Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+ x x x
Chapter 1: Orientation to Pharmacology Te
x x x x x
st Bank
x
MULTIPLExCHOICE
1. Thexnursexisxteachingxaxpatientxhowxaxmedicationxworksxtoxtreatxanxillness.xToxdoxthis,xthexn
ursexwillxrelyxonxknowledgexof:
a. clinicalxpharmacology.
b. drugxefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:x D
Pharmacotherapeuticsxisxthexstudyxofxthexusexofxdrugsxtoxdiagnose,xtreat,xandxpreventxcondition
s.xClinicalxpharmacologyxisxconcernedxwithxallxaspectsxofxdrug–
humanxinteractions.xDrugxefficacyxmeasuresxthexextentxtoxwhichxaxgivenxdrugxcausesxanxintend
edxeffect.
Pharmacokineticsxisxthexstudyxofxtheximpactxofxthexbodyxonxaxdrug.
DIF: CognitivexLevel:xComprehension
REF:xFourxBasicxTermsxTOP:x NursingxProcess:xImplementati
on
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Whatxdoesxitxmeanxwhenxaxdrugxisxdescribedxasxeasyxtoxadminister?
a. Itxcanxbexstoredxindefinitelyxwithoutxneedxforxrefrigeration.
b. Itxdoesxnotxinteractxsignificantlyxwithxotherxmedications.
c. Itxenhancesxpatientxadherencextoxthexdrugxregimen.
d. Itxisxusuallyxrelativelyxinexpensivextoxproduce.
ANS:x C
Axmajorxbenefitxofxdrugsxthatxarexeasyxtoxadministerxisxthatxpatientsxtakingxthemxarexmorexlikelyx
toxcomplyxwithxthexdrugxregimen.xDrugsxthatxarexeasyxtoxgivexmayxhavexthexotherxattributesxlist
ed,xbutxthosexpropertiesxarexindependentxofxeasexofxadministration.
DIF: CognitivexLevel:xComprehension
REF:xAdditionalxPropertiesxofxanxIdealxDrug:xEasexofxAdministrationxTOP
:x NursingxProcess:xAssessment
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
3. Axpatientxtellsxthexnursexthatxhexwasxtoldxbyxthexprescriberxthatxthexanalgesicxhexisxtakingxisxve
ryxeffective.xWhichxstatementxbyxthexpatientxdemonstratesxanxunderstandingxofxthexdrug‘sxeff
ectiveness?
a. ―Ixdon‘txhavextoxworryxaboutxtoxicity,xsincexitxtakesxaxlargexamountxofxthisxdrugxtoxc
ausexanxoverdose.‖
b. ―Itxhasxnoxsidexeffectsxandxdoesn‘txinteractxwithxotherxdrugs.‖
c. ―Ixonlyxhavextoxtakexitxeveryx12xhours.‖
d. ―Itxmightxmakexmexsleepy,xandxitxlessensxpainxforxseveralxhoursxatxaxtime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
ANS:x D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
Axdrugxisxeffectivexifxitxproducesxthexintendedxeffects,xevenxifxitxalsoxproducesxsidexeffects.xBeca
usexnoxdrugxisxcompletelyxsafe,xthexlevelxofxtoxicityxdoesxnotxdeterminexeffectiveness.xAllxdrugsx
havexsidexeffectsxandxmanyxreactxwithxotherxsubstances;xthesexdoxnotxaffectxthexdrug‘sxeffective
ness.xEasexofxadministrationxisxindependentxofxaxdrug‘sxeffectiveness.
