TEST BANK
Focus on Nursing Pharmacology 9th Edition by Amy M. Karch
“At PrimeStudy Notes, we provide high-quality, exam-focused study materials, test banks, and practice exams
designed to help students succeed. Our resources are comprehensive, concise, and tailored to meet the needs of
learners in various fields including Business, Law, Nursing, Psychology, Accounting, and more. Whether
you're preparing for exams or need to practice with real-world questions, our materials are designed to help
you revise smarter and score higher. Explore our collection today and get ready to ace your exams!”
Precision Dosing for Nursing Success: Test Bank for Focus on Nursing Pharmacology, 9th Edition
Sharpen your pharmacological expertise with the Test Bank for Focus on Nursing Pharmacology, 9th Edition by Amy
M. Karch, MS, RN. This dynamic resource features over 1,800 multiple-choice, true/false, and scenario-based
questions across 55 chapters, with detailed rationales, answer keys, and references to evidence-based guidelines.
Master drug classifications, mechanisms of action, therapeutic uses, adverse effects, nursing considerations, and
patient education—from analgesics and antimicrobials to oncology agents and immunotherapies—updated for 2025
with insights on gene therapy, opioid alternatives, pharmacogenomics, and telehealth integration.
Aligned with NCLEX-RN and AACN standards, it's ideal for ADN/BSN students, NP candidates, or pharmacology
instructors, honing safe administration and critical thinking through clinical vignettes on drug interactions and
cultural dosing. Simulate exams, bridge theory to bedside practice, and ensure error-free patient care in diverse
settings.
Instantly downloadable on Stuvia, all chapters included. Infuse your studies with pharmacological prowess—
download today and prescribe excellence!
,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
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.
,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 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. 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 properly. They may have originally been
prescription drugs that were tested by the FDA or they may have been grandfathered in when the FDA
laws changed. OTC education should always be included as a part of the hospital discharge instructions.
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.
7. A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a Pregnancy Category
B drug. What would the nurse inform the patient?
Focus on Nursing Pharmacology 9th Edition by Amy M. Karch
“At PrimeStudy Notes, we provide high-quality, exam-focused study materials, test banks, and practice exams
designed to help students succeed. Our resources are comprehensive, concise, and tailored to meet the needs of
learners in various fields including Business, Law, Nursing, Psychology, Accounting, and more. Whether
you're preparing for exams or need to practice with real-world questions, our materials are designed to help
you revise smarter and score higher. Explore our collection today and get ready to ace your exams!”
Precision Dosing for Nursing Success: Test Bank for Focus on Nursing Pharmacology, 9th Edition
Sharpen your pharmacological expertise with the Test Bank for Focus on Nursing Pharmacology, 9th Edition by Amy
M. Karch, MS, RN. This dynamic resource features over 1,800 multiple-choice, true/false, and scenario-based
questions across 55 chapters, with detailed rationales, answer keys, and references to evidence-based guidelines.
Master drug classifications, mechanisms of action, therapeutic uses, adverse effects, nursing considerations, and
patient education—from analgesics and antimicrobials to oncology agents and immunotherapies—updated for 2025
with insights on gene therapy, opioid alternatives, pharmacogenomics, and telehealth integration.
Aligned with NCLEX-RN and AACN standards, it's ideal for ADN/BSN students, NP candidates, or pharmacology
instructors, honing safe administration and critical thinking through clinical vignettes on drug interactions and
cultural dosing. Simulate exams, bridge theory to bedside practice, and ensure error-free patient care in diverse
settings.
Instantly downloadable on Stuvia, all chapters included. Infuse your studies with pharmacological prowess—
download today and prescribe excellence!
,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
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.
,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 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. 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 properly. They may have originally been
prescription drugs that were tested by the FDA or they may have been grandfathered in when the FDA
laws changed. OTC education should always be included as a part of the hospital discharge instructions.
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.
7. A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a Pregnancy Category
B drug. What would the nurse inform the patient?
