TEST BANK
Focus on Nursing Pharmacology
AMY M. KARCH
7th Edition
,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 1
Chapter 01- Introduction to Drugs
1. 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 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
,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 2
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.
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
C) Monitoring and observing patients closely for adverse effects
D) Conducting research to determine effectiveness of
the drug Ans: C
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are
asked to record any symptoms they experience while taking the drugs. Nurses may
be responsible for helping collect and analyze the information to be shared with the
Food and Drug Administration (FDA) but would not conduct research independently
because nurses do not prescribe medications. Use of animals in drug testing is done in
the preclinical trials. Select patients who are involved in phase II studies to participate
in studies where the participants have the disease the drug is intended to treat. These
patients are monitored closely for drug action and adverse effects. Phase I studies
involve healthy human volunteers who are usually paid for their participation. Nurses
may observe for adverse effects and toxicity.
4. What concept is considered when generic drugs are substituted for brand name drugs?
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 body’s
tissues and is the
, Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 3
same in generic and brand name drugs. A drug’s 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.
5. A nurse is assessing the patient’s home medication use. After listening to the
patient list current medications, the nurse asks what priority question?
A) Do you take any generic medications?
B) Are any of these medications orphan drugs?
C) Are these medications safe to take during pregnancy?
D) Do you take any over-the-counter medications?
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter
medications because patients may not consider them important. The patient is unlikely
to know the meaning of orphan drugs unless they too are health care providers. Safety
during pregnancy, use of a generic medication, or classification of orphan drugs are
things the patient would be unable to answer but could be found in reference books if
the nurse wishes to research them.
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 research new drugs and also
those the nurse is not familiar with because no nurse knows all medications.
Focus on Nursing Pharmacology
AMY M. KARCH
7th Edition
,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 1
Chapter 01- Introduction to Drugs
1. 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 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
,Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 2
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.
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
C) Monitoring and observing patients closely for adverse effects
D) Conducting research to determine effectiveness of
the drug Ans: C
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are
asked to record any symptoms they experience while taking the drugs. Nurses may
be responsible for helping collect and analyze the information to be shared with the
Food and Drug Administration (FDA) but would not conduct research independently
because nurses do not prescribe medications. Use of animals in drug testing is done in
the preclinical trials. Select patients who are involved in phase II studies to participate
in studies where the participants have the disease the drug is intended to treat. These
patients are monitored closely for drug action and adverse effects. Phase I studies
involve healthy human volunteers who are usually paid for their participation. Nurses
may observe for adverse effects and toxicity.
4. What concept is considered when generic drugs are substituted for brand name drugs?
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 body’s
tissues and is the
, Test Bank - Focus on Nursing Pharmacology (7th Edition by Amy Karch) 3
same in generic and brand name drugs. A drug’s 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.
5. A nurse is assessing the patient’s home medication use. After listening to the
patient list current medications, the nurse asks what priority question?
A) Do you take any generic medications?
B) Are any of these medications orphan drugs?
C) Are these medications safe to take during pregnancy?
D) Do you take any over-the-counter medications?
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter
medications because patients may not consider them important. The patient is unlikely
to know the meaning of orphan drugs unless they too are health care providers. Safety
during pregnancy, use of a generic medication, or classification of orphan drugs are
things the patient would be unable to answer but could be found in reference books if
the nurse wishes to research them.
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 research new drugs and also
those the nurse is not familiar with because no nurse knows all medications.
