TEST BANK
LEHNE’S PHARMACOLOGY
FOR NURSING CARE
,Table Of Contents
Chapter 1: Orientation To PharmacologyTest Bank ....................................................................................................................5
Chapter 2: Application Of Pharmacology In Nursing PracticeTest Bank ...................................................................................8
Chapter 3: Drug Regulation, Development, Names, And InformationTest Bank .....................................................................16
Chapter 4: PharmacokineticsTest Bank .....................................................................................................................................21
Chapter 5: PharmacodynamicsTest Bank ..................................................................................................................................32
Chapter 6: Drug InteractionsTest Bank .....................................................................................................................................37
Chapter 7: Adverse Drug Reactions And Medication ErrorsTest Bank ....................................................................................49
Chapter 8: Individual Variation In Drug ResponsesTest Bank..................................................................................................59
Chapter 9: Drug Therapy During Pregnancy And Breast-FeedingTest Bank ...........................................................................67
Chapter 10: Drug Therapy In Pediatric PatientsTest Bank ........................................................................................................77
Chapter 11: Drug Therapy In Geriatric PatientsTest Bank ........................................................................................................84
Chapter 12: Basic Principles Of NeuropharmacologyTest Bank ...............................................................................................93
Chapter 13: Physiology Of The Peripheral Nervous SystemTest Bank ..................................................................................101
Chapter 14: Muscarinic Agonists And AntagonistsTest Bank ................................................................................................110
Chapter 15: Cholinesterase Inhibitors And Their Use In Myasthenia GravisTest Bank .........................................................118
Chapter 16: Drugs That Block Nicotinic Cholinergic Transmission: NeuromuscularBlocking Agents And Ganglionic
Blocking Agents .....................................................................................................................................................................124
Chapter 17: Adrenergic AgonistsTest Bank ............................................................................................................................132
Chapter 18: Adrenergic AntagonistsTest Bank .......................................................................................................................141
Chapter 19: Indirect-Acting Antiadrenergic AgentsTest Bank ...............................................................................................152
Chapter 20: Introduction To Central Nervous System PharmacologyTest Bank ....................................................................161
Chapter 21: Drugs For Parkinson’s DiseaseTest Bank ............................................................................................................166
Chapter 22: Alzheimer’s DiseaseTest Bank ............................................................................................................................179
Chapter 23: Drugs For Multiple SclerosisTest Bank ...............................................................................................................187
Chapter 24: Drugs For EpilepsyTest Bank ..............................................................................................................................197
Chapter 25: Drugs For Muscle Spasm And SpasticityTest Bank ............................................................................................212
Chapter 26: Local AnestheticsTest Bank.................................................................................................................................220
Chapter 27: General AnestheticsTest Bank .............................................................................................................................228
Chapter 28: Opioid (Narcotic) Analgesics, Opioid Antagonists, And NonopioidCentrally Acting Analgesics ......................239
Chapter 29: Pain Management In Patients With CancerTest Bank .........................................................................................253
Chapter 30: Drugs For HeadacheTest Bank ............................................................................................................................269
Chapter 31: Antipsychotic Agents And Their Use In SchizophreniaTest Bank ......................................................................277
Chapter 32: AntidepressantsTest Bank ....................................................................................................................................289
Chapter 33: Drugs For Bipolar DisorderTest Bank .................................................................................................................303
Chapter 34: Sedative-Hypnotic DrugsTest Bank .....................................................................................................................314
Chapter 35: Management Of Anxiety DisordersTest Bank .....................................................................................................329
Chapter 36: Central Nervous System Stimulants And Attention-Deficit/HyperactivityDisorder ...........................................336
Chapter 37: Drug Abuse I: Basic ConsiderationsTest Bank ....................................................................................................346
Chapter 38: Drug Abuse II: AlcoholTest Bank .......................................................................................................................353
