TEST BANK
Pharmacology Clear and Simple: A Guide to Drug
Classifications and Dosage Calculations
Cynthia J. Watkins
4th Edition
,Table of Contents
Nursing Educators Test Bank 1
Chapter 01 History of Pharmacology 1
Chapter 02 Basics of Pharmacology 11
Chapter 03 Patient Safety in Medication Administration 19
Chapter 04 Regulations 31
Chapter 05 Prescriptions and Labels 41
Chapter 06 Basic Review of Mathematics 51
Chapter 07 Measurement Systems 56
Chapter 08 Dosage Calculations 61
Chapter 09 Enteral Medications and Administration 69
Chapter 10 Parental Medications and Administration 78
Chapter 11 Integumentary System Medications 87
Chapter 12 Musculoskeletal System Medications 96
Chapter 13 Nervous System Medications 105
Chapter 14 Eye and Ear Medications 114
Chapter 15 Endocrine System Medications 123
Chapter 16 Cardiovascular System Medications 133
Chapter 17 Immunologic System Medications 142
Chapter 18 Pulmonary System Medications 152
Chapter 19 Gastrointestinal System Medications 161
Chapter 20 Reproductive and Urinary System Medications 170
Chapter 21 Herbs, Vitamins, and Minerals 179
Medical Assisting Test Bank 188
Chapter 01 History of Pharmacology 188
Chapter 02 Basics of Pharmacology 197
Chapter 03 Patient Safety in Medication Administration 206
Chapter 04 Regulations 217
Chapter 05 Prescriptions and Labels 229
Chapter 06 Review of Mathematics 236
Chapter 07 Measurement Systems 250
Chapter 08 Dosage Calculations 259
Chapter 09 Enteral Medications and Administration 267
Chapter 10 Parental Medications and Administration 274
Chapter 11 Integumentary System Medications 287
Chapter 12 Musculoskeletal System Medications 296
Chapter 13 Nervous System Medications 304
Chapter 14 Eye and Ear Medications 314
Chapter 15 Endocrine System Medications 320
Chapter 16 Cardiovascular System Medications 331
Chapter 17 Immunologic System Medications 343
Chapter 18 Pulmonary System Medications 354
,Chapter 19 Gastrointestinal System Medications 362
Chapter 20 Reproductive and Urinary System Medications 371
Chapter 21 Vitamins, Minerals, Herbs, and Complementary and Alternative Medicine
381
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
Chapter 1. History of Pharmacology
MULTIPLE CHOICE
1. Which term best describes the process of utilizing genetic information to develop
pharmacological agents to treat diseases?
a. Partially synthesized
b. Pharmacogenetics
c. Totally synthesized
d. Scientific method
ANS: B
Feedback
A Partially synthesized refers to medications made by adding a pure chemical to a
natural substance.
B Pharmacogenetics is the study of individual candidate genes as powerful tools to
explain interindividual variability in drug response
C Totally synthesized refers to medications made by combining two or more pure
chemicals to produce a new substance that could be used as a medication.
D Scientific method refers to the process of using hypothesis, testing, and
observation to make deductions.
PTS: 1 REF: 6
2. A client has been prescribed diuretic therapy to treat fluid volume excess and wants to know
if any dietary modifications are necessary. Which of the following responses by the nurse is
best?
a. “There is no need for any dietary modification as long as you eat a well-balanced
diet.”
b. “As long as you take the medication as prescribed, there should be no dietary
modifications needed.”
c. “I need to verify the medication order in order to provide you with information.”
d. “As long as you consume eight glasses of water a day, you will be able to replace
all fluid losses.”
ANS: C
Feedback
A There are several types of diuretic medications that have different mechanisms
of action; therefore, this statement is not accurate. It is critical to know the
specific type of diuretic therapy that is prescribed in order to provide a logical
response.
B Diuretic therapy is aimed at fluid reduction, and depending on the type of
diuretic therapy, electrolyte loss can also occur. This takes place based on the
mechanism of action for the prescribed therapy. This is not an accurate
statement.
