Test bank: INTRODUCTION
CLINICAL PHARMACOLO
10TH EDITION BY Consta
Visovsky, Cheryl Zambros
Shirley Hosler
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEz CHOICE
1. ThezLPNzisz collectingzdatazforzthezinitialzassessmentz ofz azpatientz uponzadmissionz tozazlong-termzcarezfacilit
patient’szprescribedzdrugs.zWhichzactionzshouldzthezLPNzconsiderz tozbezthezhighestzpriority?
a. Obtainzanyzspecialzequipmentz thatzwillzbezneededztozgivezthezpatient’szdrug.
b. Monitorzthezpatientzforzazresponseztozthezdrugzgiven.
c. Collectzdatazaboutzthezpatientzandzthezpatient’szhealthzcondition.
d. Reviewztheznursingzcarezplanztozverifyz thatzitziszaccurate.
ANS:z C
Collectingz andzdocumentingzdatazaboutzthezpatientzandzthezpatient’szhealthzconditionziszazcriticalzstepzbefo
ormationzregardingzthez presentzillness,zanyzsignsz andzsymptoms,zreviewz ofz medicalzrecords,zdrugzhistory,z
beforezdrugszarezgiven.zDecidingz onz specialzequipmentz thatz willzbezneededztoz givezthezpatient’sz drugzisz par
heznursingz process.zMonitoringz thez patientzforz hiszresponseztozgivenzdrugziszpartz ofzthezevaluationzstagezof
wingz theznursingz carezplanztozverifyzthatzitziszbeingzfollowedzaccuratelyziszpartzofzthezimplementationzstage
DIF: CognitivezLevel:zApplying REF:zp.z2
2. ThezLPNziszworkingzwithz azpatientzinzthezplanningzstagez ofzthez nursingzprocesszrelatedztoz thezpatient’szpres
actionzshouldzthezLPNztakezduringzthiszstage?
a. Developz az nursingzgoalztozplanzthezproceduresz neededz toz givezdrug.
b. Developzazteachingzplanz forzthezpatientzregardingzthezdrug’szactions.
c. Determinezthatzthezpatientziszexperiencingzthezexpectedzresponseztozhiszdrug.
d. Determinez howz muchz thez patientzunderstandszaboutzhiszdrug.
ANS:z D
Determiningzhowz muchzthez patientz understandsz aboutz hisz drugzisz partzofzthezdiagnosisz phasez ofztheznursin
ursingzgoalztozplanzthezproceduresz neededztozgivezdrugzandz developingz azteachingzplanz forzthezpatientz reg
ezpartzofzthezplanningzphasezofztheznursingzprocess.
DIF: CognitivezLevel:zApplying REF:zp.z2
3. Youz arezteachingzazpatientz withzdepressionzaboutzthez potentialzadversezeffectsz ofzazprescribedz drug.zWhat
elatedztozdrugztherapyzarezyouzengagingzinzatzthiszpointzofzthezteachingzplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:z C
Inzthezevaluationzphasezofztheznursingz process,zthezLPNzunderstandszandzteachesz tozthezpatientzthezdrug’s
tedzsidezeffects,zandzpotentialzadversezeffects.
DIF: CognitivezLevel:zRemembering REF:z p.z2
4. Whichzofzthezfollowingziszanzexamplezofzsubjectivezdata?
a. Thezpatientzstateszshezhaszpainzinzherzleftzarm.
b. Thez medicalz chartzhaszazrecordedz bloodz pressurez ofz 128/88.
c. Thezserumzpotassiumzlevelzisz3.8zmmol/L.
d. Thez patient’szECGz showsznormalz sinuszrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Thez LPN/VNziszassessingzaz patientz beforezgivingzazdrugz forzbloodz pressurezmanagement.z Theznurseznotesz
90/50zmmzHg.zWhatzisztheznurse’szbestzaction?
a. HoldzthezdrugzandzreportzthezbloodzpressureztozthezRN.
b. Givezthezpatientzazfullzglasszofzwaterzbeforezgivingzthezdrug.
c. Comezbackz inz 30z minutesz andzrecheckzthezbloodz pressure.
d. Havezthez patientzperformzpursedz lipzbreathingzbeforezgivingzthezdrug.
