Test hBank hLehne's hPharmacology hfor hNursing hCare,
h11thhEdition hby hJacqueline hBurchum, hLaura
hRosenthal
Chapter h1: hOrientation hto
hPharmacologyhTest hBank
MULTIPLE
hCHOICE
1. The hnurse his hteaching ha hpatient hhow ha hmedication hworks hto htreat han hillness. hTo
hdo hthis, hthehnurse hwill hrely hon hknowledge hof:
a. clinical hpharmacology.
b. drug hefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: h D
Pharmacotherapeutics his hthe hstudy hof hthe huse hof hdrugs hto hdiagnose, htreat, hand hprevent
hconditions. hClinical hpharmacology his hconcerned hwith hall haspects hof hdrug–human
hinteractions.hDrug hefficacy hmeasures hthe hextent hto hwhich ha hgiven hdrug hcauses han
hintended heffect.
Pharmacokinetics his hthe hstudy hof hthe himpact hof hthe hbody hon ha hdrug.
DIF: Cognitive hLevel: hComprehension REF: hFour hBasic
hTermshTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. What hdoes hit hmean hwhen ha hdrug his hdescribed has heasy hto hadminister?
a. It hcan hbe hstored hindefinitely hwithout hneed hfor hrefrigeration.
b. It hdoes hnot hinteract hsignificantly hwith hother hmedications.
c. It henhances hpatient hadherence hto hthe hdrug hregimen.
d. It his husually hrelatively hinexpensive hto hproduce.
ANS: h C
A hmajor hbenefit hof hdrugs hthat hare heasy hto hadminister his hthat hpatients htaking hthem
hare hmorehlikely hto hcomply hwith hthe hdrug hregimen. hDrugs hthat hare heasy hto hgive
hmay hhave hthe hother hattributes hlisted, hbut hthose hproperties hare hindependent hof hease
hof hadministration.
DIF: Cognitive hLevel: hComprehension
REF: hAdditional hProperties hof han hIdeal hDrug: hEase hof
hAdministrationhTOP: h Nursing hProcess: hAssessment
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
3. A hpatient htells hthe hnurse hthat hhe hwas htold hby hthe hprescriber hthat hthe hanalgesic hhe his
htaking his hvery heffective. hWhich hstatement hby hthe hpatient hdemonstrates han
hunderstanding hof hthe hdrug‘sheffectiveness?
a. ―I hdon‘t hhave hto hworry habout htoxicity, hsince hit htakes ha hlarge hamount hof
hthis hdrug htohcause han hoverdose.‖
,b. ―It hhas hno hside heffects hand hdoesn‘t hinteract hwith hother hdrugs.‖
c. ―I honly hhave hto htake hit hevery h12 hhours.‖
d. ―It hmight hmake hme hsleepy, hand hit hlessens hpain hfor hseveral hhours hat ha htime.‖
ANS: h D
, A hdrug his heffective hif hit hproduces hthe hintended heffects, heven hif hit halso hproduces hside
heffects. hBecause hno hdrug his hcompletely hsafe, hthe hlevel hof htoxicity hdoes hnot hdetermine
heffectiveness. hAllhdrugs hhave hside heffects hand hmany hreact hwith hother hsubstances; hthese
hdo hnot haffect hthe hdrug‘s heffectiveness. hEase hof hadministration his hindependent hof ha
hdrug‘s heffectiveness.
DIF: Cognitive hLevel: hComprehension REF: hProperties hof han hIdeal
hDrughTOP: h Nursing hProcess: hEvaluation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
MULTIPLE hRESPONSE
1. What hare hthe hproperties hof han hideal hdrug? h(Select hall hthat happly.)
a. Irreversible haction
b. Predictability
c. Ease hof hadministration
d. Chemical hstability
e. A hsimple htrade hname
ANS: h B, hC, hD
In haddition hto hpredictability, hease hof hadministration, hand hchemical hstability, hother
hproperties hinclude ha hreversible haction hso hthat hany hharm hthe hdrug hmay hcause hcan hbe
hundone hand ha hsimplehgeneric hname, hbecause hgeneric hnames hare husually hcomplex hand
hdifficult hto hremember hand hpronounce.