C The nurse should verify the medication order to find out what type of diuretic
therapy has been prescribed. For example, furosemide is a loop diuretic that
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
leads to fluid and potassium excretion, which in turn would require potassium
supplementation.
D Depending on the type of medication/mechanism of action, this is not an
accurate statement, as this fluid intake will not be able to replace all fluid losses.
PTS: 1 REF: 8
3. The nurse is taking care of a patient who has thyroid disease. What type of mineral
medication does the nurse anticipate that the health-care provider will order?
a. Potassium
b. Magnesium sulfate
c. Gold
d. Iodine
ANS: D
Feedback
A Potassium is used to regulate fluid balance, maintain cardiac function, and
promote bone health.
B Magnesium sulfate is used in the treatment of constipation and eclampsia.
C Gold is used in the treatment of arthritis.
D Iodine is used to treat goiters.
PTS: 1 REF: 8
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides
cefazolin as ordered 30 minutes preoperatively. Which statement indicates that teaching has
been effective?
a. “This antibiotic is given as a prophylactic to help reduce the risk of infection after
surgery.”
b. “This is a palliative medication to help ease the pain from surgery.”
c. “This medication will replace vitamins and minerals that may be lost due to
bleeding during surgery.”
d. “This medication will help the surgeon identify areas of bone destruction due to
arthritis.”
ANS: A
Feedback
A This medication is an example of an antibiotic used prior to surgery to prevent
infection.
B This medication is an antibiotic and does not provide pain relief.
C This medication is an antibiotic and does not replace vitamins and minerals.
D This medication is an antibiotic and does not assist in the identification of bone
destruction.
PTS: 1 REF: 9
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the
following medications to be included in the patient’s medication list?
a. Levothyroxine sodium
b. Estrogen
c. Iodine 131
d. Carbimazole
ANS: A
Feedback
A This medication replaces thyroid hormone in individuals who have low levels
due to hypothyroidism.
B This medication is used as hormone replacement, often for women in menopause
C Iodine 131 is used in the diagnosis, not treatment, of thyroid conditions.
D Carbimazole is used to reduce thyroid hormone production in individuals who
experience hyperthyroidism.
PTS: 1 REF: 9
6. An oncology patient is admitted to the nursing unit under hospice care Which medication
should the nurse anticipate that the health-care provider will order?
a. Prophylactic antibiotics
b. Diagnostic medication
c. Palliative therapy
d. Curative therapy
ANS: C
Feedback
A Hospice care indicates that the patient’s condition is terminal; therefore,
prophylactic antibiotics would not be indicated.
B Hospice care indicates that the patient’s condition is terminal; therefore,
diagnostic medications/procedures would not be indicated.
C Palliative therapy is indicated for the care and treatment of terminal patients.
D Hospice care indicates that the patient’s condition is terminal; therefore, there is
no curative therapy available.
PTS: 1 REF: 9
7. A patient is scheduled for diagnostic testing, Which medication should the nurse anticipate
that the health-care provider would order?
a. Estrogen
b. Penicillin (PCN)
c. Naloxone
d. Barium sulfate
ANS: D
Feedback
A Estrogen is used for hormone replacement therapy.
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
B PCN is an antibiotic used for the treatment of infections.
C Naloxone is a medication used to reverse opioid overdose.
D Barium sulfate is used as a contrast material during diagnostic imaging
procedures.
PTS: 1 REF: 9
8. A patient wants to know which plant contains vitamin C. What is the best nursing response?
a. Coca
b. Rose hips
c. Foxglove
d. Bark of white willow tree
ANS: B
Feedback
A Digoxin is found in coca plants and is used to treat heart failure.
B Rose hips is a good source of vitamin C/ascorbic acid.
C Procaine is derived from the foxglove plant and is an anesthetic.
D Salicin is found in the bark of the white willow tree and is a form of salicylic
acid.
