,Chapter 1: Orientation to Pharmacology
vv vv vv vv
Test Bank
vv vv
MULTIPLE CHOICE vv
1. The nurse is teaching a patient how a medication works to treat an illness. To do
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this, the nurse will rely on knowledge of:
vv vv vv vv vv vv vv vv
a. clinical pharmacology. vv
b. drug efficacy. vv
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: v v D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent vv vv vv vv vv vv vv vv vv vv vv vv vv
conditions. Clinical pharmacology is concerned with all aspects of drug–human
vv vv vv vv vv vv vv vv vv vv
interactions. Drug efficacy measures the extent to which a given drug causes an
vv vv vv vv vv vv vv vv vv vv vv vv vv
intended effect.
vv vv
Pharmacokinetics is the study of the impact of the body on a drug. vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Comprehension REF: Four Basic vv vv v v vv
Terms TOP:
vv Nursing Process: Implementation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. What vv does it mean when a drug is described as easy to administer?
vv vv vv vv vv vv vv vv vv vv vv
a. It vv can be stored indefinitely without need for refrigeration.
vv vv vv vv vv vv vv
b. It vv does not interact significantly with other medications.
vv vv vv vv vv vv
c. It vv enhances patient adherence to the drug regimen.
vv vv vv vv vv vv
d. It vv is usually relatively inexpensive to produce.
vv vv vv vv vv
ANS: v v C
A major benefit of drugs that are easy to administer is that patients taking them are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
more likely to comply with the drug regimen. Drugs that are easy to give may have
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the other attributes listed, but those properties are independent of ease of
vv vv vv vv vv vv vv vv vv vv vv vv
administration.
vv
DIF: Cognitive Level: Comprehension vv vv
REF: Additional Properties of an Ideal Drug: Ease of
v v vv vv vv vv vv vv vv
Administration TOP:
vv Nursing Process: Assessment vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
taking is very effective. Which statement by the patient demonstrates an
vv vv vv vv vv vv vv vv vv vv vv
understanding of the drug’s effectiveness?
vv vv vv vv vv
a. “I don’t have to worry about toxicity, since it takes a large amount of this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
drug to cause an overdose.”
vv vv vv vv vv
b. “It has no side effects and doesn’t interact with other drugs.”
vv vv vv vv vv vv vv vv vv vv
c. “I only have to take it every 12 hours.”
vv vv vv vv vv vv vv vv
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS: v v D
, A drug is effective if it produces the intended effects, even if it also produces side
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effects. Because no drug is completely safe, the level of toxicity does not determine
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effectiveness. All drugs have side effects and many react with other substances; these
vv vv vv vv vv vv vv vv vv vv vv vv vv
do not affect the drug’s effectiveness. Ease of administration is independent of a drug’s
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effectiveness.
vv
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal vv vv v v vv vv vv
Drug TOP:
vv Nursing Process: Evaluation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
MULTIPLE RESPONSE vv
1. What are the properties of an ideal drug? (Select all that apply.)
vv vv vv vv vv vv vv vv vv vv vv
a. Irreversible action vv
b. Predictability
c. Ease of administration vv vv
d. Chemical stability vv
e. A simple trade name
vv vv vv
ANS: v v B, C, D vv vv
In addition to predictability, ease of administration, and chemical stability, other
vv vv vv vv vv vv vv vv vv vv
properties include a reversible action so that any harm the drug may cause can be
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
undone and a simple generic name, because generic names are usually complex and
vv vv vv vv vv vv vv vv vv vv vv vv vv
difficult to remember and pronounce.
vv vv vv vv vv
DIF: Cognitive Level: Comprehension vv vv
REF: Properties of an Ideal Drug | Additional Properties of an
v v vv vv vv vv vv vv vv vv vv
Ideal Drug TOP:
vv vv Nursing Process: Assessment
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. Before administering a medication, what does the nurse need to know to evaluate how
vv vv vv vv vv vv vv vv vv vv vv vv vv
individual patient variability might affect the patient’s response to the medication?
vv vv vv vv vv vv vv vv vv vv vv
(Select all that apply.)
