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
MULTIPLEb CHOICE
1. ThebLPNbisbcollectingbdatabforbthebinitialbassessmentbofbabpatientbuponbadmissionbtobablong-termbcarebfaci
patient’sbprescribedbdrugs.bWhichbactionbshouldbthebLPNbconsiderbtobbebthebhighestbpriority?
a. Obtainbanybspecialbequipmentbthatbwillbbebneededbtobgivebthebpatient’sbdrug.
b. Monitorbthebpatientbforbabresponsebtobthebdrugbgiven.
c. Collectbdatababoutbthebpatientbandbthebpatient’sbhealthbcondition.
d. Reviewbthebnursingbcarebplanbtobverifybthatbitbisbaccurate.
ANS:b C
Collectingbandbdocumentingbdatababoutbthebpatientbandbthebpatient’sbhealthbconditionbisbabcriticalbstepbbe
nformationbregardingbthebpresentbillness,banybsignsbandbsymptoms,breviewbofbmedicalbrecords,bdrugbhisto
edbbeforebdrugsbarebgiven.bDecidingb onbspecialbequipmentbthatbwillbbebneededbtobgivebthebpatient’sbdrugbi
ebofbthebnursingbprocess.bMonitoringbthebpatientbforbhisbresponsebtobgivenbdrugbisbpartbofbthebevaluationbs
s.bReviewingbthebnursingb carebplanbtobverifybthatbitbisbbeingbfollowedbaccuratelybisbpartbofbthebimplementat
rocess.
DIF: CognitivebLevel:bApplying REF:bp.b2
2. ThebLPNbisbworkingbwithbabpatientbinbthebplanningbstagebofbthebnursingbprocessbrelatedbtobthebpatient’sbpr
actionbshouldbthebLPNbtakebduringbthisbstage?
a. Developbabnursingbgoalbtobplanbthebproceduresbneededbtobgivebdrug.
b. Developbabteachingbplanbforbthebpatientbregardingbthebdrug’sbactions.
c. Determinebthatbthebpatientbisbexperiencingbthebexpectedbresponsebtobhisbdrug.
d. Determinebhowb muchbthebpatientbunderstandsbaboutbhisbdrug.
ANS:b D
Determiningbhowbmuchbthebpatientbunderstandsbaboutbhisbdrugbisb partbofbthebdiagnosisbphasebofbthebnurs
nursingbgoalbtobplanbthebproceduresbneededbtobgivebdrugbandb developingbabteachingbplanbforbthebpatientb r
sbarebpartbofbthebplanningbphasebofbthebnursingbprocess.
DIF: CognitivebLevel:bApplying REF:bp.b2
3. Youbarebteachingbabpatientbwithbdepressionbaboutbthebpotentialbadversebeffectsb ofbabprescribedbdrug.bWha
sbrelatedbtobdrugbtherapybarebyoubengagingbinbatbthisbpointbofbthebteachingbplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:b C
Inbthebevaluationbphasebofbthebnursingb process,bthebLPNbunderstandsbandbteachesbtobthebpatientbthebdrug
ectedbsidebeffects,bandbpotentialbadversebeffects.
DIF: CognitivebLevel:bRemembering REF:b p.b2
4. Whichbofbthebfollowingbisbanbexamplebofbsubjectivebdata?
a. Thebpatientbstatesbshebhasbpainbinbherbleftbarm.
b. Thebmedicalb chartbhasbabrecordedbbloodb pressurebofb128/88.
c. Thebserumbpotassiumblevelbisb3.8bmmol/L.
d. Thebpatient’sbECGbshowsbnormalb sinusbrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Theb LPN/VNbisbassessingb abpatientbbeforebgivingbabdrugbforbbloodb pressurebmanagement.b Thebnursebnote
90/50bmmbHg.bWhatbisbthebnurse’sbbestbaction?
a. HoldbthebdrugbandbreportbthebbloodbpressurebtobthebRN.
b. Givebthebpatientbabfullbglassbofbwaterbbeforebgivingbthebdrug.
c. Comebbackbinb30bminutesbandbrecheckbthebbloodbpressure.
d. Havebthebpatientbperformbpursedblipbbreathingbbeforebgivingbthebdrug.