PTS: 1 REF: 7
9. Which of the following best describes the benefit of the use of pharmacogenetics in the
treatment of conditions?
a. Pharmacogenetics is a new area of pharmacology that is developing rapidly.
b. Pharmacogenetics informs the family of inherited conditions.
c. Pharmacogenetics assists the physician in learning about the family.
d. Pharmacogenetics is used to identify the best drug and dose to be used.
ANS: D
Feedback
A Although this statement is true, it does not describe the benefit of the use of
pharmacogenetics.
B Pharmacogenetics is used to learn about an individual’s response(s) to
medications, not to reveal inherited conditions.
C Pharmacogenetics does not assist the physician in learning about the family. The
genetics specific to the individual are studied.
D Pharmacogenetics identifies the best medication and dose to use for patient
conditions such as cancer.
PTS: 1 REF: 7
10. A group of nurses are reviewing barbiturate medications. Which statement is accurate?
a. They are naturally derived drugs.
b. They are derived from animal sources.
c. They are derived from plant sources.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
d. They are synthetic medications.
ANS: D
Feedback
A Barbiturates are made from chemical sources and are synthesized.
B Barbiturates are not derived from animal sources.
C Barbiturates are not derived from plant sources.
D Barbiturates are chemically derived and considered synthetic medications.
PTS: 1 REF: 7
MULTIPLE RESPONSE
11. Based on the classification system of pharmacodynamics, which category statements are
accurate? (Select all that apply.)
a. Palliative therapy provides pain relief.
b. Diagnostic drugs help to identify pathological processes.
c. Prophylactic medications are curative.
d. Replacement medications provide needed physiological components.
e. Destructive medications are always curative.
ANS: A, B, D
Feedback
A This is a factual statement describing the function of palliative care.
B Diagnostic drugs are used with imaging procedures to localize pathological
processes.
C Prophylactic medications are used to prevent infections, but they are not always
curative.
D This is a factual statement describing the function of replacement therapy.
E Destructive medications are not always curative, but they help to destroy certain
tumors or microbes.
PTS: 1 REF: 9
12. A nurse is reviewing insulin medication. Which statements are accurate? (Select all that
apply.)
a. Escherichia coli is used in the recombinant form of human insulin.
b. Synthetic insulin preparations are more economical.
c. Human recombinant insulin provides less chance of allergic reactions.
d. Synthetic sources are not commonly used.
e. All insulins are derived from animal sources.
ANS: A, B, C
Feedback
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
A This is a factual statement. Human insulin is produced by using recombinant
technology to add the insulin gene to a non-pathogenic strain of E. coli.
B This is a factual statement. Synthetic drugs are typically less expensive because
they are mass produced.
C This is a factual statement. There is less chance of a reaction if animal sources
are not used.
D Synthetic sources of insulin are used commonly, as they are less expensive.
E Insulin can be derived from animal sources (pigs or cows), but synthetic forms
are the most commonly used.
PTS: 1 REF: 8
13. A nurse is reviewing medication category relationships. Which statements are accurate?
(Select all that apply.)
a. Radiopaque dyes are considered to be prophylactic medications.
b. Acetaminophen is considered to be a curative medication.
c. Flu vaccine is considered to be a prophylactic medication.
d. A neoplastic drug is considered to be a destructive medication.
e. Thyroid hormone is considered to be a replacement medication.
ANS: C, D, E
Feedback
A Radiopaque dyes are considered to be diagnostic medications.
B Acetaminophen is considered to be a palliative medication.
C This is a factual statement. Immunizations are considered to be prophylactic
medications.
D This is a factual statement. Neoplastic drugs are used in the treatment of
cancers/tumors.
E This is a factual statement. Thyroid hormones are used as replacement therapy to
treat hypothyroid conditions.
PTS: 1 REF: 9,10,10
14. A group of LPN students are reviewing state practice acts for nursing. Which statements
represent best practice for the LPN role? (Select all that apply.)
a. LPNs are not allowed to administer intravenous (IV) medications in the majority
of states.
b. LPNs are not allowed to administer medications via the rectal route.
c. LPNs must be directly supervised during medication administration.
d. LPNs may be allowed to start and discontinue IV fluids in selected states.
e. LPNs may not administer medications through central lines.
