Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+ k k k
Chapter 1: Orientation to Pharmacology
k k k k k
Test Bank
k
MULTIPLEkCHOICE
1. Theknursekiskteachingkakpatientkhowkakmedicationkworksktoktreatkankillness.kTokdokthis,kthekn
ursekwillkrelykonkknowledgekof:
a. clinicalkpharmacology.
b. drugkefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:k D
Pharmacotherapeuticskiskthekstudykofkthekusekofkdrugsktokdiagnose,ktreat,kandkpreventkconditio
ns.kClinicalkpharmacologykiskconcernedkwithkallkaspectskofkdrug–
humankinteractions.kDrugkefficacykmeasureskthekextentktokwhichkakgivenkdrugkcauseskankintend
edkeffect.
Pharmacokineticskiskthekstudykofkthekimpactkofkthekbodykonkakdrug.
DIF: CognitivekLevel:kComprehension
REF:kFourkBasickTermskTOP:k NursingkProcess:kImplementati
on
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Whatkdoeskitkmeankwhenkakdrugkiskdescribedkaskeasyktokadminister?
a. Itkcankbekstoredkindefinitelykwithoutkneedkforkrefrigeration.
b. Itkdoesknotkinteractksignificantlykwithkotherkmedications.
c. Itkenhanceskpatientkadherencektokthekdrugkregimen.
d. Itkiskusuallykrelativelykinexpensivektokproduce.
ANS:k C
Akmajorkbenefitkofkdrugskthatkarekeasyktokadministerkiskthatkpatientsktakingkthemkarekmorekli
kelyktokcomplykwithkthekdrugkregimen.kDrugskthatkarekeasyktokgivekmaykhavekthekotherkattri
butesklisted,kbutkthosekpropertieskarekindependentkofkeasekofkadministration.
DIF: CognitivekLevel:kComprehension
REF:kAdditionalkPropertieskofkankIdealkDrug:kEasekofkAdministrationk
TOP:k NursingkProcess:kAssessment
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
3. Akpatientktellsktheknursekthatkhekwasktoldkbykthekprescriberkthatkthekanalgesickhekisktakingkiskve
rykeffective.kWhichkstatementkbykthekpatientkdemonstrateskankunderstandingkofkthekdrug‘skeff
ectiveness?
a. ―Ikdon‘tkhavektokworrykaboutktoxicity,ksincekitktakeskaklargekamountkofkthiskdrugktokc
ausekankoverdose.‖
b. ―Itkhasknoksidekeffectskandkdoesn‘tkinteractkwithkotherkdrugs.‖
c. ―Ikonlykhavek tok takek itk everyk12k hours.‖
d. ―Itkmightkmakekmeksleepy,kandkitklessenskpainkforkseveralkhourskatkaktime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+
k k k
ANS:k D
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+
k k k
Akdrugkiskeffectivekifkitkproduceskthekintendedkeffects,kevenkifkitkalsokproducesksidekeffects.kBeca
useknokdrugkiskcompletelyksafe,ktheklevelkofktoxicitykdoesknotkdeterminekeffectiveness.kAllkdrugsk
haveksidekeffectskandkmanykreactkwithkotherksubstances;kthesekdoknotkaffectkthekdrug‘skeffective
ness.kEasekofkadministrationkiskindependentkofkakdrug‘skeffectiveness.
DIF: CognitivekLevel:kComprehension
REF:kPropertieskofkankIdealkDrugkTOP:k NursingkProcess:kEvaluation
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
MULTIPLEkRESPONSE
1. Whatkarekthekpropertieskofkankidealkdrug?k(Selectkallkthatkapply.)
a. Irreversiblekaction
b. Predictability
c. Easekofkadministration
d. Chemicalkstability
e. Aksimplektradekname
ANS:k B,kC,kD
Inkadditionktokpredictability,keasekofkadministration,kandkchemicalkstability,kotherkpropertieski
ncludekakreversiblekactionksokthatkanykharmkthekdrugkmaykcausekcankbekundonekandkaksimplekge
nerickname,kbecausekgenericknameskarekusuallykcomplexkandkdifficultktokrememberkandkprono
unce.
