TEST BANK
BRENNER AND STEVENS’ PHARMACOLOGY 6TH
EDITION (ELSEVIER, 2022) BY CRAIG W. STEVENS,
ISBN NO; 9780323758987, ALL CHAPTERS COVERED
1
, Test Bank for Brenner and Stevens’ Pharmacology 6th Edition (Elsevier,
2022) by Craig W. Stevens, Isbn No; 9780323758987, all Chapters Covered
Chapter 1 Introduction to Pharmacology
A nurse working in radiology administers iodine to a patient who is having a computed
tomography (CT) scan. The nurse working on the oncology unit administers chemotherapy
to patients who have cancer. At the Public Health Department, a nurse administers a
measles-mumps-rubella (MMR) vaccine to a 14-month-old child as a routine immunization.
Which branch of pharmacology
1. best describes the actions of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with
clinical pharmacology or pharmacotherapeutics, which is a branch of pharmacology that
deals with the uses of drugs to treat, prevent, and diagnose disease. The radiology nurse is
administering a drug to help diagnose a disease. The oncology nurse is administering a
drug to help treat a disease.
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics
involves how a drug affects the body and pharmacokinetics is how the body acts on the
body.
2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4
hours as needed for pain in a motor vehicle accident victim. The nurse is aware this drug
has a high abuse potential. Under what category would morphine be classified?
A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV
Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe
dependence liability. Schedule I drugs have high abuse potential and no accepted medical
use. Schedule III drugs have a lesser abuse potential than II and an accepted medical use.
Schedule IV drugs have low abuse potential and limited dependence liability.
2
,3. When involved in phase III drug evaluation studies, what responsibilities would the nurse
have?
A) Working with animals who are given experimental drugs
B) Choosing appropriate patients to be involved in the drug study
A) Bioavailability
B) Critical concentration
C) Distribution
D) Half-life
Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is
available to act on body cells. Binders used in a generic drug may not be the same as those
used in the brand name drug. Therefore, the way the body breaks down and uses the drug
may differ, which may eliminate a generic drug substitution. Critical concentration is the
amount of a drug that is needed to cause a therapeutic effect and should not differ between
generic and brand name medications. Distribution is the phase of pharmacokinetics, which
involves the movement of a drug to the bodys tissues and is the same in generic and brand
name drugs. A drugs half-life is the time it takes for the amount of drug to decrease to half
the peak level, which should not change when substituting a generic medication.
6. After completing a course on pharmacology for nurses, what will the nurse know?
A) Everything necessary for safe and effective medication administration
B) Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
C) General drug information; the nurse can consult a drug guide for specific drug
information.
D) The drug actions that are associated with each classification of medication
Ans: C
Feedback:
After completing a pharmacology course nurses will have general drug information needed
for safe and effective medication administration but will need to consult a drug guide for
specific drug information before administering any medication. Pharmacology is constantly
changing, with new drugs entering the market and new uses for existing drugs identified.
Continuing education in pharmacology is essential to safe practice. Nurses tend to become
familiar with the medications they administer most often, but there will always be a need to
3
, research new drugs and also those the nurse is not familiar with because no nurse knows
all medications.
A nurse is instructing a pregnant patient concerning the potential risk to her fetus
7. from a Pregnancy Category B drug. What would the nurse inform the patient?
A) Adequate studies in pregnant women have demonstrated there is no risk to the fetus.
B) Animal studies have not demonstrated a risk to the fetus, but there have been no
adequate studies in pregnant women.
C) Animal studies have shown an adverse effect on the fetus, but there are no adequate
studies in pregnant women.
D) There is evidence of human fetal risk, but the potential benefits from use of the drug may
be acceptable despite potential risks.
Ans: B
Feedback:
Category B indicates that animal studies have not demonstrated a risk to the fetus.
However, there have not been adequate studies in pregnant women to demonstrate risk to
a fetus during the first trimester of pregnancy and no evidence of risk in later trimesters.
Category A indicates that adequate studies in pregnant women have not demonstrated a
risk to the fetus in the first trimester or in later trimesters. Category C indicates that
animal studies have shown an adverse effect on the fetus, but no adequate studies in
humans. Category D reveals evidence of human fetal risk, but the potential benefits from
the use of the drugs in pregnant women may outweigh potential risks.
8. Discharge planning for patients leaving the hospital should include instructions on the
use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a
good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by the Food and Drug
Administration (FDA).
C) OTC drugs are different from any drugs available by prescription and cost less.