ANS: A, D, E
Feedback
A In most states, LPNs cannot administer medication via the IV route.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
B LPNs can administer medication via the rectal route.
C LPNs usually work under the direct supervision of the RN, but they are not always
directly supervised during medication administration.
D This is a factual statement describing the functional role of the LPN.
E This is a factual statement, as central line medication administration is beyond the
scope of practice for an LPN.
PTS: 1 REF: 10
15. An LPN is working in an acute care setting and the patient assigned has several medications
to be administered via a central line. Which actions should the LPN implement? (Select all
that apply.)
a. Administer the medications as ordered, as the patient is part of the nursing
assignment.
b. Contact the health-care provider for an alternate delivery route.
c. Hold the medications until the LPN can speak with the charge nurse.
d. Arrange with the charge nurse to either administer the medications or assign an RN
staff nurse to administer.
e. Make sure that the medications are available to administer during the shift as
ordered.
ANS: D, E
Feedback
A LPNs cannot administer medications via a central line, as this is outside of the
scope of practice.
B There is no need to contact the health-care provider for an alternate delivery
route.
C The medication should not be held, but rather administered at the designated
time.
D The LPN should discuss with the charge nurse having alternative administration
policies implemented either by the charge nurse directly or by assigning an RN
staff nurse.
E It is important to make sure that the medications are available to administer as
ordered during the shift.
PTS: 1 REF: 10
16. A nurse is administering a diuretic medication to a patient on a medical-surgical unit. Which
of the following is a factual statement?
a. The medication is viewed as curative, as it will help to decrease fluid volume.
b. The nurse should monitor intake and output during the course of therapy.
c. Daily weights should be included as part of monitoring therapy.
d. Assess the patient for pain relief following administration.
e. Increase fluid intake during therapy.
ANS: A, B, C
______________________________________________________________________________________________
7|Page
Pharmacology Clear and Simple: A Guide to Drug
Classifications and Dosage Calculations
Cynthia J. Watkins
4th Edition
,Table of Contents
Nursing Educators Test Bank 1
Chapter 01 History of Pharmacology 1
Chapter 02 Basics of Pharmacology 11
Chapter 03 Patient Safety in Medication Administration 19
Chapter 04 Regulations 31
Chapter 05 Prescriptions and Labels 41
Chapter 06 Basic Review of Mathematics 51
Chapter 07 Measurement Systems 56
Chapter 08 Dosage Calculations 61
Chapter 09 Enteral Medications and Administration 69
Chapter 10 Parental Medications and Administration 78
Chapter 11 Integumentary System Medications 87
Chapter 12 Musculoskeletal System Medications 96
Chapter 13 Nervous System Medications 105
Chapter 14 Eye and Ear Medications 114
Chapter 15 Endocrine System Medications 123
Chapter 16 Cardiovascular System Medications 133
Chapter 17 Immunologic System Medications 142
Chapter 18 Pulmonary System Medications 152
Chapter 19 Gastrointestinal System Medications 161
Chapter 20 Reproductive and Urinary System Medications 170
Chapter 21 Herbs, Vitamins, and Minerals 179
Medical Assisting Test Bank 188
Chapter 01 History of Pharmacology 188
Chapter 02 Basics of Pharmacology 197
Chapter 03 Patient Safety in Medication Administration 206
Chapter 04 Regulations 217
Chapter 05 Prescriptions and Labels 229
Chapter 06 Review of Mathematics 236
Chapter 07 Measurement Systems 250
Chapter 08 Dosage Calculations 259
Chapter 09 Enteral Medications and Administration 267
Chapter 10 Parental Medications and Administration 274
Chapter 11 Integumentary System Medications 287
Chapter 12 Musculoskeletal System Medications 296
Chapter 13 Nervous System Medications 304
Chapter 14 Eye and Ear Medications 314
Chapter 15 Endocrine System Medications 320
Chapter 16 Cardiovascular System Medications 331
Chapter 17 Immunologic System Medications 343
Chapter 18 Pulmonary System Medications 354
,Chapter 19 Gastrointestinal System Medications 362
Chapter 20 Reproductive and Urinary System Medications 371
Chapter 21 Vitamins, Minerals, Herbs, and Complementary and Alternative Medicine
381
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
Chapter 1. History of Pharmacology
MULTIPLE CHOICE
1. Which term best describes the process of utilizing genetic information to develop
pharmacological agents to treat diseases?