vv vv vv vv
a. Chemical stability of the medication vv vv vv vv
b. Ease of administration vv vv
c. Family medical history vv vv
d. Patient’s age vv
e. Patient’s diagnosis vv
ANS: v v C, D, E vv vv
The family medical history can indicate genetic factors that may affect a patient’s
vv vv vv vv vv vv vv vv vv vv vv vv
response to a medication. Patients of different ages can respond differently to
vv vv vv vv vv vv vv vv vv vv vv vv
medications. The patient’s illness can affect how drugs are metabolized. The chemical
vv vv vv vv vv vv vv vv vv vv vv vv
stability of the medication and the ease of administration are properties of drugs.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analysis REF: Sources of Individual
vv vv v v vv vv
Variation TOP:
vv Nursing Process: Implementation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v vv vv vv vv vv vv vv vv vv
, Chapter 2: Application of Pharmacology in Nursing
vv vv vv vv vv vv
Practice Test Bank
vv vv vv
MULTIPLE CHOICE vv
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The
vv vv vv vv vv vv vv vv vv vv vv
medication label instructs the patient to administer “2 puffs every 4 hours as needed
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
for coughing or wheezing.” The patient reports feeling jittery sometimes when taking
vv vv vv vv vv vv vv vv vv vv vv vv
the medication, and she doesn’t feel that the medication is always effective. Which is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
not an appropriate nursing intervention for this patient?
vv vv vv vv vv vv vv vv
a. Asking the patient to demonstrate use of the inhaler
vv vv vv vv vv vv vv vv
b. Assessing the patient’s exposure to tobacco smoke vv vv vv vv vv vv
c. Auscultating lung sounds and obtaining vital signs vv vv vv vv vv vv
d. Suggesting that the patient use one puff to reduce side effects vv vv vv vv vv vv vv vv vv vv
ANS: v v D
It is not within the nurse’s scope of practice to change the dose of a medication
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
without an order from a prescriber. Asking the patient to demonstrate inhaler use helps
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the nurse to evaluate the patient’s ability to administer the medication properly and is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
part of the nurse’s evaluation. Assessing tobacco smoke exposure helps the nurse
vv vv vv vv vv vv vv vv vv vv vv vv
determine whether nondrug therapies, such a smoke avoidance, can be used as an
vv vv vv vv vv vv vv vv vv vv vv vv vv
adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the
vv vv vv vv vv vv vv vv vv vv vv vv vv
patient’s response to the medication.
vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment
v v vv vv vv vv vv vv vv vv
[and all subsections under this heading] TOP:
vv vv vv Nursing Process: Implementation vv vv vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
vv vv vv vv vv vv vv vv
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
statement by the nurse is correct?
vv vv vv vv vv vv
a. “It is not safe to take over-the-counter drugs with prescription medications.”
vv vv vv vv vv vv vv vv vv vv
b. “Taking the two medications together poses a risk of drug toxicity.”
vv vv vv vv vv vv vv vv vv vv
c. “There are no known drug interactions, so this will be safe.”
vv vv vv vv vv vv vv vv vv vv
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
vv vv vv vv vv vv vv vv vv vv vv vv
ANS: v v B
Tylenol is the trade name and acetaminophen is the generic name for the same
vv vv vv vv vv vv vv vv vv vv vv vv vv
medication. It is important to teach patients to be aware of the different names for the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
same drug to minimize the risk of overdose. Over-the-counter (OTC) medications and
vv vv vv vv vv vv vv vv vv vv vv vv
prescription medications may be taken together unless significant harmful drug
vv vv vv vv vv vv vv vv vv vv
interactions are possible. Even though no drug interactions are at play in this case, both
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
drugs contain acetaminophen, which could lead to toxicity.
vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
REF: Application of Pharmacology in Patient Education: Dosage and
v v vv vv vv vv vv vv vv
Administration TOP:
vv Nursing Process: Implementation vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v vv vv vv vv vv vv vv vv vv
vv vv vv vv
Test Bank
vv vv
MULTIPLE CHOICE vv
1. The nurse is teaching a patient how a medication works to treat an illness. To do
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this, the nurse will rely on knowledge of:
vv vv vv vv vv vv vv vv
a. clinical pharmacology. vv
b. drug efficacy. vv
c. pharmacokinetics.
d. pharmacotherapeutics.