D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications that can cause
serious harm if not taken properly. OTCs are drugs that have been determined to be safe
when taken as directed; however, all drugs can produce adverse effects even when taken
4
BRENNER AND STEVENS’ PHARMACOLOGY 6TH
EDITION (ELSEVIER, 2022) BY CRAIG W. STEVENS,
ISBN NO; 9780323758987, ALL CHAPTERS COVERED
1
, Test Bank for Brenner and Stevens’ Pharmacology 6th Edition (Elsevier,
2022) by Craig W. Stevens, Isbn No; 9780323758987, all Chapters Covered
Chapter 1 Introduction to Pharmacology
A nurse working in radiology administers iodine to a patient who is having a computed
tomography (CT) scan. The nurse working on the oncology unit administers chemotherapy
to patients who have cancer. At the Public Health Department, a nurse administers a
measles-mumps-rubella (MMR) vaccine to a 14-month-old child as a routine immunization.
Which branch of pharmacology
1. best describes the actions of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with
clinical pharmacology or pharmacotherapeutics, which is a branch of pharmacology that
deals with the uses of drugs to treat, prevent, and diagnose disease. The radiology nurse is
administering a drug to help diagnose a disease. The oncology nurse is administering a
drug to help treat a disease.
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics
involves how a drug affects the body and pharmacokinetics is how the body acts on the
body.
2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4
hours as needed for pain in a motor vehicle accident victim. The nurse is aware this drug
has a high abuse potential. Under what category would morphine be classified?
A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV
Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe
dependence liability. Schedule I drugs have high abuse potential and no accepted medical
use. Schedule III drugs have a lesser abuse potential than II and an accepted medical use.
Schedule IV drugs have low abuse potential and limited dependence liability.
2
,3. When involved in phase III drug evaluation studies, what responsibilities would the nurse
have?
A) Working with animals who are given experimental drugs
B) Choosing appropriate patients to be involved in the drug study
A) Bioavailability
B) Critical concentration
C) Distribution
D) Half-life
Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is
available to act on body cells. Binders used in a generic drug may not be the same as those
used in the brand name drug. Therefore, the way the body breaks down and uses the drug
may differ, which may eliminate a generic drug substitution. Critical concentration is the
amount of a drug that is needed to cause a therapeutic effect and should not differ between
generic and brand name medications. Distribution is the phase of pharmacokinetics, which
involves the movement of a drug to the bodys tissues and is the same in generic and brand
name drugs. A drugs half-life is the time it takes for the amount of drug to decrease to half
the peak level, which should not change when substituting a generic medication.
6. After completing a course on pharmacology for nurses, what will the nurse know?
A) Everything necessary for safe and effective medication administration
B) Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
C) General drug information; the nurse can consult a drug guide for specific drug
information.
D) The drug actions that are associated with each classification of medication
Ans: C
Feedback:
After completing a pharmacology course nurses will have general drug information needed
for safe and effective medication administration but will need to consult a drug guide for
specific drug information before administering any medication. Pharmacology is constantly
changing, with new drugs entering the market and new uses for existing drugs identified.
Continuing education in pharmacology is essential to safe practice. Nurses tend to become
familiar with the medications they administer most often, but there will always be a need to
3
, research new drugs and also those the nurse is not familiar with because no nurse knows
all medications.
A nurse is instructing a pregnant patient concerning the potential risk to her fetus
7. from a Pregnancy Category B drug. What would the nurse inform the patient?
A) Adequate studies in pregnant women have demonstrated there is no risk to the fetus.
B) Animal studies have not demonstrated a risk to the fetus, but there have been no
adequate studies in pregnant women.
C) Animal studies have shown an adverse effect on the fetus, but there are no adequate
studies in pregnant women.
D) There is evidence of human fetal risk, but the potential benefits from use of the drug may
be acceptable despite potential risks.
Ans: B
Feedback:
Category B indicates that animal studies have not demonstrated a risk to the fetus.
However, there have not been adequate studies in pregnant women to demonstrate risk to
a fetus during the first trimester of pregnancy and no evidence of risk in later trimesters.
Category A indicates that adequate studies in pregnant women have not demonstrated a
risk to the fetus in the first trimester or in later trimesters. Category C indicates that
animal studies have shown an adverse effect on the fetus, but no adequate studies in
humans. Category D reveals evidence of human fetal risk, but the potential benefits from
the use of the drugs in pregnant women may outweigh potential risks.
8. Discharge planning for patients leaving the hospital should include instructions on the
use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a
good understanding of OTC drugs?
A) OTC drugs are safe and do not cause adverse effects if taken properly.
B) OTC drugs have been around for years and have not been tested by the Food and Drug
Administration (FDA).
C) OTC drugs are different from any drugs available by prescription and cost less.
D) OTC drugs could cause serious harm if not taken according to directions.
Ans: D
Feedback:
It is important to follow package directions because OTCs are medications that can cause
serious harm if not taken properly. OTCs are drugs that have been determined to be safe
when taken as directed; however, all drugs can produce adverse effects even when taken
4