DIF: CognitivexLevel:xComprehension
REF:xPropertiesxofxanxIdealxDrugxTOP:x NursingxProcess:xEvaluation
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
MULTIPLExRESPONSE
1. Whatxarexthexpropertiesxofxanxidealxdrug?x(Selectxallxthatxapply.)
a. Irreversiblexaction
b. Predictability
c. Easexofxadministration
d. Chemicalxstability
e. Axsimplextradexname
ANS:x B,xC,xD
Inxadditionxtoxpredictability,xeasexofxadministration,xandxchemicalxstability,xotherxpropertiesxin
cludexaxreversiblexactionxsoxthatxanyxharmxthexdrugxmayxcausexcanxbexundonexandxaxsimplexgene
ricxname,xbecausexgenericxnamesxarexusuallyxcomplexxandxdifficultxtoxrememberxandxpronounc
e.
DIF: CognitivexLevel:xComprehension
REF:xPropertiesxofxanxIdealxDrugx|xAdditionalxPropertiesxofxanxIdealxDrugx
TOP:x NursingxProcess:xAssessment
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Beforexadministeringxaxmedication,xwhatxdoesxthexnursexneedxtoxknowxtoxevaluatexhow
individualxpatientxvariabilityxmightxaffectxthexpatient‘sxresponsextoxthexmedication?x(Selectxallxt
hatxapply.)
a. Chemicalxstabilityxofxthexmedication
b. Easexofxadministration
c. Familyxmedicalxhistory
d. Patient‘sxage
e. Patient‘sxdiagnosis
ANS:x C,xD,xE
Thexfamilyxmedicalxhistoryxcanxindicatexgeneticxfactorsxthatxmayxaffectxaxpatient‘sxresponsextoxax
medication.xPatientsxofxdifferentxagesxcanxrespondxdifferentlyxtoxmedications.xThexpatient‘sxilln
essxcanxaffectxhowxdrugsxarexmetabolized.xThexchemicalxstabilityxofxthexmedicationxandxthexeasex
ofxadministrationxarexpropertiesxofxdrugs.
DIF: CognitivexLevel:xAnalysis
REF:xSourcesxofxIndividualxVariationxTOP:x NursingxProcess:xImplementati
on
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xReductionxofxRiskxPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
Chapter 2: Application of Pharmacology in Nursing Practice Test
x x x x x x x x
Bank
x
MULTIPLExCHOICE
1. Axpatientxisxusingxaxmetered-
dosexinhalerxcontainingxalbuterolxforxasthma.xThexmedicationxlabelxinstructsxthexpatientxtoxa
dministerx―2xpuffsxeveryx4xhoursxasxneededxforxcoughingxor
wheezing.‖xThexpatientxreportsxfeelingxjitteryxsometimesxwhenxtakingxthexmedication,xandxshexd
oesn‘txfeelxthatxthexmedicationxisxalwaysxeffective.xWhichxisxnotxanxappropriatexnursingxinterve
ntionxforxthisxpatient?
a. Askingxthexpatientxtoxdemonstratexusexofxthexinhaler
b. Assessingxthexpatient‘sxexposurextoxtobaccoxsmoke
c. Auscultatingxlungxsoundsxandxobtainingxvitalxsigns
d. Suggestingxthatxthexpatientxusexonexpuffxtoxreducexsidexeffects
ANS:x D
Itxisxnotxwithinxthexnurse‘sxscopexofxpracticextoxchangexthexdosexofxaxmedicationxwithoutxanxorde
rxfromxaxprescriber.xAskingxthexpatientxtoxdemonstratexinhalerxusexhelpsxthexnursexto
evaluatexthexpatient‘sxabilityxtoxadministerxthexmedicationxproperlyxandxisxpartxofxthexnurse‘sxev
aluation.xAssessingxtobaccoxsmokexexposurexhelpsxthexnursexdeterminexwhetherxnondrugxthera
pies,xsuchxaxsmokexavoidance,xcanxbexusedxasxanxadjunctxtoxdrugxtherapy.xPerformingxaxphysica
lxassessmentxhelpsxthexnursexevaluatexthexpatient‘sxresponsextoxthexmedication.
