TEST BANK FOR
Pharmacology Clear And Simple- A Guide To Drug
Classifications And Dosage Calculations 3rd Edition Watkins
,Table of Contents
Chapter 1. History Of Pharmacology .................................................................................................... 3
Chapter 2. Basics Of Pharmacology.................................................................................................... 20
Chapter 3. Patient Safety In Medication Administration MULTIPLE CHOICE ............................... 39
Chapter 4. Regulations ........................................................................................................................ 54
Chapter 5.- Prescriptions And Labelschapter 6. Basic Review Of Mathematicschapter ................. 74
7. Measurement Systemschapter 8. Dosage Calculations.................................................................. 74
Chapter 9. Enteral Medications And Administration MULTIPLE CHOICE..................................... 90
Chapter 10. Parenteral Medications And Administration ................................................................ 102
Chapter 11. Integumentary System Medications MULTIPLE CHOICE .............................................117
Chapter 12. Musculoskeletal System Medications ............................................................................ 130
Chapter 13. Nervous System Medications .........................................................................................146
Chapter 14. Eye And Ear Medications ...............................................................................................164
Chapter 15. Endocrine System Medications ...................................................................................... 177
Chapter 16. Cardiovascular System Medications Cardiotonic: 1. ...................................................... 193
Chapter 17. Immunological System Medications ............................................................................. 298
Chapter 18. Pulmonary System Medications ..................................................................................... 317
Chapter 19. Gastrointestinal System Medications ............................................................................353
Chapter 20. Reproductive And Urinary Systems Medications Female Reproductive: ................... 386
Chapter 21. Herbs, Vitamins, And Minerals ..................................................................................... 438
,Pharmacology Clear And Simple- A Guide To Drug Classifications And Dosage Calculations 3rd
Edition Watkins Test Bank
Chapter 1. History Of Pharmacology
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
CORRECT ANSWER: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
CORRECT ANSWER: 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.
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
CORRECT ANSWER: 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
,CORRECT ANSWER: 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.
5.A NURSE Is Assessing The Patients 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?
CORRECT ANSWER: 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
,CORRECT ANSWER: 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?
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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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.
9.What Would Be The Best Source Of Drug Information For A NURSE?
A) Drug Facts And Comparisons
B) A NURSEs Drug Guide
C) A Drug Package Insert
D) The Physicians Drug Reference (PDR)
CORRECT ANSWER: B
Feedback:
A NURSEs Drug Guide Provides Nursing Implications And Patient Teaching Points That
Are Most Useful To NURSEs In Addition To Need-To-Know Drug Information In A Very
User Friendly Organizational Style.Lippincotts Nursing Drug Guide (LNDG) Has Drug
Monographs Organized Alphabetically And Includes Nursing Implications And Patient
,Teaching Points. Numerous Other Drug Handbooks Are Also On The Market And Readily
Available For NURSEs To Use. Although Other Drug Reference Books Such As Drug Facts
And Comparisons, PDR, And Drug Package Inserts Can All Provide Essential Drug
Information, They Will Not Contain Nursing Implications And Teaching Points And Can Be
More Difficult To Use Than NURSEs Drug Guides.
10.The NURSE Is Preparing To Administer A Medication From A Multidose Bottle. The Label Is
Torn And Soiled But The Name Of The Medication Is Still Readable. What Is The NURSEs Priority
Action?
A) Discard The Entire Bottle And Contents And Obtain A New Bottle.
B) Find The Drug Information And Create A New Label For The Bottle.
C) Ask Another NURSE To Verify The Contents Of The Bottle.
D) Administer The Medication If The Name Of The Drug Can Be Clearly Read.
CORRECT ANSWER: A
Feedback:
When The Drug Label Is Soiled Obscuring Some Information The Safest Action By The
NURSE Is To Discard The Bottle And Contents Because Drug Labels Contain A Great Deal
Of Important Information, Far More Than Just The Name Of The Drug. Concentration Of
The Drug, Expiration Date, Administration Directions, And Precautions May Be Missing
From The Label And So Put The Patient At Risk. Looking Up Drug Information In A Drug
Handbook Or Consulting With Another NURSE Will Not Supply The Expiration Date Or
Concentration Of Medication. Be Safe And Discard The Bottle And Its Contents.