DIF: CognitivekLevel:kComprehension
REF:kPropertieskofkankIdealkDrugk|kAdditionalkPropertieskofkankIdealkDrugk
TOP:k NursingkProcess:kAssessment
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Beforekadministeringkakmedication,kwhatkdoesktheknursekneedktokknowktokevaluatekhow
individualkpatientkvariabilitykmightkaffectkthekpatient‘skresponsektokthekmedication?k(Selectkallkthatk
apply.)
a. Chemicalkstabilitykofkthekmedication
b. Easekofkadministration
c. Familykmedicalkhistory
d. Patient‘skage
e. Patient‘skdiagnosis
ANS:k C,kD,kE
Thekfamilykmedicalkhistorykcankindicatekgenetickfactorskthatkmaykaffectkakpatient‘skresponsektokak
medication.kPatientskofkdifferentkageskcankrespondkdifferentlyktokmedications.kThekpatient‘skilln
esskcankaffectkhowkdrugskarekmetabolized.kThekchemicalkstabilitykofkthekmedicationkandkthekeasek
ofkadministrationkarekpropertieskofkdrugs.
DIF: CognitivekLevel:kAnalysis
REF:kSourceskofkIndividualkVariationkTOP:k NursingkProcess:kImplementati
on
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kReductionkofkRiskkPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+ k k k
Chapter 2: Application of Pharmacology in Nursing Practice
k k k k k k k k
Test Bank
k
MULTIPLEkCHOICE
1. Akpatientkiskusingkakmetered-
dosekinhalerkcontainingkalbuterolkforkasthma.kThekmedicationklabelkinstructskthekpatientktoka
dministerk―2kpuffskeveryk4khourskaskneededkforkcoughingkor
wheezing.‖kThekpatientkreportskfeelingkjitteryksometimeskwhenktakingkthek medication,kandkshekd
oesn‘tkfeelkthatkthekmedicationkiskalwayskeffective.kWhichkisknotkankappropriateknursingkinterve
ntionkforkthiskpatient?
a. Askingkthekpatientktokdemonstratekusekofkthekinhaler
b. Assessingkthekpatient‘skexposurektoktobaccoksmoke
c. Auscultatingklungksoundskandkobtainingkvitalksigns
d. Suggestingkthatkthekpatientkusekonekpuffktokreduceksidekeffects
ANS:k D
Itkisknotkwithinktheknurse‘skscopekofkpracticektokchangekthekdosekofkakmedicationkwithoutkankor
derkfromkakprescriber.kAskingkthekpatientktokdemonstratekinhalerkusekhelpsktheknursektokevalua
tekthekpatient‘skabilityktokadministerkthekmedicationkproperlykandkiskpartkofktheknurse‘skevaluati
on.kAssessingktobaccoksmokekexposurekhelpsktheknursekdeterminekwhetherknondrugktherapies
,ksuchkaksmokekavoidance,kcankbekusedkaskankadjunctktokdrugktherapy.kPerformingkakphysicalkas
sessmentkhelpsktheknursekevaluatekthekpatient‘skresponsektokthekmedication.
DIF: CognitivekLevel:kApplication
REF:kApplyingkthekNursingkProcesskinkDrugkTherapy:kPreadministrationkAssessmentk[andkallk
subsectionskunderkthiskheading] TOP:k NursingkProcess:kImplementation
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Akpostoperativekpatientkiskbeingkdischargedkhomekwithkacetaminophen/hydrocodonek(Lortab)kf
orkpain.kThekpatientkasksktheknursekaboutkusingkTylenolkforkfever.kWhichkstatementkbyktheknurs
ekiskcorrect?
a. ―Itkisknotksafektoktakekover-the-counterkdrugskwithkprescriptionkmedications.‖
b. ―Takingkthektwokmedicationsktogetherkposeskakriskkofkdrugktoxicity.‖
c. ―Therekareknokknownkdrugkinteractions,ksokthiskwillkbeksafe.‖
d. ―TylenolkandkLortabkarekdifferentkdrugs,ksoktherekisknokriskkofkoverdose.‖
ANS:k B
Tylenolkiskthektradeknamekandkacetaminophenkiskthekgenericknamekforktheksamekmedication.kItkisk
importantktokteachkpatientsktokbekawarekofkthekdifferentknameskforktheksamekdrugktokminimizekthek
riskkofkoverdose.kOver-the-
counterk(OTC)kmedicationskandkprescriptionkmedicationskmaykbektakenktogetherkunlessksignific
antkharmfulkdrugkinteractionskarekpossible.kEvenkthoughknokdrugkinteractionskarekatkplaykinkthiskc
ase,kbothkdrugskcontainkacetaminophen,kwhichkcouldkleadktoktoxicity.