DIF: Cognitive hLevel: hComprehension
REF: hProperties hof han hIdeal hDrug h| hAdditional hProperties hof han
hIdeal hDrughTOP: h Nursing hProcess: hAssessment
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. Before hadministering ha hmedication, hwhat hdoes hthe hnurse hneed hto hknow hto hevaluate hhow
individual hpatient hvariability hmight haffect hthe hpatient‘s hresponse hto hthe hmedication?
h(Select hallhthat happly.)
a. Chemical hstability hof hthe hmedication
b. Ease hof hadministration
c. Family hmedical hhistory
d. Patient‘s hage
e. Patient‘s hdiagnosis
ANS: h C, hD, hE
The hfamily hmedical hhistory hcan hindicate hgenetic hfactors hthat hmay haffect ha hpatient‘s
hresponse htoha hmedication. hPatients hof hdifferent hages hcan hrespond hdifferently hto
hmedications. hThe hpatient‘s hillness hcan haffect hhow hdrugs hare hmetabolized. hThe hchemical
hstability hof hthe hmedication hand hthehease hof hadministration hare hproperties hof hdrugs.
DIF: Cognitive hLevel: hAnalysis REF: hSources hof hIndividual
hVariationhTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hReduction hof hRisk hPotential
, Chapter h2: hApplication hof hPharmacology hin hNursing
hPracticehTest hBank
MULTIPLE
hCHOICE
1. A hpatient his husing ha hmetered-dose hinhaler hcontaining halbuterol hfor hasthma. hThe
hmedicationhlabel hinstructs hthe hpatient hto hadminister h―2 hpuffs hevery h4 hhours has
hneeded hfor hcoughing hor
wheezing.‖ hThe hpatient hreports hfeeling hjittery hsometimes hwhen htaking hthe hmedication,
hand hshehdoesn‘t hfeel hthat hthe hmedication his halways heffective. hWhich his hnot han
happropriate hnursing hintervention hfor hthis hpatient?
a. Asking hthe hpatient hto hdemonstrate huse hof hthe hinhaler
b. Assessing hthe hpatient‘s hexposure hto htobacco hsmoke
c. Auscultating hlung hsounds hand hobtaining hvital hsigns
d. Suggesting hthat hthe hpatient huse hone hpuff hto hreduce hside heffects
ANS: h D
It his hnot hwithin hthe hnurse‘s hscope hof hpractice hto hchange hthe hdose hof ha hmedication
hwithout han horder hfrom ha hprescriber. hAsking hthe hpatient hto hdemonstrate hinhaler huse
hhelps hthe hnurse hto hevaluate hthe hpatient‘s hability hto hadminister hthe hmedication
hproperly hand his hpart hof hthe hnurse‘shevaluation. hAssessing htobacco hsmoke hexposure
hhelps hthe hnurse hdetermine hwhether hnondrug htherapies, hsuch ha hsmoke havoidance, hcan
hbe hused has han hadjunct hto hdrug htherapy. hPerforming hahphysical hassessment hhelps hthe
hnurse hevaluate hthe hpatient‘s hresponse hto hthe hmedication.
DIF: Cognitive hLevel: hApplication
REF: hApplying hthe hNursing hProcess hin hDrug hTherapy: hPreadministration hAssessment
h[and hallhsubsections hunder hthis hheading] TOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. A hpostoperative hpatient his hbeing hdischarged hhome hwith hacetaminophen/hydrocodone
h(Lortab)hfor hpain. hThe hpatient hasks hthe hnurse habout husing hTylenol hfor hfever. hWhich
hstatement hby hthe hnurse his hcorrect?
a. ―It his hnot hsafe hto htake hover-the-counter hdrugs hwith hprescription hmedications.‖
b. ―Taking hthe htwo hmedications htogether hposes ha hrisk hof hdrug htoxicity.‖
c. ―There hare hno hknown hdrug hinteractions, hso hthis hwill hbe hsafe.‖
d. ―Tylenol hand hLortab hare hdifferent hdrugs, hso hthere his hno hrisk hof hoverdose.‖
ANS: h B
Tylenol his hthe htrade hname hand hacetaminophen his hthe hgeneric hname hfor hthe hsame
hmedication. hIt his himportant hto hteach hpatients hto hbe haware hof hthe hdifferent hnames hfor
hthe hsame hdrug hto hminimizehthe hrisk hof hoverdose. hOver-the-counter h(OTC) hmedications
hand hprescription hmedications hmay hbe htaken htogether hunless hsignificant hharmful hdrug
hinteractions hare hpossible. hEven hthough hno hdrug hinteractions hare hat hplay hin hthis hcase,
hboth hdrugs hcontain hacetaminophen, hwhich hcould hlead hto htoxicity.
