Deck 1: Pharmacology and the Nursing Process in LPN Practice

Question 1

In utilizing the collected information about the patient's condition before giving medications,what are some important factors to consider?

A) The color of the medication in pill form
B) Who can administer this medication
C) Other drugs that may affect the medication's route
D) The reason and goal of the medications given

Answer 1

The reason and goal of the medications given

Question 2

When information is reported by the patient,it is considered to be subjective data.Which statement is considered to be objective data?

A) The patient tells the nurse, "I have pain in my lower back."
B) Mr. Williams tells the nurse he is having trouble catching his breath.
C) Miss Sims has told the doctor she has no history of allergies to antibiotics.
D) The patient's skin is warm and dry.

Answer 2

The patient's skin is warm and dry.

Question 3

The LPN/LVN is a member of the health care team and assists the RN in following a plan of care once the nursing diagnoses are shared with the team.When developing a nursing diagnosis,it can sometimes be difficult to get accurate answers from patients.Which category of patients is most likely to present a problem in this regard?

A) Patients who are elderly and sick
B) Patients only in for 24-hour admissions
C) Parents whose children are patients
D) Bilingual parents whose children are patients

Answer 3

Patients who are elderly and sick

Question 4

A patient states that he occasionally takes an over-the-counter laxative for constipation.What is this information an example of?

A) Objective data
B) Inspection
C) Subjective data
D) Alternative therapy

Question 5

As an LVN/LPN,the nurse's role in the nursing process is to gather information and work with the patient.In carrying out this role,which task can be delegated to the LPN/LVN nurse?

A) Interviewing the patient on admission
B) Planning and evaluating the patient's care
C) Checking vital signs and medication response
D) Carrying out all steps of the nursing process

Question 6

The nurse should document drug administration at which time?

A) At the end of each shift
B) As soon as possible after administration
C) Just before administration
D) Any time during the nurse's shift

Question 7

Many medications have names that sound or look alike.What should a nurse administering two such similar medications do?

A) Check the spelling and name of each medication.
B) Check the physician's order only.
C) Ask the team leader to check the order with you.
D) Ask the patient which one of the medications she takes.

Question 8

A medication should be withheld when which is true?

A) The physician omits the trade name in the order.
B) There has been a change in the patient's condition.
C) The medication improves the patient's symptoms.
D) The patient is asleep.

Question 9

Medications may come in a unit-dose package with a bar code that is scanned by a computer.Which process should the nurse perform before administering unit-dose medication?

A) Remove each medication from the packaging.
B) Check the medications in alphabetic order.
C) Read the drug label at least three times.
D) Ask the patient to name each of his or her medications.

Question 10

Which nursing action is an example of the evaluation step in medication administration?

A) Obtaining the clotting time results of a patient on an anticoagulant
B) Asking the patient if he or she has any allergies to medications
C) Checking a drug reference to verify the action of the drug
D) Explaining to the patient the possible side effects of the drug

Question 11

Which is never administered if prepared by another nurse?

A) Written orders
B) Daily reports
C) Diet selections
D) Medications

Question 12

Which represents the correct order of the steps of the nursing process?

A) Assessment, diagnosis, planning, implementation, evaluation
B) Planning, assessment, diagnosis, implementation, evaluation
C) Assessment, planning, implementation, diagnosis, evaluation
D) Diagnosis, planning, implementation, evaluation, assessment

Question 13

In some settings,identifying the patient who is at risk for medication error (confused or critically ill)can be accomplished by which process?

A) Asking the patient his or her name and room number
B) Asking the patient's roommate for the patient's name
C) Carrying the patient's chart with you to the room
D) Using the portable computer to scan the identification bracelet

Question 14

What do the six "rights" of medication administration include?

A) Drug, time, dose, doctor, route, and documentation
B) Drug, time, dose, patient, route, and documentation
C) Drug, diagnosis, time, patient, route, and documentation
D) Dose, time, doctor, patient, route, and drug

Question 15

A nurse must check for which two specific types of patient responses to drug therapy?

