TEST BANK z
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
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By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
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,Chapter 01: Pharmacology and the Nursing Process in LPN PracticeVi
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sovsky: Introduction to Clinical Pharmacology, 10th Edition
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MULTIPLE z
CHOICE
1. ThezLPNziszcollectingzdatazforzthezinitialzassessmentz ofzazpatientz uponzadmissionz tozazlong-
term care facility before giving thepatient‘s prescribed drugs. Which action should the LPN conside
z z z z z z z z z z z z z z
y?
a. Obtain any special equipment that will be needed to give the patient‘s drug.
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b. Monitor the patient for a response to the drug given. z z z z z z z z z
c. Collect data about the patient and the patient‘s health condition.
z z z z z z z z z
d. Review the nursing care plan to verify that it is accurate.
z z z z z z z z z z
ANS: C z
Collecting and documenting data about the patient and the patient‘s health condition is a critical step be
z z z z z z z z z z z z z z z z
. Information regarding the present illness, any signs and symptoms, review of medical records, drug h
z z z z z z z z z z z z z z z
needed before drugs are given. Deciding on special equipment that will be needed to give the patient‘s
z z z z z z z z z z z z z z z z z
g phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalu
z z z z z z z z z z z z z z z z z z z
zprocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the imp
z z z z z z z z z z z z z z z z z z
e nursing process.
z z
DIF: Cognitive Level: Applying
z z z REF: p. 2 z z
2. ThezLPNziszworkingzwithzazpatientzinzthezplanningzstagezofztheznursingzprocesszrelatedztozthezpatient‘szp
on should the LPN take during this stage?
z z z z z z z
a. Develop a nursing goal to plan the procedures needed to give drug.
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b. Develop a teaching plan for the patient regarding the drug‘s actions.
z z z z z z z z z z
c. Determine that the patient is experiencing the expected response to his drug.
z z z z z z z z z z z
d. Determine how much the patient understands about his drug. z z z z z z z z
ANS: D z
Determining how much the patient understands about his drug is part of the diagnosis phase of the nurs
z z z z z z z z z z z z z z z z z
a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patien
z z z z z z z z z z z z z z z z z z
tions are part of the planning phase of the nursing process.
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DIF: Cognitive Level: Applying
z z z REF: p. 2 z z
3. Youzarezteachingzazpatientzwithzdepressionzaboutzthezpotentialzadversezeffectsz ofzazprescribedz drug.zWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
z z z z z z z z z z z z z z z
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C z
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘
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de effects, and potential adverse effects.
z z z z z
DIF: Cognitive Level: Remembering REF: p. 2
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4. Whichzofzthezfollowingz iszanzexamplezofzsubjectivezdata?
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
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6. ThezLPN/VNziszassessingzazpatientz beforezgivingz azdrugz forzbloodz pressurezmanagement.z Theznurseznot
0 mm Hg. What is the nurse‘s best action?
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a. Hold the drug and report the blood pressure to the RN.
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b. Give the patient a full glass of water before giving the drug.
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c. Come back in 30 minutes and recheck the blood pressure.
z z z z z z z z z
d. Have the patient perform pursed lip breathing before giving the drug.
z z z z z z z z z z
ANS: A z
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose o
z z z z z z z z z z z z z z z z z z z z z
or switching to another drug. Giving water with the drug is not contraindicated but does not recognize t
z z z z z z z z z z z z z z z z z
tension. Pursed lip breathing has no role in this situation.
z z z z z z z z z
DIF: Cognitive Level: Remembering REF: p. 4
z z z z z z
7. ThezLPNziszcollectingz objectivezdatazforzinclusionzinztheznursingzassessment.zWhichzpiecezofzinformatio
N hasa clear understanding of objective assessment data?
z z z z z z z
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
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b. Family members report that patient has been experiencing pain for 1 month.
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c. Detailed history of the patient‘s current illness upon admission.