ANS: v v D
Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent vv vv vv vv vv vv vv vv vv vv vv vv vv
conditions. Clinical pharmacology is concerned with all aspects of drug–human
vv vv vv vv vv vv vv vv vv vv
interactions. Drug efficacy measures the extent to which a given drug causes an
vv vv vv vv vv vv vv vv vv vv vv vv vv
intended effect.
vv vv
Pharmacokinetics is the study of the impact of the body on a drug. vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Comprehension REF: Four Basic vv vv v v vv
Terms TOP:
vv Nursing Process: Implementation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. What vv does it mean when a drug is described as easy to administer?
vv vv vv vv vv vv vv vv vv vv vv
a. It vv can be stored indefinitely without need for refrigeration.
vv vv vv vv vv vv vv
b. It vv does not interact significantly with other medications.
vv vv vv vv vv vv
c. It vv enhances patient adherence to the drug regimen.
vv vv vv vv vv vv
d. It vv is usually relatively inexpensive to produce.
vv vv vv vv vv
ANS: v v C
A major benefit of drugs that are easy to administer is that patients taking them are
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
more likely to comply with the drug regimen. Drugs that are easy to give may have
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the other attributes listed, but those properties are independent of ease of
vv vv vv vv vv vv vv vv vv vv vv vv
administration.
vv
DIF: Cognitive Level: Comprehension vv vv
REF: Additional Properties of an Ideal Drug: Ease of
v v vv vv vv vv vv vv vv
Administration TOP:
vv Nursing Process: Assessment vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
3. A patient tells the nurse that he was told by the prescriber that the analgesic he is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
taking is very effective. Which statement by the patient demonstrates an
vv vv vv vv vv vv vv vv vv vv vv
understanding of the drug’s effectiveness?
vv vv vv vv vv
a. “I don’t have to worry about toxicity, since it takes a large amount of this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
drug to cause an overdose.”
vv vv vv vv vv
b. “It has no side effects and doesn’t interact with other drugs.”
vv vv vv vv vv vv vv vv vv vv
c. “I only have to take it every 12 hours.”
vv vv vv vv vv vv vv vv
d. “It might make me sleepy, and it lessens pain for several hours at a time.”
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ANS: v v D
, A drug is effective if it produces the intended effects, even if it also produces side
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effects. Because no drug is completely safe, the level of toxicity does not determine
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effectiveness. All drugs have side effects and many react with other substances; these
vv vv vv vv vv vv vv vv vv vv vv vv vv
do not affect the drug’s effectiveness. Ease of administration is independent of a drug’s
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effectiveness.
vv
DIF: Cognitive Level: Comprehension REF: Properties of an Ideal vv vv v v vv vv vv
Drug TOP:
vv Nursing Process: Evaluation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
MULTIPLE RESPONSE vv
1. What are the properties of an ideal drug? (Select all that apply.)
vv vv vv vv vv vv vv vv vv vv vv
a. Irreversible action vv
b. Predictability
c. Ease of administration vv vv
d. Chemical stability vv
e. A simple trade name
vv vv vv
ANS: v v B, C, D vv vv
In addition to predictability, ease of administration, and chemical stability, other
vv vv vv vv vv vv vv vv vv vv
properties include a reversible action so that any harm the drug may cause can be
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
undone and a simple generic name, because generic names are usually complex and
vv vv vv vv vv vv vv vv vv vv vv vv vv
difficult to remember and pronounce.
vv vv vv vv vv
DIF: Cognitive Level: Comprehension vv vv
REF: Properties of an Ideal Drug | Additional Properties of an
v v vv vv vv vv vv vv vv vv vv
Ideal Drug TOP:
vv vv Nursing Process: Assessment
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. Before administering a medication, what does the nurse need to know to evaluate how
vv vv vv vv vv vv vv vv vv vv vv vv vv
individual patient variability might affect the patient’s response to the medication?
vv vv vv vv vv vv vv vv vv vv vv
(Select all that apply.)