ANS:b A
ThebbestbactionbisbtobholdbthebdrugbandbcontactbthebRN.bThebpatientbmaybneedbanbadjustmentbtobthebdose
gborbswitchingbtobanotherbdrug.bGivingbwaterbwithbthebdrugbisbnotbcontraindicatedbbutbdoesbnotbrecognize
tension.bPursedblipbbreathingbhasbnobrolebinbthisbsituation.
DIF: CognitivebLevel:bRemembering REF:bbp.b4
7. ThebLPNbisbcollectingbobjectivebdatabforbinclusionbinbthebnursingbassessment.bWhichbpiecebofbinformationb
abclearbunderstandingbofbobjectivebassessmentbdata?
a. Abpatient’sbratingbofbchestbpainbasb8bonbab1btob10bscale.
b. Familybmembersbreportbthatbpatientbhasbbeenbexperiencingbpainbforb1bmonth.
c. Detailedbhistorybofbthebpatient’sbcurrentbillnessbuponbadmission.
d. Compilationbofbpastblaboratorybresultsbandbx-raybreports.
ANS:b D
Thebpatient’sbpastblaboratorybandbx-
raybresultsbarebexamplesbofbobjectivebdata.bAbpainbratingbofb8/10,babfamilybmember’sbdescriptionofbthebpat
rrentbillnessbarebexamplesbofbsubjectivebdata.
DIF: CognitivebLevel:bRemembering REF:b p.b3
8. Abpatientbrecentlybbeganb abtakingbbloodb pressurebdrugbandbpresentsbforbabfollow-upbappointment.bThebof
patient’sbdailybbloodbpressurebrecordings.bWhichbstagebofbthebnursingbprocessbcorrespondsbtobthisbreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:b D
Thebevaluationbphasebinvolvesbexaminingbthebresultsbthatboccurbwhenbthebplanbisbimplemented.bReviewing
ssurebrecordingbexaminesbthebpatient’sbresponsebtobthebdrug.bThebassessmentbphasebprovidesbinitialbinform
b problem,b and b anythingb that b mayb changeb thebchoiceb ofb treatment. b Thebplanningb phaseb involves b usingb pat
gnosesbtobsetbgoalsbandbwritebcarebplans.bThebdiagnosisbphasebinvolvesbdecision-
makingbaboutbthebpatient’sbproblems,b includingbmedicalbdiagnosesb madebbyb thebhealthcarebproviderband
b throughb theb Northb American b Nursingb DiagnosisbAssociationb(NANDA).
DIF: CognitivebLevel:bRemembering REF:bp.b2
9. Afterbreceivingbreport,bthebLPNbgivesbdrugsbtobherbassignedbpatientsbonbthebeveningb shift.bWithbwhichbsta
sbdoesbthisbactivitybcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:b A
Thebimplementationbphasebinvolvesb activelybfollowingbthebplanbofbcarebandbaccuratelyb givingborderedbdru
mentbphasebinvolvesbobtainingbinitialbinformationbaboutbthebpatient,bthebproblem,bandbanythingbthatbmay
ent.bThebplanningbphasebinvolvesbusingbpatientbassessmentbdatabandbdiagnosesbtobsetbgoalsbandbwritebcar
involvesbdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Abpatientbisbreceivingbanbantibioticbforbpneumonia.b Onbthebthirdbdayb ofbthebtreatmentbregimen,b abrashbapp
ebreportsbitchingbandbshortnessbofbbreath.bWhichbtermbdescribesbthebeffectbthatbhasboccurred?
a. Therapeuticb effect
b. Adversebeffect
c. Sidebeffect
d. Overdoseb effect
ANS:b B
Anbitchybrashbwithbshortnessbofbbreathbthatbdevelopsbinbresponsebtobdrugbisbanbexamplebofbanballergicb reac
btheb antibiotic. b Therapeuticb effectsb occur bwhenban bantibiotic b fightsbinfection b withoutb causing banybadverse
drugsbarebknownbpotentialbeffectsbofbthebantibioticbthatbrangebfrombmildbtobmoderate.bAnboverdoseboccur
obmuchbofbabdrug.