DIF: CognitivekLevel:kApplication
REF:kApplicationkofkPharmacologykinkPatientkEducation:kDosagekandkAdministration
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+ k k k
Chapter 1: Orientation to Pharmacology
k k k k k
Test Bank
k
MULTIPLEkCHOICE
1. Theknursekiskteachingkakpatientkhowkakmedicationkworksktoktreatkankillness.kTokdokthis,kthekn
ursekwillkrelykonkknowledgekof:
a. clinicalkpharmacology.
b. drugkefficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS:k D
Pharmacotherapeuticskiskthekstudykofkthekusekofkdrugsktokdiagnose,ktreat,kandkpreventkconditio
ns.kClinicalkpharmacologykiskconcernedkwithkallkaspectskofkdrug–
humankinteractions.kDrugkefficacykmeasureskthekextentktokwhichkakgivenkdrugkcauseskankintend
edkeffect.
Pharmacokineticskiskthekstudykofkthekimpactkofkthekbodykonkakdrug.
DIF: CognitivekLevel:kComprehension
REF:kFourkBasickTermskTOP:k NursingkProcess:kImplementati
on
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Whatkdoeskitkmeankwhenkakdrugkiskdescribedkaskeasyktokadminister?
a. Itkcankbekstoredkindefinitelykwithoutkneedkforkrefrigeration.
b. Itkdoesknotkinteractksignificantlykwithkotherkmedications.
c. Itkenhanceskpatientkadherencektokthekdrugkregimen.
d. Itkiskusuallykrelativelykinexpensivektokproduce.
ANS:k C
Akmajorkbenefitkofkdrugskthatkarekeasyktokadministerkiskthatkpatientsktakingkthemkarekmorekli
kelyktokcomplykwithkthekdrugkregimen.kDrugskthatkarekeasyktokgivekmaykhavekthekotherkattri
butesklisted,kbutkthosekpropertieskarekindependentkofkeasekofkadministration.
DIF: CognitivekLevel:kComprehension
REF:kAdditionalkPropertieskofkankIdealkDrug:kEasekofkAdministrationk
TOP:k NursingkProcess:kAssessment
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
3. Akpatientktellsktheknursekthatkhekwasktoldkbykthekprescriberkthatkthekanalgesickhekisktakingkiskve
rykeffective.kWhichkstatementkbykthekpatientkdemonstrateskankunderstandingkofkthekdrug‘skeff
ectiveness?
a. ―Ikdon‘tkhavektokworrykaboutktoxicity,ksincekitktakeskaklargekamountkofkthiskdrugktokc
ausekankoverdose.‖
b. ―Itkhasknoksidekeffectskandkdoesn‘tkinteractkwithkotherkdrugs.‖
c. ―Ikonlykhavek tok takek itk everyk12k hours.‖
d. ―Itkmightkmakekmeksleepy,kandkitklessenskpainkforkseveralkhourskatkaktime.‖
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+
k k k
ANS:k D
,Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+
k k k
Akdrugkiskeffectivekifkitkproduceskthekintendedkeffects,kevenkifkitkalsokproducesksidekeffects.kBeca
useknokdrugkiskcompletelyksafe,ktheklevelkofktoxicitykdoesknotkdeterminekeffectiveness.kAllkdrugsk
haveksidekeffectskandkmanykreactkwithkotherksubstances;kthesekdoknotkaffectkthekdrug‘skeffective
ness.kEasekofkadministrationkiskindependentkofkakdrug‘skeffectiveness.
DIF: CognitivekLevel:kComprehension
REF:kPropertieskofkankIdealkDrugkTOP:k NursingkProcess:kEvaluation
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
MULTIPLEkRESPONSE
1. Whatkarekthekpropertieskofkankidealkdrug?k(Selectkallkthatkapply.)
a. Irreversiblekaction
b. Predictability
c. Easekofkadministration
d. Chemicalkstability
e. Aksimplektradekname
ANS:k B,kC,kD
Inkadditionktokpredictability,keasekofkadministration,kandkchemicalkstability,kotherkpropertieski
ncludekakreversiblekactionksokthatkanykharmkthekdrugkmaykcausekcankbekundonekandkaksimplekge
nerickname,kbecausekgenericknameskarekusuallykcomplexkandkdifficultktokrememberkandkprono
unce.