vv vv vv vv
a. Chemical stability of the medication vv vv vv vv
b. Ease of administration vv vv
c. Family medical history vv vv
d. Patient’s age vv
e. Patient’s diagnosis vv
ANS: v v C, D, E vv vv
The family medical history can indicate genetic factors that may affect a patient’s
vv vv vv vv vv vv vv vv vv vv vv vv
response to a medication. Patients of different ages can respond differently to
vv vv vv vv vv vv vv vv vv vv vv vv
medications. The patient’s illness can affect how drugs are metabolized. The chemical
vv vv vv vv vv vv vv vv vv vv vv vv
stability of the medication and the ease of administration are properties of drugs.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analysis REF: Sources of Individual
vv vv v v vv vv
Variation TOP:
vv Nursing Process: Implementation
vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v vv vv vv vv vv vv vv vv vv
, Chapter 2: Application of Pharmacology in Nursing
vv vv vv vv vv vv
Practice Test Bank
vv vv vv
MULTIPLE CHOICE vv
1. A patient is using a metered-dose inhaler containing albuterol for asthma. The
vv vv vv vv vv vv vv vv vv vv vv
medication label instructs the patient to administer “2 puffs every 4 hours as needed
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
for coughing or wheezing.” The patient reports feeling jittery sometimes when taking
vv vv vv vv vv vv vv vv vv vv vv vv
the medication, and she doesn’t feel that the medication is always effective. Which is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
not an appropriate nursing intervention for this patient?
vv vv vv vv vv vv vv vv
a. Asking the patient to demonstrate use of the inhaler
vv vv vv vv vv vv vv vv
b. Assessing the patient’s exposure to tobacco smoke vv vv vv vv vv vv
c. Auscultating lung sounds and obtaining vital signs vv vv vv vv vv vv
d. Suggesting that the patient use one puff to reduce side effects vv vv vv vv vv vv vv vv vv vv
ANS: v v D
It is not within the nurse’s scope of practice to change the dose of a medication
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
without an order from a prescriber. Asking the patient to demonstrate inhaler use helps
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the nurse to evaluate the patient’s ability to administer the medication properly and is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
part of the nurse’s evaluation. Assessing tobacco smoke exposure helps the nurse
vv vv vv vv vv vv vv vv vv vv vv vv
determine whether nondrug therapies, such a smoke avoidance, can be used as an
vv vv vv vv vv vv vv vv vv vv vv vv vv
adjunct to drug therapy. Performing a physical assessment helps the nurse evaluate the
vv vv vv vv vv vv vv vv vv vv vv vv vv
patient’s response to the medication.
vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
REF: Applying the Nursing Process in Drug Therapy: Preadministration Assessment
v v vv vv vv vv vv vv vv vv
[and all subsections under this heading] TOP:
vv vv vv Nursing Process: Implementation vv vv vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
v v vv vv vv vv vv vv vv vv vv
2. A postoperative patient is being discharged home with acetaminophen/hydrocodone
vv vv vv vv vv vv vv vv
(Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
statement by the nurse is correct?
vv vv vv vv vv vv
a. “It is not safe to take over-the-counter drugs with prescription medications.”
vv vv vv vv vv vv vv vv vv vv
b. “Taking the two medications together poses a risk of drug toxicity.”
vv vv vv vv vv vv vv vv vv vv
c. “There are no known drug interactions, so this will be safe.”
vv vv vv vv vv vv vv vv vv vv
d. “Tylenol and Lortab are different drugs, so there is no risk of overdose.”
vv vv vv vv vv vv vv vv vv vv vv vv
ANS: v v B
Tylenol is the trade name and acetaminophen is the generic name for the same
vv vv vv vv vv vv vv vv vv vv vv vv vv
medication. It is important to teach patients to be aware of the different names for the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
same drug to minimize the risk of overdose. Over-the-counter (OTC) medications and
vv vv vv vv vv vv vv vv vv vv vv vv
prescription medications may be taken together unless significant harmful drug
vv vv vv vv vv vv vv vv vv vv
interactions are possible. Even though no drug interactions are at play in this case, both
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
drugs contain acetaminophen, which could lead to toxicity.
vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
REF: Application of Pharmacology in Patient Education: Dosage and
v v vv vv vv vv vv vv vv
Administration TOP:
vv Nursing Process: Implementation vv v v vv vv
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
v v vv vv vv vv vv vv vv vv vv