11.What Aspect Of Pharmacology Does A NURSE Study? (Select All That Apply.)
A) Chemical Pharmacology
B) Molecular Pharmacology
C) Impact Of Drugs On The Body
D) The Bodys Response To A Drug
E) Adverse And Anticipated Drug Effects
CORRECT ANSWER: C, D, E
Feedback:
NURSEs Study Pharmacology From A Pharmacotherapeutic Level, Which Includes The
Effect Of Drugs On The Body, The Bodys Response To Drugs, And Both Expected And
,Unexpected Drug Effects. Chemical And Molecular Pharmacology (Options A And B) Are
Not Included In Nursing Pharmacology Courses.
12.The NURSE, Providing Patient Teaching About Home Medication Use To An Older Adult,
Explains That Even When Drugs Are Taken Properly They Can Produce Negative Or Unexpected
Effects. What Are These Negative Or Unexpected Effects Called?
A) Teratogenic Effects
B) Toxic Effects
C) Adverse Effects
D) Therapeutic Effects
CORRECT ANSWER: C
Feedback:
Negative Or Unexpected Effects Are Known As Adverse Or Side Effects. Teratogenic Effects
Are Adverse Effects On The Fetus And Not A Likely Concern For An Older Adult. Toxic
Effects Occur When Medication Is Taken In Larger Than Recommended Dosages Caused
By An Increase In Serum Drug Levels.
Therapeutic Effects Are The Desired Actions For Which The Medication Is Prescribed.
13.After Administering A Medication, For What Would The NURSE Assess The Patient?
A) Drug Effects
B) Allergies
C) Pregnancy
D) Preexisting Conditions
CORRECT ANSWER: A
Feedback:
After The Medication Is Administered, The NURSE Assesses The Patient For Drug Affects,
Both Therapeutic And Adverse. The NURSE Would Assess The Patient For Allergies,
Preexisting Conditions, And Pregnancy Before Administering A Medication.
14.The NURSE Receives An Order To Administer An Unfamiliar Medication And Obtains A
NURSEs Drug Guide Published Four Years Earlier. What Is The NURSEs Most Prudent Action?
A) Find A More Recent Reference Source.
, B) Use The Guide If The Drug Is Listed.
C) Ask Another NURSE For Drug Information.
D) Verify The Information In The Guide With The Pharmacist.
CORRECT ANSWER: A
Feedback:
The NURSE Is Responsible For All Medications Administered And Must Find A Recent
Reference Source To Ensure The Information Learned About The Medication Is Correct
And Current. Using An Older Drug Guide Could Be Dangerous Because It Would Not
Contain The Most Up-To-Date Information. Asking Another NURSE Or The Pharmacist
Does Not Guarantee Accurate Information Will Be Obtained And Could Harm The Patient
If The Information Is Wrong.
15.What Would The NURSE Provide When Preparing A Patient For Discharge And Home
Medication Self-Administration?
A) Personal Contact Information To Use If The Patient Has Questions
B) Thorough Medication Teaching About Drugs And The Drug Regimen
C) Over-The-Counter Medications To Use To Treat Potential Adverse Effects
D) A Sample Size Package Of Medication To Take Home Until Prescription Is Filled
CORRECT ANSWER: B
Feedback:
The NURSE Is Responsible For Providing Thorough Medication Teaching About Drugs And
The Drug Regimen To Ensure The Patient Knows How To Take The Medication And When
To Notify The Provider. The NURSE Never Provides Personal Contact Information To A
Patient. If Adverse Effects Arise, The Patient Is Taught To Call The Health Care Provider
And Should Not Self-Medicate With Over-The-Counter Drugs, Which Could Mask Serious
Symptoms. The NURSE Never Dispenses Medication Because It Must Be Properly Labeled
For Home Use; This Is Done By The Pharmacy.
16.In Response To The Patients Question About How To Know Whether Drugs Are Safe, The
NURSE Explains That All Medications Undergo Rigorous Scientific Testing Controlled By What
Organization?
