Test Bank for Understanding Pharmacology 3rd Edition by M. Linda Workman – All Chapters Included

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Chapter 01: Drug Regulation, Actions, and Responses
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Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rd Edition

MULTIPLE CHOICE B

ASIC CONCEPTS

1. Which health care professional has the major responsibility for dispensing prescrib
ed drugs under the direction of a pharmacist?
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a. Physician
b Nurse practitioner
.
c. Licensed nurse
d Pharmacy technicianwl


.


ANS: D
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
dispensing them. The licensed nurse has the primary responsibility for administering drugs, al
though under some circumstances a licensed nurse may dispense prescribed drugs but this is n lw


ot his or her major responsibility in drug therapy. The pharmacy technician has the major res
ponsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.

DIF: Cognitive Level: Remembering REF: p. 3

2. Which term describes the effect of a drug that improves body function?
a. Side effect
b Intended action
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.
c. Adverse reaction
d Idiosyncratic response
.


ANS: B




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The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health probl
e m. T h i s response is any drug’s intended action also known as a therapeutic response.
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DIF: Cognitive Level: Remembering REF: p. 3

3. Which type of drug name is ―owned‖ by the company that manufactures it?
a. Generic name
b Chemical name
.
c. Category name
d Trade name wl


.


ANS: D
The chemical name is a drug’s exact chemical composition. The generic name is the name as
signed to the drug by the U.S. Adopted Names Council and is not owned by anyone. The cat
egory name refers to the type of drug (what it does or what it is used for) and is not an actual w


drug name. The trade name (brand name) is the name provided and owned by a specific drug
’s manufacturer.

DIF: Cognitive Level: Remembering REF: p. 4

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


ANS: B
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the wr
ong patient, or not given to the correct patient. Drugs classified as high alert drugs include pot
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assium, narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that
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strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert
drugs.

DIF: Cognitive Level: Remembering REF: p. 4

5. What is the term for a drug that has the same action as a naturally occurring b
ody hormone or enzyme?
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a. Agonist
b Blocking agent
.
c. Chemical
d Duplicator
.
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ANS: A
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics
the actions of naturally occurring body substances (intrinsic drugs). A blocking agent is
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a drug antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a
pharmacologic term. l




DIF: Cognitive Level: Remembering REF: pp. 6-7

6. Which term describes how the body affects drug activity?
a. Drug potency
b Pharmacodynamics
.
c. Therapeutic effect
d Pharmacokinetics
.


ANS: D
The term pharmacokinetics refers to drug metabolism and how the body changes a drug. Pharm
acodynamics refers to how a drug works to change body function. Drug potency refers to how st lw


rongly or to what degree a drug exerts its effects. The therapeutic effect is closer to pharmacod
ynamics, meaning how a drug works to change body function.

DIF: Cognitive Level: Remembering REF: p. 10

7. In the United States, which group is responsible for enforcing established standards f
or drug manufacturing?
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a. U.S. Pharmacopeia
b National Institutes of Health
.
c. Food and Drug Administration
wl wl wl


d Association of Pharmaceutical Manufacturers
.


ANS: C
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standard
s are enforced by the Food and Drug Administration. Neither the National Institutes of Health
nor the Association of Pharmaceutical Manufacturers has any authority to enforce drug standar
lw


ds.

DIF: Cognitive Level: Remembering REF: p. 5

8. Which factor is a major disadvantage of the transdermal drug delivery route?
wl wl wl wl wl wl wl wl wl wl wl


a. Only a prescriber can administer drugs by the transdermal rout
e.
b Transdermal drugs must be sterile rather than clean.
.
c. First pass drug loss by this route is the most extensive.
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