Test Bank for Understanding Pharmacology Essentials for Medication Safety, 3rd Edition by M. Linda Workman & LaCharity, All Chapters Covered

TEST BANK FOR UNDERSTANDING PHARMACOLOGY,
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ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION
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MULTIPLE CHOICE
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,g BASIC CONCEPTS g




1. Which health care professional has the major responsibility for dispensing prescribed
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medical drugs under the direction of a pharmacist?
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a. Physician
b Nursing attendant g g



. practitioner
g



c. Licensed nursing g



attendantg g



d Pharmacy technician g



.


ACCURATE RESPONSE:-D g



Review feedback:->>>The physician and nursing attendant have the major responsibility for
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prescribing medical drugs, not dispensing them. The licensed nursing attendant has the primary
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responsibility for administering medical drugs, although under some circumstances a licensed
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nursing attendant may dispense prescribed medical drugs but this is not his or her major
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responsibility in medical drug therapy. The pharmacy technician has the major responsibility of
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dispensing prescribed medical drugs under the direction of a licensed pharmacist.
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DIFFICULT: Cognitive Level: Remembering REF: p. 3 g g g g




2. Which term describes the effect of a medical drug that improves body function?
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a. Side effect g




b Intended action g



.
c. Adverse reaction g



d Idiosyncratic response g



.


ACCURATE RESPONSE:-B g



Review feedback :->>>The aim of medical drug therapy is to take a medical drug to prevent,
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lessen, or correct a health problem. This response is any medical drug’s intended action also
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known as a therapeutic response.
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DIFFICULT: Cognitive Level: Remembering REF: p. 3 g g g g




3. Which type of medical drug name is ―owned‖ by the company that manufactures it?
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a. Generic name g



b Chemical name g




.
c. Category name g



d Trade name g



.


ACCURATE RESPONSE:-D g



Review feedback:->>>The chemical name is a medical drug’s exact chemical composition. The
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generic name is the name assigned to the medical drug by the U.S. Adopted Names Council and is
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not owned by anyone. The category name refers to the type of medical drug (what it does or what it
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is used for) and is not an actual medical drug name. The trade name (brand name) is the name
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,provided and owned by a specific medical drug’s manufacturer.
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DIFFICULT: Cognitive Level: Remembering REF: p. 4 g g g g




4. Which medical drug or medical drug class is a ―high alert‖ medical drug?
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a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


ACCURATE RESPONSE:-B g



Review feedback:->>>A high alert medical drug is one in which harm is likely to result if given at
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the wrong dose, to the wrong hospital client, or not given to the correct hospital client. Medical
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drugs classified as high alert medical drugs include potassium, narcotics (opioids), insulin, cancer
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chemotherapy medical drugs, and heparin (or any medical drug that strongly affects blood
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clotting). Penicillin, NSAIDs, and calcium are not considered high alert medical drugs.
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DIFFICULT: Cognitive Level: Remembering REF: p. 4 g g g g




5. What is the term for a medical drug that has the same action as a naturally occurring
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body hormone or enzyme?
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a. Agonist
b Blocking agent g



.
c. Chemical
d Duplicator
.


ACCURATE RESPONSE:- A g g



Review feedback:->>>A medical drug agonist is an extrinsic medical drug that activates the
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receptor sites of a cell and mimics the actions of naturally occurring body substances (intrinsic
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medical drugs). A blocking agent is a medical drug antagonist. A chemical would not necessarily be
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a medical drug at all. A duplicator is not a pharmacologic term.
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DIFFICULT: Cognitive Level: Remembering REF: pp. 6-7g g g g




6. Which term describes how the body affects medical drug activity?
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a. Medical drug g



potency g



b Pharmacodynamics
.
c. Therapeutic effect g




d Pharmacokinetics
.


ACCURATE RESPONSE:-D g



Review feedback:->>>The term pharmacokinetics refers to medical drug metabolism and how
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the body changes a medical drug. Pharmacodynamics refers to how a medical drug works to
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change body function. Medical drug potency refers to how strongly or to what degree a medical
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, drug exerts its effects. The therapeutic effect is closer to pharmacodynamics, meaning how a
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medical drug works to change body function.
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DIFFICULT: Cognitive Level: Remembering REF: p. 10 g g g g




7. In the United States, which group is responsible for enforcing established standards for
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medical drug manufacturing?
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a. U.S. Pharmacopeia g



b National Institutes of Health g g g



.
c. Food and Medical drug Administration
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d Association of Pharmaceutical Manufacturers g g g



.


ACCURATE RESPONSE:-C g



Review feedback:->>>The standards for medical drug manufacture are established by the U.S.
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Pharmacopeia. These standards are enforced by the Food and Medical drug Administration.
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Neither the National Institutes of Health nor the Association of Pharmaceutical Manufacturers has
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any authority to enforce medical drug standards.
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DIFFICULT: Cognitive Level: Remembering REF: p. 5 g g g g




8. Which factor is a major disadvantage of the transdermal medical drug delivery route?
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a. Only a prescriber can administer medical drugs by the transdermal
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route.
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b Transdermal medical drugs must be sterile rather than clean. g g g g g g g g



.
c. First pass medical drug loss by this route is the most extensive.
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d Medical drug absorption is dependent on adequate circulation.
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ACCURATE RESPONSE:-D g



Review feedback:->>>Once a transdermal medical drug moves through the skin, it must enter the
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bloodstream to reach its target tissue. If circulation is poor to the area where the transdermal
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medical drug is applied, very little, if any, of the medical drug will reach its target tissue.
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DIFFICULT: Cognitive Level: Remembering REF: p. 12 g g g g




9. How are intrinsic medical drugs different from extrinsic medical drugs?
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a. Intrinsic medical drugs are made by the body, whereas extrinsic medical drugs are made outside
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the body.
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b Intrinsic medical drugs are administered by the parenteral route, whereas extrinsic medical
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. drugs are administered by the oral route.
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c. Extrinsic medical drugs can only be applied to the skin or mucous membranes, whereas
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intrinsic medical drugs are taken internally.
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d Extrinsic medical drugs require a prescription for administration, whereas intrinsic medical
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. drugs are available over-the-counter.
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ACCURATE RESPONSE:- A g g



Review feedback:->>>Intrinsic medical drugs are the hormones, enzymes, and other chemicals
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