A) Food And Drug Administration (FDA)
B) Drug Enforcement Agency (DEA)
C) Centers For Disease Control And Prevention (CDC)
D) Joint Commission On Accreditation Of Healthcare Organizations (JCAHO)
Pharmacology Clear And Simple- A Guide To Drug
Classifications And Dosage Calculations 3rd Edition Watkins
,Table of Contents
Chapter 1. History Of Pharmacology .................................................................................................... 3
Chapter 2. Basics Of Pharmacology.................................................................................................... 20
Chapter 3. Patient Safety In Medication Administration MULTIPLE CHOICE ............................... 39
Chapter 4. Regulations ........................................................................................................................ 54
Chapter 5.- Prescriptions And Labelschapter 6. Basic Review Of Mathematicschapter ................. 74
7. Measurement Systemschapter 8. Dosage Calculations.................................................................. 74
Chapter 9. Enteral Medications And Administration MULTIPLE CHOICE..................................... 90
Chapter 10. Parenteral Medications And Administration ................................................................ 102
Chapter 11. Integumentary System Medications MULTIPLE CHOICE .............................................117
Chapter 12. Musculoskeletal System Medications ............................................................................ 130
Chapter 13. Nervous System Medications .........................................................................................146
Chapter 14. Eye And Ear Medications ...............................................................................................164
Chapter 15. Endocrine System Medications ...................................................................................... 177
Chapter 16. Cardiovascular System Medications Cardiotonic: 1. ...................................................... 193
Chapter 17. Immunological System Medications ............................................................................. 298
Chapter 18. Pulmonary System Medications ..................................................................................... 317
Chapter 19. Gastrointestinal System Medications ............................................................................353
Chapter 20. Reproductive And Urinary Systems Medications Female Reproductive: ................... 386
Chapter 21. Herbs, Vitamins, And Minerals ..................................................................................... 438
,Pharmacology Clear And Simple- A Guide To Drug Classifications And Dosage Calculations 3rd
Edition Watkins Test Bank
Chapter 1. History Of Pharmacology
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
CORRECT ANSWER: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
CORRECT ANSWER: 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.
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
CORRECT ANSWER: 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
,CORRECT ANSWER: 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.
5.A NURSE Is Assessing The Patients 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?
CORRECT ANSWER: 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
,CORRECT ANSWER: 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?
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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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.
9.What Would Be The Best Source Of Drug Information For A NURSE?
A) Drug Facts And Comparisons
B) A NURSEs Drug Guide
C) A Drug Package Insert
D) The Physicians Drug Reference (PDR)
CORRECT ANSWER: B
Feedback:
A NURSEs Drug Guide Provides Nursing Implications And Patient Teaching Points That
Are Most Useful To NURSEs In Addition To Need-To-Know Drug Information In A Very
User Friendly Organizational Style.Lippincotts Nursing Drug Guide (LNDG) Has Drug
Monographs Organized Alphabetically And Includes Nursing Implications And Patient
,Teaching Points. Numerous Other Drug Handbooks Are Also On The Market And Readily
Available For NURSEs To Use. Although Other Drug Reference Books Such As Drug Facts
And Comparisons, PDR, And Drug Package Inserts Can All Provide Essential Drug
Information, They Will Not Contain Nursing Implications And Teaching Points And Can Be
More Difficult To Use Than NURSEs Drug Guides.
10.The NURSE Is Preparing To Administer A Medication From A Multidose Bottle. The Label Is
Torn And Soiled But The Name Of The Medication Is Still Readable. What Is The NURSEs Priority
Action?
A) Discard The Entire Bottle And Contents And Obtain A New Bottle.
B) Find The Drug Information And Create A New Label For The Bottle.
C) Ask Another NURSE To Verify The Contents Of The Bottle.
D) Administer The Medication If The Name Of The Drug Can Be Clearly Read.
CORRECT ANSWER: A
Feedback:
When The Drug Label Is Soiled Obscuring Some Information The Safest Action By The
NURSE Is To Discard The Bottle And Contents Because Drug Labels Contain A Great Deal
Of Important Information, Far More Than Just The Name Of The Drug. Concentration Of
The Drug, Expiration Date, Administration Directions, And Precautions May Be Missing
From The Label And So Put The Patient At Risk. Looking Up Drug Information In A Drug
Handbook Or Consulting With Another NURSE Will Not Supply The Expiration Date Or
Concentration Of Medication. Be Safe And Discard The Bottle And Its Contents.