ANS:z A
Thezbestzactionzisztozholdzthezdrugzandz contactzthezRN.zThez patientz mayzneedzanzadjustmentztozthezdosezo
rzswitchingztozanotherzdrug.zGivingz waterzwithzthezdrugzisznotzcontraindicatedzbutzdoesznotzrecognizezthezp
on.zPursedzlipzbreathingzhasznozrolezinzthiszsituation.
DIF: CognitivezLevel:zRemembering REF:zzp.z4
7. ThezLPNziszcollectingz objectivezdatazforz inclusionz inz theznursingz assessment.zWhichzpiecez ofzinformationz in
clearzunderstandingzofzobjectivezassessmentzdata?
a. Azpatient’szratingzofzchestzpainzasz8zonzaz1ztoz10zscale.
b. Familyz membersz reportzthatzpatientz haszbeenzexperiencingzpainz forz1zmonth.
c. Detailedzhistoryz ofzthezpatient’szcurrentzillnesszuponzadmission.
d. Compilationzofzpastzlaboratoryzresultszandzx-rayzreports.
ANS:z D
Thezpatient’sz pastzlaboratoryzandzx-
rayzresultszarezexampleszofz objectivezdata.zAzpainzratingzofz8/10,zaz familyzmember’szdescriptionofzthezpatie
entzillnesszarezexampleszofzsubjectivezdata.
DIF: CognitivezLevel:zRemembering REF:z p.z3
8. Az patientzrecentlyz beganz az takingz bloodz pressurezdrugz andz presentszforzaz follow-upz appointment.z Thezoffic
patient’szdailyzbloodz pressurezrecordings.zWhichzstagezofztheznursingzprocessz correspondsztozthiszreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:z D
Thezevaluationzphasezinvolveszexaminingzthezresultszthatzoccurzwhenzthezplanz iszimplemented.zReviewingz
urezrecordingzexamineszthezpatient’szresponseztozthezdrug.zThezassessmentzphasezprovideszinitialzinformat
oblem,zandz anythingz thatz mayzchangez thezchoicez ofz treatment.z Thezplanningz phasezinvolveszusingz patient
sesztozsetzgoalszandzwritezcarezplans.z Thezdiagnosiszphasezinvolveszdecision-
makingz aboutzthezpatient’szproblems,z includingzmedicalz diagnosesz madezbyz thez healthcarez providerz andz n
hroughz thezNorthz Americanz Nursingz DiagnosiszAssociationz(NANDA).
DIF: CognitivezLevel:zRemembering REF:zp.z2
9. Afterzreceivingzreport,zthezLPNzgiveszdrugsztoz herzassignedzpatientsz onzthezeveningz shift.zWithzwhichz stage
doeszthiszactivityzcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:z A
Thezimplementationz phasezinvolvesz activelyzfollowingz thezplanzofz carezandzaccuratelyz givingzorderedzdrug
entzphasezinvolvesz obtainingzinitialzinformationz aboutzthezpatient,zthezproblem,zandzanythingzthatzmayzcha
z Thez planningz phasez involvesz usingz patientz assessmentzdataz andzdiagnosesz toz setz goalsz andz write zcare zplan
eszdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Az patientz iszreceivingz anz antibioticz forz pneumonia.z Onz thezthirdz dayz ofztheztreatmentz regimen,z azrashzappe
eportszitchingzandzshortnesszofzbreath.zWhichztermzdescribeszthezeffectzthatzhaszoccurred?
a. Therapeuticz effect
b. Adversezeffect
c. Sidezeffect
d. Overdosez effect
ANS:z B
Anzitchyzrashz withz shortnessz ofzbreathz thatzdevelopszinzresponseztozdrugziszanz examplezofzanzallergiczreacti
hezantibiotic.zTherapeuticz effectszoccurzwhenzanzantibioticz fightszinfectionzwithoutz causingzanyzadversezeff
gszarezknownzpotentialzeffectszofzthezantibioticz thatzrangezfromzmildztozmoderate.z Anzoverdosezoccursz ifz a
chzofzazdrug.
