Understanding Pharmacology Essentials for Medication Safety 2nd Edition Test Bank Complete Practice Questions and Answers

,Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 2nd
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Edition
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MULTIPLE CHOICE x




x BASIC CONCEPTS x




1. Which health care professional has the major responsibility for dispensing prescribed
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drugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner x


.
c. Licensed nurse x


d Pharmacy technician x


.


ANS: D x


The physician and nurse practitioner have the major responsibility for prescribing drugs, not
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dispensing them. The licensed nurse has the primary responsibility for administering drugs,
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although under some circumstances a licensed nurse may dispense prescribed drugs but this is
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not his or her major responsibility in drug therapy. The pharmacy technician has the major
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responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
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DIF: Cognitive Level: Remembering x x REF: p. 3 x




2. Which term describes the effect of a drug that improves body function?
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a. Side effect x


b Intended action x


.
c. Adverse reaction x


d Idiosyncratic response x


.


ANS: B x


The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.
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This response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering x x REF: p. 3 x




3. Which type of drug name is “owned” by the company that manufactures it?
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a. Generic name x


b Chemical name x

, .
c. Category name x


d Trade name x


.


ANS: D x


The chemical name is a drug’s exact chemical composition. The generic name is the name
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assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
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category name refers to the type of drug (what it does or what it is used for) and is not an actual
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drug name. The trade name (brand name) is the name provided and owned by a specific drug’s
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manufacturer.
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DIF: Cognitive Level: Remembering x x REF: p. 4 x




4. Which drug or drug class is a “high alert” drug?
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a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


ANS: B x


A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wrong
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patient, or not given to the correct patient. Drugs classified as high alert drugs include potassium,
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narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that strongly
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affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert drugs.
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DIF: Cognitive Level: Remembering x x REF: p. 4 x




5. What is the term for a drug that has the same action as a naturally occurring body
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hormone or enzyme?
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a. Agonist
b Blocking agent x


.
c. Chemical
d Duplicator
.


ANS: A x


A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the
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actions of naturally occurring body substances (intrinsic drugs). A blocking agent is a drug
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, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologic
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term.
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DIF: Cognitive Level: Remembering x x REF: pp. 6-7 x




6. Which term describes how the body affects drug activity?
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a. Drug potency x


b Pharmacodynamics
.
c. Therapeutic effect x




d Pharmacokinetics
.


ANS: D x


The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how a drug works to change body function. Drug potency refers to
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how strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering x x REF: p. 10 x




7. In the United States, which group is responsible for enforcing established standards for
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drug manufacturing?
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a. U.S. Pharmacopeia x


b National Institutes of Health x x x


.
c. Food and Drug Administration x x x


d Association of Pharmaceutical Manufacturers x x x


.


ANS: C x


The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards
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are enforced by the Food and Drug Administration. Neither the National Institutes of Health nor
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the Association of Pharmaceutical Manufacturers has any authority to enforce drug standards.
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DIF: x x Cognitive Level: Remembering x x x x x x REF: x x p. 5 x




8. Which factor is a major disadvantage of the transdermal drug delivery route?
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a. Only a prescriber can administer drugs by the transdermal route.
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b Transdermal drugs must be sterile rather than clean.x x x x x x x


.
c. First pass drug loss by this route is the most extensive.
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d Drug absorption is dependent on adequate circulation.
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