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A GUIDE TO DRUG CLASSIFICATIONS AND DOSAGE CALCULATIONS,
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4TH EDITION BY CYNTHIA J. WATKINS
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CHAPTERS 1 - 21I!XL I!XL I!XL I!XL
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,Chapter 1. History of Pharmacology
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Pharmacology Clear and Simple- A Guide to Drug Classifications and Dosage Calculations 4th
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Edition Watkins Test Bank
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1. A nurse working in radiology administers iodine to a patient who is having a
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computedtomography (CT) scan. The nurse working on the oncology unit
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administers chemotherapy to patients who have cancer. At the Public Health
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Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a
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14-month-old child as a routine immunization. Which branch of pharmacology best
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describes the actions of all three nurses?
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A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are I ! xl I ! xl I!xl I ! xl I ! xl I! xl I ! xl I ! xl I ! xl I!xl I ! xl
involved with clinical pharmacology or pharmacotherapeutics, which is a branch
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of pharmacology that deals with the uses of drugs to treat, prevent, and
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diagnose disease.The radiology nurse is administering a drug to help diagnose a
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disease. The oncology nurse is administering a drug to help treat a disease.
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Pharmacoeconomics includes any costs involved in drug therapy.
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Pharmacodynamics involves how a drug affects the body and pharmacokinetics is
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how the body acts on the body.
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2. A physician has ordered intramuscular (IM) injections of morphine, a
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narcotic, every 4 hours as needed for pain in a motor vehicle accident
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victim. The nurse is aware this drug has a high abuse potential.
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Under whatcategory would morphine be classified?
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A) Schedule I I ! xl
B) Schedule II I ! xl
C) Schedule III I ! xl
D) Schedule IV I ! xl
ANSWER: B
, Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs
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because of severe dependence liability. Schedule I drugs have high
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abuse potential and no accepted medical use. Schedule III drugs have
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a lesser abuse potential than II and an accepted medical use.
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Schedule IV drugs havelow abuse potential and limited dependence
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liability.
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3. When involved in phase III drug evaluation studies, what
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responsibilitieswould the nurse have?
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A) Working with animals who are given experimental drugs I ! xl I! xl I!xl I!xl I!xl I!xl I! xl
B) Choosing appropriate patients to be involved in the drug study I!x l I!xl I!xl I ! xl I!xl I! xl I!x l I!x l I ! xl
C) Monitoring and observing patients closely for adverse effects I!x l I!x l I ! xl I! x l I ! xl I! xl I! xl
D) Conducting research to determine effectiveness of the drug I!xl I!xl I!xl I! xl I!xl I! xl I! xl
ANSWER: C
Feedback:
Phase III studies involve use of a drug in a vast clinical population in
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whichpatients are asked to record any symptoms they experience
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while taking thedrugs. Nurses may be responsible for helping collect
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and analyze the information to be shared with the Food and Drug
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Administration (FDA) butwould not conduct research independently
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because nurses do not prescribe medications. Use of animals in drug
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testing is done in the preclinical trials. Select patients who are
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involved in phase II studies to participate in studies where the
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participants have the disease the drug is intended to treat. These
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patients are monitored closely for drug action and adverse effects.
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Phase I studies involve healthy human volunteers who are usually paid
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for their participation. Nurses may observe for adverse effects and
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toxicity.
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4. What concept is considered when generic drugs are substituted for
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brandname drugs?
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A) Bioavailability
B) Critical concentration I! x l
C) Distribution
D) Half-life
ANSWER: A
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