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Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
MULTIPLE CHOICE
1. You are assessing the skin of a newly admitted patient and note a 2 inch area of redness at the
sacrum. Which type of data are you collecting with this information?
a. Objective data
b. Inspection
c. Subjective data
d. Alternative therapy
ANS: A
Objective data are obtained by the healthcare provider during physical examination, or that are
measurable (i.e., laboratory results).
DIF: Cognitive Level: Applying REF: p. 3
2. Which part of the nursing process includes setting goals for the nursing care required when
giving drugs to a patient?
a. Assessment
b. Planning
c. Evaluation
d. Diagnosis
ANS: B
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
implementation, evaluation. It is in the planning step that the goals for nursing care related to
drugs are set based upon data collected.
DIF: Cognitive Level: Remembering REF: p. 4
3. When would it be appropriate to withhold a drug instead of giving it to a patient?
a. When the order is written by hand
b. When any part of the drug order is unclear
c. When the drug improves the patient’s symptoms
d. When the order contains both the generic and trade name of the drug
ANS: B
You must use good judgment in carrying out a drug order. If, in your judgment, the order is
unclear, or incorrect, it should be withheld (not given) until your concerns can be answered by
the patient’s healthcare provider.
DIF: Cognitive Level: Applying REF: p. 4
4. Which action would you take to ensure that an order for a drug is accurate?
a. Check the drug record with the Kardex file.
b. Compare the order with the drug history.
c. Compare the order to the patient’s reason for admission.
d. Check the drug record with the original healthcare provider’s order.
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ANS: D
Once the healthcare provider orders the drug, you must verify that the order is accurate. This
is done by checking the drug chart or drug record with the healthcare provider’s original order.
DIF: Cognitive Level: Remembering REF: p. 4
5. What do the nine “rights” of drug administration include?
a. Right patient, drug, dose, route, time, reason, documentation, response, and right to
refuse
b. Right drug, diagnosis, time, patient, route, drug history, documents, and right to
refuse
c. Right drug, amount, route, time, nurse, reason, route, diagnosis, and documentation
d. Right dose, time, healthcare provider, patient, route, documentation, response, and
drug
ANS: A
There are nine “rights” of drug administration: you must identify the right patient, give the
right drug at the right dose, right route, right time, for the right reason, using the right
documentation to record that the dose has been given, monitor the patient for the right
response, and note that the patient has the right to refuse a drug.
DIF: Cognitive Level: Remembering REF: p. 5
6. Which action should you take to ensure that you are giving a drug to the right patient?
a. Verifying the drug record with the patient name on the chart
b. Verifying the patient’s room and bed number with the chart
c. Asking the patient to state his or her birthdate and Social Security number
d. Asking the patient to state their name and birthdate, and then checking the patients
identification bracelet
ANS: D
Before giving any drug, two forms of patient identifications should be used to identify the
correct patient. Each patient should be asked his or her name, and another form of
identification, such as birthdate; then you should check the patient’s identification bracelet.
DIF: Cognitive Level: Applying REF: p. 5
7. Which category of drugs should be given exactly on schedule in order to maintain a consistent
level of the drug in the body?
a. Steroids
b. Diuretics
c. Aspirin products
d. Anticoagulants
ANS: D
Certain drugs must be given at specific time interval (right time). Anticoagulants must be
given at the same time each day to maintain a therapeutic blood level in order to prevent blood
clots.
DIF: Cognitive Level: Applying REF: p. 7
8. Which nursing action is not appropriate when giving drugs to a patient?
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a. Leaving the drug at the patient’s bedside to take when he/she awakens
b. Asking the patient if he or she has any allergies to drugs
c. Checking a drug reference to verify the action of the drug
d. Explaining to the patient the possible side effects of the drug
ANS: A
It is never permissible to leave drugs at the patient’s bedside. As the nurse, you are responsible
for witnessing the patient taking the drug(s), or documentation of the patient’s refusal.
