1. A3nursing3instructor3is3preparing3a3teaching3plan3for3a3group3of3nursing3students3about
3pharmacology.3When3describing3this3topic,3the3instructor3would3focus3the3discussion3
on3which3of3the3following3as3an3essential3aspect?
A) Drug3name
B) Drug3class
C) Drug3action
D) Drug3source
3Ans:3 C3Feedbac
k:
Pharmacology3is3the3study3of3drugs3and3their3action3on3living3organisms.3Thus,3an3esse
ntial3aspect3of3pharmacology3is3drug3action.3An3understanding3of3the3drug3name,3drug3
class,3and3drug3source3is3important,3but3the3most3critical3aspect3related3to3pharmacolog
y3is3how3the3drug3acts3in3the3body.
2. A3nursing3student3is3preparing3to3administer3a3prescribed3drug3to3a3patient.3The3student
3reviews3information3about3the3drug3and3its3actions.3Which3of3the3following3would3be3t
he3best3choice3for3obtaining3this3information?3Select3all3that3apply.
A) Nursing3instructor
B) Nurse3assigned3to3the3patient
C) Clinical3drug3reference
D) Prescribing3health3care3provider
E) Clinical3pharmacist
3Ans:3 C,3E
Feedback:
Although3the3nursing3student3can3ask3the3nursing3instructor,3the3nurse3assigned3to3the3p
atient,3and3the3prescribing3health3care3provider3for3information3about3the3drug,3the3best3
choices3for3drug3information3would3include3an3appropriate3drug3reference3and3the3clini
cal3pharmacist.
3. When3describing3the3various3types3of3medications3to3a3group3of3nursing3students,3
a3nursing3instructor3would3identify3which3of3the3following3as3a3source3for3derivin
g3medications?3Select3all3that3apply.
A) Plants
B) Synthetic3sources
C) Mold
D) Minerals
E) Animals3 An
s:3 A,3B,3C,3D,3E
Feedback:
Medications3are3derived3from3natural3sources,3for3example,3plants,3molds,3minerals,3an
d3animals,3as3well3as3created3synthetically3in3a3laboratory.
Page3 1
,4. Which3of3the3following3names3may3be3assigned3to3a3drug3during3the3process3
of3development?3Select3all3that3apply.
A) Chemical3name
B) Official3name
C) Pharmacologic3name
D) Trade3name
E) Nonproprietary3name
3Ans:3 A,3B,3D,3E
Feedback:
Throughout3the3process3of3development,3drugs3may3have3several3names3assigned3to3th
em3including3a3chemical3name,3a3generic3(nonproprietary)3name,3an3official3name,3and3
a3trade3or3brand3name.
5. A3drug3may3be3classified3by3which3of3the3following?3Select3all3that3apply.
A) The3chemical3type3of3the3drug's3active3ingredient
B) The3way3the3drug3is3used3to3treat3a3specific3condition
C) The3generic3name3of3the3drug
D) The3trade3name3of3the3drug
E) The3nonproprietary3name3of3the3dru
g3Ans:3 A,3B
Feedback:
A3drug3may3be3classified3by3the3chemical3type3of3the3active3ingredient3or3by3the3way3it3
is3used3to3treat3a3particular3condition.3Generic,3trade,3and3nonproprietary3refer3to3how3a
3drug3is3named.
6. A3group3of3nursing3students3are3reviewing3information3about3the3process3of3drug3de
velopment3in3the3United3States.3The3students3demonstrate3understanding3of3this3pro
cess3when3they3identify3that3which3of3the3following3categories3are3assigned3by3the3F
ood3and3Drug3Administration3to3newly3approved3drugs?3Select3all3that3apply.
A) Metabolite
B) Noncontrolled3substance
C) Prescription
D) Nonprescription
E) Controlled3substance
3Ans:3 C,3D,3E
Feedback:
Once3drugs3are3approved3for3use,3the3FDA3assigns3the3drug3to3one3of3the3following3ca
tegories:3prescription,3nonprescription,3or3controlled3substance.3Metabolite3refers3to3th
e3inactive3form3of3the3drug.3Noncontrolled3substance3is3a3term3that3is3not3used.
Page3 2
,7. Which3of3the3following3would3be3most3important3for3the3nurse3to3do3to3ensure3the3sa
fe3use3of3prescription3drugs3in3the3institutional3setting?3Select3all3that3apply.
