Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition Michelle Willihnganz All Chapters (1-48) |A+ ULTIMATE GUIDE 2023

Test Bank For Clayton’s Basic Pharmacology for Nurses
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19th




Chapter 01: Drug Definitions, Standards, and Information Sources
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Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
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MULTIPLE
CHOICE

1. Which name identifies a drug listed by the US
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Food andDrug Administration (FDA)?
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a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C
The official name is the name under which a drug is
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listed by the FDA. The brand name, or trademark, is
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the name given to a drug by its manufacturer. The
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nonproprietary, or generic, name is provided by the
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United States AdoptedNames Council.
b b b b b




DIF: Cognitive Level: Knowledge REF: p. 9 b b b b b




OBJ: 1NAT: NCLEX Client Needs Category: Safe, b b b b b b




Effective CareEnvironment TOP:
b Nursing Process Step: b b b b b




Assessment CON:
b b




Patient Education b




2. Which source contains information specific to nutritional supplements?
b b b b b b b




a. USP Dictionary of USAN & International Drug Names b b b b b b b




b. Natural Medicines Comprehensive Database b b b




c. United States Pharmacopoeia/National Formulary (USP NF) b b b b b




d. Drug Interaction Facts b b




ANS: C b




United States Pharmacopoeia/National Formulary contains information specific to
b b b b b b b




nutritionalsupplements. USP Dictionary of USAN & International Drug Names is a
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compilation of drugnames, pronunciation guide, and possible future FDA approved
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drugs; it does not include nutritional supplements. Natural Medicines
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Comprehensive Database contains
b b b




evidence-based information on herbal medicines and herbal combination products; it b b b b b b b b b




does notinclude information specific to nutritional supplements. Drug Interaction
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Facts contains comprehensive information on drug interaction facts; it does not
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include nutritional supplements.
b b b




DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: b b b




3NAT: NCLEX Client Needs Category: Physiological Integrity
b b b b b b b b




TOP: Nursing Process Step: Assessment CON: Nutrition | Patient Education b b b b b b




3. Which drug reference contains drug monographs that describe all drugs in a therapeutic
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b class?
a. Drug Facts and Comparisons b b b

,Test Bank For Clayton’s Basic Pharmacology for Nurses
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b. Drug Interaction Facts b b




c. Handbook on Injectable Drugs b b b




d. Martindale—The Complete Drug Reference b b b




ANS: A b




Drug Facts and Comparisons contains drug monographs that describe all
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drugs in atherapeutic class. Monographs are formatted as tables to allow
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comparison of similarproducts, brand names, manufacturers, cost indices, and
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available dosage forms Online version is available.
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DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 b b b b b b




OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity b b b b b b b




TOP: Nursing Process Step: Assessment CON: Safety | Patient Education | Clinical Judgment b b b b b b b b b




4. Which drug reference contains monographs about virtually every single-entity drug
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availablein the United States and describes therapeutic uses of drugs, including
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approved and unapproved uses?
b b b b




a. Martindale: The Complete Drug Reference b b b b




b. AHFS Drug Information b b




c. Drug Reference b




d. Drug Facts and Comparisons b b b




ANS: B b




AHFS Drug Information contains monographs about virtually every single-entity
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drug available in the United States and describes therapeutic uses of drugs,
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including approved andunapproved uses.
b b b b




DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 b b b b b b




OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity b b b b b b b




TOP: Nursing Process Step: Planning CON: Safety | Patient Education | Clinical Judgment b b b b b b b b b




5. Which online drug reference makes available to healthcare providers and the
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public a standard, comprehensive, up-to-date look up and downloadable resource
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about medicines?
b b




a. American Drug Index b b




b. American Hospital Formulary b b




c. DailyMed
d. Drug Reference b




ANS: C b




DailyMed makes available to healthcare providers and the public a standard,
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comprehensive,up-to-date look up and downloadable resource about medicines. The
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American Drug Index isnot appropriate for patient use. The American Hospital
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Formulary is not appropriate for patient use. The drug reference is not appropriate
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for patient use.
b b b




DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: b b b b b b b




3NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Implementation
b b b b b




CON: Safety | Patient Education | Clinical Judgment b b b b b b




6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing?
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a. Federal Food, Drug, and Cosmetic Act (1938) b b b b b b




b. Durham Humphrey Amendment (1952) b b b

,Test Bank For Clayton’s Basic Pharmacology for Nurses
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c. Controlled Substances Act (1970) b b b




d. Kefauver Harris Drug Amendment (1962) b b b b




ANS: A b




The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine
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b the safety of all drugs before marketing. Later amendments and acts helped tighten
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b FDA control and ensure drug safety. The Durham Humphrey Amendment defines the
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bkinds of drugs that cannot be used safely without medical supervision and restricts
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btheir sale to prescription by a licensed practitioner. The Controlled Substances Act
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baddresses only controlled substances andtheir categorization. The Kefauver Harris
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bDrug Amendment ensures drug efficacy and greaterdrug safety. Drug
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b manufacturers are required to prove to the FDA the effectiveness of their products b b b b b b b b b b b b




b before marketing b




them.

DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3 b b b b b b




OBJ: 5 NAT: NCLEX Client Needs Category: b b b b




bPhysiological IntegrityTOP: Nursing Process Step: Assessment b b b b b b




CON: Safety | Patient Education | Evidence | Health Care Law b b b b b b b b b




7. Which classification does meperidine (Demerol) fall under?
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a. I
b. II
c. III
d. IV
ANS: B b




Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse b b b b b b b b b b b b b




band may lead tosevere psychological and physical dependence. Schedule I drugs have
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bhigh potential for abuseand no recognized medical use. Schedule III drugs have some
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potential for abuse. Use may lead to low to moderate physical dependence or high
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bpsychological dependence. Schedule IVdrugs have low potential for abuse. Use may b b b b b b b b b b b




lead to limited physical or psychological dependence.
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DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: b b b




b2NAT: NCLEX Client Needs Category: Safe, Effective Care
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bEnvironment
TOP: Nursing Process Step: Assessment CON: Patient Education | Addiction | Pain b b b b b b b b




8. Which action would the FDA take to expedite drug development and approval for an
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boutbreakof smallpox? b




a. List smallpox as a health orphan disease.
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b. Omit the preclinical research phase. b b b b




c. Extend the clinical research phase. b b b b




d. Fast track the investigational drug. b b b b




ANS: D b




Once the Investigational New Drug Application has been approved, the drug can
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breceive highest priority within the agency, which is called fast tracking. A smallpox
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boutbreak would become a priority concern in the world. Orphan diseases are not
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bresearched in a priority manner. Preclinical research is not omitted. Extending any b b b b b b b b b b b




bphase of the research would meana longer time to develop a vaccine. The FDA
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bmust ensure that all phases of the preclinical andclinical research phase have
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b been completed in a safe manner.
b b b b b




DIF: Cognitive Level: Knowledge b b REF: p. 7 b OBJ: 5 b

, Test Bank For Clayton’s Basic Pharmacology for Nurses
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NAT: NCLEX Client Needs Category: Safe, Effective Care
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EnvironmentTOP: Nursing Process Step: Assessment
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CON: Health Care Law | Health Care Policy | Infection | Care Coordination b b b b b b b b b b b




9. Which statement is true about over-the-counter (OTC) drugs?
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a. They are not listed in the USP NF. b b b b b b b




b. A prescription from a healthcare provider is needed.
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c. They are sold without a prescription. b b b b b




d. They are known only by their brand names. b b b b b b b




ANS: C b




OTC medications do not require a prescription. A variety of names, both generic
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and trade, can be used for individual drugs sold OTC. OTC drugs are listed in
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the USP NF. Prescriptiondrugs require an order by a health professional who is
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licensed to prescribe, such as a physician, nurse practitioner, physician assistant,
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or dentist.
b b




DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: b b b




2NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Planning CON: Patient Education
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10. Which is the most authoritative reference for medications that are injected?
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a. Martindale: The Complete b b




b. Handbook on Injectable Drugs b b b




c. DailyMed
d. Handbook of Nonprescription Drugs b b b




ANS: B b




The Handbook on Injectable Drugs is the most comprehensive reference available
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on the topic of compatibility of injectable drugs. It is a collection of monographs
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for more than 300injectable drugs that are listed alphabetically by generic name.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: b b b




3NAT: NCLEX Client Needs Category: Physiological Integrity
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TOP: Nursing Process Step: Assessment CON: Clinical Judgment | Safety b b b b b b b b




11. Which statement is true about Lomotil? b b b b b




a. Abuse potential for this drug is low. b b b b b b




b. Psychological dependency is likely. b b b




c. There is a high potential for abuse. b b b b b b




d. This drug is not a controlled substance. b b b b b b




ANS: A b




Lomotil, a Schedule V drug, has an abuse potential of limited physical or
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psychological dependence liability compared with drugs in Schedule IV. Because abuse
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potential is low witha Schedule V drug, a prescription may not be required.
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Psychological dependency is not likelywith a Schedule V drug. Schedule V drugs are b b b b b b b b b b b b




classified as controlled substances.
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DIF: Cognitive Level: Knowledge REF: p. 5 Box 1.1 b b b b b




OBJ: 2NAT: NCLEX Client Needs Category:
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Physiological b




Integrity
TOP: Nursing Process Step: Assessment CON: Clinical Judgment | Safety | Patient Education b b b b b b b b b