FULL TEST BANK
INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION BY
SUSAN FORD, 9781975163730, CHAPTER 1-54 COMPLETE GUIDE
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Introductory Clinical Pharmacology 12th Edition Susan Ford Nursing Test Bank
Contents
Unit 1 Nursing Foundation Of Clinical Pharmacology
1 General Principles Of Pharmacology
2 Administration Of Drugs
3 Making Drug Dosing Safer
4 The Nursing Process
5 Client And Family Teaching
Unit 2 Drugs Used To Fight Infections
6 Antibacterial Drugs: Sulfonamides
7 Antibacterial Drugs That Disrupt The Bacterial Cell Wall
8 Antibacterial Drugs That Interfere With Protein Synthesis
9 Antibacterial Drugs That Interfere With DNA/RNA Synthesis
10 Antitubercular Drugs
11 Antiviral Drugs
12 Antifungal And Antiparasitic Drugs
Unit 3 Drugs Used To Manage Pain
13 Nonopioid Analgesics: Salicylates And Nonsalicylates
14 Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs And Migraine Headache
Medications
15 Opioid Analgesics And Antagonists
16 Anesthetic Drugs
Unit 4 Drugs That Affect The Central Nervous System
17 Central Nervous System Stimulants
18 Antidementia Drugs
19 Antianxiety Drugs
20 Sedatives And Hypnotics
21 Antidepressant Drugs
22 Antipsychotic Drug
Unit 5 Drugs That Affect The Peripheral Nervous System
23 Adrenergic Drugs
24 Adrenergic Blocking Drugs
25 Cholinergic Drugs
26 Cholinergic Blocking Drugs
Unit 6 Drugs That Affect The Neuromuscular System
27 Antiparkinson Drugs
,28 Antiepileptics
29 Skeletal Muscle, Bone, And Joint Disorder Drugs
Unit 7 Drugs That Affect The Respiratory System
30 Upper Respiratory System Drugs
31 Lower Respiratory System Drugs
Unit 8 Drugs That Affect The Cardiovascular System
32 Diuretics
33 Antihyperlipidemic Drugs
34 Antihypertensive Drugs
35 Antianginal And Vasodilating Drugs
36 Anticoagulant And Thrombolytic Drugs
37 Cardiotonic And Antiarrhythmic Drugs
Unit 9 Drugs That Affect The Gastrointestinal System
38 Upper Gastrointestinal System Drugs
39 Lower Gastrointestinal System Drug
Unit 10 Drugs That Affect The Endocrine System
40 Antidiabetic Drugs
41 Pituitary And Adrenocortical Hormones
42 Thyroid And Antithyroid Drugs
43 Male And Female Hormones
44 Uterine Drugs
Unit 11 Drugs That Affect The Urinary System
45 Menopause And Andropause Drugs
46 Urinary Tract Anti-Infectives And Other Urinary Drugs
Unit 12 Drugs That Affect The Immune System
47 Vaccines
48 Immunostimulants And Immunomodulators
49 Immune Blockers
Unit 13 Drugs That Fight Cancer
50 Traditional Chemotherapy
51 Immune Modulating Therapies
Unit 14 Drugs That Affect Other Body Systems
52 Skin Disorder Topical Drugs
53 Otic And Ophthalmic Preparations
54 Fluids, Electrolytes, And Parenteral Therapy
,1 General Principles Of Pharmacology
A Nursing Instructor Is Preparing A Teaching Plan For A Group Of Nursing Students
About Pharmacology. When Describing This Topic, The Instructor Would Focus The
Discussion On Which Of The Following As An Essential Aspect?
A) Drug Name
B) Drug Class
C) Drug Action
D) Drug
Source
ANSWER: C
Rationale:
Pharmacology Is The Study Of Drugs And Their Action On Living Organisms. Thus,
An Essential Aspect Of Pharmacology Is Drug Action. An Understanding Of The Drug
Name, Drug Class, And Drug Source Is Important, But The Most Critical Aspect
Related To Pharmacology Is How The Drug Acts In The Body.
2. A Nursing Student Is Preparing To Administer A Prescribed Drug To A Patient. The
Student Reviews Information About The Drug And Its Actions. Which Of The
Following Would Be The Best Choice For Obtaining This Information? Select All That
Apply.