DIF: CognitivebLevel:bUnderstanding REF:b p.b9
12. AnbLPNbentersbabpatient’sbroombtobgivebabscheduledbdrug.bBeforebadministration,bthebpatientbstates,b“Ibcan
mballergicbtobit.”bWhatbshouldbthebnursebdobfirst?
a. Reassurebthebpatientbthatbthebdrugbisbneededbandbobservationsbregardingbpossibl
eballergicbsymptomsbwillbbebmade.
b. Reviewbthebpatientbrecordbandbencouragebthebpatientbtobtakebthebdrugbifbn
oballergiesbhavebbeenbdocumented.
c. Assessbthebpatient’sballergicbhistorybandbnotifybthebhealthcarebproviderbto
determinebab coursebofbaction.
d. Documentbpatientbrefusalbandbleavebabnotebonbthebpatientbchartbforbth
ebhealthcareprovider.
ANS:b C
Thebpatientbhasbsharedbinformationbthatbindicatesbthebpotentialbforbtheborderedbdrugbtobcausebadversebeff
,bthebnursebshouldbinvestigatebfurtherbbybobtainingbabmorebdetailedbdrugbhistorybandbnotifyingbthebhealthc
border. bAlthoughb theb orderbmayb bebaccuratelyb written, bdetermining b whetherb thebdrug’sb benefits b outweigh
thinbtheblegalbscopebofbthebnurse’sb practice.bThebnursebshouldbnotbofferbfalsebreassurancebandbasbanbadvoc
dbinvestigatebfurtherbbeforebgivingbthebdrug.bThebpatientbhasbraisedbconcernsb regardingbthebdrugbthatbsho
bthebprovider’sbattention.bAbnotebonbthebchartbleavesbpotentialbforbinformationbtobbebmissed.
DIF: CognitivebLevel:bApplying REF:bbp.b4
13. ThebLPNbisbpreparingbtobgivebthebinitialbdosebofbanbantibioticbtobabpatientbdiagnosedbwithbanbinfection.bThe
abrashbtheblastbtimebIbtookbthatbpill.”bWhatbactionbshouldbthebLPNbtakebnext?
a. Givebthebdrugbandbcheckbthebpatientbinb30bminutesbforbabrash.
b. Documentbthatbthebpatientbrefusedbthebdrugbperbagencyb policy.
c. Leavebthebdrugbatbthebbedsidebwhilebcheckingbthebchartbforbthebpatient’sballergies.
d. Notifybthebregisteredb nurseborbhealthcarebprovider.
ANS:b D
Thisbisbabpossiblebadversebreaction,bandbthebRNborbhealthcarebproviderbshouldb bebnotifiedbimmediately.bYo
drugbtobseebifbitbdoesbcausebabrash.bDrugbshouldbneverbbebleftbatbthebbedside.bThebpatientbdidbnotbrefuse
DIF: CognitivebLevel:bApplying REF:b p.b9
14. Whichbprioritybassessmentbmustbyoubmakebbeforebgivingbanybpatientbabdrugbbybmouth?
a. Quizbthebpatientbaboutbthebactionbofbeachbdrug.
b. Makebsurebthebpatientbcanbswallow.
c. Findboutbwhetherbthebpatientbprefersbcoldb orbroombtemperaturebliquids.
d. Askbthebpatientbtobrepeatbhisborbherbnamebandbbirthdate.