DIF: CognitivexLevel:xApplication
REF:xApplyingxthexNursingxProcessxinxDrugxTherapy:xPreadministrationxAssessmentx[andxallx
subsectionsxunderxthisxheading] TOP:x NursingxProcess:xImplementation
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Axpostoperativexpatientxisxbeingxdischargedxhomexwithxacetaminophen/hydrocodonex(Lortab)xf
orxpain.xThexpatientxasksxthexnursexaboutxusingxTylenolxforxfever.xWhichxstatementxbyxthexnurs
exisxcorrect?
a. ―Itxisxnotxsafextoxtakexover-the-counterxdrugsxwithxprescriptionxmedications.‖
b. ―Takingxthextwoxmedicationsxtogetherxposesxaxriskxofxdrugxtoxicity.‖
c. ―Therexarexnoxknownxdrugxinteractions,xsoxthisxwillxbexsafe.‖
d. ―TylenolxandxLortabxarexdifferentxdrugs,xsoxtherexisxnoxriskxofxoverdose.‖
ANS:x B
Tylenolxisxthextradexnamexandxacetaminophenxisxthexgenericxnamexforxthexsamexmedication.xItxisx
importantxtoxteachxpatientsxtoxbexawarexofxthexdifferentxnamesxforxthexsamexdrugxtoxminimizexthex
riskxofxoverdose.xOver-the-
counterx(OTC)xmedicationsxandxprescriptionxmedicationsxmayxbextakenxtogetherxunlessxsignific
antxharmfulxdrugxinteractionsxarexpossible.xEvenxthoughxnoxdrugxinteractionsxarexatxplayxinxthisxc
ase,xbothxdrugsxcontainxacetaminophen,xwhichxcouldxleadxtoxtoxicity.
DIF: CognitivexLevel:xApplication
REF:xApplicationxofxPharmacologyxinxPatientxEducation:xDosagexandxAdministration
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+ x x x
Chapter 1: Orientation to Pharmacology Te
x x x x x
st Bank
x
MULTIPLExCHOICE
1. Thexnursexisxteachingxaxpatientxhowxaxmedicationxworksxtoxtreatxanxillness.xToxdoxthis,xthexn
ursexwillxrelyxonxknowledgexof:
a. clinicalxpharmacology.
b. drugxefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:x D
Pharmacotherapeuticsxisxthexstudyxofxthexusexofxdrugsxtoxdiagnose,xtreat,xandxpreventxcondition
s.xClinicalxpharmacologyxisxconcernedxwithxallxaspectsxofxdrug–
humanxinteractions.xDrugxefficacyxmeasuresxthexextentxtoxwhichxaxgivenxdrugxcausesxanxintend
edxeffect.
Pharmacokineticsxisxthexstudyxofxtheximpactxofxthexbodyxonxaxdrug.
DIF: CognitivexLevel:xComprehension
REF:xFourxBasicxTermsxTOP:x NursingxProcess:xImplementati
on
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Whatxdoesxitxmeanxwhenxaxdrugxisxdescribedxasxeasyxtoxadminister?
a. Itxcanxbexstoredxindefinitelyxwithoutxneedxforxrefrigeration.
b. Itxdoesxnotxinteractxsignificantlyxwithxotherxmedications.
c. Itxenhancesxpatientxadherencextoxthexdrugxregimen.
d. Itxisxusuallyxrelativelyxinexpensivextoxproduce.
ANS:x C
Axmajorxbenefitxofxdrugsxthatxarexeasyxtoxadministerxisxthatxpatientsxtakingxthemxarexmorexlikelyx
toxcomplyxwithxthexdrugxregimen.xDrugsxthatxarexeasyxtoxgivexmayxhavexthexotherxattributesxlist
ed,xbutxthosexpropertiesxarexindependentxofxeasexofxadministration.
