Test Bank For Introduc
To Clinical Pharmacol
10 Edition by Visovs
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEs CHOICE
1. ThesLPNsisscollectingsdatasforsthesinitialsassessments ofsaspatientsuponsadmissionstosaslong-termscaresfacility
patient’ssprescribedsdrugs.sWhichsactionsshouldsthesLPNsconsiderstosbestheshighestspriority?
a. Obtainsanysspecialsequipmentsthatswillsbesneededstosgivesthespatient’ssdrug.
b. Monitorsthespatientsforsasresponsestosthesdrugsgiven.
c. Collectsdatasaboutsthespatientsandsthespatient’sshealthscondition.
d. Reviewsthesnursingscaresplanstosverifysthatsitsissaccurate.
ANS:s C
Collectingsandsdocumentingsdatasaboutsthespatientsandsthespatient’sshealthsconditionsissascriticalsstepsbefo
rmationsregardingsthespresentsillness,sanyssignssandssymptoms,sreviewsofsmedicalsrecords,sdrugshistory,san
foresdrugssaresgiven.sDecidingsonsspecialsequipmentsthats willsbesneededstosgivesthespatient’ssdrugsisspartsof
nursingsprocess.sMonitoringsthespatientsforshissresponsestosgivensdrugsissparts ofsthesevaluationsstagesofs the
gsthesnursings caresplanstosverifysthatsitsissbeingsfollowedsaccuratelysisspartsofsthesimplementationsstagesofst
DIF: CognitivesLevel:sApplying REF:sp.s2
2. ThesLPNsissworkingswithsaspatientsinsthesplanningsstagesofsthesnursingsprocesssrelatedstosthespatient’sspresc
actionsshouldsthesLPNstakesduringsthissstage?
a. Developsas nursingsgoalstosplansthesproceduressneededstosgivesdrug.
b. Developsasteachingsplans forsthespatientsregardingsthesdrug’ssactions.
c. Determinesthatsthespatientsissexperiencingsthesexpectedsresponsestoshissdrug.
d. Determineshowsmuchsthespatientsunderstandssaboutshissdrug.
ANS:s D
Determiningshowsmuchsthespatientsunderstandssaboutshissdrugsisspartsofsthesdiagnosiss phasesofsthesnursin
rsingsgoalstosplansthesproceduressneededstosgivesdrugsands developingsasteachingsplansforsthespatients regar
partsofsthesplanningsphasesofsthesnursingsprocess.
DIF: CognitivesLevel:sApplying REF:sp.s2
3. Yousaresteachingsaspatientswithsdepressionsaboutsthespotentialsadverseseffectss ofsasprescribedsdrug.sWhats
elatedstosdrugstherapysaresyousengagingsinsatsthisspointsofsthesteachingsplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:s C
Insthesevaluationsphasesofsthesnursings process,sthesLPNsunderstandssandsteachesstosthespatientsthesdrug’sst
edssideseffects,sandspotentialsadverseseffects.
DIF: CognitivesLevel:sRemembering REF:s p.s2
4. Whichsofsthesfollowingsissansexamplesofssubjectivesdata?
a. Thespatientsstatesssheshasspainsinshersleftsarm.
b. Thesmedicalschartshassasrecordedsbloodspressuresofs128/88.
c. Thesserumspotassiumslevelsiss3.8smmol/L.
d. Thespatient’ssECGsshowssnormals sinussrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. ThesLPN/VNsissassessingsaspatientsbeforesgivingsasdrugsforsbloods pressuresmanagement.sThesnursesnotesst
90/50smmsHg.sWhatsissthesnurse’ssbestsaction?
a. HoldsthesdrugsandsreportsthesbloodspressurestosthesRN.
b. Givesthespatientsasfullsglasssofswatersbeforesgivingsthesdrug.
c. Comesbacksins30sminutess andsrechecksthesbloodspressure.
d. Havesthespatientsperformspursedslipsbreathingsbeforesgivingsthesdrug.
ANS:s A
ThesbestsactionsisstosholdsthesdrugsandscontactsthesRN.sThespatientsmaysneedsansadjustmentstosthesdosesof
switchingstosanothersdrug.sGivingswaterswithsthesdrugsissnotscontraindicatedsbutsdoessnotsrecognizesthespa
.sPursedslipsbreathingshassnosrolesinsthisssituation.