A) Administering3drugs
B) Monitoring3clients3for3drug3effects
C) Prescribing3drugs
D) Evaluating3clients3for3toxic3effects
E) Educating3clients/caregivers3about3drugs
3Ans:3 A,3B,3D,3E
Feedback:
In3the3institutional3setting,3the3nurse's3role3to3ensure3safe3use3of3prescription3drugs3incl
udes3administering3drugs,3monitoring3drug3effects,3evaluating3for3toxic3effects,3and3edu
cating3clients3and3caregivers3about3drugs.
8. The3nurse3is3helping3a3client3review3a3prescription3from3the3health3care3provider.3Whe
n3examining3the3prescription,3which3of3the3following3would3the3nurse3expect3to3find3
documented?3Select3all3that3apply.
A) Name3of3the3drug
B) Dosage3of3the3drug
C) Route3of3drug3administration
D) Times3of3drug3administration
E) Licensed3prescriber's3signature
3Ans:3 A,3B,3C,3D,3E
Feedback:
The3prescription3must3contain3the3client's3name,3the3name3of3the3drug,3the3dosage,3the3
method3and3times3of3administration,3and3the3signature3of3the3licensed3health3care3provi
der3prescribing3the3drug.
9. After3teaching3a3group3of3nursing3students3about3nonprescription3drugs,3the3nursing3in
structor3determines3that3the3teaching3was3successful3when3the3students3identify3which3
of3the3following?3Select3all3that3apply.
A) They3require3a3licensed3health3care3provider's3signature.
B) They3are3referred3to3as3over-the-counter3drugs.
C) They3can3be3taken3without3risk3to3the3client.
D) They3have3certain3labeling3requirements.
E) They3should3be3taken3only3as3directed3on3the3label
.3Ans:3 B,3D,3E
Feedback:
Nonprescription3drugs3are3often3referred3to3as3over-the-
counter3(OTC)3drugs.3They3do3not3require3a3prescription3(a3licensed3health3care3provid
er's3signature)3but3do3not3come3without3risk3to3the3client.3The3federal3government3has3i
mposed3labeling3requirements3of3OTC3drugs3and3they3should3only3be3taken3as3directed
3on3the3label 3unless3under3the3supervision3of3a3health3care 3provider.
Page3 3
, 10. A3nursing3student3is3reviewing3information3about3the3Controlled3Substances3Act3of3
1970.3The3student3would3expect3to3find3which3of3the3following3as3being3regulated3f
or3drugs3classified3as3controlled3substances?3Select3all3that3apply.
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
3Ans:3 A,3C,3E
Feedback:
The3Controlled3Substances3Act3of319703regulates3the3manufacture,3distribution,3and3dis
pensing3of3drugs3classified3as3controlled3substances.3Elimination3refers3to3the3excretion
3of3drugs3from3the3body,3a3pharmacokinetic 3activity.3The3act3does3not3address3formulati
on3of3the3drug.
11. When3reviewing3information3about3the3Orphan3Drug3Program,3which3of3the3followin
g3would3the3nurse3expect3to3find?3Select3all3that3apply.
A) The3program3encourages3the3development3and3marketing3of3products3to3treat3rar
e3diseases.
B) The3program3grants3provisional3approval3with3a3written3commitment3from3th
e3drug3company3to3formally3demonstrate3client3benefits.
C) The3program3provides3for3incentives,3such3as3research3grants,3protocol3assistance
,3and3special3tax3credits,3to3develop3products3to3treat3rare3diseases.
D) The3program3grants373years3of3exclusive3marketing3rights3to3the3manufacturer3i
f3approved.
E) The3program3accelerates3approval3of3drugs3based3on3preliminary3evidence3befor
e3formal3demonstration3of3client3benefits.
Ans:3 A,3C,3D
Feedback:
The3Orphan3Drug3Program3encourages3the3development3and3marketing3of3products3use
d3to3treat3rare3diseases.3The3program3provides3incentives3to3encourage3manufacturers3t
o3develop3orphan3drugs,3and3if3approved,3the3manufacturer3has373years3of3exclusive3m
arketing3rights.3Accelerated3programs3involve3provisional3approval3and3approval3based
3on3preliminary3evidence.