DIF: CognitivexLevel:xComprehension
REF:xAdditionalxPropertiesxofxanxIdealxDrug:xEasexofxAdministrationxTOP
:x NursingxProcess:xAssessment
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
3. Axpatientxtellsxthexnursexthatxhexwasxtoldxbyxthexprescriberxthatxthexanalgesicxhexisxtakingxisxve
ryxeffective.xWhichxstatementxbyxthexpatientxdemonstratesxanxunderstandingxofxthexdrug‘sxeff
ectiveness?
a. ―Ixdon‘txhavextoxworryxaboutxtoxicity,xsincexitxtakesxaxlargexamountxofxthisxdrugxtoxc
ausexanxoverdose.‖
b. ―Itxhasxnoxsidexeffectsxandxdoesn‘txinteractxwithxotherxdrugs.‖
c. ―Ixonlyxhavextoxtakexitxeveryx12xhours.‖
d. ―Itxmightxmakexmexsleepy,xandxitxlessensxpainxforxseveralxhoursxatxaxtime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
ANS:x D
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
Axdrugxisxeffectivexifxitxproducesxthexintendedxeffects,xevenxifxitxalsoxproducesxsidexeffects.xBeca
usexnoxdrugxisxcompletelyxsafe,xthexlevelxofxtoxicityxdoesxnotxdeterminexeffectiveness.xAllxdrugsx
havexsidexeffectsxandxmanyxreactxwithxotherxsubstances;xthesexdoxnotxaffectxthexdrug‘sxeffective
ness.xEasexofxadministrationxisxindependentxofxaxdrug‘sxeffectiveness.
DIF: CognitivexLevel:xComprehension
REF:xPropertiesxofxanxIdealxDrugxTOP:x NursingxProcess:xEvaluation
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
MULTIPLExRESPONSE
1. Whatxarexthexpropertiesxofxanxidealxdrug?x(Selectxallxthatxapply.)
a. Irreversiblexaction
b. Predictability
c. Easexofxadministration
d. Chemicalxstability
e. Axsimplextradexname
ANS:x B,xC,xD
Inxadditionxtoxpredictability,xeasexofxadministration,xandxchemicalxstability,xotherxpropertiesxin
cludexaxreversiblexactionxsoxthatxanyxharmxthexdrugxmayxcausexcanxbexundonexandxaxsimplexgene
ricxname,xbecausexgenericxnamesxarexusuallyxcomplexxandxdifficultxtoxrememberxandxpronounc
e.
DIF: CognitivexLevel:xComprehension
REF:xPropertiesxofxanxIdealxDrugx|xAdditionalxPropertiesxofxanxIdealxDrugx
TOP:x NursingxProcess:xAssessment
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Beforexadministeringxaxmedication,xwhatxdoesxthexnursexneedxtoxknowxtoxevaluatexhow
individualxpatientxvariabilityxmightxaffectxthexpatient‘sxresponsextoxthexmedication?x(Selectxallxt
hatxapply.)
a. Chemicalxstabilityxofxthexmedication
b. Easexofxadministration
c. Familyxmedicalxhistory
d. Patient‘sxage
e. Patient‘sxdiagnosis
ANS:x C,xD,xE
Thexfamilyxmedicalxhistoryxcanxindicatexgeneticxfactorsxthatxmayxaffectxaxpatient‘sxresponsextoxax
medication.xPatientsxofxdifferentxagesxcanxrespondxdifferentlyxtoxmedications.xThexpatient‘sxilln
essxcanxaffectxhowxdrugsxarexmetabolized.xThexchemicalxstabilityxofxthexmedicationxandxthexeasex
ofxadministrationxarexpropertiesxofxdrugs.