DIF: CognitivesLevel:sRemembering REF:ssp.s4
7. ThesLPNsisscollectings objectivesdatasforsinclusionsinsthesnursingsassessment.sWhichspiecesofsinformations ind
earsunderstandingsofsobjectivesassessmentsdata?
a. Aspatient’ssratingsofschestspainsass8sonsas1stos10sscale.
b. Familysmemberssreportsthatspatientshassbeensexperiencingspainsfors1smonth.
c. Detailedshistorysofsthespatient’sscurrentsillnesssuponsadmission.
d. Compilationsofspastslaboratorysresultssandsx-raysreports.
ANS:s D
Thespatient’sspastslaboratorysandsx-
raysresultssaresexamplessofsobjectivesdata.sAspainsratingsofs8/10,sasfamilysmember’ssdescriptionofsthespatie
ntsillnesssaresexamplessofssubjectivesdata.
DIF: CognitivesLevel:sRemembering REF:s p.s3
8. Aspatientsrecentlysbegansastakingsbloodspressuresdrugs andspresentssforsasfollow-ups appointment.sThesoffic
patient’ssdailysbloods pressuresrecordings.sWhichsstagesofsthesnursingsprocessscorrespondsstosthissreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:s D
Thesevaluationsphasesinvolvessexaminingsthesresultssthatsoccurswhensthesplansissimplemented.sReviewingst
uresrecordingsexaminessthespatient’ssresponsestosthesdrug.sThesassessmentsphasesprovidessinitialsinformat
blem,sandsanythingsthatsmayschangestheschoicesofstreatment.sThesplanningsphasesinvolvessusingspatientsas
sstossetsgoalssandswritescaresplans.sThesdiagnosissphasesinvolvessdecision-
makingsaboutsthespatient’ssproblems,s includingsmedicalsdiagnosessmadesbys theshealthcaresproviders andsn
hroughs thesNorthsAmericansNursings DiagnosissAssociations(NANDA).
DIF: CognitivesLevel:sRemembering REF:sp.s2
9. Aftersreceivingsreport,sthesLPNsgivessdrugsstoshersassignedspatientssonstheseveningsshift.sWithswhichsstage
oessthissactivityscorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:s A
Thesimplementationsphasesinvolvessactivelysfollowingsthesplansofscaresandsaccuratelys givingsorderedsdrugst
ntsphasesinvolvessobtainingsinitialsinformationsaboutsthespatient,sthesproblem,sandsanythingsthatsmayschan
hesplanningsphasesinvolvessusingspatientsassessmentsdatasandsdiagnosesstossetsgoalssandswritescaresplans.
decision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Aspatientsissreceivingsansantibioticsforspneumonia.sOnsthesthirdsdaysofsthestreatmentsregimen,sasrashsappea
portssitchingsandsshortnesssofsbreath.sWhichstermsdescribesstheseffectsthatshassoccurred?
a. Therapeutics effect
b. Adverseseffect
c. Sideseffect
d. Overdoses effect
ANS:s B
Ansitchysrashswithsshortnesssofsbreathsthatsdevelopssinsresponsestosdrugsissansexamplesofsansallergicsreactio
esantibiotic.sTherapeuticseffectssoccurswhensansantibioticsfightssinfectionswithoutscausingsanysadverseseffe
aresknownspotentialseffectssofsthesantibioticsthatsrangesfromsmildstosmoderate.sAnsoverdosesoccurssifs as pat
fsasdrug.
DIF: CognitivesLevel:sUnderstanding REF:s p.s9
12. AnsLPNsenterssaspatient’ssroomstosgivesasscheduledsdrug.sBeforesadministration,sthespatientsstates,s“Iscan’ts
llergicstosit.”sWhatsshouldsthesnursesdosfirst?
a. Reassuresthes patientsthatsthesdrugsissneededsandsobservationssregardingspossiblesa
llergicssymptomsswillsbesmade.
b. Reviewsthespatientsrecordsandsencouragesthespatientstostakesthesdrugsifsnosa
llergiesshavesbeensdocumented.
c. Assesssthespatient’ssallergicshistorysandsnotifystheshealthcaresprovidersto
determinesascoursesofsaction.
d. Documents patientsrefusalsandsleavesasnotesonsthespatientschartsforsthes
healthcareprovider.
