NUR 112 - EXAM 1 Review UPDATED
Questions and CORRECT Answers
• The nurse is preparing to give medications to a client with high blood pressure.
The prescription indicates that the client is to have the combination drug
dextroamphetamine saccharate-amphetamine aspartate monohydrate-
dextroamphetamine sulfate-amphetamine sulfate 40 mg by mouth twice daily.
What is the appropriate nursing action? -✓✓ Contact the health care provider for
clarification of the prescription.
explanation: Before administering the medication, the nurse should immediately
contact the health care provider to verify the prescription; no one else can verify
the prescription. The combination drug dextroamphetamine saccharate-
amphetamine aspartate monohydrate-dextroamphetamine sulfate-amphetamine
sulfate and the drug propranolol are medications that have look-alike and sound-
alike properties, but are very different in indication and dosage.
• The nurse treating a client for the past week notes no improvement in the client's
condition. Another nurse mentions a new drug that might help the client. The first
nurse has never heard of this newly introduced drug. What is the most likely reason
that Sally has not heard about this new drug? -✓✓ The nurse was not aware of or
did not have access to reliable resources for new drug information.
explanation:It is most likely that Sally has not had access to reliable and up-to-date
drug reference information. Awareness of reliable resources and the specific type
of information provided in those resources ensures that a nurse is efficiently and
completely informed about safe drug administration and new therapeutic
developments. It is unlikely that the cause could be Sally's lack of initiative or level
of interest in the ailment.
,• What is included in FDA approval of a drug for OTC availability? -✓✓
evaluation of evidence that the consumer can use the drug safely, using
information on the product label
explanation: FDA approval of a drug for OTC availability involves evaluation of
evidence that the consumer can use the drug safely, using information on the
product label, and shifts primary responsibility for safe and effective drug therapy
from health care professionals to consumers. With prescription drugs, a health care
professional diagnoses the condition, often with the help of laboratory and other
diagnostic tests, and determines a need for the drug.
• A patient, scheduled to be involved in a drug trial, asks about the involvement of
animals in the process. What information should the nurse provide to the patient?
During which stage of drug development is the drug tested on laboratory animals?
-✓✓ Phase 0 involves testing the medication's effect on animals
explanation: During Phase 0, drugs are tested on laboratory animals. A phase I
study uses human volunteers for testing. A phase II study allows investigators to
try out the drug in clients who have the disease that the drug is designed to treat. A
phase III study involves the use of the drug in a vast clinical market.
• A nurse is preparing to administer morphine and recognizes morphine as
belonging to what classification of controlled substance? -✓✓ schedule II (C-II)
explanation: Morphine is a schedule II (C-II) controlled substance with a severe
risk of abuse and dependence. Schedule III drugs have a lower abuse potential and
generally contain nonbarbiturate sedatives, nonamphetamine stimulants, and
limited amounts of certain narcotics. Schedule IV drugs are those with less abuse
potential than schedule III and limited dependence liability, including some
sedatives, antianxiety agents, and nonnarcotic analgesics. Schedule V medications
have limited abuse potential and are often found in small amounts in antitussives or
,antidiarrheals. Federal law allows purchase without a prescription directly from a
pharmacist if the purchaser is over age 18 and furnishes suitable identification.
• A client with a long-standing dermatologic health problem has been advised to
use a drug with a local effect. The nurse should recognize what characteristic of
this drug? -✓✓ The drug acts primarily at the site where it is applied.
explanation: Drugs with local effects, such as sunscreen lotions and local
anesthetics, act mainly at the site of application. Those with systemic effects are
taken into the body, circulated through the bloodstream to their sites of action in
various body tissues, and eventually eliminated from the body. A drug with local
effect does not necessarily have to be applied at multiple sites, and its action may
affect tissues long after contact.
• Define pharmacology -✓✓ the study of the biological effect of chemicals
related to the words charm poison and remedy
• what are the sources and production of drugs? -✓✓ natural: meds that have a
plant or animal based
semisynthetic: a natural drug with chemicals added to it
synthetic: chemically bond meds that have been made in the lab (MOST DRUGS
ARE)
biotechnologic: hormone replacement
• state how a drug is develop -✓✓ phase 0- chemicals tested on lab animals
phase l - chemicals tested on humans volunteers (males)
phase ll- drug tried on informed pt who has the disease
, phase lll- drug used in vast clinical market
phase lv-continued evaluation of the drug
• what are the 3 different names of drugs? -✓✓ 1. chemical name- the name given
based on the chemical makeup
2. generic name- the original name given when it has been approved by the FDA
(ONLY 1)
3. brand\trade name- name given by the companies that mass markets the drug
(MANY NAMES) based on the company that makes it
• state the controlled substance schedules -✓✓ schedule l: high potential for abuse,
NO medical use, ex- heroin, marijuana, & LSD
schedule ll: high potential for abuse, ACCEPTED for medical use, morphine,
demerol, & hydrocodone
schedule lll: lower potential for abuse, ACCEPTED for medical use, tylenol with
codeine & testosterone
schedule lv: lower potential for abuse, ACCEPTED for medical use, librium &
valium
schedule v: lower potential for abuse, ACCEPTED for medical use, lomotil,
robitussin a-c
• Pharmacokinetics -✓✓ the drugs stages after administration
what the body does with the drug "ADME"
Questions and CORRECT Answers
• The nurse is preparing to give medications to a client with high blood pressure.