DIF: CognitivexLevel:xAnalysis
REF:xSourcesxofxIndividualxVariationxTOP:x NursingxProcess:xImplementati
on
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xReductionxofxRiskxPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
x x x x x x x x
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
x x x x x x x
112|Complete Guide A+
x x x
Chapter 2: Application of Pharmacology in Nursing Practice Test
x x x x x x x x
Bank
x
MULTIPLExCHOICE
1. Axpatientxisxusingxaxmetered-
dosexinhalerxcontainingxalbuterolxforxasthma.xThexmedicationxlabelxinstructsxthexpatientxtoxa
dministerx―2xpuffsxeveryx4xhoursxasxneededxforxcoughingxor
wheezing.‖xThexpatientxreportsxfeelingxjitteryxsometimesxwhenxtakingxthexmedication,xandxshexd
oesn‘txfeelxthatxthexmedicationxisxalwaysxeffective.xWhichxisxnotxanxappropriatexnursingxinterve
ntionxforxthisxpatient?
a. Askingxthexpatientxtoxdemonstratexusexofxthexinhaler
b. Assessingxthexpatient‘sxexposurextoxtobaccoxsmoke
c. Auscultatingxlungxsoundsxandxobtainingxvitalxsigns
d. Suggestingxthatxthexpatientxusexonexpuffxtoxreducexsidexeffects
ANS:x D
Itxisxnotxwithinxthexnurse‘sxscopexofxpracticextoxchangexthexdosexofxaxmedicationxwithoutxanxorde
rxfromxaxprescriber.xAskingxthexpatientxtoxdemonstratexinhalerxusexhelpsxthexnursexto
evaluatexthexpatient‘sxabilityxtoxadministerxthexmedicationxproperlyxandxisxpartxofxthexnurse‘sxev
aluation.xAssessingxtobaccoxsmokexexposurexhelpsxthexnursexdeterminexwhetherxnondrugxthera
pies,xsuchxaxsmokexavoidance,xcanxbexusedxasxanxadjunctxtoxdrugxtherapy.xPerformingxaxphysica
lxassessmentxhelpsxthexnursexevaluatexthexpatient‘sxresponsextoxthexmedication.
DIF: CognitivexLevel:xApplication
REF:xApplyingxthexNursingxProcessxinxDrugxTherapy:xPreadministrationxAssessmentx[andxallx
subsectionsxunderxthisxheading] TOP:x NursingxProcess:xImplementation
MSC:x NCLEXxClientxNeedsxCategory:xPhysiologicxIntegrity:xPharmacologicxandxParenteralxTherapies
2. Axpostoperativexpatientxisxbeingxdischargedxhomexwithxacetaminophen/hydrocodonex(Lortab)xf
orxpain.xThexpatientxasksxthexnursexaboutxusingxTylenolxforxfever.xWhichxstatementxbyxthexnurs
exisxcorrect?
a. ―Itxisxnotxsafextoxtakexover-the-counterxdrugsxwithxprescriptionxmedications.‖
b. ―Takingxthextwoxmedicationsxtogetherxposesxaxriskxofxdrugxtoxicity.‖
c. ―Therexarexnoxknownxdrugxinteractions,xsoxthisxwillxbexsafe.‖
d. ―TylenolxandxLortabxarexdifferentxdrugs,xsoxtherexisxnoxriskxofxoverdose.‖
ANS:x B
Tylenolxisxthextradexnamexandxacetaminophenxisxthexgenericxnamexforxthexsamexmedication.xItxisx
importantxtoxteachxpatientsxtoxbexawarexofxthexdifferentxnamesxforxthexsamexdrugxtoxminimizexthex
riskxofxoverdose.xOver-the-
counterx(OTC)xmedicationsxandxprescriptionxmedicationsxmayxbextakenxtogetherxunlessxsignific
antxharmfulxdrugxinteractionsxarexpossible.xEvenxthoughxnoxdrugxinteractionsxarexatxplayxinxthisxc
ase,xbothxdrugsxcontainxacetaminophen,xwhichxcouldxleadxtoxtoxicity.
DIF: CognitivexLevel:xApplication
REF:xApplicationxofxPharmacologyxinxPatientxEducation:xDosagexandxAdministration