DIF: CognitivezLevel:zUnderstanding REF:z p.z9
12. AnzLPNzenterszazpatient’szroomztozgivezazscheduledzdrug.zBeforezadministration,zthezpatientzstates,z“Izcan’t
allergicztozit.”zWhatzshouldztheznursezdozfirst?
a. Reassurezthez patientz thatzthezdrugziszneededzandz observationsz regardingzpossiblez
allergiczsymptomszwillzbezmade.
b. Reviewzthezpatientzrecordzandz encouragezthezpatientztoztakezthezdrugzifznoz
allergieszhavezbeenzdocumented.
c. Assesszthezpatient’szallergiczhistoryzandznotifyzthezhealthcarezproviderzto
determinez az coursezofzaction.
d. Documentz patientzrefusalz andzleavezaznotezonzthez patientz chartz forzthez
healthcareprovider.
ANS:z C
Thezpatientzhaszsharedzinformationzthatzindicateszthezpotentialz forzthezorderedzdrugztozcausezadversezeffe
heznursezshouldzinvestigatezfurtherzbyzobtainingzazmorezdetailedzdrugzhistoryz andznotifyingzthez healthcare
er.zAlthoughzthezorderzmayzbezaccuratelyz written,zdeterminingz whetherzthezdrug’szbenefitszoutweighzthezr
hezlegalzscopezofztheznurse’sz practice.zTheznursezshouldznotz offerz falsezreassurancezandzaszanzadvocatez forz
igatez furtherzbeforez givingzthezdrug.z Thezpatientzhaszraisedz concernsz regardingzthezdrugzthatzshouldz prom
der’szattention.zAznotezonzthezchartzleaveszpotentialzforzinformationztozbezmissed.
DIF: CognitivezLevel:zApplying REF:zzp.z4
13. ThezLPNziszpreparingztozgivezthezinitialzdosezofzanzantibioticztozaz patientzdiagnosedzwithzanzinfection.zThezp
ashzthezlastztimezIztookzthatzpill.”zWhatzactionzshouldzthezLPNztakeznext?
a. Givezthezdrugzandzcheckzthezpatientzinz 30zminuteszforzazrash.
b. Documentzthatzthezpatientzrefusedzthezdrugz perzagencyz policy.
c. Leavezthezdrugzatzthezbedsidezwhilezcheckingzthezchartzforzthezpatient’szallergies.
d. Notifyzthezregisteredznursezorzhealthcarezprovider.
ANS:z D
Thisziszazpossiblezadversezreaction,zandzthezRNzorzhealthcarezproviderzshouldz beznotifiedzimmediately.z You
ugztozseezifzitzdoeszcausezazrash.zDrugzshouldzneverzbezleftzatzthezbedside.zThezpatientzdidznotzrefusezthe
DIF: CognitivezLevel:zApplying REF:z p.z9
14. Whichzpriorityzassessmentzmustzyouzmakezbeforezgivingzanyzpatientzazdrugzbyzmouth?
a. Quizzthezpatientzaboutzthezactionzofzeachzdrug.
b. Makezsurezthezpatientzcanzswallow.
c. Findzoutzwhetherz thezpatientzprefersz coldz orzroomztemperaturezliquids.
d. Askzthezpatientztozrepeatzhiszorzherznamezandzbirthdate.