DIF: Cognitive Level: Applying REF: p. 10
9. Which of the following nursing actions is an example of evaluating patient responses to drug
therapy?
a. Documenting the fact that the patient refused the drug
b. Making sure you have assembled all necessary equipment
c. Taking the patient’s blood pressure before giving an antihypertensive
d. Taking the temperature of a patient an hour after giving an antipyretic
ANS: D
Evaluation is the process of determining the right response of the patient to the drug given.
The correct response to an antipyretic is a reduction in fever.
DIF: Cognitive Level: Knowing REF: p. 9
10. Which statement is considered to be an example of objective data gathered in the assessment
of a patient who will be receiving drugs for the treatment of an injury?
a. The patient’s skin is warm and dry to touch.
b. The patient tells you “I have pain in my lower back.”
c. The patient states he is having trouble catching his breath.
d. The patient checks off “no history of drug allergies” on the health form.
ANS: A
Objective data are physical findings the nurse can see during careful inspection, palpation,
percussion, and auscultation.
DIF: Cognitive Level: Knowing REF: p. 3
11. You are interviewing a patient to obtain a current drug history. What information should be
part of this report?
a. The color of each drug in pill form
b. The names and dosages of each drug
c. The major health conditions of the patient
d. The nursing diagnoses that come from the collected information
ANS: B
In the interview to obtain a current and accurate drug history, the names of each drug and, if
possible, the dosage of each drug are recorded.
DIF: Cognitive Level: Applying REF: p. 3
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12. A patient you are caring for is prescribed 30 units of NPH insulin to be given subcutaneously.
You know that insulin is considered a “high-alert drug.” What nursing action would you
perform to give a high-alert drug safely?
a. Call the healthcare provider to double check the order.
b. Ensure an insulin level is drawn before giving the drug.
c. Have another nurse check the order and dosage before giving it.
d. Refuse to give this drug, as it can only be given by a registered nurse.
ANS: C
Many institutions have policies that require two nurses to double check the order and dosages
of high-alert drugs to reduce the risk of error and adverse effects for the patient. This is
especially important if the drug dose needs to be calculated.
DIF: Cognitive Level: Applying REF: p. 8
13. You are about to give the prescribed drugs to a patient in your care. When you approach the
patient with the drugs, the patient refuses to take one of the drugs. What is your best action?
a. Ask the pharmacy if there is a substitute drug for the one the patient refused.
b. Acknowledge to patient’s right to refuse, no other action is needed.
c. Let the patient know the consequences of refusing the drug.
d. Notify the charge nurse or healthcare provider.
ANS: D
Never record drugs that were not given or record them before they are given. If a patient does
not receive the drug for any reason, notify the nurse in charge or the healthcare provider
according to your healthcare setting policies.
DIF: Cognitive Level: Applying REF: p. 8
14. You have given the antibiotic penicillin as prescribed to a patient with no reported drug
allergies. Thirty minutes after receiving the drug, the patient notifies you that he/she has
developed hives and swelling of the lips. What is your best first action?
a. Call the pharmacy and report this as an adverse reaction to the drug.
b. Immediately give epinephrine to counter the drug reaction.
c. Reassure the patient that this is a typical side effect of the drug.
d. Report the findings to the RN or healthcare provider and remain with the patient.
ANS: D
If you suspect the patient is having an adverse effect, such as an allergic reaction, report this
immediately to the RN or healthcare provider. Remain with the patient, monitoring for
changes in breathing or vital signs, until the RN or healthcare provider arrives with additional
orders to be carried out.
DIF: Cognitive Level: Applying REF: p. 9
15. You are working on a very busy 35-bed hospice unit. The RN you are working with just got a
new admission and hands you a syringe with “pain drug” in it. He/she asks you to give this
drug to a specified patient. What is your most appropriate action?
a. Assist the RN by giving the drug as requested for this one time only.
b. Refuse to give a drug that is not for a patient you are assigned to care for.
c. Refuse, but prepare another dose of the drug yourself, and give as prescribed.