ANS:b B
Beforebthebpatientbcanbtakebanybdrugbbybmouth,btheybmustbbebablebtobswallow.bAskingbthebpatientbtobrepe
To Clinical Pharmacol
10 Edition by Visovs
,Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 10th Edition
MULTIPLEb CHOICE
1. ThebLPNbisbcollectingbdatabforbthebinitialbassessmentbofbabpatientbuponbadmissionbtobablong-termbcarebfaci
patient’sbprescribedbdrugs.bWhichbactionbshouldbthebLPNbconsiderbtobbebthebhighestbpriority?
a. Obtainbanybspecialbequipmentbthatbwillbbebneededbtobgivebthebpatient’sbdrug.
b. Monitorbthebpatientbforbabresponsebtobthebdrugbgiven.
c. Collectbdatababoutbthebpatientbandbthebpatient’sbhealthbcondition.
d. Reviewbthebnursingbcarebplanbtobverifybthatbitbisbaccurate.
ANS:b C
Collectingbandbdocumentingbdatababoutbthebpatientbandbthebpatient’sbhealthbconditionbisbabcriticalbstepbbe
nformationbregardingbthebpresentbillness,banybsignsbandbsymptoms,breviewbofbmedicalbrecords,bdrugbhisto
edbbeforebdrugsbarebgiven.bDecidingb onbspecialbequipmentbthatbwillbbebneededbtobgivebthebpatient’sbdrugbi
ebofbthebnursingbprocess.bMonitoringbthebpatientbforbhisbresponsebtobgivenbdrugbisbpartbofbthebevaluationbs
s.bReviewingbthebnursingb carebplanbtobverifybthatbitbisbbeingbfollowedbaccuratelybisbpartbofbthebimplementat
rocess.
DIF: CognitivebLevel:bApplying REF:bp.b2
2. ThebLPNbisbworkingbwithbabpatientbinbthebplanningbstagebofbthebnursingbprocessbrelatedbtobthebpatient’sbpr
actionbshouldbthebLPNbtakebduringbthisbstage?
a. Developbabnursingbgoalbtobplanbthebproceduresbneededbtobgivebdrug.
b. Developbabteachingbplanbforbthebpatientbregardingbthebdrug’sbactions.
c. Determinebthatbthebpatientbisbexperiencingbthebexpectedbresponsebtobhisbdrug.
d. Determinebhowb muchbthebpatientbunderstandsbaboutbhisbdrug.
ANS:b D
Determiningbhowbmuchbthebpatientbunderstandsbaboutbhisbdrugbisb partbofbthebdiagnosisbphasebofbthebnurs
nursingbgoalbtobplanbthebproceduresbneededbtobgivebdrugbandb developingbabteachingbplanbforbthebpatientb r
sbarebpartbofbthebplanningbphasebofbthebnursingbprocess.
DIF: CognitivebLevel:bApplying REF:bp.b2
3. Youbarebteachingbabpatientbwithbdepressionbaboutbthebpotentialbadversebeffectsb ofbabprescribedbdrug.bWha
sbrelatedbtobdrugbtherapybarebyoubengagingbinbatbthisbpointbofbthebteachingbplan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
ANS:b C
Inbthebevaluationbphasebofbthebnursingb process,bthebLPNbunderstandsbandbteachesbtobthebpatientbthebdrug
ectedbsidebeffects,bandbpotentialbadversebeffects.
DIF: CognitivebLevel:bRemembering REF:b p.b2
4. Whichbofbthebfollowingbisbanbexamplebofbsubjectivebdata?
a. Thebpatientbstatesbshebhasbpainbinbherbleftbarm.
b. Thebmedicalb chartbhasbabrecordedbbloodb pressurebofb128/88.
c. Thebserumbpotassiumblevelbisb3.8bmmol/L.
d. Thebpatient’sbECGbshowsbnormalb sinusbrhythm.
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
6. Theb LPN/VNbisbassessingb abpatientbbeforebgivingbabdrugbforbbloodb pressurebmanagement.b Thebnursebnote
90/50bmmbHg.bWhatbisbthebnurse’sbbestbaction?
a. HoldbthebdrugbandbreportbthebbloodbpressurebtobthebRN.
b. Givebthebpatientbabfullbglassbofbwaterbbeforebgivingbthebdrug.
c. Comebbackbinb30bminutesbandbrecheckbthebbloodbpressure.
d. Havebthebpatientbperformbpursedblipbbreathingbbeforebgivingbthebdrug.