ANS:z B
Beforezthezpatientzcanztakezanyzdrugzbyzmouth,ztheyzmustzbezableztozswallow.zAskingzthezpatientztozrepea
CLINICAL PHARMACOLO
10TH EDITION BY Consta
Visovsky, Cheryl Zambros
Shirley Hosler
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEz CHOICE
1. ThezLPNzisz collectingzdatazforzthezinitialzassessmentz ofz azpatientz uponzadmissionz tozazlong-termzcarezfacilit
patient’szprescribedzdrugs.zWhichzactionzshouldzthezLPNzconsiderz tozbezthezhighestzpriority?
a. Obtainzanyzspecialzequipmentz thatzwillzbezneededztozgivezthezpatient’szdrug.
b. Monitorzthezpatientzforzazresponseztozthezdrugzgiven.
c. Collectzdatazaboutzthezpatientzandzthezpatient’szhealthzcondition.
d. Reviewztheznursingzcarezplanztozverifyz thatzitziszaccurate.
ANS:z C
Collectingz andzdocumentingzdatazaboutzthezpatientzandzthezpatient’szhealthzconditionziszazcriticalzstepzbefo
ormationzregardingzthez presentzillness,zanyzsignsz andzsymptoms,zreviewz ofz medicalzrecords,zdrugzhistory,z
beforezdrugszarezgiven.zDecidingz onz specialzequipmentz thatz willzbezneededztoz givezthezpatient’sz drugzisz par
heznursingz process.zMonitoringz thez patientzforz hiszresponseztozgivenzdrugziszpartz ofzthezevaluationzstagezof
wingz theznursingz carezplanztozverifyzthatzitziszbeingzfollowedzaccuratelyziszpartzofzthezimplementationzstage
DIF: CognitivezLevel:zApplying REF:zp.z2
2. ThezLPNziszworkingzwithz azpatientzinzthezplanningzstagez ofzthez nursingzprocesszrelatedztoz thezpatient’szpres
actionzshouldzthezLPNztakezduringzthiszstage?
a. Developz az nursingzgoalztozplanzthezproceduresz neededz toz givezdrug.
b. Developzazteachingzplanz forzthezpatientzregardingzthezdrug’szactions.
c. Determinezthatzthezpatientziszexperiencingzthezexpectedzresponseztozhiszdrug.
d. Determinez howz muchz thez patientzunderstandszaboutzhiszdrug.
ANS:z D
Determiningzhowz muchzthez patientz understandsz aboutz hisz drugzisz partzofzthezdiagnosisz phasez ofztheznursin
ursingzgoalztozplanzthezproceduresz neededztozgivezdrugzandz developingz azteachingzplanz forzthezpatientz reg
ezpartzofzthezplanningzphasezofztheznursingzprocess.
DIF: CognitivezLevel:zApplying REF:zp.z2
3. Youz arezteachingzazpatientz withzdepressionzaboutzthez potentialzadversezeffectsz ofzazprescribedz drug.zWhat
elatedztozdrugztherapyzarezyouzengagingzinzatzthiszpointzofzthezteachingzplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:z C
Inzthezevaluationzphasezofztheznursingz process,zthezLPNzunderstandszandzteachesz tozthezpatientzthezdrug’s
tedzsidezeffects,zandzpotentialzadversezeffects.
DIF: CognitivezLevel:zRemembering REF:z p.z2
4. Whichzofzthezfollowingziszanzexamplezofzsubjectivezdata?
a. Thezpatientzstateszshezhaszpainzinzherzleftzarm.
b. Thez medicalz chartzhaszazrecordedz bloodz pressurez ofz 128/88.
c. Thezserumzpotassiumzlevelzisz3.8zmmol/L.
d. Thez patient’szECGz showsznormalz sinuszrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Thez LPN/VNziszassessingzaz patientz beforezgivingzazdrugz forzbloodz pressurezmanagement.z Theznurseznotesz
90/50zmmzHg.zWhatzisztheznurse’szbestzaction?
a. HoldzthezdrugzandzreportzthezbloodzpressureztozthezRN.
b. Givezthezpatientzazfullzglasszofzwaterzbeforezgivingzthezdrug.
c. Comezbackz inz 30z minutesz andzrecheckzthezbloodz pressure.
d. Havezthez patientzperformzpursedz lipzbreathingzbeforezgivingzthezdrug.