A) Nursing Instructor
B) Nurse Assigned To The Patient
C) Clinical Drug Reference
D) Prescribing Health Care Provider
E) Clinical Pharmacist
ANSWER: C, E
Rationale:
Although The Nursing Student Can Ask The Nursing Instructor, The Nurse Assigned
To The Patient, And The Prescribing Health Care Provider For Information About The
Drug, The Best Choices For Drug Information Would Include An Appropriate Drug
Reference And The Clinical Pharmacist.
3. When Describing The Various Types Of Medications To A Group Of Nursing
Students, A Nursing Instructor Would Identify Which Of The Following As A
Source For Deriving Medications? Select All That Apply.
A) Plants
B) Synthetic Sources
C) Mold
D) Minerals
E) Animals
ANSWER: A, B,
C, D, E Rationale:
Medications Are Derived From Natural Sources, For Example, Plants, Molds, Minerals, And
Animals, As Well As Created Synthetically In A Laboratory.
,4. Which Of The Following Names May Be Assigned To A Drug During The
Process Ofzdevelopment? Select All That Apply.
A) Chemical Name
B) Official Name
C) Pharmacologic Name
D) Trade Name
E) Nonproprietary
Znamezanswer: A, B, D,
E Rationale:
Throughout The Process Of Development, Drugs May Have Several Names Assigned
To Them Including A Chemical Name, A Generic (Nonproprietary) Name, An Official
Name, Andza Trade Or Brand Name.
5. A Drug May Be Classified By Which Of The Following? Select All That Apply.
A) The Chemical Type Of The Drug's Active Ingredient
B) The Way The Drug Is Used To Treat A Specific Condition
C) The Generic Name Of The Drug
D) The Trade Name Of The Drug
E) The Nonproprietary Name Of The
Drugzanswer: A, B
Rationale:
A Drug May Be Classified By The Chemical Type Of The Active Ingredient Or By The
Way It Iszused To Treat A Particular Condition. Generic, Trade, And Nonproprietary
Refer To How A Drug Is Named.
6. A Group Of Nursing Students Are Reviewing Information About The Process Of
Drug Development In The United States. The Students Demonstrate
Understanding Of This Process When They Identify That Which Of The Following
Categories Are Assigned By Thezfood And Drug Administration To Newly
Approved Drugs? Select All That Apply.
A) Metabolite
B) Noncontrolled Substance
C) Prescription
D) Nonprescription
E) Controlled
Zsubstancezanswer: C, D, E
Rationale:
Once Drugs Are Approved For Use, The FDA Assigns The Drug To One Of The
Following Categories: Prescription, Nonprescription, Or Controlled Substance.
Metabolite Refers Tozthe Inactive Form Of The Drug. Noncontrolled Substance Is A Term
That Is Not Used.
,7. Which Of The Following Would Be Most Important For The Nurse To Do To Ensure
The Safezuse Of Prescription Drugs In The Institutional Setting? Select All That
Apply.
A) Administering Drugs
B) Monitoring Clients For Drug Effects
C) Prescribing Drugs
D) Evaluating Clients For Toxic Effects
E) Educating Clients/Caregivers About
Drugszanswer: A, B, D, E
Rationale:
In The Institutional Setting, The Nurse's Role To Ensure Safe Use Of Prescription Drugs
Includes Administering Drugs, Monitoring Drug Effects, Evaluating For Toxic Effects,
Andzeducating Clients And Caregivers About Drugs.
8. The Nurse Is Helping A Client Review A Prescription From The Health Care Provider.
Whenzexamining The Prescription, Which Of The Following Would The Nurse Expect
To Find Documented? Select All That Apply.
A) Name Of The Drug
B) Dosage Of The Drug
C) Route Of Drug Administration
D) Times Of Drug Administration
E) Licensed Prescriber's
Signaturezanswer: A, B, C, D, E
Rationale:
The Prescription Must Contain The Client's Name, The Name Of The Drug, The
Dosage, Thezmethod And Times Of Administration, And The Signature Of The
Licensed Health Care Provider Prescribing The Drug.
