, Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. The physician has written an order for a drug with which the nurse is unfamiliar. Which
section of the Desk Reference (PDR) is most helpful to get information about this
drug?
a. section
b. Brand and Generic Name section
c. Product Category section
d. Product Information section
ANS: B
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 4TOP:
Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
5. Which online drug reference makes available to health care providers and the public a
standard, comprehensive, up to date look up and downloadable resource about medicines?
a. American Drug Index
b. American Hospital Formulary
c. DailyMed
d. Desk Reference (PDR)
ANS: C
DailyMed makes available to health care providers and the public a standard, comprehensive,
up to date look up and downloadable resource about medicines. The American Drug Index is
not appropriate for patient use. The American Hospital Formulary is not appropriate for
patient use. The PDR is not appropriate for patient use.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 5TOP: Nursing
Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing?
a. Federal Food, Drug, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952)
c. Controlled Substances Act (1970)
d. Kefauver Harris Drug Amendment (1962)
ANS: A
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the
safety of all drugs before marketing. Later amendments and acts helped tighten FDA control
and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
cannot be used safely without medical supervision and restricts their sale to prescription by a
licensed practitioner. The Controlled Substances Act addresses only controlled substances and
their categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
products before marketing them.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 8TOP: Nursing
Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
7. Meperidine (Demerol) is a narcotic with a high potential for physical and psychological
,