Chapter 39: Drug Abuse III: Nicotine And SmokingTest Bank ..............................................................................................369
,Chapter 40: Drug Abuse IV: Major Drugs Of Abuse Other Than Alcohol And NicotineTest Bank ......................................378
Chapter 41: DiureticsTest Bank...............................................................................................................................................393
Chapter 42: Agents Affecting The Volume And Ion Content Of Body FluidsTest Bank .......................................................403
Chapter 43: Review Of HemodynamicsTest Bank ..................................................................................................................418
Chapter 44: Drugs Acting On The Renin-Angiotensin-Aldosterone SystemTest Bank ..........................................................423
Chapter 45: Calcium Channel BlockersTest Bank ..................................................................................................................433
Chapter 46: VasodilatorsTest Bank .........................................................................................................................................439
Chapter 47: Drugs For HypertensionTest Bank ......................................................................................................................447
Chapter 48: Drugs For Heart FailureTest Bank .......................................................................................................................461
Chapter 49: Antidysrhythmic DrugsTest Bank........................................................................................................................476
Chapter 50: Prophylaxis Of Coronary Heart Disease: Drugs That Help NormalizeCholesterol And Triglyceride Levels .....493
Chapter 51: Drugs For Angina PectorisTest Bank ..................................................................................................................508
Chapter 52: Anticoagulant, Antiplatelet, And Thrombolytic DrugsTest Bank........................................................................522
Chapter 53: Management Of ST-Elevation Myocardial InfarctionTest Bank .........................................................................537
Chapter 54: Drugs For HemophiliaTest Bank .........................................................................................................................545
Chapter 55: Drugs For Deficiency AnemiasTest Bank ...........................................................................................................555
Chapter 56: Hematopoietic AgentsTest Bank..........................................................................................................................567
Chapter 57: Drugs For Diabetes MellitusTest Bank ................................................................................................................575
Chapter 58: Drugs For Thyroid DisordersTest Bank...............................................................................................................588
Chapter 59: Drugs Related To Hypothalamic And Pituitary FunctionTest Bank ....................................................................599
Chapter 60: Drugs For Disorders Of The Adrenal CortexTest Bank.......................................................................................610
Chapter 61: Estrogens And Progestins: Basic Pharmacology And NoncontraceptiveApplications ........................................620
Chapter 62: Birth ControlTest Bank ........................................................................................................................................628
Chapter 63: Drug Therapy Of InfertilityTest Bank .................................................................................................................640
Chapter 64: Drugs That Affect Uterine FunctionTest Bank ....................................................................................................650
Chapter 65: AndrogensTest Bank ............................................................................................................................................658
Chapter 66: Drugs For Erectile Dysfunction And Benign Prostatic HyperplasiaTest Bank ...................................................668
Chapter 67: Review Of The Immune SystemTest Bank .........................................................................................................676
Chapter 68: Childhood ImmunizationTest Bank .....................................................................................................................686
Chapter 69: ImmunosuppressantsTest Bank ............................................................................................................................702
Chapter 70: AntihistaminesTest Bank .....................................................................................................................................712
Chapter 71: Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs AndAcetaminophen .................................724
Chapter 72: Glucocorticoids In Nonendocrine DisordersTest Bank .......................................................................................736
Chapter 73: Drug Therapy Of Rheumatoid ArthritisTest Bank ...............................................................................................749
Chapter 74: Drug Therapy Of GoutTest Bank ........................................................................................................................758
Chapter 75: Drugs Affecting Calcium Levels And Bone MineralizationTest Bank................................................................765
Chapter 76: Drugs For AsthmaTest Bank ...............................................................................................................................779
Chapter 77: Drugs For Allergic Rhinitis, Cough, And ColdsTest Bank ..................................................................................793
Chapter 78: Drugs For Peptic Ulcer DiseaseTest Bank ...........................................................................................................805