9. After Teaching A Group Of Nursing Students About Nonprescription Drugs, The
Nursing Instructor Determines That The Teaching Was Successful When The Students
Identify Whichzof The Following? Select All That Apply.
A) They Require A Licensed Health Care Provider's Signature.
B) They Are Referred To As Over-The-Counter Drugs.
C) They Can Be Taken Without Risk To The Client.
D) They Have Certain Labeling Requirements.
E) They Should Be Taken Only As Directed On The
Label.Zanswer: B, D, E
Rationale:
Nonprescription Drugs Are Often Referred To As Over-The-Counter (OTC) Drugs.
They Do Not Require A Prescription (A Licensed Health Care Provider's Signature) But
Do Not Come Without Risk To The Client. The Federal Government Has Imposed
Labeling Requirements Ofzotc Drugs And They Should Only Be Taken As Directed On
The Label Unless Under The Supervision Of A Health Care Provider.
,10. A Nursing Student Is Reviewing Information About The Controlled Substances
Act Of 1970. The Student Would Expect To Find Which Of The Following As
Being Regulated Forzdrugs Classified As Controlled Substances? Select All That
Apply.
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
Zanswer: A,
C, E Rationale:
The Controlled Substances Act Of 1970 Regulates The Manufacture, Distribution, And
Dispensing Of Drugs Classified As Controlled Substances. Elimination Refers To The
Excretion Of Drugs From The Body, A Pharmacokinetic Activity. The Act Does Not
Addresszformulation Of The Drug.
11. When Reviewing Information About The Orphan Drug Program, Which Of The
Followingzwould The Nurse Expect To Find? Select All That Apply.
A) The Program Encourages The Development And Marketing Of Products To
Treat Rarezdiseases.
B) The Program Grants Provisional Approval With A Written Commitment
From Thezdrug Company To Formally Demonstrate Client Benefits.
C) The Program Provides For Incentives, Such As Research Grants, Protocol
Assistance,Zand Special Tax Credits, To Develop Products To Treat Rare Diseases.
D) The Program Grants 7 Years Of Exclusive Marketing Rights To The
Manufacturer Ifzapproved.
E) The Program Accelerates Approval Of Drugs Based On Preliminary Evidence
Beforezformal Demonstration Of Client Benefits.
ANSWER: A, C, D
Rationale:
The Orphan Drug Program Encourages The Development And Marketing Of Products Usedzto
Treat Rare Diseases. The Program Provides Incentives To Encourage Manufacturers To
Develop Orphan Drugs, And If Approved, The Manufacturer Has 7 Years Of Exclusive
Marketing Rights. Accelerated Programs Involve Provisional Approval And Approval Based
On Preliminary Evidence.
,12. After Teaching A Group Of Nursing Students About Pharmacokinetics, The
Instructor Determines That The Teaching Was Successful When The Students
Identify Which Of Thezfollowing As A Phase? Select All That Apply.
A) Absorption
B) Distribution
C) Administration
D) Metabolism
E) Excretion
Zanswer: A,
Zb, D, E
Rationale:
The Pharmacokinetic Phases Are Absorption, Distribution, Metabolism, And
Excretion.Zthe Acronym ADME Is A Helpful Way To Remember The Pharmacokinetic
Phases.
13. A Nurse Is Preparing A Teaching Plan For A Client Who Is Prescribed An Oral
Medication.Zas Part Of The Plan, The Nurse Expects To Describe The Importance Of
Absorption. The Nurse Would Integrate Knowledge Of Which Of The Following As A
Mechanism For Absorption In The Gastrointestinal Tract? Select All That Apply.
A) Active Transport
B) Transposition
C) Passive Transport
D) Endocytosis
E) Pinocytosis
Zanswer: A,
Zc, E Rationale:
During Absorption, The Drug Particles In The GI Tract Are Moved Into The Body Fluids
Viazactive Transport, Passive Transport, And Pinocytosis.
14. After Teaching A Group Of Nursing Students About The Half-Life Of A Drug, The
Instructorzdetermines The Need For Additional Teaching When The Students
Identify Which Of The Following As True? Select All That Apply:
A) Half-Life Can Be Decreased In Clients With Renal Disease.