Page3 4
3pharmacology.3When3describing3this3topic,3the3instructor3would3focus3the3discussion3
on3which3of3the3following3as3an3essential3aspect?
A) Drug3name
B) Drug3class
C) Drug3action
D) Drug3source
3Ans:3 C3Feedbac
k:
Pharmacology3is3the3study3of3drugs3and3their3action3on3living3organisms.3Thus,3an3esse
ntial3aspect3of3pharmacology3is3drug3action.3An3understanding3of3the3drug3name,3drug3
class,3and3drug3source3is3important,3but3the3most3critical3aspect3related3to3pharmacolog
y3is3how3the3drug3acts3in3the3body.
2. A3nursing3student3is3preparing3to3administer3a3prescribed3drug3to3a3patient.3The3student
3reviews3information3about3the3drug3and3its3actions.3Which3of3the3following3would3be3t
he3best3choice3for3obtaining3this3information?3Select3all3that3apply.
A) Nursing3instructor
B) Nurse3assigned3to3the3patient
C) Clinical3drug3reference
D) Prescribing3health3care3provider
E) Clinical3pharmacist
3Ans:3 C,3E
Feedback:
Although3the3nursing3student3can3ask3the3nursing3instructor,3the3nurse3assigned3to3the3p
atient,3and3the3prescribing3health3care3provider3for3information3about3the3drug,3the3best3
choices3for3drug3information3would3include3an3appropriate3drug3reference3and3the3clini
cal3pharmacist.
3. When3describing3the3various3types3of3medications3to3a3group3of3nursing3students,3
a3nursing3instructor3would3identify3which3of3the3following3as3a3source3for3derivin
g3medications?3Select3all3that3apply.
A) Plants
B) Synthetic3sources
C) Mold
D) Minerals
E) Animals3 An
s:3 A,3B,3C,3D,3E
Feedback:
Medications3are3derived3from3natural3sources,3for3example,3plants,3molds,3minerals,3an
d3animals,3as3well3as3created3synthetically3in3a3laboratory.
Page3 1
,4. Which3of3the3following3names3may3be3assigned3to3a3drug3during3the3process3
of3development?3Select3all3that3apply.
A) Chemical3name
B) Official3name
C) Pharmacologic3name
D) Trade3name
E) Nonproprietary3name
3Ans:3 A,3B,3D,3E
Feedback:
Throughout3the3process3of3development,3drugs3may3have3several3names3assigned3to3th
em3including3a3chemical3name,3a3generic3(nonproprietary)3name,3an3official3name,3and3
a3trade3or3brand3name.
5. A3drug3may3be3classified3by3which3of3the3following?3Select3all3that3apply.
A) The3chemical3type3of3the3drug's3active3ingredient
B) The3way3the3drug3is3used3to3treat3a3specific3condition
C) The3generic3name3of3the3drug
D) The3trade3name3of3the3drug
E) The3nonproprietary3name3of3the3dru
g3Ans:3 A,3B
Feedback:
A3drug3may3be3classified3by3the3chemical3type3of3the3active3ingredient3or3by3the3way3it3
is3used3to3treat3a3particular3condition.3Generic,3trade,3and3nonproprietary3refer3to3how3a
3drug3is3named.
6. A3group3of3nursing3students3are3reviewing3information3about3the3process3of3drug3de
velopment3in3the3United3States.3The3students3demonstrate3understanding3of3this3pro
cess3when3they3identify3that3which3of3the3following3categories3are3assigned3by3the3F
ood3and3Drug3Administration3to3newly3approved3drugs?3Select3all3that3apply.
A) Metabolite
B) Noncontrolled3substance
C) Prescription
D) Nonprescription
E) Controlled3substance
3Ans:3 C,3D,3E
Feedback:
Once3drugs3are3approved3for3use,3the3FDA3assigns3the3drug3to3one3of3the3following3ca
tegories:3prescription,3nonprescription,3or3controlled3substance.3Metabolite3refers3to3th
e3inactive3form3of3the3drug.3Noncontrolled3substance3is3a3term3that3is3not3used.
Page3 2
,7. Which3of3the3following3would3be3most3important3for3the3nurse3to3do3to3ensure3the3sa
fe3use3of3prescription3drugs3in3the3institutional3setting?3Select3all3that3apply.