A) Action coding and action transferred
B) Drug feedback and drug uptake
C) Therapeutic effects and adverse effects
D) Uptime levels and downtime levels

Question 16

How would a nurse ensure that the medication order is accurate?

A) By checking the medication record with the Kardex file
B) By comparing the physician's order with the medication history
C) By comparing the physician's order to the chief complaint
D) By checking the medication record with the original physician's order

Question 17

It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications.Which factor is considered to be an important part of the process of evaluating medications once they are given?

A) Asking the patient what the medication tasted like
B) Asking the patient if swallowing all of the medications at once helped
C) Evaluating the therapeutic effects and the adverse effects of the medication
D) Evaluating whether more scheduled medication is needed

Question 18

The statement,"The patient will be able to self-administer an aerosol nebulizer treatment by the date of discharge," is an example of which step of the nursing process?

A) Implementation
B) Diagnosis
C) Evaluation
D) Planning

Question 19

The nurse collected information for a patient at the beginning of the shift and found that she had a blood pressure of 198/100.After reporting this information to the RN team leader,the nurse gave the patient the scheduled medication,amlodipine (Norvasc),5 mg PO.Which is considered an appropriate evaluation of the patient's response after this medication has been administered?

A) The therapeutic goal of the drug is met.
B) The therapeutic effects and adverse effects are checked.
C) The medication was given 30 minutes late.
D) The medication was given 30 minutes early.

Question 20

Which nursing action should ensure that a medication is given to the right patient?

A) Checking the patient's identification bracelet
B) Verifying the medication record with the chart
C) Verifying the room number with the chart
D) Asking the patient to state his or her birth date and Social Security number

Question 21

An LVN/LPN is evaluating the response of a patient 30 minutes after receiving an antihypertensive medication administered by the RN team leader.The LPN/LVN assesses the patient's blood pressure and notes the patient is now hypotensive.What is this is an example of?

A) An adverse effect
B) A desired response to a medication
C) A therapeutic effect
D) An allergic reaction

Question 22

The LVN/LPN is preparing to administer insulin to a patient with diabetes.What should the nurse assess prior to administering the insulin?

A) Blood pressure
B) Blood glucose
C) Heart rate
D) Temperature

Question 23

When performing an initial patient assessment,which would be considered objective data? (Select all that apply.)

A) Abdominal pain reported by the patient
B) The patient's vital signs (blood pressure, pulse, temperature, etc.)
C) Documents such as old laboratory results, EEG printouts, or x-rays brought in by the patient
D) Home medications with patient labels brought in by the patient
E) The chief problem or complaint as stated by the patient

Question 24

Getting accurate information from a patient during admission is an important job for the nurse recording this information.The answers to which admission questions will help form the best plan of care for the patient? (Select all that apply.)

A) How sick is the patient?
B) What medication procedures will the patient require?
C) Does the patient know you are an LPN/LVN?
D) What special concerns or cultural beliefs does the patient have?
E) Does the patient have health insurance?

Question 25

When administering medication to a patient whose dose has a bar code on the medication wrapper that must be scanned by the computer,the nurse knows that which protocols must be followed? (Select all that apply.)

A) Scan the bar code with the computer; there is no need to do anything else.
B) Check the drug before removing it from the unit-dose cart.
C) Check the dose before preparing or measuring the medication.
D) Check the drug just before you open it and give it to the patient.
E) Scan the empty wrapper of a previously given drug since it's the same drug.

Question 26

An LVN/LPN works on a very busy 35-bed medical-surgical unit.The RN team leader gives her a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient.What should be the nurse's first action?

A) Assist the team leader by giving the medication as requested for this time only.
B) Administer the medication this time because it is an emergency.
C) Take time and prepare the medication herself and give as prescribed.
D) The LVN/LPN doesn't have to do anything; it is not her patient.

Question 27

After drug administration,the nurse should monitor for which responses to drug therapy? (Select all that apply.)

A) Expected outcomes
B) Premedication teaching
C) Allergic responses
D) Adverse reactions
E) Side effects