11.What Aspect Of Pharmacology Does A NURSE Study? (Select All That Apply.)
A) Chemical Pharmacology
B) Molecular Pharmacology
C) Impact Of Drugs On The Body
D) The Bodys Response To A Drug
E) Adverse And Anticipated Drug Effects
CORRECT ANSWER: C, D, E
Feedback:
NURSEs Study Pharmacology From A Pharmacotherapeutic Level, Which Includes The
Effect Of Drugs On The Body, The Bodys Response To Drugs, And Both Expected And
,Unexpected Drug Effects. Chemical And Molecular Pharmacology (Options A And B) Are
Not Included In Nursing Pharmacology Courses.
12.The NURSE, Providing Patient Teaching About Home Medication Use To An Older Adult,
Explains That Even When Drugs Are Taken Properly They Can Produce Negative Or Unexpected
Effects. What Are These Negative Or Unexpected Effects Called?
A) Teratogenic Effects
B) Toxic Effects
C) Adverse Effects
D) Therapeutic Effects
CORRECT ANSWER: C
Feedback:
Negative Or Unexpected Effects Are Known As Adverse Or Side Effects. Teratogenic Effects
Are Adverse Effects On The Fetus And Not A Likely Concern For An Older Adult. Toxic
Effects Occur When Medication Is Taken In Larger Than Recommended Dosages Caused
By An Increase In Serum Drug Levels.
Therapeutic Effects Are The Desired Actions For Which The Medication Is Prescribed.
13.After Administering A Medication, For What Would The NURSE Assess The Patient?
A) Drug Effects
B) Allergies
C) Pregnancy
D) Preexisting Conditions
CORRECT ANSWER: A
Feedback:
After The Medication Is Administered, The NURSE Assesses The Patient For Drug Affects,
Both Therapeutic And Adverse. The NURSE Would Assess The Patient For Allergies,
Preexisting Conditions, And Pregnancy Before Administering A Medication.
14.The NURSE Receives An Order To Administer An Unfamiliar Medication And Obtains A
NURSEs Drug Guide Published Four Years Earlier. What Is The NURSEs Most Prudent Action?
A) Find A More Recent Reference Source.
, B) Use The Guide If The Drug Is Listed.
C) Ask Another NURSE For Drug Information.
D) Verify The Information In The Guide With The Pharmacist.
CORRECT ANSWER: A
Feedback:
The NURSE Is Responsible For All Medications Administered And Must Find A Recent
Reference Source To Ensure The Information Learned About The Medication Is Correct
And Current. Using An Older Drug Guide Could Be Dangerous Because It Would Not
Contain The Most Up-To-Date Information. Asking Another NURSE Or The Pharmacist
Does Not Guarantee Accurate Information Will Be Obtained And Could Harm The Patient
If The Information Is Wrong.
15.What Would The NURSE Provide When Preparing A Patient For Discharge And Home
Medication Self-Administration?
A) Personal Contact Information To Use If The Patient Has Questions
B) Thorough Medication Teaching About Drugs And The Drug Regimen
C) Over-The-Counter Medications To Use To Treat Potential Adverse Effects
D) A Sample Size Package Of Medication To Take Home Until Prescription Is Filled
CORRECT ANSWER: B
Feedback:
The NURSE Is Responsible For Providing Thorough Medication Teaching About Drugs And
The Drug Regimen To Ensure The Patient Knows How To Take The Medication And When
To Notify The Provider. The NURSE Never Provides Personal Contact Information To A
Patient. If Adverse Effects Arise, The Patient Is Taught To Call The Health Care Provider
And Should Not Self-Medicate With Over-The-Counter Drugs, Which Could Mask Serious
Symptoms. The NURSE Never Dispenses Medication Because It Must Be Properly Labeled
For Home Use; This Is Done By The Pharmacy.
16.In Response To The Patients Question About How To Know Whether Drugs Are Safe, The
NURSE Explains That All Medications Undergo Rigorous Scientific Testing Controlled By What
Organization?
A) Food And Drug Administration (FDA)
B) Drug Enforcement Agency (DEA)
C) Centers For Disease Control And Prevention (CDC)
D) Joint Commission On Accreditation Of Healthcare Organizations (JCAHO)