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d. Compilation of past laboratory results and x-ray reports. z z z z z z z
ANS: D z
The patient‘s past laboratory and x-
z z z z z
ray results are examples of objective data. A pain rating of 8/10, a family member‘sdescriptionof the p
z z z z z z z z z z z z z z z z z
rent illness are examples of subjective data.
z z z z z z
DIF: Cognitive Level: Remembering REF: p. 3
z z z z z z
8. Azpatientzrecentlyz beganzaztakingzbloodzpressurezdrugzandzpresentszforzazfollow-
up appointment. The office nurse reviews thepatient‘s daily blood pressure recordings. Which stage
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responds to this review? z z z
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D z
The evaluation phase involves examining the results that occur when the plan is implemented. Review
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pressure recording examines the patient‘s response to the drug. The assessment phase provides initial i
z z z z z z z z z z z z z z
, the problem, and anything that may change the choice of treatment. The planning phase involves usin
z z z z z z z z z z z z z z z z
d diagnoses to set goals and write care plans. The diagnosis phase involves decision-
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making about the patient‘s problems, including medical diagnoses made by the healthcare provider an
z z z z z z z z z z z z z
ed through theNorth American Nursing Diagnosis Association (NANDA).
z z z z z z z z
DIF: Cognitive Level: Remembering REF: p. 2
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9. Afterzreceivingzreport,zthezLPNzgiveszdrugsztozherzassignedzpatientszonzthezeveningzshift.z Withzwhichzst
cess does this activity correspond?
z z z z
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A z
The implementation phase involves actively following the plan of care and accurately giving ordered d
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, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
z z z z z z z
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11. Azpatientziszreceivingzanzantibioticzforzpneumonia.zOnzthezthirdz dayzofztheztreatmentz regimen,z azrashzapp
shereports itching and shortness of breath. Which term describes the effect that has occurred?
z z z z z z z z z z z z z
a. Therapeutic effect z
b. Adverse effect z
c. Side effect z
d. Overdose effect z
ANS: B z
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic rea
z z z z z z z z z z z z z z z z z z z
to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any adve
z z z z z z z z z z z z z z
s of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose o
z z z z z z z z z z z z z z z z z z
ves too much of a drug.
z z z z z
DIF: Cognitive Level: Understanding REF: p. 9
z z z z z z
12. AnzLPNzenterszazpatient‘szroomz tozgivezazscheduledzdrug.zBeforezadministration,zthezpatientzstates,z―Izcan
; I‘m allergic to it.‖ What should the nurse do first?
z z z z z z z z z z
a. Reassure the patient that the drug is needed and observations regardingp
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ossibleallergic symptoms will be made. z z z z
b. Review the patient record and encourage the patient to take the drug ifno
z z z z z z z z z z z z z
allergies have been documented. z z z
c. Assess the patient‘s allergic history and notify the healthcare provider tod
z z z z z z z z z z z
etermine a course of action. z z z z
d. Document patient refusal and leave a note on the patient chart forth z z z z z z z z z z z z
ehealthcareprovider.
ANS: C z
The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
z z z z z z z z z z z z z z z z
g, the nurse should investigate further by obtaining a more detailed drug history and notifying the healt
z z z z z z z z z z z z z z z z
he order. Although the order may be accurately written, determining whether the drug‘s benefits outwe
z z z z z z z z z z z z z z
n within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as an a
z z z z z z z z z z z z z z z z z z z
should investigate further before giving the drug. The patient has raised concerns regarding the drug th
z z z z z z z z z z z z z z z
ught to the provider‘s attention. A note on the chart leaves potential for information to be missed.
z z z z z z z z z z z z z z z z
DIF: Cognitive Level: Applying
z z z REF: p. 4 z z
13. Thez LPNz isz preparingz toz givez thez initialz dosez ofz anz antibioticz toz az patientz diagnosedz withz anz infection.z The
ke outin a rash the last time I took that pill.‖ What action should the LPN take next?