Chapter 79: LaxativesTest Bank .............................................................................................................................................815
Chapter 80: Other Gastrointestinal DrugsTest Bank ...............................................................................................................827
,Chapter 81: VitaminsTest Bank...............................................................................................................................................845
Chapter 82: Drugs For Weight LossTest Bank........................................................................................................................860
Chapter 83: Basic Principles Of Antimicrobial TherapyTest Bank.........................................................................................872
Chapter 84: Drugs That Weaken The Bacterial Cell Wall I: PenicillinsTest Bank .................................................................884
Chapter 85: Drugs That Weaken The Bacterial Cell Wall II: Cephalosporins, Carbapenems, Vancomycin, Telavancin,
Aztreonam, Teicoplanin, And FosfomycinTest Bank .............................................................................................................897
Chapter 86: Bacteriostatic Inhibitors Of Protein Synthesis: Tetracyclines, Macrolides,And Others ......................................907
Chapter 87: Aminoglycosides: Bactericidal Inhibitors Of Protein SynthesisTest Bank ..........................................................923
Chapter 88: Sulfonamides And TrimethoprimTest Bank ........................................................................................................939
Chapter 89: Drug Therapy Of Urinary Tract InfectionsTest Bank ..........................................................................................950
Chapter 90: Antimycobacterial Agents: Drugs For Tuberculosis, Leprosy, AndMycobacterium Avium Complex Infection 961
Chapter 91: Miscellaneous Antibacterial Drugs: Fluoroquinolones, Metronidazole,Daptomycin, Rifampin, Rifaximin,
Bacitracin, And Polymyxins ...................................................................................................................................................979
Chapter 92: Antifungal AgentsTest Bank ................................................................................................................................986
Chapter 93: Antiviral Agents I: Drugs For Non-HIV Viral InfectionsTest Bank .................................................................1004
Chapter 94: Antiviral Agents II: Drugs For HIV Infection And Related OpportunisticInfections ........................................1016
Chapter 95: Drug Therapy Of Sexually Transmitted DiseasesTest Bank..............................................................................1030
Chapter 96: Antiseptics And DisinfectantsTest Bank ...........................................................................................................1041
Chapter 97: AnthelminticsTest Bank .....................................................................................................................................1049
Chapter 98: Antiprotozoal Drugs I: Antimalarial AgentsTest Bank ......................................................................................1056
Chapter 99: Antiprotozoal Drugs II: Miscellaneous AgentsTest Bank .................................................................................1066
Chapter 100: EctoparasiticidesTest Bank ..............................................................................................................................1074
Chapter 101: Basic Principles Of Cancer ChemotherapyTest Bank ......................................................................................1083
Chapter 102: Anticancer Drugs I: Cytotoxic AgentsTest Bank .............................................................................................1093
Chapter 103: Anticancer Drugs II: Hormonal Agents, Targeted Drugs, And OtherNoncytotoxic Anticancer Drugs ...........1107
Chapter 104: Drugs For The EyeTest Bank ..........................................................................................................................1119
Chapter 105: Drugs For The SkinTest Bank .........................................................................................................................1131
Chapter 106: Drugs For The EarTest Bank ...........................................................................................................................1146
Chapter 107: Miscellaneous Noteworthy DrugsTest Bank ...................................................................................................1156
Chapter 108: Dietary SupplementsTest Bank ........................................................................................................................1164
Chapter 109: Management Of PoisoningTest Bank ..............................................................................................................1172
Chapter 110: Potential Weapons Of Biologic, Radiologic, And Chemical TerrorismTest Bank ..........................................1179
,Chapter 1: Orientation To
PharmacologyTest Bank
MULTIPLE CHOICE
1. The Nurse Is Teaching A Patient How A Medication Works To Treat An Illness. To Do
This, TheNurse Will Rely On Knowledge Of:
a. Clinical Pharmacology.
b. Drug Efficacy.
c. Pharmacokinetics.
d. Pharmacotherapeutics.
ANSWER: D
Pharmacotherapeutics Is The Study Of The Use Of Drugs To Diagnose, Treat, And Prevent
Conditions. Clinical Pharmacology Is Concerned With All Aspects Of Drug–Human
Interactions.Drug Efficacy Measures The Extent To Which A Given Drug Causes An
Intended Effect.
Pharmacokinetics Is The Study Of The Impact Of The Body On A Drug.
DIFFICULTY: Cognitive Level:
Comprehension REF: Four Basic Terms
TOP: NURSING PROCESS: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
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.
ANSWER: C
A Major Benefit Of Drugs That Are Easy To Administer Is That Patients Taking Them
Are MoreLikely To Comply With The Drug Regimen. Drugs That Are Easy To Give
May Have The Other Attributes Listed, But Those Properties Are Independent Of Ease
Of Administration.