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Chapter 01: Pharmacology and the Nursing Process in LPN Practice
Visovsky: Introduction to Clinical Pharmacology, 9th Edition
MULTIPLE CHOICE
1. You are assessing the skin of a newly admitted patient and note a 2 inch area of redness at the
sacrum. Which type of data are you collecting with this information?
a. Objective data
b. Inspection
c. Subjective data
d. Alternative therapy
ANS: A
Objective data are obtained by the healthcare provider during physical examination, or that are
measurable (i.e., laboratory results).
DIF: Cognitive Level: Applying REF: p. 3
2. Which part of the nursing process includes setting goals for the nursing care required when
giving drugs to a patient?
a. Assessment
b. Planning
c. Evaluation
d. Diagnosis
ANS: B
The nursing process consists of five major steps in this order: assessment, diagnosis, planning,
implementation, evaluation. It is in the planning step that the goals for nursing care related to
drugs are set based upon data collected.
DIF: Cognitive Level: Remembering REF: p. 4
3. When would it be appropriate to withhold a drug instead of giving it to a patient?
a. When the order is written by hand
b. When any part of the drug order is unclear
c. When the drug improves the patient’s symptoms
d. When the order contains both the generic and trade name of the drug
ANS: B
You must use good judgment in carrying out a drug order. If, in your judgment, the order is
unclear, or incorrect, it should be withheld (not given) until your concerns can be answered by
the patient’s healthcare provider.
DIF: Cognitive Level: Applying REF: p. 4
4. Which action would you take to ensure that an order for a drug is accurate?
a. Check the drug record with the Kardex file.
b. Compare the order with the drug history.
c. Compare the order to the patient’s reason for admission.
d. Check the drug record with the original healthcare provider’s order.
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ANS: D
Once the healthcare provider orders the drug, you must verify that the order is accurate. This
is done by checking the drug chart or drug record with the healthcare provider’s original order.
DIF: Cognitive Level: Remembering REF: p. 4
5. What do the nine “rights” of drug administration include?
a. Right patient, drug, dose, route, time, reason, documentation, response, and right to
refuse
b. Right drug, diagnosis, time, patient, route, drug history, documents, and right to
refuse
c. Right drug, amount, route, time, nurse, reason, route, diagnosis, and documentation
d. Right dose, time, healthcare provider, patient, route, documentation, response, and
drug
ANS: A
There are nine “rights” of drug administration: you must identify the right patient, give the
right drug at the right dose, right route, right time, for the right reason, using the right
documentation to record that the dose has been given, monitor the patient for the right
response, and note that the patient has the right to refuse a drug.
DIF: Cognitive Level: Remembering REF: p. 5
6. Which action should you take to ensure that you are giving a drug to the right patient?
a. Verifying the drug record with the patient name on the chart
b. Verifying the patient’s room and bed number with the chart
c. Asking the patient to state his or her birthdate and Social Security number
d. Asking the patient to state their name and birthdate, and then checking the patients
identification bracelet
ANS: D
Before giving any drug, two forms of patient identifications should be used to identify the
correct patient. Each patient should be asked his or her name, and another form of
identification, such as birthdate; then you should check the patient’s identification bracelet.
DIF: Cognitive Level: Applying REF: p. 5
7. Which category of drugs should be given exactly on schedule in order to maintain a consistent
level of the drug in the body?
a. Steroids
b. Diuretics
c. Aspirin products
d. Anticoagulants
ANS: D
Certain drugs must be given at specific time interval (right time). Anticoagulants must be
given at the same time each day to maintain a therapeutic blood level in order to prevent blood
clots.
DIF: Cognitive Level: Applying REF: p. 7
8. Which nursing action is not appropriate when giving drugs to a patient?
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a. Leaving the drug at the patient’s bedside to take when he/she awakens
b. Asking the patient if he or she has any allergies to drugs
c. Checking a drug reference to verify the action of the drug
d. Explaining to the patient the possible side effects of the drug
ANS: A
It is never permissible to leave drugs at the patient’s bedside. As the nurse, you are responsible
for witnessing the patient taking the drug(s), or documentation of the patient’s refusal.