z z z z z z z z z z z z z z z z z
a. Give the drug and check the patient in 30 minutes for a rash.
z z z z z z z z z z z z
b. Document that the patient refused the drug per agency policy. z z z z z z z z z
c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
z z z z z z z z z z z z z
d. Notify the registered nurse or healthcare provider. z z z z z z
ANS: D z
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately. Y
z z z z z z z z z z z z z z z z
e drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refus
z z z z z z z z z z z z z z z z z z z z z z
DIF: Cognitive Level: Applying
z z z REF: p. 9 z z
14. Whichzpriorityzassessmentzmustzyouzmakezbeforezgivingzanyzpatientzazdrugzbyzmouth?
a. Quizzthezpatientzaboutzthezactionzofzeachzdrug.
b. Makezsurezthezpatientzcanzswallow.
c. Findzoutz whetherzthezpatientzpreferszcoldz orzroomztemperaturezliquids.
d. Askzthezpatientztozrepeatzhiszorzherznamezandzbirthdate.
INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH
z z z z
By Constance Visovsky, Cheryl Zambroski, Shirley Hosler
z z z z z z
,Chapter 01: Pharmacology and the Nursing Process in LPN PracticeVi
z z z z z z z z z z
sovsky: Introduction to Clinical Pharmacology, 10th Edition
z z z z z z
MULTIPLE z
CHOICE
1. ThezLPNziszcollectingzdatazforzthezinitialzassessmentz ofzazpatientz uponzadmissionz tozazlong-
term care facility before giving thepatient‘s prescribed drugs. Which action should the LPN conside
z z z z z z z z z z z z z z
y?
a. Obtain any special equipment that will be needed to give the patient‘s drug.
z z z z z z z z z z z z
b. Monitor the patient for a response to the drug given. z z z z z z z z z
c. Collect data about the patient and the patient‘s health condition.
z z z z z z z z z
d. Review the nursing care plan to verify that it is accurate.
z z z z z z z z z z
ANS: C z
Collecting and documenting data about the patient and the patient‘s health condition is a critical step be
z z z z z z z z z z z z z z z z
. Information regarding the present illness, any signs and symptoms, review of medical records, drug h
z z z z z z z z z z z z z z z
needed before drugs are given. Deciding on special equipment that will be needed to give the patient‘s
z z z z z z z z z z z z z z z z z
g phase of the nursing process. Monitoring the patient for his response to given drug is part of the evalu
z z z z z z z z z z z z z z z z z z z
zprocess. Reviewing the nursing care plan to verify that it is being followed accurately is part of the imp
z z z z z z z z z z z z z z z z z z
e nursing process.
z z
DIF: Cognitive Level: Applying
z z z REF: p. 2 z z
2. ThezLPNziszworkingzwithzazpatientzinzthezplanningzstagezofztheznursingzprocesszrelatedztozthezpatient‘szp
on should the LPN take during this stage?
z z z z z z z
a. Develop a nursing goal to plan the procedures needed to give drug.
z z z z z z z z z z z
b. Develop a teaching plan for the patient regarding the drug‘s actions.
z z z z z z z z z z
c. Determine that the patient is experiencing the expected response to his drug.
z z z z z z z z z z z
d. Determine how much the patient understands about his drug. z z z z z z z z
ANS: D z
Determining how much the patient understands about his drug is part of the diagnosis phase of the nurs
z z z z z z z z z z z z z z z z z
a nursing goal to plan the procedures needed to give drug and developing a teaching plan for the patien
z z z z z z z z z z z z z z z z z z
tions are part of the planning phase of the nursing process.
z z z z z z z z z z
DIF: Cognitive Level: Applying
z z z REF: p. 2 z z
3. Youzarezteachingzazpatientzwithzdepressionzaboutzthezpotentialzadversezeffectsz ofzazprescribedz drug.zWh
cess related to drug therapy are you engaging in at this point of the teaching plan?
