TEST BANK LEHNE'S PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION BY JACQUELINE BURCHUM, LAURA
ROSENTHAL/ALL CH 1-112|COMPLETE GUIDE 2024-2025
,CH 01: Orientation to Pharmacology
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. The professional nurse is teaching a client how a medication works to treat an illness. To do
this, the professional nursewill rely on knowledge of which topic?
a. Clinical pharmacology
b. Medication efficacy
c. Pharmacokinetics
d. Pharmacotherapeutics
RIGHT CHOICE:- D
Pharmacotherapeutics is the study of the use of medications to diagnose, treat, and prevent
conditions. Clinical pharmacology is concerned with all aspects of medication-human
interactions. Medication efficacy measures the extent to which a given medication causes an
intended effect. Pharmacokinetics is the study of the impact of the body on a medication.
PTS: 1
2. What is a desired outcome when a medication 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 client adherence to the medication regimen.
d. It is usually relatively inexpensive to produce.
RIGHT CHOICE:- C
A major benefit of medications that are easy to administer is that clients taking them are more
likely to comply with the medication regimen. Medications that are easy to give may have the
other attributes listed, but those properties are independent of ease of administration.
PTS: 1
3. A client tells the professional nurse that an analgesic he will begin taking may cause
drowsiness and will decrease pain up to 4 hours at a time. Based on this understanding of the
medication’s effects by theclient, the professional nurse will anticipate which outcome?
a. Decreased chance of having a placebo effect
b. Decreased motivation to take the medication
c. Improved compliance with the medication regimen
d. Increased likelihood of medication overdose
RIGHT CHOICE:- C
A medication is effective if it produces the intended effects, even if it also produces side
effects. Clients who understand both the risks and benefits of taking a medication are more
likely to comply with the medication regimen.
PTS: 1
,MULTIPLE RESPONSE
1. What are considered the ‘Big Three’ properties of an ideal medication? (Select all that apply.)
a. Irreversible action
b. Effectiveness
c. Safety
d. Selectivity
e. A recognizable trade name
RIGHT CHOICE:- B, C, D
The ‘Big Three’ properties of the ideal medication are effectiveness, safety, and
selectivity. PTS: 1
2. Before administering a medication, what does the professional nurse need to know to evaluate
how individualclient variability might affect the client’s response to the medication? (Select all
that apply.)
a. Chemical stability of the medication
b. Ease of administration
c. Family medical history
d. Client’s age
e. Client’s diagnosis
RIGHT CHOICE:- C, D, E
The family medical history can indicate genetic factors that may affect a client’s response to a
medication. Clients of different ages can respond differently to medications. The client’s
illness can affect how medications are metabolized. The chemical stability of the medication
and the ease of administration are properties of medications.
PTS: 1
, CH 02: Application of Pharmacology in Nursing Practice
Burchum: Lehne’s Pharmacology for Nursing Care, 12TH Edition
MULTIPLE CHOICE
1. A client is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the client to administer “2 puffs every 4 hours as needed for coughing or wheezing.”
The client reports feeling jittery sometimes when taking the medication, and doesn’t feel that
the medication is always effective. Which action is outside the professional nurse’s scope of
practice?
a. Asking the client to demonstrate the use of the inhaler
b. Assessing the client’s exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vital signs
d. Suggesting that the client use 1 puff to reduce side effects
RIGHT CHOICE:- D
It is not within the professional nurse’s scope of practice to change the dose of a medication
without an order from a prescriber. Asking the client to demonstrate inhaler use helps the
professional nurse to evaluate the client’s ability to administer the medication properly and is
part of the professional nurse’s evaluation.
Assessing tobacco smoke exposure helps the professional nurse determine whether
nonmedication therapies, such asmoke avoidance, can be used as an adjunct to medication
therapy. Performing a physical assessment helps the professional nurse evaluate the client’s
response to the medication.
PTS: 1
2. A postoperative client is being discharged home with acetaminophen/hydrocodone [Norco] for
pain. The client asks the professional nurse about using Tylenol for fever. Which statement by
the professional nurse is correct?
a. “It is not safe to take over-the-counter medications with prescription medications.”
b. “Taking the two medications together poses a risk of medication toxicity.”
c. “There are no known medication interactions, so this will be safe.”
d. “Tylenol and Norco are different medications, so there is no risk of overdose.”
RIGHT CHOICE:- B
Tylenol is the trade name and acetaminophen is the generic name for the same medication. It is
important to teach clients to be aware of the different names for the same medication to
minimize therisk of overdose. Over-the-counter (OTC) medications and prescription
medications may be taken together unless significant harmful medication interactions are
possible. Even though no medication interactions are at play in this case, both medications
contain acetaminophen, which could lead to toxicity.
PTS: 1
3. The professional nurse is preparing to care for a client who will be taking an antihypertensive
medication. Which action by the professional nurse is part of the assessment step of the
nursing process?
a. Asking the prescriber for an order to monitor serum medication levels
b. Monitoring the client for medication interactions after giving the medication
c. Questioning the client about over-the-counter medications
d. Taking the client’s blood pressure throughout the course of treatment
RIGHT CHOICE:- C
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