DIF: Cognitive Level: Applying REF: p. 10
9. Which of the following nursing actions is an example of evaluating patient responses to drug
therapy?
a. Documenting the fact that the patient refused the drug
b. Making sure you have assembled all necessary equipment
c. Taking the patient’s blood pressure before giving an antihypertensive
d. Taking the temperature of a patient an hour after giving an antipyretic
ANS: D
Evaluation is the process of determining the right response of the patient to the drug given.
The correct response to an antipyretic is a reduction in fever.
DIF: Cognitive Level: Knowing REF: p. 9
10. Which statement is considered to be an example of objective data gathered in the assessment
of a patient who will be receiving drugs for the treatment of an injury?
a. The patient’s skin is warm and dry to touch.
b. The patient tells you “I have pain in my lower back.”
c. The patient states he is having trouble catching his breath.
d. The patient checks off “no history of drug allergies” on the health form.
ANS: A
Objective data are physical findings the nurse can see during careful inspection, palpation,
percussion, and auscultation.
DIF: Cognitive Level: Knowing REF: p. 3
11. You are interviewing a patient to obtain a current drug history. What information should be
part of this report?
a. The color of each drug in pill form
b. The names and dosages of each drug
c. The major health conditions of the patient
d. The nursing diagnoses that come from the collected information
ANS: B
In the interview to obtain a current and accurate drug history, the names of each drug and, if
possible, the dosage of each drug are recorded.
DIF: Cognitive Level: Applying REF: p. 3
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12. A patient you are caring for is prescribed 30 units of NPH insulin to be given subcutaneously.
You know that insulin is considered a “high-alert drug.” What nursing action would you
perform to give a high-alert drug safely?
a. Call the healthcare provider to double check the order.
b. Ensure an insulin level is drawn before giving the drug.
c. Have another nurse check the order and dosage before giving it.
d. Refuse to give this drug, as it can only be given by a registered nurse.
ANS: C
Many institutions have policies that require two nurses to double check the order and dosages
of high-alert drugs to reduce the risk of error and adverse effects for the patient. This is
especially important if the drug dose needs to be calculated.
DIF: Cognitive Level: Applying REF: p. 8
13. You are about to give the prescribed drugs to a patient in your care. When you approach the
patient with the drugs, the patient refuses to take one of the drugs. What is your best action?
a. Ask the pharmacy if there is a substitute drug for the one the patient refused.
b. Acknowledge to patient’s right to refuse, no other action is needed.
c. Let the patient know the consequences of refusing the drug.
d. Notify the charge nurse or healthcare provider.
ANS: D
Never record drugs that were not given or record them before they are given. If a patient does
not receive the drug for any reason, notify the nurse in charge or the healthcare provider
according to your healthcare setting policies.
DIF: Cognitive Level: Applying REF: p. 8
14. You have given the antibiotic penicillin as prescribed to a patient with no reported drug
allergies. Thirty minutes after receiving the drug, the patient notifies you that he/she has
developed hives and swelling of the lips. What is your best first action?
a. Call the pharmacy and report this as an adverse reaction to the drug.
b. Immediately give epinephrine to counter the drug reaction.
c. Reassure the patient that this is a typical side effect of the drug.
d. Report the findings to the RN or healthcare provider and remain with the patient.
ANS: D
If you suspect the patient is having an adverse effect, such as an allergic reaction, report this
immediately to the RN or healthcare provider. Remain with the patient, monitoring for
changes in breathing or vital signs, until the RN or healthcare provider arrives with additional
orders to be carried out.
DIF: Cognitive Level: Applying REF: p. 9
15. You are working on a very busy 35-bed hospice unit. The RN you are working with just got a
new admission and hands you a syringe with “pain drug” in it. He/she asks you to give this
drug to a specified patient. What is your most appropriate action?
a. Assist the RN by giving the drug as requested for this one time only.
b. Refuse to give a drug that is not for a patient you are assigned to care for.
c. Refuse, but prepare another dose of the drug yourself, and give as prescribed.
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