z z z z z z z z z z z z z z z
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS: C z
In the evaluation phase of the nursing process, the LPN understands and teaches to the patient the drug‘
z z z z z z z z z z z z z z z z z
de effects, and potential adverse effects.
z z z z z
DIF: Cognitive Level: Remembering REF: p. 2
z z z z z z
4. Whichzofzthezfollowingz iszanzexamplezofzsubjectivezdata?
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
z z z z z z z
z
z
6. ThezLPN/VNziszassessingzazpatientz beforezgivingz azdrugz forzbloodz pressurezmanagement.z Theznurseznot
0 mm Hg. What is the nurse‘s best action?
z z z z z z z z
a. Hold the drug and report the blood pressure to the RN.
z z z z z z z z z z
b. Give the patient a full glass of water before giving the drug.
z z z z z z z z z z z
c. Come back in 30 minutes and recheck the blood pressure.
z z z z z z z z z
d. Have the patient perform pursed lip breathing before giving the drug.
z z z z z z z z z z
ANS: A z
The best action is to hold the drug and contact the RN. The patient may need an adjustment to the dose o
z z z z z z z z z z z z z z z z z z z z z
or switching to another drug. Giving water with the drug is not contraindicated but does not recognize t
z z z z z z z z z z z z z z z z z
tension. Pursed lip breathing has no role in this situation.
z z z z z z z z z
DIF: Cognitive Level: Remembering REF: p. 4
z z z z z z
7. ThezLPNziszcollectingz objectivezdatazforzinclusionzinztheznursingzassessment.zWhichzpiecezofzinformatio
N hasa clear understanding of objective assessment data?
z z z z z z z
a. A patient‘s rating of chest pain as 8 on a 1 to 10 scale.
z z z z z z z z z z z z z
b. Family members report that patient has been experiencing pain for 1 month.
z z z z z z z z z z z
c. Detailed history of the patient‘s current illness upon admission.
z z z z z z z z
d. Compilation of past laboratory results and x-ray reports. z z z z z z z
ANS: D z
The patient‘s past laboratory and x-
z z z z z
ray results are examples of objective data. A pain rating of 8/10, a family member‘sdescriptionof the p
z z z z z z z z z z z z z z z z z
rent illness are examples of subjective data.
z z z z z z
DIF: Cognitive Level: Remembering REF: p. 3
z z z z z z
8. Azpatientzrecentlyz beganzaztakingzbloodzpressurezdrugzandzpresentszforzazfollow-
up appointment. The office nurse reviews thepatient‘s daily blood pressure recordings. Which stage
z z z z z z z z z z z z z
responds to this review? z z z
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D z
The evaluation phase involves examining the results that occur when the plan is implemented. Review
z z z z z z z z z z z z z z
pressure recording examines the patient‘s response to the drug. The assessment phase provides initial i
z z z z z z z z z z z z z z
, the problem, and anything that may change the choice of treatment. The planning phase involves usin
z z z z z z z z z z z z z z z z
d diagnoses to set goals and write care plans. The diagnosis phase involves decision-
z z z z z z z z z z z z z
making about the patient‘s problems, including medical diagnoses made by the healthcare provider an
z z z z z z z z z z z z z
ed through theNorth American Nursing Diagnosis Association (NANDA).
z z z z z z z z
DIF: Cognitive Level: Remembering REF: p. 2
z z z z z z
9. Afterzreceivingzreport,zthezLPNzgiveszdrugsztozherzassignedzpatientszonzthezeveningzshift.z Withzwhichzst
cess does this activity correspond?
z z z z
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS: A z
The implementation phase involves actively following the plan of care and accurately giving ordered d
z z z z z z z z z z z z z z
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION BY
z z z z z z z
z
z
11. Azpatientziszreceivingzanzantibioticzforzpneumonia.zOnzthezthirdz dayzofztheztreatmentz regimen,z azrashzapp
shereports itching and shortness of breath. Which term describes the effect that has occurred?