ANS:z A
Thezbestzactionzisztozholdzthezdrugzandz contactzthezRN.zThez patientz mayzneedzanzadjustmentztozthezdosezo
rzswitchingztozanotherzdrug.zGivingz waterzwithzthezdrugzisznotzcontraindicatedzbutzdoesznotzrecognizezthezp
on.zPursedzlipzbreathingzhasznozrolezinzthiszsituation.
DIF: CognitivezLevel:zRemembering REF:zzp.z4
7. ThezLPNziszcollectingz objectivezdatazforz inclusionz inz theznursingz assessment.zWhichzpiecez ofzinformationz in
clearzunderstandingzofzobjectivezassessmentzdata?
a. Azpatient’szratingzofzchestzpainzasz8zonzaz1ztoz10zscale.
b. Familyz membersz reportzthatzpatientz haszbeenzexperiencingzpainz forz1zmonth.
c. Detailedzhistoryz ofzthezpatient’szcurrentzillnesszuponzadmission.
d. Compilationzofzpastzlaboratoryzresultszandzx-rayzreports.
ANS:z D
Thezpatient’sz pastzlaboratoryzandzx-
rayzresultszarezexampleszofz objectivezdata.zAzpainzratingzofz8/10,zaz familyzmember’szdescriptionofzthezpatie
entzillnesszarezexampleszofzsubjectivezdata.
DIF: CognitivezLevel:zRemembering REF:z p.z3
8. Az patientzrecentlyz beganz az takingz bloodz pressurezdrugz andz presentszforzaz follow-upz appointment.z Thezoffic
patient’szdailyzbloodz pressurezrecordings.zWhichzstagezofztheznursingzprocessz correspondsztozthiszreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:z D
Thezevaluationzphasezinvolveszexaminingzthezresultszthatzoccurzwhenzthezplanz iszimplemented.zReviewingz
urezrecordingzexamineszthezpatient’szresponseztozthezdrug.zThezassessmentzphasezprovideszinitialzinformat
oblem,zandz anythingz thatz mayzchangez thezchoicez ofz treatment.z Thezplanningz phasezinvolveszusingz patient
sesztozsetzgoalszandzwritezcarezplans.z Thezdiagnosiszphasezinvolveszdecision-
makingz aboutzthezpatient’szproblems,z includingzmedicalz diagnosesz madezbyz thez healthcarez providerz andz n
hroughz thezNorthz Americanz Nursingz DiagnosiszAssociationz(NANDA).
DIF: CognitivezLevel:zRemembering REF:zp.z2
9. Afterzreceivingzreport,zthezLPNzgiveszdrugsztoz herzassignedzpatientsz onzthezeveningz shift.zWithzwhichz stage
doeszthiszactivityzcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:z A
Thezimplementationz phasezinvolvesz activelyzfollowingz thezplanzofz carezandzaccuratelyz givingzorderedzdrug
entzphasezinvolvesz obtainingzinitialzinformationz aboutzthezpatient,zthezproblem,zandzanythingzthatzmayzcha
z Thez planningz phasez involvesz usingz patientz assessmentzdataz andzdiagnosesz toz setz goalsz andz write zcare zplan
eszdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Az patientz iszreceivingz anz antibioticz forz pneumonia.z Onz thezthirdz dayz ofztheztreatmentz regimen,z azrashzappe
eportszitchingzandzshortnesszofzbreath.zWhichztermzdescribeszthezeffectzthatzhaszoccurred?
a. Therapeuticz effect
b. Adversezeffect
c. Sidezeffect
d. Overdosez effect
ANS:z B
Anzitchyzrashz withz shortnessz ofzbreathz thatzdevelopszinzresponseztozdrugziszanz examplezofzanzallergiczreacti
hezantibiotic.zTherapeuticz effectszoccurzwhenzanzantibioticz fightszinfectionzwithoutz causingzanyzadversezeff
gszarezknownzpotentialzeffectszofzthezantibioticz thatzrangezfromzmildztozmoderate.z Anzoverdosezoccursz ifz a
chzofzazdrug.