The prescription indicates that the client is to have the combination drug
dextroamphetamine saccharate-amphetamine aspartate monohydrate-
dextroamphetamine sulfate-amphetamine sulfate 40 mg by mouth twice daily.
What is the appropriate nursing action? -✓✓ Contact the health care provider for
clarification of the prescription.
explanation: Before administering the medication, the nurse should immediately
contact the health care provider to verify the prescription; no one else can verify
the prescription. The combination drug dextroamphetamine saccharate-
amphetamine aspartate monohydrate-dextroamphetamine sulfate-amphetamine
sulfate and the drug propranolol are medications that have look-alike and sound-
alike properties, but are very different in indication and dosage.
• The nurse treating a client for the past week notes no improvement in the client's
condition. Another nurse mentions a new drug that might help the client. The first
nurse has never heard of this newly introduced drug. What is the most likely reason
that Sally has not heard about this new drug? -✓✓ The nurse was not aware of or
did not have access to reliable resources for new drug information.
explanation:It is most likely that Sally has not had access to reliable and up-to-date
drug reference information. Awareness of reliable resources and the specific type
of information provided in those resources ensures that a nurse is efficiently and
completely informed about safe drug administration and new therapeutic
developments. It is unlikely that the cause could be Sally's lack of initiative or level
of interest in the ailment.
,• What is included in FDA approval of a drug for OTC availability? -✓✓
evaluation of evidence that the consumer can use the drug safely, using
information on the product label
explanation: FDA approval of a drug for OTC availability involves evaluation of
evidence that the consumer can use the drug safely, using information on the
product label, and shifts primary responsibility for safe and effective drug therapy
from health care professionals to consumers. With prescription drugs, a health care
professional diagnoses the condition, often with the help of laboratory and other
diagnostic tests, and determines a need for the drug.
• A patient, scheduled to be involved in a drug trial, asks about the involvement of
animals in the process. What information should the nurse provide to the patient?
During which stage of drug development is the drug tested on laboratory animals?
-✓✓ Phase 0 involves testing the medication's effect on animals
explanation: During Phase 0, drugs are tested on laboratory animals. A phase I
study uses human volunteers for testing. A phase II study allows investigators to
try out the drug in clients who have the disease that the drug is designed to treat. A
phase III study involves the use of the drug in a vast clinical market.
• A nurse is preparing to administer morphine and recognizes morphine as
belonging to what classification of controlled substance? -✓✓ schedule II (C-II)
explanation: Morphine is a schedule II (C-II) controlled substance with a severe
risk of abuse and dependence. Schedule III drugs have a lower abuse potential and
generally contain nonbarbiturate sedatives, nonamphetamine stimulants, and
limited amounts of certain narcotics. Schedule IV drugs are those with less abuse
potential than schedule III and limited dependence liability, including some
sedatives, antianxiety agents, and nonnarcotic analgesics. Schedule V medications
have limited abuse potential and are often found in small amounts in antitussives or
,antidiarrheals. Federal law allows purchase without a prescription directly from a
pharmacist if the purchaser is over age 18 and furnishes suitable identification.
• A client with a long-standing dermatologic health problem has been advised to
use a drug with a local effect. The nurse should recognize what characteristic of
this drug? -✓✓ The drug acts primarily at the site where it is applied.
explanation: Drugs with local effects, such as sunscreen lotions and local
anesthetics, act mainly at the site of application. Those with systemic effects are
taken into the body, circulated through the bloodstream to their sites of action in
various body tissues, and eventually eliminated from the body. A drug with local
effect does not necessarily have to be applied at multiple sites, and its action may
affect tissues long after contact.
• Define pharmacology -✓✓ the study of the biological effect of chemicals
related to the words charm poison and remedy
• what are the sources and production of drugs? -✓✓ natural: meds that have a
plant or animal based
semisynthetic: a natural drug with chemicals added to it
synthetic: chemically bond meds that have been made in the lab (MOST DRUGS
ARE)
biotechnologic: hormone replacement
• state how a drug is develop -✓✓ phase 0- chemicals tested on lab animals
phase l - chemicals tested on humans volunteers (males)
phase ll- drug tried on informed pt who has the disease
, phase lll- drug used in vast clinical market
phase lv-continued evaluation of the drug
• what are the 3 different names of drugs? -✓✓ 1. chemical name- the name given
based on the chemical makeup
2. generic name- the original name given when it has been approved by the FDA
(ONLY 1)
3. brand\trade name- name given by the companies that mass markets the drug
(MANY NAMES) based on the company that makes it
• state the controlled substance schedules -✓✓ schedule l: high potential for abuse,
NO medical use, ex- heroin, marijuana, & LSD
schedule ll: high potential for abuse, ACCEPTED for medical use, morphine,
demerol, & hydrocodone
schedule lll: lower potential for abuse, ACCEPTED for medical use, tylenol with
codeine & testosterone
schedule lv: lower potential for abuse, ACCEPTED for medical use, librium &
valium
schedule v: lower potential for abuse, ACCEPTED for medical use, lomotil,
robitussin a-c
• Pharmacokinetics -✓✓ the drugs stages after administration
what the body does with the drug "ADME"