A) Administering3drugs
B) Monitoring3clients3for3drug3effects
C) Prescribing3drugs
D) Evaluating3clients3for3toxic3effects
E) Educating3clients/caregivers3about3drugs
3Ans:3 A,3B,3D,3E
Feedback:
In3the3institutional3setting,3the3nurse's3role3to3ensure3safe3use3of3prescription3drugs3incl
udes3administering3drugs,3monitoring3drug3effects,3evaluating3for3toxic3effects,3and3edu
cating3clients3and3caregivers3about3drugs.
8. The3nurse3is3helping3a3client3review3a3prescription3from3the3health3care3provider.3Whe
n3examining3the3prescription,3which3of3the3following3would3the3nurse3expect3to3find3
documented?3Select3all3that3apply.
A) Name3of3the3drug
B) Dosage3of3the3drug
C) Route3of3drug3administration
D) Times3of3drug3administration
E) Licensed3prescriber's3signature
3Ans:3 A,3B,3C,3D,3E
Feedback:
The3prescription3must3contain3the3client's3name,3the3name3of3the3drug,3the3dosage,3the3
method3and3times3of3administration,3and3the3signature3of3the3licensed3health3care3provi
der3prescribing3the3drug.
9. After3teaching3a3group3of3nursing3students3about3nonprescription3drugs,3the3nursing3in
structor3determines3that3the3teaching3was3successful3when3the3students3identify3which3
of3the3following?3Select3all3that3apply.
A) They3require3a3licensed3health3care3provider's3signature.
B) They3are3referred3to3as3over-the-counter3drugs.
C) They3can3be3taken3without3risk3to3the3client.
D) They3have3certain3labeling3requirements.
E) They3should3be3taken3only3as3directed3on3the3label
.3Ans:3 B,3D,3E
Feedback:
Nonprescription3drugs3are3often3referred3to3as3over-the-
counter3(OTC)3drugs.3They3do3not3require3a3prescription3(a3licensed3health3care3provid
er's3signature)3but3do3not3come3without3risk3to3the3client.3The3federal3government3has3i
mposed3labeling3requirements3of3OTC3drugs3and3they3should3only3be3taken3as3directed
3on3the3label 3unless3under3the3supervision3of3a3health3care 3provider.
Page3 3
, 10. A3nursing3student3is3reviewing3information3about3the3Controlled3Substances3Act3of3
1970.3The3student3would3expect3to3find3which3of3the3following3as3being3regulated3f
or3drugs3classified3as3controlled3substances?3Select3all3that3apply.
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
3Ans:3 A,3C,3E
Feedback:
The3Controlled3Substances3Act3of319703regulates3the3manufacture,3distribution,3and3dis
pensing3of3drugs3classified3as3controlled3substances.3Elimination3refers3to3the3excretion
3of3drugs3from3the3body,3a3pharmacokinetic 3activity.3The3act3does3not3address3formulati
on3of3the3drug.
11. When3reviewing3information3about3the3Orphan3Drug3Program,3which3of3the3followin
g3would3the3nurse3expect3to3find?3Select3all3that3apply.
A) The3program3encourages3the3development3and3marketing3of3products3to3treat3rar
e3diseases.
B) The3program3grants3provisional3approval3with3a3written3commitment3from3th
e3drug3company3to3formally3demonstrate3client3benefits.
C) The3program3provides3for3incentives,3such3as3research3grants,3protocol3assistance
,3and3special3tax3credits,3to3develop3products3to3treat3rare3diseases.
D) The3program3grants373years3of3exclusive3marketing3rights3to3the3manufacturer3i
f3approved.
E) The3program3accelerates3approval3of3drugs3based3on3preliminary3evidence3befor
e3formal3demonstration3of3client3benefits.
Ans:3 A,3C,3D
Feedback:
The3Orphan3Drug3Program3encourages3the3development3and3marketing3of3products3use
d3to3treat3rare3diseases.3The3program3provides3incentives3to3encourage3manufacturers3t
o3develop3orphan3drugs,3and3if3approved,3the3manufacturer3has373years3of3exclusive3m
arketing3rights.3Accelerated3programs3involve3provisional3approval3and3approval3based
3on3preliminary3evidence.
Page3 4