a. Partially synthesized
b. Pharmacogenetics
c. Totally synthesized
d. Scientific method
ANS: B
Feedback
A Partially synthesized refers to medications made by adding a pure chemical to a
natural substance.
B Pharmacogenetics is the study of individual candidate genes as powerful tools to
explain interindividual variability in drug response
C Totally synthesized refers to medications made by combining two or more pure
chemicals to produce a new substance that could be used as a medication.
D Scientific method refers to the process of using hypothesis, testing, and
observation to make deductions.
PTS: 1 REF: 6
2. A client has been prescribed diuretic therapy to treat fluid volume excess and wants to know
if any dietary modifications are necessary. Which of the following responses by the nurse is
best?
a. “There is no need for any dietary modification as long as you eat a well-balanced
diet.”
b. “As long as you take the medication as prescribed, there should be no dietary
modifications needed.”
c. “I need to verify the medication order in order to provide you with information.”
d. “As long as you consume eight glasses of water a day, you will be able to replace
all fluid losses.”
ANS: C
Feedback
A There are several types of diuretic medications that have different mechanisms
of action; therefore, this statement is not accurate. It is critical to know the
specific type of diuretic therapy that is prescribed in order to provide a logical
response.
B Diuretic therapy is aimed at fluid reduction, and depending on the type of
diuretic therapy, electrolyte loss can also occur. This takes place based on the
mechanism of action for the prescribed therapy. This is not an accurate
statement.
C The nurse should verify the medication order to find out what type of diuretic
therapy has been prescribed. For example, furosemide is a loop diuretic that
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
leads to fluid and potassium excretion, which in turn would require potassium
supplementation.
D Depending on the type of medication/mechanism of action, this is not an
accurate statement, as this fluid intake will not be able to replace all fluid losses.
PTS: 1 REF: 8
3. The nurse is taking care of a patient who has thyroid disease. What type of mineral
medication does the nurse anticipate that the health-care provider will order?
a. Potassium
b. Magnesium sulfate
c. Gold
d. Iodine
ANS: D
Feedback
A Potassium is used to regulate fluid balance, maintain cardiac function, and
promote bone health.
B Magnesium sulfate is used in the treatment of constipation and eclampsia.
C Gold is used in the treatment of arthritis.
D Iodine is used to treat goiters.
PTS: 1 REF: 8
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides
cefazolin as ordered 30 minutes preoperatively. Which statement indicates that teaching has
been effective?
a. “This antibiotic is given as a prophylactic to help reduce the risk of infection after
surgery.”
b. “This is a palliative medication to help ease the pain from surgery.”
c. “This medication will replace vitamins and minerals that may be lost due to
bleeding during surgery.”
d. “This medication will help the surgeon identify areas of bone destruction due to
arthritis.”
ANS: A
Feedback
A This medication is an example of an antibiotic used prior to surgery to prevent
infection.
B This medication is an antibiotic and does not provide pain relief.
C This medication is an antibiotic and does not replace vitamins and minerals.
D This medication is an antibiotic and does not assist in the identification of bone
destruction.
PTS: 1 REF: 9
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the
following medications to be included in the patient’s medication list?
a. Levothyroxine sodium
b. Estrogen
c. Iodine 131
d. Carbimazole
ANS: A
Feedback
A This medication replaces thyroid hormone in individuals who have low levels
due to hypothyroidism.
B This medication is used as hormone replacement, often for women in menopause
C Iodine 131 is used in the diagnosis, not treatment, of thyroid conditions.