ANS:b A
ThebbestbactionbisbtobholdbthebdrugbandbcontactbthebRN.bThebpatientbmaybneedbanbadjustmentbtobthebdose
gborbswitchingbtobanotherbdrug.bGivingbwaterbwithbthebdrugbisbnotbcontraindicatedbbutbdoesbnotbrecognize
tension.bPursedblipbbreathingbhasbnobrolebinbthisbsituation.
DIF: CognitivebLevel:bRemembering REF:bbp.b4
7. ThebLPNbisbcollectingbobjectivebdatabforbinclusionbinbthebnursingbassessment.bWhichbpiecebofbinformationb
abclearbunderstandingbofbobjectivebassessmentbdata?
a. Abpatient’sbratingbofbchestbpainbasb8bonbab1btob10bscale.
b. Familybmembersbreportbthatbpatientbhasbbeenbexperiencingbpainbforb1bmonth.
c. Detailedbhistorybofbthebpatient’sbcurrentbillnessbuponbadmission.
d. Compilationbofbpastblaboratorybresultsbandbx-raybreports.
ANS:b D
Thebpatient’sbpastblaboratorybandbx-
raybresultsbarebexamplesbofbobjectivebdata.bAbpainbratingbofb8/10,babfamilybmember’sbdescriptionofbthebpat
rrentbillnessbarebexamplesbofbsubjectivebdata.
DIF: CognitivebLevel:bRemembering REF:b p.b3
8. Abpatientbrecentlybbeganb abtakingbbloodb pressurebdrugbandbpresentsbforbabfollow-upbappointment.bThebof
patient’sbdailybbloodbpressurebrecordings.bWhichbstagebofbthebnursingbprocessbcorrespondsbtobthisbreview?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS:b D
Thebevaluationbphasebinvolvesbexaminingbthebresultsbthatboccurbwhenbthebplanbisbimplemented.bReviewing
ssurebrecordingbexaminesbthebpatient’sbresponsebtobthebdrug.bThebassessmentbphasebprovidesbinitialbinform
b problem,b and b anythingb that b mayb changeb thebchoiceb ofb treatment. b Thebplanningb phaseb involves b usingb pat
gnosesbtobsetbgoalsbandbwritebcarebplans.bThebdiagnosisbphasebinvolvesbdecision-
makingbaboutbthebpatient’sbproblems,b includingbmedicalbdiagnosesb madebbyb thebhealthcarebproviderband
b throughb theb Northb American b Nursingb DiagnosisbAssociationb(NANDA).
DIF: CognitivebLevel:bRemembering REF:bp.b2
9. Afterbreceivingbreport,bthebLPNbgivesbdrugsbtobherbassignedbpatientsbonbthebeveningb shift.bWithbwhichbsta
sbdoesbthisbactivitybcorrespond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
ANS:b A
Thebimplementationbphasebinvolvesb activelybfollowingbthebplanbofbcarebandbaccuratelyb givingborderedbdru
mentbphasebinvolvesbobtainingbinitialbinformationbaboutbthebpatient,bthebproblem,bandbanythingbthatbmay
ent.bThebplanningbphasebinvolvesbusingbpatientbassessmentbdatabandbdiagnosesbtobsetbgoalsbandbwritebcar
involvesbdecision-
, TEST BANK FOR INRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION B
11. Abpatientbisbreceivingbanbantibioticbforbpneumonia.b Onbthebthirdbdayb ofbthebtreatmentbregimen,b abrashbapp
ebreportsbitchingbandbshortnessbofbbreath.bWhichbtermbdescribesbthebeffectbthatbhasboccurred?
a. Therapeuticb effect
b. Adversebeffect
c. Sidebeffect
d. Overdoseb effect
ANS:b B
Anbitchybrashbwithbshortnessbofbbreathbthatbdevelopsbinbresponsebtobdrugbisbanbexamplebofbanballergicb reac
btheb antibiotic. b Therapeuticb effectsb occur bwhenban bantibiotic b fightsbinfection b withoutb causing banybadverse
drugsbarebknownbpotentialbeffectsbofbthebantibioticbthatbrangebfrombmildbtobmoderate.bAnboverdoseboccur
obmuchbofbabdrug.
