NCLEX Abrams' Clinical Drug Therapy
.
1 1.1 The nurse is caring for a woman who has strong beliefs about not putting
anything unnatural into her body. It is most accurate to say that most modern
medications are
A. natural products derived from plants
B. natural products derived from minerals
C. synthetic products manufactured in laboratories
D. synthetic modifications of natural products: C.
Rationale: Although most older drugs originated as plants, minerals, or other natural
products, newer drugs are mainly synthetic. Synthetic drugs are standardized and
therefore more consistent in their characteristics and effects than natural products.
2. 1.2 The nurse is taking care of a man who is confused about the different
medications he is prescribed. He notes that some of the drug names have
changed over the course of time he has been taking them. When counseling
him, it is most important to keep the following statement in mind: A. A drug
can belong to only one group or classification.
B. A prototype drug is the standard by which similar drugs are compared.
C. Drug groups and prototypes change frequently, and knowledge about a
prototype cannot guide knowledge about other drugs in the same class.
D. The generic name of a drug changes among manufacturers.: B.
Rationale: The first drug to be developed in a group is usually considered the
prototype or main example of the group, and similar drugs that are developed later
are compared to the prototype. Knowledge of the prototype drug can help the
nurse understand the actions of other drugs in the class. Most drugs can belong to
multiple groups (e.g., a therapeutic group, a chemical group), depending on
various characteristics. Drug groups and prototypes are usually quite stable, and
most new drugs fit into a known classification. The trade or brand name changes
among manufacturers, but the generic name stays the same.
3. 1.3 In understanding the use of controlled substances for patients, it is
important that the nurse knows that controlled drugs are
A. categorized according to prescription or nonprescription status
B. regulated by state and local laws more than federal laws
C. those that must demonstrate high standards of safety
D. scheduled according to medical use and potential for abuse: D.
Rationale: Controlled or scheduled drugs are categorized by federal law according
to use and abuse potential. These drugs have regulations that govern prescribing,
dispensing, administering, and record-keeping. Almost all scheduled drugs require
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, NCLEX Abrams' Clinical Drug Therapy
.
prescriptions (i.e., cannot legally be sold over the counter). Basic laws are federal,
and states and local communities may enact additional laws.
4 1.4 A patient is asking what the difference is between a prescription for
800 mg of a medication that can be purchased on an OTC basis as a 200-mg
tablet.
To address this issue, it is important that the nurse knows that OTC drugs
A. are considered safe for any consumer to use
B. are not available for treatment of most commonly occurring symptoms
C. often differ in indications for use and recommended dosages from
their prescription versions
D. are paid for by most insurance policies: C.
Rationale: Uses may be different, and recommended dosages of over-the-counter
(OTC) drugs are usually lower than prescription versions. Labels of OTC drugs
contain a listing of people who should not use the drugs, and the drugs are not safe
for everyone. Many OTC drugs are available to treat cold symptoms, heartburn,
constipation, and other common problems. Insurance companies do not pay for
OTC drugs.
5. 1.5 A man is very upset with a drug recall of a medication he has been
taking for a long time. He states that he feels like he can no longer trust
anyone to protect him. In response to his questions about the process of drug
development, it is important to know that with a new drug, the U.S. Food and
Drug Administration (FDA) is responsible for
A. testing the drug with animals
B. testing the drug with healthy people
C. marketing the drug to health care providers
D. evaluating the drug for safety and effectiveness: D.
Rationale: The U.S. Food and Drug Administration reviews studies reported by
others, mainly pharmaceutical companies, and determines whether a drug is
sufficiently safe and effective to be marketed. The drug manufacturer is
responsible for testing the drug (in animals and people) and marketing the drug.
6. 1.6 Error-reduction strategies during medication administration include
which of the following? (Select all that apply.)
A. quiet zone signs at entrance to the medication room
B. protocols and checklist outlining medication administration
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.
1 1.1 The nurse is caring for a woman who has strong beliefs about not putting
anything unnatural into her body. It is most accurate to say that most modern
medications are
A. natural products derived from plants
B. natural products derived from minerals
C. synthetic products manufactured in laboratories
D. synthetic modifications of natural products: C.
Rationale: Although most older drugs originated as plants, minerals, or other natural
products, newer drugs are mainly synthetic. Synthetic drugs are standardized and
therefore more consistent in their characteristics and effects than natural products.
2. 1.2 The nurse is taking care of a man who is confused about the different
medications he is prescribed. He notes that some of the drug names have
changed over the course of time he has been taking them. When counseling
him, it is most important to keep the following statement in mind: A. A drug
can belong to only one group or classification.
B. A prototype drug is the standard by which similar drugs are compared.
C. Drug groups and prototypes change frequently, and knowledge about a
prototype cannot guide knowledge about other drugs in the same class.
D. The generic name of a drug changes among manufacturers.: B.
Rationale: The first drug to be developed in a group is usually considered the
prototype or main example of the group, and similar drugs that are developed later
are compared to the prototype. Knowledge of the prototype drug can help the
nurse understand the actions of other drugs in the class. Most drugs can belong to
multiple groups (e.g., a therapeutic group, a chemical group), depending on
various characteristics. Drug groups and prototypes are usually quite stable, and
most new drugs fit into a known classification. The trade or brand name changes
among manufacturers, but the generic name stays the same.
3. 1.3 In understanding the use of controlled substances for patients, it is
important that the nurse knows that controlled drugs are
A. categorized according to prescription or nonprescription status
B. regulated by state and local laws more than federal laws
C. those that must demonstrate high standards of safety
D. scheduled according to medical use and potential for abuse: D.
Rationale: Controlled or scheduled drugs are categorized by federal law according
to use and abuse potential. These drugs have regulations that govern prescribing,
dispensing, administering, and record-keeping. Almost all scheduled drugs require
1/9
, NCLEX Abrams' Clinical Drug Therapy
.
prescriptions (i.e., cannot legally be sold over the counter). Basic laws are federal,
and states and local communities may enact additional laws.
4 1.4 A patient is asking what the difference is between a prescription for
800 mg of a medication that can be purchased on an OTC basis as a 200-mg
tablet.
To address this issue, it is important that the nurse knows that OTC drugs
A. are considered safe for any consumer to use
B. are not available for treatment of most commonly occurring symptoms
C. often differ in indications for use and recommended dosages from
their prescription versions
D. are paid for by most insurance policies: C.
Rationale: Uses may be different, and recommended dosages of over-the-counter
(OTC) drugs are usually lower than prescription versions. Labels of OTC drugs
contain a listing of people who should not use the drugs, and the drugs are not safe
for everyone. Many OTC drugs are available to treat cold symptoms, heartburn,
constipation, and other common problems. Insurance companies do not pay for
OTC drugs.
5. 1.5 A man is very upset with a drug recall of a medication he has been
taking for a long time. He states that he feels like he can no longer trust
anyone to protect him. In response to his questions about the process of drug
development, it is important to know that with a new drug, the U.S. Food and
Drug Administration (FDA) is responsible for
A. testing the drug with animals
B. testing the drug with healthy people
C. marketing the drug to health care providers
D. evaluating the drug for safety and effectiveness: D.
Rationale: The U.S. Food and Drug Administration reviews studies reported by
others, mainly pharmaceutical companies, and determines whether a drug is
sufficiently safe and effective to be marketed. The drug manufacturer is
responsible for testing the drug (in animals and people) and marketing the drug.
6. 1.6 Error-reduction strategies during medication administration include
which of the following? (Select all that apply.)
A. quiet zone signs at entrance to the medication room
B. protocols and checklist outlining medication administration
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