitive Level: Understanding REF: p. 9
12. An LPN enters a patient’s room to give a scheduled drug. Before administration, the p
can’t take that drug; I’m allergic to it.” What should the nurse do first?
a. Reassure the patient that the drug is needed and observations
regarding possible allergic symptoms will be made.
b. Review the patient record and encourage the patient to take
the drug if no allergies have been documented.
c. Assess the patient’s allergic history and notify the healthcare provider to
determine a course of action.
d. Document patient refusal and leave a note on the
patient chart for the healthcareprovider.
ANS: C
The patient has shared information that indicates the potential for the ordered drug to
effects. Before giving the drug, the nurse should investigate further by obtaining a mo
history and notifying the healthcare provider who wrote the order. Although the order
written, determining whether the drug’s benefits outweigh the risks is not an action w
the nurse’s practice. The nurse should not offer false reassurance and as an advocate
should investigate further before giving the drug. The patient has raised concerns reg
should promptly be brought to the provider’s attention. A note on the chart leaves
information to be missed.
DIF: Cognitive Level: Applying REF: p. 4
13. The LPN is preparing to give the initial dose of an antibiotic to a patient diagnosed wit
patient says, “I broke outin a rash the last time I took that pill.” What action should
a. Give the drug and check the patient in 30 minutes for a rash.
b. Document that the patient refused the drug per agency policy.
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d. Notify the registered nurse or healthcare provider.
ANS: D
This is a possible adverse reaction, and the RN or healthcare provider should be notifi
You would never give the drug to see if it does cause a rash. Drug should never be
The patient did not refuse the drug.
DIF: Cognitive Level: Applying REF: p. 9
14. Which priority assessment must you make before giving any patient a drug by mouth
a. Quiz the patient about the action of each drug.
b. Make sure the patient can swallow.
c. Find out whether the patient prefers cold or room temperature liquids.
d. Ask the patient to repeat his or her name and birthdate.
ANS: B