DIF: CognitivebLevel:bUnderstanding REF:b p.b9
12. AnbLPNbentersbabpatient’sbroombtobgivebabscheduledbdrug.bBeforebadministration,bthebpatientbstates,b“Ibcan
mballergicbtobit.”bWhatbshouldbthebnursebdobfirst?
a. Reassurebthebpatientbthatbthebdrugbisbneededbandbobservationsbregardingbpossibl
eballergicbsymptomsbwillbbebmade.
b. Reviewbthebpatientbrecordbandbencouragebthebpatientbtobtakebthebdrugbifbn
oballergiesbhavebbeenbdocumented.
c. Assessbthebpatient’sballergicbhistorybandbnotifybthebhealthcarebproviderbto
determinebab coursebofbaction.
d. Documentbpatientbrefusalbandbleavebabnotebonbthebpatientbchartbforbth
ebhealthcareprovider.
ANS:b C
Thebpatientbhasbsharedbinformationbthatbindicatesbthebpotentialbforbtheborderedbdrugbtobcausebadversebeff
,bthebnursebshouldbinvestigatebfurtherbbybobtainingbabmorebdetailedbdrugbhistorybandbnotifyingbthebhealthc
border. bAlthoughb theb orderbmayb bebaccuratelyb written, bdetermining b whetherb thebdrug’sb benefits b outweigh
thinbtheblegalbscopebofbthebnurse’sb practice.bThebnursebshouldbnotbofferbfalsebreassurancebandbasbanbadvoc
dbinvestigatebfurtherbbeforebgivingbthebdrug.bThebpatientbhasbraisedbconcernsb regardingbthebdrugbthatbsho
bthebprovider’sbattention.bAbnotebonbthebchartbleavesbpotentialbforbinformationbtobbebmissed.
DIF: CognitivebLevel:bApplying REF:bbp.b4
13. ThebLPNbisbpreparingbtobgivebthebinitialbdosebofbanbantibioticbtobabpatientbdiagnosedbwithbanbinfection.bThe
abrashbtheblastbtimebIbtookbthatbpill.”bWhatbactionbshouldbthebLPNbtakebnext?
a. Givebthebdrugbandbcheckbthebpatientbinb30bminutesbforbabrash.
b. Documentbthatbthebpatientbrefusedbthebdrugbperbagencyb policy.
c. Leavebthebdrugbatbthebbedsidebwhilebcheckingbthebchartbforbthebpatient’sballergies.
d. Notifybthebregisteredb nurseborbhealthcarebprovider.
ANS:b D
Thisbisbabpossiblebadversebreaction,bandbthebRNborbhealthcarebproviderbshouldb bebnotifiedbimmediately.bYo
drugbtobseebifbitbdoesbcausebabrash.bDrugbshouldbneverbbebleftbatbthebbedside.bThebpatientbdidbnotbrefuse
DIF: CognitivebLevel:bApplying REF:b p.b9
14. Whichbprioritybassessmentbmustbyoubmakebbeforebgivingbanybpatientbabdrugbbybmouth?
a. Quizbthebpatientbaboutbthebactionbofbeachbdrug.
b. Makebsurebthebpatientbcanbswallow.
c. Findboutbwhetherbthebpatientbprefersbcoldb orbroombtemperaturebliquids.
d. Askbthebpatientbtobrepeatbhisborbherbnamebandbbirthdate.
ANS:b B
Beforebthebpatientbcanbtakebanybdrugbbybmouth,btheybmustbbebablebtobswallow.bAskingbthebpatientbtobrepe