z z z z z z z z z z z z z
a. Therapeutic effect z
b. Adverse effect z
c. Side effect z
d. Overdose effect z
ANS: B z
An itchy rash with shortness of breath that develops in response to drug is an example of an allergic rea
z z z z z z z z z z z z z z z z z z z
to the antibiotic. Therapeutic effects occur when an antibiotic fights infection without causing any adve
z z z z z z z z z z z z z z
s of drugs are known potential effects of the antibiotic that range from mild to moderate. An overdose o
z z z z z z z z z z z z z z z z z z
ves too much of a drug.
z z z z z
DIF: Cognitive Level: Understanding REF: p. 9
z z z z z z
12. AnzLPNzenterszazpatient‘szroomz tozgivezazscheduledzdrug.zBeforezadministration,zthezpatientzstates,z―Izcan
; I‘m allergic to it.‖ What should the nurse do first?
z z z z z z z z z z
a. Reassure the patient that the drug is needed and observations regardingp
z z z z z z z z z z z
ossibleallergic symptoms will be made. z z z z
b. Review the patient record and encourage the patient to take the drug ifno
z z z z z z z z z z z z z
allergies have been documented. z z z
c. Assess the patient‘s allergic history and notify the healthcare provider tod
z z z z z z z z z z z
etermine a course of action. z z z z
d. Document patient refusal and leave a note on the patient chart forth z z z z z z z z z z z z
ehealthcareprovider.
ANS: C z
The patient has shared information that indicates the potential for the ordered drug to cause adverse eff
z z z z z z z z z z z z z z z z
g, the nurse should investigate further by obtaining a more detailed drug history and notifying the healt
z z z z z z z z z z z z z z z z
he order. Although the order may be accurately written, determining whether the drug‘s benefits outwe
z z z z z z z z z z z z z z
n within the legal scope of the nurse‘s practice. The nurse should not offer false reassurance and as an a
z z z z z z z z z z z z z z z z z z z
should investigate further before giving the drug. The patient has raised concerns regarding the drug th
z z z z z z z z z z z z z z z
ught to the provider‘s attention. A note on the chart leaves potential for information to be missed.
z z z z z z z z z z z z z z z z
DIF: Cognitive Level: Applying
z z z REF: p. 4 z z
13. Thez LPNz isz preparingz toz givez thez initialz dosez ofz anz antibioticz toz az patientz diagnosedz withz anz infection.z The
ke outin a rash the last time I took that pill.‖ What action should the LPN take next?
z z z z z z z z z z z z z z z z z
a. Give the drug and check the patient in 30 minutes for a rash.
z z z z z z z z z z z z
b. Document that the patient refused the drug per agency policy. z z z z z z z z z
c. Leave the drug at the bedside while checking the chart for the patient‘s allergies.
z z z z z z z z z z z z z
d. Notify the registered nurse or healthcare provider. z z z z z z
ANS: D z
This is a possible adverse reaction, and the RN or healthcare provider should be notified immediately. Y
z z z z z z z z z z z z z z z z
e drug to see if it does cause a rash. Drug should never be left at the bedside. The patient did not refus
z z z z z z z z z z z z z z z z z z z z z z
DIF: Cognitive Level: Applying
z z z REF: p. 9 z z
14. Whichzpriorityzassessmentzmustzyouzmakezbeforezgivingzanyzpatientzazdrugzbyzmouth?
a. Quizzthezpatientzaboutzthezactionzofzeachzdrug.
b. Makezsurezthezpatientzcanzswallow.
c. Findzoutz whetherzthezpatientzpreferszcoldz orzroomztemperaturezliquids.
d. Askzthezpatientztozrepeatzhiszorzherznamezandzbirthdate.