DIF: Cognitive hLevel: hApplication
REF: hApplication hof hPharmacology hin hPatient hEducation: hDosage hand
hAdministrationhTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hReduction hof hRisk hPotential
h11thhEdition hby hJacqueline hBurchum, hLaura
hRosenthal
Chapter h1: hOrientation hto
hPharmacologyhTest hBank
MULTIPLE
hCHOICE
1. The hnurse his hteaching ha hpatient hhow ha hmedication hworks hto htreat han hillness. hTo
hdo hthis, hthehnurse hwill hrely hon hknowledge hof:
a. clinical hpharmacology.
b. drug hefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: h D
Pharmacotherapeutics his hthe hstudy hof hthe huse hof hdrugs hto hdiagnose, htreat, hand hprevent
hconditions. hClinical hpharmacology his hconcerned hwith hall haspects hof hdrug–human
hinteractions.hDrug hefficacy hmeasures hthe hextent hto hwhich ha hgiven hdrug hcauses han
hintended heffect.
Pharmacokinetics his hthe hstudy hof hthe himpact hof hthe hbody hon ha hdrug.
DIF: Cognitive hLevel: hComprehension REF: hFour hBasic
hTermshTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. What hdoes hit hmean hwhen ha hdrug his hdescribed has heasy hto hadminister?
a. It hcan hbe hstored hindefinitely hwithout hneed hfor hrefrigeration.
b. It hdoes hnot hinteract hsignificantly hwith hother hmedications.
c. It henhances hpatient hadherence hto hthe hdrug hregimen.
d. It his husually hrelatively hinexpensive hto hproduce.
ANS: h C
A hmajor hbenefit hof hdrugs hthat hare heasy hto hadminister his hthat hpatients htaking hthem
hare hmorehlikely hto hcomply hwith hthe hdrug hregimen. hDrugs hthat hare heasy hto hgive
hmay hhave hthe hother hattributes hlisted, hbut hthose hproperties hare hindependent hof hease
hof hadministration.
DIF: Cognitive hLevel: hComprehension
REF: hAdditional hProperties hof han hIdeal hDrug: hEase hof
hAdministrationhTOP: h Nursing hProcess: hAssessment
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
3. A hpatient htells hthe hnurse hthat hhe hwas htold hby hthe hprescriber hthat hthe hanalgesic hhe his
htaking his hvery heffective. hWhich hstatement hby hthe hpatient hdemonstrates han
hunderstanding hof hthe hdrug‘sheffectiveness?
a. ―I hdon‘t hhave hto hworry habout htoxicity, hsince hit htakes ha hlarge hamount hof
hthis hdrug htohcause han hoverdose.‖
,b. ―It hhas hno hside heffects hand hdoesn‘t hinteract hwith hother hdrugs.‖
c. ―I honly hhave hto htake hit hevery h12 hhours.‖
d. ―It hmight hmake hme hsleepy, hand hit hlessens hpain hfor hseveral hhours hat ha htime.‖
ANS: h D
, A hdrug his heffective hif hit hproduces hthe hintended heffects, heven hif hit halso hproduces hside
heffects. hBecause hno hdrug his hcompletely hsafe, hthe hlevel hof htoxicity hdoes hnot hdetermine
heffectiveness. hAllhdrugs hhave hside heffects hand hmany hreact hwith hother hsubstances; hthese
hdo hnot haffect hthe hdrug‘s heffectiveness. hEase hof hadministration his hindependent hof ha
hdrug‘s heffectiveness.
DIF: Cognitive hLevel: hComprehension REF: hProperties hof han hIdeal
hDrughTOP: h Nursing hProcess: hEvaluation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
MULTIPLE hRESPONSE
1. What hare hthe hproperties hof han hideal hdrug? h(Select hall hthat happly.)
a. Irreversible haction
b. Predictability
c. Ease hof hadministration
d. Chemical hstability
e. A hsimple htrade hname
ANS: h B, hC, hD
In haddition hto hpredictability, hease hof hadministration, hand hchemical hstability, hother
hproperties hinclude ha hreversible haction hso hthat hany hharm hthe hdrug hmay hcause hcan hbe
hundone hand ha hsimplehgeneric hname, hbecause hgeneric hnames hare husually hcomplex hand
hdifficult hto hremember hand hpronounce.