D Carbimazole is used to reduce thyroid hormone production in individuals who
experience hyperthyroidism.
PTS: 1 REF: 9
6. An oncology patient is admitted to the nursing unit under hospice care Which medication
should the nurse anticipate that the health-care provider will order?
a. Prophylactic antibiotics
b. Diagnostic medication
c. Palliative therapy
d. Curative therapy
ANS: C
Feedback
A Hospice care indicates that the patient’s condition is terminal; therefore,
prophylactic antibiotics would not be indicated.
B Hospice care indicates that the patient’s condition is terminal; therefore,
diagnostic medications/procedures would not be indicated.
C Palliative therapy is indicated for the care and treatment of terminal patients.
D Hospice care indicates that the patient’s condition is terminal; therefore, there is
no curative therapy available.
PTS: 1 REF: 9
7. A patient is scheduled for diagnostic testing, Which medication should the nurse anticipate
that the health-care provider would order?
a. Estrogen
b. Penicillin (PCN)
c. Naloxone
d. Barium sulfate
ANS: D
Feedback
A Estrogen is used for hormone replacement therapy.
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
B PCN is an antibiotic used for the treatment of infections.
C Naloxone is a medication used to reverse opioid overdose.
D Barium sulfate is used as a contrast material during diagnostic imaging
procedures.
PTS: 1 REF: 9
8. A patient wants to know which plant contains vitamin C. What is the best nursing response?
a. Coca
b. Rose hips
c. Foxglove
d. Bark of white willow tree
ANS: B
Feedback
A Digoxin is found in coca plants and is used to treat heart failure.
B Rose hips is a good source of vitamin C/ascorbic acid.
C Procaine is derived from the foxglove plant and is an anesthetic.
D Salicin is found in the bark of the white willow tree and is a form of salicylic
acid.
PTS: 1 REF: 7
9. Which of the following best describes the benefit of the use of pharmacogenetics in the
treatment of conditions?
a. Pharmacogenetics is a new area of pharmacology that is developing rapidly.
b. Pharmacogenetics informs the family of inherited conditions.
c. Pharmacogenetics assists the physician in learning about the family.
d. Pharmacogenetics is used to identify the best drug and dose to be used.
ANS: D
Feedback
A Although this statement is true, it does not describe the benefit of the use of
pharmacogenetics.
B Pharmacogenetics is used to learn about an individual’s response(s) to
medications, not to reveal inherited conditions.
C Pharmacogenetics does not assist the physician in learning about the family. The
genetics specific to the individual are studied.
D Pharmacogenetics identifies the best medication and dose to use for patient
conditions such as cancer.
PTS: 1 REF: 7
10. A group of nurses are reviewing barbiturate medications. Which statement is accurate?
a. They are naturally derived drugs.
b. They are derived from animal sources.
c. They are derived from plant sources.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
d. They are synthetic medications.
ANS: D
Feedback
A Barbiturates are made from chemical sources and are synthesized.
B Barbiturates are not derived from animal sources.
C Barbiturates are not derived from plant sources.
D Barbiturates are chemically derived and considered synthetic medications.
PTS: 1 REF: 7
MULTIPLE RESPONSE
11. Based on the classification system of pharmacodynamics, which category statements are
accurate? (Select all that apply.)
a. Palliative therapy provides pain relief.
b. Diagnostic drugs help to identify pathological processes.
c. Prophylactic medications are curative.
d. Replacement medications provide needed physiological components.
e. Destructive medications are always curative.
ANS: A, B, D
Feedback
A This is a factual statement describing the function of palliative care.
B Diagnostic drugs are used with imaging procedures to localize pathological
processes.
C Prophylactic medications are used to prevent infections, but they are not always
curative.
D This is a factual statement describing the function of replacement therapy.
E Destructive medications are not always curative, but they help to destroy certain
tumors or microbes.