ANS:s C
Thespatientshasssharedsinformationsthatsindicatessthespotentialsforsthesorderedsdrugstoscausesadverseseffec
hesnursesshouldsinvestigatesfurthersbysobtainingsasmoresdetailedsdrugshistorysandsnotifyingstheshealthcares
er.sAlthoughsthesordersmaysbesaccuratelyswritten,sdeterminingswhethersthesdrug’ssbenefitssoutweighsthesri
eslegalsscopesofsthesnurse’ss practice.sThesnursesshouldsnotsoffersfalsesreassurancesandsassansadvocates forspa
atesfurthersbeforesgivingsthesdrug.sThespatientshassraisedsconcernssregardingsthesdrugsthatsshouldspromptl
r’ssattention.sAsnotesonstheschartsleavesspotentialsforsinformationstosbesmissed.
DIF: CognitivesLevel:sApplying REF:ssp.s4
13. ThesLPNsisspreparingstosgivesthesinitialsdosesofsansantibioticstosas patientsdiagnosedswithsansinfection.sThespa
shstheslaststimesIstooksthatspill.”sWhatsactionsshouldsthesLPNstakesnext?
a. Givesthesdrugsandschecksthespatientsins30sminutessforsasrash.
b. Documentsthatsthespatientsrefusedsthesdrugspersagencyspolicy.
c. Leavesthesdrugsatsthesbedsideswhilescheckingstheschartsforsthespatient’ssallergies.
d. Notifysthesregisteredsnurses orshealthcaresprovider.
ANS:s D
Thississaspossiblesadversesreaction,sandsthesRNsorshealthcaresprovidersshouldsbesnotifiedsimmediately.sYous
gstosseesifsitsdoesscausesasrash.sDrugsshouldsneversbesleftsatsthesbedside.sThespatientsdidsnotsrefusesthesdr
DIF: CognitivesLevel:sApplying REF:s p.s9
14. Whichsprioritysassessmentsmustsyousmakesbeforesgivingsanyspatientsasdrugsbysmouth?
a. Quizsthespatientsaboutsthesactionsofseachsdrug.
b. Makessuresthespatientscansswallow.
c. Findsoutswhethersthespatientsprefersscoldsorsroomstemperaturesliquids.
d. Asksthespatientstosrepeatshissorshersnamesandsbirthdate.
ANS:s B
Beforesthespatientscanstakesanysdrugsbysmouth,stheysmustsbesablestosswallow.sAskingsthespatientstosrepeat
To Clinical Pharmacol
10 Edition by Visovs
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEs CHOICE
1. ThesLPNsisscollectingsdatasforsthesinitialsassessments ofsaspatientsuponsadmissionstosaslong-termscaresfacility
patient’ssprescribedsdrugs.sWhichsactionsshouldsthesLPNsconsiderstosbestheshighestspriority?
a. Obtainsanysspecialsequipmentsthatswillsbesneededstosgivesthespatient’ssdrug.
b. Monitorsthespatientsforsasresponsestosthesdrugsgiven.
c. Collectsdatasaboutsthespatientsandsthespatient’sshealthscondition.
d. Reviewsthesnursingscaresplanstosverifysthatsitsissaccurate.
ANS:s C
Collectingsandsdocumentingsdatasaboutsthespatientsandsthespatient’sshealthsconditionsissascriticalsstepsbefo
rmationsregardingsthespresentsillness,sanyssignssandssymptoms,sreviewsofsmedicalsrecords,sdrugshistory,san
foresdrugssaresgiven.sDecidingsonsspecialsequipmentsthats willsbesneededstosgivesthespatient’ssdrugsisspartsof
nursingsprocess.sMonitoringsthespatientsforshissresponsestosgivensdrugsissparts ofsthesevaluationsstagesofs the
gsthesnursings caresplanstosverifysthatsitsissbeingsfollowedsaccuratelysisspartsofsthesimplementationsstagesofst
DIF: CognitivesLevel:sApplying REF:sp.s2
2. ThesLPNsissworkingswithsaspatientsinsthesplanningsstagesofsthesnursingsprocesssrelatedstosthespatient’sspresc
actionsshouldsthesLPNstakesduringsthissstage?
a. Developsas nursingsgoalstosplansthesproceduressneededstosgivesdrug.
b. Developsasteachingsplans forsthespatientsregardingsthesdrug’ssactions.
c. Determinesthatsthespatientsissexperiencingsthesexpectedsresponsestoshissdrug.
d. Determineshowsmuchsthespatientsunderstandssaboutshissdrug.