DIF: Cognitive hLevel: hComprehension
REF: hProperties hof han hIdeal hDrug h| hAdditional hProperties hof han
hIdeal hDrughTOP: h Nursing hProcess: hAssessment
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. Before hadministering ha hmedication, hwhat hdoes hthe hnurse hneed hto hknow hto hevaluate hhow
individual hpatient hvariability hmight haffect hthe hpatient‘s hresponse hto hthe hmedication?
h(Select hallhthat happly.)
a. Chemical hstability hof hthe hmedication
b. Ease hof hadministration
c. Family hmedical hhistory
d. Patient‘s hage
e. Patient‘s hdiagnosis
ANS: h C, hD, hE
The hfamily hmedical hhistory hcan hindicate hgenetic hfactors hthat hmay haffect ha hpatient‘s
hresponse htoha hmedication. hPatients hof hdifferent hages hcan hrespond hdifferently hto
hmedications. hThe hpatient‘s hillness hcan haffect hhow hdrugs hare hmetabolized. hThe hchemical
hstability hof hthe hmedication hand hthehease hof hadministration hare hproperties hof hdrugs.
DIF: Cognitive hLevel: hAnalysis REF: hSources hof hIndividual
hVariationhTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hReduction hof hRisk hPotential
, Chapter h2: hApplication hof hPharmacology hin hNursing
hPracticehTest hBank
MULTIPLE
hCHOICE
1. A hpatient his husing ha hmetered-dose hinhaler hcontaining halbuterol hfor hasthma. hThe
hmedicationhlabel hinstructs hthe hpatient hto hadminister h―2 hpuffs hevery h4 hhours has
hneeded hfor hcoughing hor
wheezing.‖ hThe hpatient hreports hfeeling hjittery hsometimes hwhen htaking hthe hmedication,
hand hshehdoesn‘t hfeel hthat hthe hmedication his halways heffective. hWhich his hnot han
happropriate hnursing hintervention hfor hthis hpatient?
a. Asking hthe hpatient hto hdemonstrate huse hof hthe hinhaler
b. Assessing hthe hpatient‘s hexposure hto htobacco hsmoke
c. Auscultating hlung hsounds hand hobtaining hvital hsigns
d. Suggesting hthat hthe hpatient huse hone hpuff hto hreduce hside heffects
ANS: h D
It his hnot hwithin hthe hnurse‘s hscope hof hpractice hto hchange hthe hdose hof ha hmedication
hwithout han horder hfrom ha hprescriber. hAsking hthe hpatient hto hdemonstrate hinhaler huse
hhelps hthe hnurse hto hevaluate hthe hpatient‘s hability hto hadminister hthe hmedication
hproperly hand his hpart hof hthe hnurse‘shevaluation. hAssessing htobacco hsmoke hexposure
hhelps hthe hnurse hdetermine hwhether hnondrug htherapies, hsuch ha hsmoke havoidance, hcan
hbe hused has han hadjunct hto hdrug htherapy. hPerforming hahphysical hassessment hhelps hthe
hnurse hevaluate hthe hpatient‘s hresponse hto hthe hmedication.
DIF: Cognitive hLevel: hApplication
REF: hApplying hthe hNursing hProcess hin hDrug hTherapy: hPreadministration hAssessment
h[and hallhsubsections hunder hthis hheading] TOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hPharmacologic hand hParenteral
hTherapies
2. A hpostoperative hpatient his hbeing hdischarged hhome hwith hacetaminophen/hydrocodone
h(Lortab)hfor hpain. hThe hpatient hasks hthe hnurse habout husing hTylenol hfor hfever. hWhich
hstatement hby hthe hnurse his hcorrect?
a. ―It his hnot hsafe hto htake hover-the-counter hdrugs hwith hprescription hmedications.‖
b. ―Taking hthe htwo hmedications htogether hposes ha hrisk hof hdrug htoxicity.‖
c. ―There hare hno hknown hdrug hinteractions, hso hthis hwill hbe hsafe.‖
d. ―Tylenol hand hLortab hare hdifferent hdrugs, hso hthere his hno hrisk hof hoverdose.‖
ANS: h B
Tylenol his hthe htrade hname hand hacetaminophen his hthe hgeneric hname hfor hthe hsame
hmedication. hIt his himportant hto hteach hpatients hto hbe haware hof hthe hdifferent hnames hfor
hthe hsame hdrug hto hminimizehthe hrisk hof hoverdose. hOver-the-counter h(OTC) hmedications
hand hprescription hmedications hmay hbe htaken htogether hunless hsignificant hharmful hdrug
hinteractions hare hpossible. hEven hthough hno hdrug hinteractions hare hat hplay hin hthis hcase,
hboth hdrugs hcontain hacetaminophen, hwhich hcould hlead hto htoxicity.
DIF: Cognitive hLevel: hApplication
REF: hApplication hof hPharmacology hin hPatient hEducation: hDosage hand
hAdministrationhTOP: h Nursing hProcess: hImplementation
MSC: h NCLEX hClient hNeeds hCategory: hPhysiologic hIntegrity: hReduction hof hRisk hPotential
