NURS 615 Exam 1 Prep: Week 1 Content
UPDATED ACTUAL Questions and
CORRECT Answers
What factors are associated with clinical judgment when prescribing medications? - CORRECT
ANSWER Pharmacokinetics, pharmacodynamics, pathophysiology, prescriptive authority,
cost/benefit issues
What is the process of rational drug prescribing? - CORRECT ANSWER 1. Define the patient's
problem. 2. Specify the therapeutic objective. 3. Collaborate with the patient. 4. Choose the treatment. 5.
Educate the patient. 6. Monitor effectiveness
What does I Can PresCribE A Drug stand for? - CORRECT ANSWER Indication,
Contraindications, Precautions, Cost/Compliance, Efficacy, Adverse effects, Dose/Duration/Direction
What are the criteria for choosing an effective drug? - CORRECT ANSWER Use evidence-based
guidelines, consider pharmacodynamics & pharmacokinetics, determine cost-effectiveness, consider
patient preferences & adherence
What is passive monitoring? - CORRECT ANSWER Patient is educated on expected outcome and
instructed to contact the provider if it doesn't happen.
What is active monitoring? - CORRECT ANSWER Follow-up lab tests to measure therapeutic
effectiveness.
What is the therapeutic window? - CORRECT ANSWER The range between effectiveness and
toxicity of a drug. Wider=safer & less monitoring
What are the therapeutic factors? - CORRECT ANSWER Evidence for therapeutic effect, safety
profiles, cost, patient factors (previous adverse reactions, health beliefs, current drug therapy, age,
pregnancy status), ease of prescribing & monitoring (formularies), guidelines
, Who regulates prescribing? - CORRECT ANSWER The state boards of nursing
What is the Federal Food and Drug Act of 1906? - CORRECT ANSWER The first federal law
designed to protect the public; designated that drugs must meet certain standards for strength & purity &
prohibited the manufacture of adulterated drugs. *Focused primarily on how drugs were labeled or
branded.*
What is the 1938 amendment to the Federal Food and Drug act? - CORRECT ANSWER After
children died from sulfa drugs; added 3 principles-restricted drug adulteration, misbranding, and interstate
commerce of unapproved drugs
What is the Harris-Kefauver Amendment of 1962? - CORRECT ANSWER Due to drug
thalidomide. Requires safety and efficacy of drug to be proven before it is marketed. All drugs previously
on the market were re-evaluted.
What is the Orphan Drug Act of 1983? - CORRECT ANSWER Fosters drug development for rare
diseases
What is the Drug Price Competition and Patent Term Restoration Act of 1984? - CORRECT
ANSWER This expanded the number of generic drugs by allowing pharmaceutical companies to
prove bioequivalence rather than redoing clinical trials (once patents expired)
What is the Pediatric Research Equity Act of 2003? - CORRECT ANSWER This required pediatric
studies of safety and efficacy
What is the Drug Quality Safety and Security Act of 2013? - CORRECT ANSWER Enhanced
security provisions within drug supply chain. Made our recall system better.
What is the Prescription Drug Marketing Act of 1987? - CORRECT ANSWER Protects American
consumers from ineffective drugs; bans the sale, trade & purchase of drug samples
UPDATED ACTUAL Questions and
CORRECT Answers
What factors are associated with clinical judgment when prescribing medications? - CORRECT
ANSWER Pharmacokinetics, pharmacodynamics, pathophysiology, prescriptive authority,
cost/benefit issues
What is the process of rational drug prescribing? - CORRECT ANSWER 1. Define the patient's
problem. 2. Specify the therapeutic objective. 3. Collaborate with the patient. 4. Choose the treatment. 5.
Educate the patient. 6. Monitor effectiveness
What does I Can PresCribE A Drug stand for? - CORRECT ANSWER Indication,
Contraindications, Precautions, Cost/Compliance, Efficacy, Adverse effects, Dose/Duration/Direction
What are the criteria for choosing an effective drug? - CORRECT ANSWER Use evidence-based
guidelines, consider pharmacodynamics & pharmacokinetics, determine cost-effectiveness, consider
patient preferences & adherence
What is passive monitoring? - CORRECT ANSWER Patient is educated on expected outcome and
instructed to contact the provider if it doesn't happen.
What is active monitoring? - CORRECT ANSWER Follow-up lab tests to measure therapeutic
effectiveness.
What is the therapeutic window? - CORRECT ANSWER The range between effectiveness and
toxicity of a drug. Wider=safer & less monitoring
What are the therapeutic factors? - CORRECT ANSWER Evidence for therapeutic effect, safety
profiles, cost, patient factors (previous adverse reactions, health beliefs, current drug therapy, age,
pregnancy status), ease of prescribing & monitoring (formularies), guidelines
, Who regulates prescribing? - CORRECT ANSWER The state boards of nursing
What is the Federal Food and Drug Act of 1906? - CORRECT ANSWER The first federal law
designed to protect the public; designated that drugs must meet certain standards for strength & purity &
prohibited the manufacture of adulterated drugs. *Focused primarily on how drugs were labeled or
branded.*
What is the 1938 amendment to the Federal Food and Drug act? - CORRECT ANSWER After
children died from sulfa drugs; added 3 principles-restricted drug adulteration, misbranding, and interstate
commerce of unapproved drugs
What is the Harris-Kefauver Amendment of 1962? - CORRECT ANSWER Due to drug
thalidomide. Requires safety and efficacy of drug to be proven before it is marketed. All drugs previously
on the market were re-evaluted.
What is the Orphan Drug Act of 1983? - CORRECT ANSWER Fosters drug development for rare
diseases
What is the Drug Price Competition and Patent Term Restoration Act of 1984? - CORRECT
ANSWER This expanded the number of generic drugs by allowing pharmaceutical companies to
prove bioequivalence rather than redoing clinical trials (once patents expired)
What is the Pediatric Research Equity Act of 2003? - CORRECT ANSWER This required pediatric
studies of safety and efficacy
What is the Drug Quality Safety and Security Act of 2013? - CORRECT ANSWER Enhanced
security provisions within drug supply chain. Made our recall system better.
What is the Prescription Drug Marketing Act of 1987? - CORRECT ANSWER Protects American
consumers from ineffective drugs; bans the sale, trade & purchase of drug samples
