Focus on Nursing Pharmacology 8th Edition Karch Test Bank ALL
Chapters Covered 2022
Chapter 1: Orientation to Pharmacology
Test Bank
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To
do this, the nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
, 2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
3. A patient tells the nurse that he was told by the prescriber that the analgesiche
is taking is very effective. Which statement by the patient demonstrates an
understanding of the drug’s effectiveness?
“I don’t have to worry about toxicity, since it takes a large amount of this drug to cause
a. an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
,b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
2. Before administering a medication, what does the nurse need to know to
evaluate how individual patient variability might affect the patient’s response to
the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer “2 puffs every 4 hours
as needed for coughing or wheezing.” The patient reports feeling jittery
sometimes when taking the medication, and she doesn’t feel that the
medication is always effective. Which is not an appropriate nursing intervention
for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
, d. Suggesting that the patient use one puff to reduce side effects
2. A postoperative patient is being discharged home with
acetaminophen/hydrocodone (Lortab) for pain. The patient asks the nurse about
using Tylenol for fever. Which statement by the nurse is correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
b. “Taking the two medications together poses a risk of drug toxicity.”
c. “There are no known drug interactions, so this will be safe.”
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
3. The nurse is preparing to care for a patient who will be taking an
antihypertensive medication. Which action by the nurse is part of the
assessment step of the nursing process?
a. Asking the prescriber for an order to monitor serum drug levels
b. Monitoring the patient for drug interactions after giving the medication
c. Questioning the patient about over-the-counter medications
d. Taking the patient’s blood pressure throughout the course of treatment
Chapters Covered 2022
Chapter 1: Orientation to Pharmacology
Test Bank
MULTIPLE CHOICE
1. The nurse is teaching a patient how a medication works to treat an illness. To
do this, the nurse will rely on knowledge of:
a. clinical pharmacology.
b. drug efficacy.
c. pharmacokinetics.
d. pharmacotherapeutics.
, 2. What does it mean when a drug is described as easy to administer?
a. It can be stored indefinitely without need for refrigeration.
b. It does not interact significantly with other medications.
c. It enhances patient adherence to the drug regimen.
d. It is usually relatively inexpensive to produce.
3. A patient tells the nurse that he was told by the prescriber that the analgesiche
is taking is very effective. Which statement by the patient demonstrates an
understanding of the drug’s effectiveness?
“I don’t have to worry about toxicity, since it takes a large amount of this drug to cause
a. an overdose.”
b. “It has no side effects and doesn’t interact with other drugs.”
c. “I only have to take it every 12 hours.”
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
MULTIPLE RESPONSE
1. What are the properties of an ideal drug? (Select all that apply.)
a. Irreversible action
,b. Predictability
c. Ease of administration
d. Chemical stability
e. A simple trade name
2. Before administering a medication, what does the nurse need to know to
evaluate how individual patient variability might affect the patient’s response to
the medication? (Select all that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Patient’s age
e. Patient’s diagnosis
Chapter 2: Application of Pharmacology in Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer “2 puffs every 4 hours
as needed for coughing or wheezing.” The patient reports feeling jittery
sometimes when taking the medication, and she doesn’t feel that the
medication is always effective. Which is not an appropriate nursing intervention
for this patient?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
, d. Suggesting that the patient use one puff to reduce side effects
2. A postoperative patient is being discharged home with
acetaminophen/hydrocodone (Lortab) for pain. The patient asks the nurse about
using Tylenol for fever. Which statement by the nurse is correct?
a. “It is not safe to take over-the-counter drugs with prescription medications.”
b. “Taking the two medications together poses a risk of drug toxicity.”
c. “There are no known drug interactions, so this will be safe.”
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
3. The nurse is preparing to care for a patient who will be taking an
antihypertensive medication. Which action by the nurse is part of the
assessment step of the nursing process?
a. Asking the prescriber for an order to monitor serum drug levels
b. Monitoring the patient for drug interactions after giving the medication
c. Questioning the patient about over-the-counter medications
d. Taking the patient’s blood pressure throughout the course of treatment