ANS:s D
Determiningshowsmuchsthespatientsunderstandssaboutshissdrugsisspartsofsthesdiagnosiss phasesofsthesnursin
rsingsgoalstosplansthesproceduressneededstosgivesdrugsands developingsasteachingsplansforsthespatients regar
partsofsthesplanningsphasesofsthesnursingsprocess.
DIF: CognitivesLevel:sApplying REF:sp.s2
3. Yousaresteachingsaspatientswithsdepressionsaboutsthespotentialsadverseseffectss ofsasprescribedsdrug.sWhats
elatedstosdrugstherapysaresyousengagingsinsatsthisspointsofsthesteachingsplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:s C
Insthesevaluationsphasesofsthesnursings process,sthesLPNsunderstandssandsteachesstosthespatientsthesdrug’sst
edssideseffects,sandspotentialsadverseseffects.
DIF: CognitivesLevel:sRemembering REF:s p.s2
4. Whichsofsthesfollowingsissansexamplesofssubjectivesdata?
a. Thespatientsstatesssheshasspainsinshersleftsarm.
b. Thesmedicalschartshassasrecordedsbloodspressuresofs128/88.
c. Thesserumspotassiumslevelsiss3.8smmol/L.
d. Thespatient’ssECGsshowssnormals sinussrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. ThesLPN/VNsissassessingsaspatientsbeforesgivingsasdrugsforsbloods pressuresmanagement.sThesnursesnotesst
90/50smmsHg.sWhatsissthesnurse’ssbestsaction?
a. HoldsthesdrugsandsreportsthesbloodspressurestosthesRN.
b. Givesthespatientsasfullsglasssofswatersbeforesgivingsthesdrug.
c. Comesbacksins30sminutess andsrechecksthesbloodspressure.
d. Havesthespatientsperformspursedslipsbreathingsbeforesgivingsthesdrug.
ANS:s A
ThesbestsactionsisstosholdsthesdrugsandscontactsthesRN.sThespatientsmaysneedsansadjustmentstosthesdosesof
switchingstosanothersdrug.sGivingswaterswithsthesdrugsissnotscontraindicatedsbutsdoessnotsrecognizesthespa
.sPursedslipsbreathingshassnosrolesinsthisssituation.
DIF: CognitivesLevel:sRemembering REF:ssp.s4
7. ThesLPNsisscollectings objectivesdatasforsinclusionsinsthesnursingsassessment.sWhichspiecesofsinformations ind
earsunderstandingsofsobjectivesassessmentsdata?
a. Aspatient’ssratingsofschestspainsass8sonsas1stos10sscale.
b. Familysmemberssreportsthatspatientshassbeensexperiencingspainsfors1smonth.
c. Detailedshistorysofsthespatient’sscurrentsillnesssuponsadmission.
d. Compilationsofspastslaboratorysresultssandsx-raysreports.
ANS:s D
Thespatient’sspastslaboratorysandsx-
raysresultssaresexamplessofsobjectivesdata.sAspainsratingsofs8/10,sasfamilysmember’ssdescriptionofsthespatie
ntsillnesssaresexamplessofssubjectivesdata.
DIF: CognitivesLevel:sRemembering REF:s p.s3
8. Aspatientsrecentlysbegansastakingsbloodspressuresdrugs andspresentssforsasfollow-ups appointment.sThesoffic
patient’ssdailysbloods pressuresrecordings.sWhichsstagesofsthesnursingsprocessscorrespondsstosthissreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:s D
Thesevaluationsphasesinvolvessexaminingsthesresultssthatsoccurswhensthesplansissimplemented.sReviewingst
uresrecordingsexaminessthespatient’ssresponsestosthesdrug.sThesassessmentsphasesprovidessinitialsinformat
blem,sandsanythingsthatsmayschangestheschoicesofstreatment.sThesplanningsphasesinvolvessusingspatientsas
sstossetsgoalssandswritescaresplans.sThesdiagnosissphasesinvolvessdecision-
makingsaboutsthespatient’ssproblems,s includingsmedicalsdiagnosessmadesbys theshealthcaresproviders andsn
hroughs thesNorthsAmericansNursings DiagnosissAssociations(NANDA).