DIFFICULTY: Cognitive Level: Comprehension
REF: Additional Properties Of An Ideal Drug: Ease Of
AdministrationTOP: NURSING PROCESS: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
3. A Patient Tells The Nurse That He Was Told By The Prescriber That The Analgesic He Is
Taking Is Very Effective. Which Statement By The Patient Demonstrates An
Understanding Of The Drug‘SEffectiveness?
a. ―I Don‘T Have To Worry About Toxicity, Since It Takes A Large Amount Of
This Drug ToCause 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.‖
,ANSWER: D
, A Drug Is Effective If It Produces The Intended Effects, Even If It Also Produces Side
Effects. Because No Drug Is Completely Safe, The Level Of Toxicity Does Not Determine
Effectiveness. AllDrugs Have Side Effects And Many React With Other Substances; These
Do Not Affect The Drug‘S Effectiveness. Ease Of Administration Is Independent Of A
Drug‘S Effectiveness.
DIFFICULTY: Cognitive Level:
Comprehension REF: Properties Of An Ideal
DrugTOP: NURSING PROCESS: Evaluation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
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
ANSWER: B, C, D
In Addition To Predictability, Ease Of Administration, And Chemical Stability, Other
Properties Include A Reversible Action So That Any Harm The Drug May Cause Can Be
Undone And A SimpleGeneric Name, Because Generic Names Are Usually Complex And
Difficult To Remember And Pronounce.
DIFFICULTY: Cognitive Level: Comprehension
REF: Properties Of An Ideal Drug | Additional Properties Of An Ideal
DrugTOP: NURSING PROCESS: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
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
AllThat Apply.)
a. Chemical Stability Of The Medication
b. Ease Of Administration
c. Family Medical History
d. Patient‘S Age
e. Patient‘S Diagnosis
ANSWER: C, D, E
The Family Medical History Can Indicate Genetic Factors That May Affect A Patient‘S
Response ToA Medication. Patients Of Different Ages Can Respond Differently To
Medications. The Patient‘S Illness Can Affect How Drugs Are Metabolized. The Chemical
Stability Of The Medication And TheEase Of Administration Are Properties Of Drugs.
DIFFICULTY: Cognitive Level: Analysis REF:
Sources Of Individual VariationTOP: NURSING PROCESS: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk Potential
, Chapter 2: Application Of Pharmacology In Nursing
PracticeTest Bank
MULTIPLE CHOICE
1. A Patient Is Using A Metered-Dose Inhaler Containing Albuterol For Asthma. The
MedicationLabel 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 SheDoesn‘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
ANSWER: D
It Is Not Within The Nurse‘S Scope Of Practice To Change The Dose Of A Medication
Without An Order From A Prescriber. Asking The Patient To Demonstrate Inhaler Use
Helps The Nurse To Evaluate The Patient‘S Ability To Administer The Medication
Properly And Is Part Of The Nurse‘SEvaluation. Assessing Tobacco Smoke Exposure
Helps The Nurse Determine Whether Nondrug Therapies, Such A Smoke Avoidance, Can
Be Used As An Adjunct To Drug Therapy. Performing APhysical Assessment Helps The
Nurse Evaluate The Patient‘S Response To The Medication.
DIFFICULTY: Cognitive Level: Application
REF: Applying The NURSING PROCESS In Drug Therapy: Preadministration Assessment
[And AllSubsections Under This Heading] TOP: NURSING PROCESS: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
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.‖
ANSWER: B
Tylenol Is The Trade Name And Acetaminophen Is The Generic Name For The Same
Medication. It Is Important To Teach Patients To Be Aware Of The Different Names For The
Same Drug To MinimizeThe Risk Of Overdose. Over-The-Counter (OTC) Medications And
Prescription Medications May Be Taken Together Unless Significant Harmful Drug
Interactions Are Possible. Even Though No Drug Interactions Are At Play In This Case, Both
Drugs Contain Acetaminophen, Which Could Lead To Toxicity.
DIFFICULTY: Cognitive Level: Application
REF: Application Of Pharmacology In Patient Education: Dosage And Administration