DIF: CognitivezLevel:zUnderstanding REF:z p.z9
12. AnzLPNzenterszazpatient’szroomztozgivezazscheduledzdrug.zBeforezadministration,zthezpatientzstates,z“Izcan’t
allergicztozit.”zWhatzshouldztheznursezdozfirst?
a. Reassurezthez patientz thatzthezdrugziszneededzandz observationsz regardingzpossiblez
allergiczsymptomszwillzbezmade.
b. Reviewzthezpatientzrecordzandz encouragezthezpatientztoztakezthezdrugzifznoz
allergieszhavezbeenzdocumented.
c. Assesszthezpatient’szallergiczhistoryzandznotifyzthezhealthcarezproviderzto
determinez az coursezofzaction.
d. Documentz patientzrefusalz andzleavezaznotezonzthez patientz chartz forzthez
healthcareprovider.
ANS:z C
Thezpatientzhaszsharedzinformationzthatzindicateszthezpotentialz forzthezorderedzdrugztozcausezadversezeffe
heznursezshouldzinvestigatezfurtherzbyzobtainingzazmorezdetailedzdrugzhistoryz andznotifyingzthez healthcare
er.zAlthoughzthezorderzmayzbezaccuratelyz written,zdeterminingz whetherzthezdrug’szbenefitszoutweighzthezr
hezlegalzscopezofztheznurse’sz practice.zTheznursezshouldznotz offerz falsezreassurancezandzaszanzadvocatez forz
igatez furtherzbeforez givingzthezdrug.z Thezpatientzhaszraisedz concernsz regardingzthezdrugzthatzshouldz prom
der’szattention.zAznotezonzthezchartzleaveszpotentialzforzinformationztozbezmissed.
DIF: CognitivezLevel:zApplying REF:zzp.z4
13. ThezLPNziszpreparingztozgivezthezinitialzdosezofzanzantibioticztozaz patientzdiagnosedzwithzanzinfection.zThezp
ashzthezlastztimezIztookzthatzpill.”zWhatzactionzshouldzthezLPNztakeznext?
a. Givezthezdrugzandzcheckzthezpatientzinz 30zminuteszforzazrash.
b. Documentzthatzthezpatientzrefusedzthezdrugz perzagencyz policy.
c. Leavezthezdrugzatzthezbedsidezwhilezcheckingzthezchartzforzthezpatient’szallergies.
d. Notifyzthezregisteredznursezorzhealthcarezprovider.
ANS:z D
Thisziszazpossiblezadversezreaction,zandzthezRNzorzhealthcarezproviderzshouldz beznotifiedzimmediately.z You
ugztozseezifzitzdoeszcausezazrash.zDrugzshouldzneverzbezleftzatzthezbedside.zThezpatientzdidznotzrefusezthe
DIF: CognitivezLevel:zApplying REF:z p.z9
14. Whichzpriorityzassessmentzmustzyouzmakezbeforezgivingzanyzpatientzazdrugzbyzmouth?
a. Quizzthezpatientzaboutzthezactionzofzeachzdrug.
b. Makezsurezthezpatientzcanzswallow.
c. Findzoutzwhetherz thezpatientzprefersz coldz orzroomztemperaturezliquids.
d. Askzthezpatientztozrepeatzhiszorzherznamezandzbirthdate.
ANS:z B
Beforezthezpatientzcanztakezanyzdrugzbyzmouth,ztheyzmustzbezableztozswallow.zAskingzthezpatientztozrepea