DIF: CognitivesLevel:sRemembering REF:sp.s2
9. Aftersreceivingsreport,sthesLPNsgivessdrugsstoshersassignedspatientssonstheseveningsshift.sWithswhichsstage
oessthissactivityscorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:s A
Thesimplementationsphasesinvolvessactivelysfollowingsthesplansofscaresandsaccuratelys givingsorderedsdrugst
ntsphasesinvolvessobtainingsinitialsinformationsaboutsthespatient,sthesproblem,sandsanythingsthatsmayschan
hesplanningsphasesinvolvessusingspatientsassessmentsdatasandsdiagnosesstossetsgoalssandswritescaresplans.
decision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Aspatientsissreceivingsansantibioticsforspneumonia.sOnsthesthirdsdaysofsthestreatmentsregimen,sasrashsappea
portssitchingsandsshortnesssofsbreath.sWhichstermsdescribesstheseffectsthatshassoccurred?
a. Therapeutics effect
b. Adverseseffect
c. Sideseffect
d. Overdoses effect
ANS:s B
Ansitchysrashswithsshortnesssofsbreathsthatsdevelopssinsresponsestosdrugsissansexamplesofsansallergicsreactio
esantibiotic.sTherapeuticseffectssoccurswhensansantibioticsfightssinfectionswithoutscausingsanysadverseseffe
aresknownspotentialseffectssofsthesantibioticsthatsrangesfromsmildstosmoderate.sAnsoverdosesoccurssifs as pat
fsasdrug.
DIF: CognitivesLevel:sUnderstanding REF:s p.s9
12. AnsLPNsenterssaspatient’ssroomstosgivesasscheduledsdrug.sBeforesadministration,sthespatientsstates,s“Iscan’ts
llergicstosit.”sWhatsshouldsthesnursesdosfirst?
a. Reassuresthes patientsthatsthesdrugsissneededsandsobservationssregardingspossiblesa
llergicssymptomsswillsbesmade.
b. Reviewsthespatientsrecordsandsencouragesthespatientstostakesthesdrugsifsnosa
llergiesshavesbeensdocumented.
c. Assesssthespatient’ssallergicshistorysandsnotifystheshealthcaresprovidersto
determinesascoursesofsaction.
d. Documents patientsrefusalsandsleavesasnotesonsthespatientschartsforsthes
healthcareprovider.
ANS:s C
Thespatientshasssharedsinformationsthatsindicatessthespotentialsforsthesorderedsdrugstoscausesadverseseffec
hesnursesshouldsinvestigatesfurthersbysobtainingsasmoresdetailedsdrugshistorysandsnotifyingstheshealthcares
er.sAlthoughsthesordersmaysbesaccuratelyswritten,sdeterminingswhethersthesdrug’ssbenefitssoutweighsthesri
eslegalsscopesofsthesnurse’ss practice.sThesnursesshouldsnotsoffersfalsesreassurancesandsassansadvocates forspa
atesfurthersbeforesgivingsthesdrug.sThespatientshassraisedsconcernssregardingsthesdrugsthatsshouldspromptl
r’ssattention.sAsnotesonstheschartsleavesspotentialsforsinformationstosbesmissed.
DIF: CognitivesLevel:sApplying REF:ssp.s4
13. ThesLPNsisspreparingstosgivesthesinitialsdosesofsansantibioticstosas patientsdiagnosedswithsansinfection.sThespa
shstheslaststimesIstooksthatspill.”sWhatsactionsshouldsthesLPNstakesnext?
a. Givesthesdrugsandschecksthespatientsins30sminutessforsasrash.
b. Documentsthatsthespatientsrefusedsthesdrugspersagencyspolicy.
c. Leavesthesdrugsatsthesbedsideswhilescheckingstheschartsforsthespatient’ssallergies.
d. Notifysthesregisteredsnurses orshealthcaresprovider.
ANS:s D
Thississaspossiblesadversesreaction,sandsthesRNsorshealthcaresprovidersshouldsbesnotifiedsimmediately.sYous
gstosseesifsitsdoesscausesasrash.sDrugsshouldsneversbesleftsatsthesbedside.sThespatientsdidsnotsrefusesthesdr
DIF: CognitivesLevel:sApplying REF:s p.s9
14. Whichsprioritysassessmentsmustsyousmakesbeforesgivingsanyspatientsasdrugsbysmouth?
a. Quizsthespatientsaboutsthesactionsofseachsdrug.
b. Makessuresthespatientscansswallow.
c. Findsoutswhethersthespatientsprefersscoldsorsroomstemperaturesliquids.
d. Asksthespatientstosrepeatshissorshersnamesandsbirthdate.
ANS:s B
Beforesthespatientscanstakesanysdrugsbysmouth,stheysmustsbesablestosswallow.sAskingsthespatientstosrepeat