PTS: 1 REF: 9
12. A nurse is reviewing insulin medication. Which statements are accurate? (Select all that
apply.)
a. Escherichia coli is used in the recombinant form of human insulin.
b. Synthetic insulin preparations are more economical.
c. Human recombinant insulin provides less chance of allergic reactions.
d. Synthetic sources are not commonly used.
e. All insulins are derived from animal sources.
ANS: A, B, C
Feedback
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
A This is a factual statement. Human insulin is produced by using recombinant
technology to add the insulin gene to a non-pathogenic strain of E. coli.
B This is a factual statement. Synthetic drugs are typically less expensive because
they are mass produced.
C This is a factual statement. There is less chance of a reaction if animal sources
are not used.
D Synthetic sources of insulin are used commonly, as they are less expensive.
E Insulin can be derived from animal sources (pigs or cows), but synthetic forms
are the most commonly used.
PTS: 1 REF: 8
13. A nurse is reviewing medication category relationships. Which statements are accurate?
(Select all that apply.)
a. Radiopaque dyes are considered to be prophylactic medications.
b. Acetaminophen is considered to be a curative medication.
c. Flu vaccine is considered to be a prophylactic medication.
d. A neoplastic drug is considered to be a destructive medication.
e. Thyroid hormone is considered to be a replacement medication.
ANS: C, D, E
Feedback
A Radiopaque dyes are considered to be diagnostic medications.
B Acetaminophen is considered to be a palliative medication.
C This is a factual statement. Immunizations are considered to be prophylactic
medications.
D This is a factual statement. Neoplastic drugs are used in the treatment of
cancers/tumors.
E This is a factual statement. Thyroid hormones are used as replacement therapy to
treat hypothyroid conditions.
PTS: 1 REF: 9,10,10
14. A group of LPN students are reviewing state practice acts for nursing. Which statements
represent best practice for the LPN role? (Select all that apply.)
a. LPNs are not allowed to administer intravenous (IV) medications in the majority
of states.
b. LPNs are not allowed to administer medications via the rectal route.
c. LPNs must be directly supervised during medication administration.
d. LPNs may be allowed to start and discontinue IV fluids in selected states.
e. LPNs may not administer medications through central lines.
ANS: A, D, E
Feedback
A In most states, LPNs cannot administer medication via the IV route.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Pharmacology Clear and Simple, 4th Edition (Watkins, 2022)
B LPNs can administer medication via the rectal route.
C LPNs usually work under the direct supervision of the RN, but they are not always
directly supervised during medication administration.
D This is a factual statement describing the functional role of the LPN.
E This is a factual statement, as central line medication administration is beyond the
scope of practice for an LPN.
PTS: 1 REF: 10
15. An LPN is working in an acute care setting and the patient assigned has several medications
to be administered via a central line. Which actions should the LPN implement? (Select all
that apply.)
a. Administer the medications as ordered, as the patient is part of the nursing
assignment.
b. Contact the health-care provider for an alternate delivery route.
c. Hold the medications until the LPN can speak with the charge nurse.
d. Arrange with the charge nurse to either administer the medications or assign an RN
staff nurse to administer.
e. Make sure that the medications are available to administer during the shift as
ordered.
ANS: D, E
Feedback
A LPNs cannot administer medications via a central line, as this is outside of the
scope of practice.
B There is no need to contact the health-care provider for an alternate delivery
route.
C The medication should not be held, but rather administered at the designated
time.
D The LPN should discuss with the charge nurse having alternative administration
policies implemented either by the charge nurse directly or by assigning an RN
staff nurse.
E It is important to make sure that the medications are available to administer as
ordered during the shift.
PTS: 1 REF: 10
16. A nurse is administering a diuretic medication to a patient on a medical-surgical unit. Which
of the following is a factual statement?
a. The medication is viewed as curative, as it will help to decrease fluid volume.
b. The nurse should monitor intake and output during the course of therapy.
c. Daily weights should be included as part of monitoring therapy.
d. Assess the patient for pain relief following administration.
e. Increase fluid intake during therapy.
ANS: A, B, C
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