,NURS 251 Pharmacology Module Exam 9 | Portage Learning /
1. Which of the following characteristics is most consistently associated with a specialty medication?
A) Not covered by insurance
B) Treats a complex disease state
C) Always administered via injection
D) Requires refrigeration at all times
Correct Answer: Treats a complex disease state
Rationale: Specialty medications are defined by their use in treating complex, chronic, or rare disease
states. While they are often high-cost, may require special handling, or may be biologics, the defining
characteristic is that they treat complex disease states.
2. Which of the following is NOT a consistent characteristic of a specialty medication?
A) High cost
B) Treats a complex disease state
C) Any injectable medication
D) Complex treatment regimen
Correct Answer: Any injectable medication
Rationale: While many specialty medications are injectable or infused, not all injectable medications
are considered specialty medications. The designation depends on the disease state treated, cost,
complexity, and other factors, not the route of administration alone.
3. Cell-mediated immunity involves which type of immune response?
A) Production of antibodies
B) Activation of T cells and natural killer cells
C) Production of histamine
D) Activation of B cells only
,Correct Answer: Activation of T cells and natural killer cells
Rationale: Cell-mediated immunity involves the activation of T cells and natural killer (NK) cells, not
the production of antibodies. Antibody production is part of humoral immunity. NK cells recognize
and rupture target cells that have foreign antigens on their surface.
4. Which type of immune cells recognize and rupture target cells that have foreign antigens on their
surface?
A) B cells
B) T helper cells
C) Natural killer (NK) cells
D) Plasma cells
Correct Answer: Natural killer (NK) cells
Rationale: Natural killer (NK) cells are part of cell-mediated immunity and are responsible for
recognizing and rupturing target cells that have foreign antigens on their surface. B cells and plasma
cells produce antibodies as part of humoral immunity.
5. A patient must obtain a medication that is considered a specialty medication. Which statement
about obtaining this medication is TRUE?
A) It can be picked up at any retail pharmacy
B) It requires a prior authorization and is dispensed through a specialty pharmacy
C) It is available over the counter
D) It does not require insurance approval
Correct Answer: It requires a prior authorization and is dispensed through a specialty pharmacy
Rationale: Specialty medications are typically not stocked at retail pharmacies and must be obtained
through a specialty pharmacy. They often require prior authorization from the insurance provider due
to their high cost and complex nature.
, 6. Which of the following classes of medications is considered a specialty medication?
A) Antihypertensives for routine hypertension
B) Antibiotics for common infections
C) Biologics for rheumatoid arthritis
D) Over-the-counter pain relievers
Correct Answer: Biologics for rheumatoid arthritis
Rationale: Biologics used to treat autoimmune diseases like rheumatoid arthritis are considered
specialty medications. They are often high-cost, biologically derived, and treat complex disease states.
7. A patient with rheumatoid arthritis is prescribed a biologic medication. The nurse should include
which instruction in the teaching?
A) "This medication can be picked up at your local pharmacy."
B) "You will need to use a specialty pharmacy to obtain this medication."
C) "This medication is available over the counter."
D) "You do not need insurance approval for this medication."
Correct Answer: "You will need to use a specialty pharmacy to obtain this medication."
Rationale: Biologic medications for rheumatoid arthritis are considered specialty medications and are
typically dispensed through specialty pharmacies. They often require prior authorization and special
handling.
8. Which of the following diseases is commonly treated with a specialty medication?
A) Mild hypertension
B) Hepatitis C
C) Common cold
D) Seasonal allergies
1. Which of the following characteristics is most consistently associated with a specialty medication?
A) Not covered by insurance
B) Treats a complex disease state
C) Always administered via injection
D) Requires refrigeration at all times
Correct Answer: Treats a complex disease state
Rationale: Specialty medications are defined by their use in treating complex, chronic, or rare disease
states. While they are often high-cost, may require special handling, or may be biologics, the defining
characteristic is that they treat complex disease states.
2. Which of the following is NOT a consistent characteristic of a specialty medication?
A) High cost
B) Treats a complex disease state
C) Any injectable medication
D) Complex treatment regimen
Correct Answer: Any injectable medication
Rationale: While many specialty medications are injectable or infused, not all injectable medications
are considered specialty medications. The designation depends on the disease state treated, cost,
complexity, and other factors, not the route of administration alone.
3. Cell-mediated immunity involves which type of immune response?
A) Production of antibodies
B) Activation of T cells and natural killer cells
C) Production of histamine
D) Activation of B cells only
,Correct Answer: Activation of T cells and natural killer cells
Rationale: Cell-mediated immunity involves the activation of T cells and natural killer (NK) cells, not
the production of antibodies. Antibody production is part of humoral immunity. NK cells recognize
and rupture target cells that have foreign antigens on their surface.
4. Which type of immune cells recognize and rupture target cells that have foreign antigens on their
surface?
A) B cells
B) T helper cells
C) Natural killer (NK) cells
D) Plasma cells
Correct Answer: Natural killer (NK) cells
Rationale: Natural killer (NK) cells are part of cell-mediated immunity and are responsible for
recognizing and rupturing target cells that have foreign antigens on their surface. B cells and plasma
cells produce antibodies as part of humoral immunity.
5. A patient must obtain a medication that is considered a specialty medication. Which statement
about obtaining this medication is TRUE?
A) It can be picked up at any retail pharmacy
B) It requires a prior authorization and is dispensed through a specialty pharmacy
C) It is available over the counter
D) It does not require insurance approval
Correct Answer: It requires a prior authorization and is dispensed through a specialty pharmacy
Rationale: Specialty medications are typically not stocked at retail pharmacies and must be obtained
through a specialty pharmacy. They often require prior authorization from the insurance provider due
to their high cost and complex nature.
, 6. Which of the following classes of medications is considered a specialty medication?
A) Antihypertensives for routine hypertension
B) Antibiotics for common infections
C) Biologics for rheumatoid arthritis
D) Over-the-counter pain relievers
Correct Answer: Biologics for rheumatoid arthritis
Rationale: Biologics used to treat autoimmune diseases like rheumatoid arthritis are considered
specialty medications. They are often high-cost, biologically derived, and treat complex disease states.
7. A patient with rheumatoid arthritis is prescribed a biologic medication. The nurse should include
which instruction in the teaching?
A) "This medication can be picked up at your local pharmacy."
B) "You will need to use a specialty pharmacy to obtain this medication."
C) "This medication is available over the counter."
D) "You do not need insurance approval for this medication."
Correct Answer: "You will need to use a specialty pharmacy to obtain this medication."
Rationale: Biologic medications for rheumatoid arthritis are considered specialty medications and are
typically dispensed through specialty pharmacies. They often require prior authorization and special
handling.
8. Which of the following diseases is commonly treated with a specialty medication?
A) Mild hypertension
B) Hepatitis C
C) Common cold
D) Seasonal allergies