DIF: CognitivekLevel:kComprehension
REF:kPropertieskofkankIdealkDrugk|kAdditionalkPropertieskofkankIdealkDrugk
TOP:k NursingkProcess:kAssessment
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Beforekadministeringkakmedication,kwhatkdoesktheknursekneedktokknowktokevaluatekhow
individualkpatientkvariabilitykmightkaffectkthekpatient‘skresponsektokthekmedication?k(Selectkallkthatk
apply.)
a. Chemicalkstabilitykofkthekmedication
b. Easekofkadministration
c. Familykmedicalkhistory
d. Patient‘skage
e. Patient‘skdiagnosis
ANS:k C,kD,kE
Thekfamilykmedicalkhistorykcankindicatekgenetickfactorskthatkmaykaffectkakpatient‘skresponsektokak
medication.kPatientskofkdifferentkageskcankrespondkdifferentlyktokmedications.kThekpatient‘skilln
esskcankaffectkhowkdrugskarekmetabolized.kThekchemicalkstabilitykofkthekmedicationkandkthekeasek
ofkadministrationkarekpropertieskofkdrugs.
DIF: CognitivekLevel:kAnalysis
REF:kSourceskofkIndividualkVariationkTOP:k NursingkProcess:kImplementati
on
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kReductionkofkRiskkPotential
, Test Bank Lehne's Pharmacology for Nursing Care, 11th Editi
k k k k k k k k
on by Jacqueline Burchum, Laura Rosenthal Chapter 1-
k k k k k k k
112|Complete Guide A+ k k k
Chapter 2: Application of Pharmacology in Nursing Practice
k k k k k k k k
Test Bank
k
MULTIPLEkCHOICE
1. Akpatientkiskusingkakmetered-
dosekinhalerkcontainingkalbuterolkforkasthma.kThekmedicationklabelkinstructskthekpatientktoka
dministerk―2kpuffskeveryk4khourskaskneededkforkcoughingkor
wheezing.‖kThekpatientkreportskfeelingkjitteryksometimeskwhenktakingkthek medication,kandkshekd
oesn‘tkfeelkthatkthekmedicationkiskalwayskeffective.kWhichkisknotkankappropriateknursingkinterve
ntionkforkthiskpatient?
a. Askingkthekpatientktokdemonstratekusekofkthekinhaler
b. Assessingkthekpatient‘skexposurektoktobaccoksmoke
c. Auscultatingklungksoundskandkobtainingkvitalksigns
d. Suggestingkthatkthekpatientkusekonekpuffktokreduceksidekeffects
ANS:k D
Itkisknotkwithinktheknurse‘skscopekofkpracticektokchangekthekdosekofkakmedicationkwithoutkankor
derkfromkakprescriber.kAskingkthekpatientktokdemonstratekinhalerkusekhelpsktheknursektokevalua
tekthekpatient‘skabilityktokadministerkthekmedicationkproperlykandkiskpartkofktheknurse‘skevaluati
on.kAssessingktobaccoksmokekexposurekhelpsktheknursekdeterminekwhetherknondrugktherapies
,ksuchkaksmokekavoidance,kcankbekusedkaskankadjunctktokdrugktherapy.kPerformingkakphysicalkas
sessmentkhelpsktheknursekevaluatekthekpatient‘skresponsektokthekmedication.
DIF: CognitivekLevel:kApplication
REF:kApplyingkthekNursingkProcesskinkDrugkTherapy:kPreadministrationkAssessmentk[andkallk
subsectionskunderkthiskheading] TOP:k NursingkProcess:kImplementation
MSC:k NCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
2. Akpostoperativekpatientkiskbeingkdischargedkhomekwithkacetaminophen/hydrocodonek(Lortab)kf
orkpain.kThekpatientkasksktheknursekaboutkusingkTylenolkforkfever.kWhichkstatementkbyktheknurs
ekiskcorrect?
a. ―Itkisknotksafektoktakekover-the-counterkdrugskwithkprescriptionkmedications.‖
b. ―Takingkthektwokmedicationsktogetherkposeskakriskkofkdrugktoxicity.‖
c. ―Therekareknokknownkdrugkinteractions,ksokthiskwillkbeksafe.‖
d. ―TylenolkandkLortabkarekdifferentkdrugs,ksoktherekisknokriskkofkoverdose.‖
ANS:k B
Tylenolkiskthektradeknamekandkacetaminophenkiskthekgenericknamekforktheksamekmedication.kItkisk
importantktokteachkpatientsktokbekawarekofkthekdifferentknameskforktheksamekdrugktokminimizekthek
riskkofkoverdose.kOver-the-
counterk(OTC)kmedicationskandkprescriptionkmedicationskmaykbektakenktogetherkunlessksignific
antkharmfulkdrugkinteractionskarekpossible.kEvenkthoughknokdrugkinteractionskarekatkplaykinkthiskc
ase,kbothkdrugskcontainkacetaminophen,kwhichkcouldkleadktoktoxicity.
DIF: CognitivekLevel:kApplication
REF:kApplicationkofkPharmacologykinkPatientkEducation:kDosagekandkAdministration