B) Half-Life Can Help Determine Dosing Frequency.
C) Half-Life Does Not Change Throughout A Client's Life.
D) Liver Disease Can Increase Half-Life.
E) Half-Life Is The Measure Of The Rate At Which Drugs Are Removed From
The Body.Zanswer: A, C
Rationale:
Half-Life Is The Measure Of The Rate At Which Drugs Are Removed From The Body,
And Anyzdifficulty In Excreting A Drug Increases Half-Life, Including Liver Or Kidney
Disease Or Advanced Age.
,15. A Nurse Is Assessing A Client After Administering A Prescribed Medication. Which Of
Thezfollowing Would Alert The Nurse To Suspect That The Client Is Developing
Anaphylactic Shock? Select All That Apply.
A) Bradycardia
B) Hypertension
C) Dyspnea
D) Urticaria
E) Angioedema
Zanswer: C, D,
Ze Rationale:
The Symptoms Of Anaphylactic Shock Are Dyspnea, Feeling Of Fullness In The
Throat, Cough, Wheezing, Extremely Low Blood Pressure, Tachycardia (Heart Rate
>100 Bpm), Palpitations, Syncope, Cardiac Arrest, Urticaria, Angioedema, Pruritus,
Sweating, Nausea,Zvomiting, And Abdominal Pain.
16. Which Of The Following Would The Nurse Identify As A Factor That Alters Drug
Response Inzchildren And Infants? Select All That Apply.
A) Slower Gastric Emptying
B) Greater Surface Area
C) Less Protein Binding
D) Decreased Body Water Content
E) Less Cutaneous
Fatzanswer: A, B, C, E
Rationale:
Children And Infants Are Not Small Adults; Therefore, They Have Altered
Pharmacokinetics.Zfactors That Alter Pharmacokinetics In Children Include Slower
Gastric Emptying, Less Cutaneous Fat, Greater Surface Area, Increased Body Water
Content, Less Protein Binding, And Immature Hepatic And Renal Function.
17. The FDA Established A Safety Information And Adverse Events Reporting Program
Called Medwatch. Which Individuals Can Access The Medwatch Website To Obtain
Safety Alerts On Drugs, Devices, Or Dietary Supplements? Select All That Apply.
A) Physicians
B) Nurses
C) Patients
D) Pharmacists
E) Caregivers
Zanswer: A, B,
Zc, D, E
Rationale:
Anyone Can Access The Medwatch Website To Obtain Safety Alerts On Drugs, Devices,
Orzdietary Supplements.
, 18. A Nurse Is Preparing To Administer A Prescribed Medication To A Client. The Nurse
Integrates Knowledge Of Which Of The Following As A Possible Factor That Could
Influencezthe Drug Response? Select All That Apply.
A) Age
B) Polypharmacy
C) Weight
D) Sex
E) Disease
ANSWER: A, B, C, D, E
Rationale:
Drug Response Can Be Influenced By The Following Factors: Age, Polypharmacy,
Weight,Zsex, Disease, And Genetics.
19. A Nurse Is Assessing A Client And Notes That The Client Has Developed Swelling Of
The Eyelids And Lips After Administration Of A Prescribed Medication. The Nurse
Interprets Thiszfinding As Specifically Indicating Which Of The Following?
A) Mild Allergic Reaction
B) Anaphylactic Shock
C) Angioedema
D) Drug
Zidiosyncrasy
ANSWER: C
Rationale:
Angioedema Is A Type Of Allergic Drug Reaction Manifested By The Collection Of
Fluid In The Subcutaneous Tissues, Most Commonly Affecting The Eyelids, Lips,
Mouth, And Throat.Zallergic Reactions Can Be Manifested By A Wide Range Of Signs
And Symptoms Such As Itching, Rashes, And Hives. Anaphylactic Shock Is A Serious
Allergic Reaction That Requireszimmediate Medical Attention. Drug Idiosyncrasy
Describes Any Unusual Or Abnormal Reaction To A Drug, One That Is Different From
The One Normally Expected.
20. Which Of The Following Is True Regarding The Dietary Supplement Health And
Educationzact (DSHEA)? Select All That Apply.
A) The Act Allows For DEA Enforcement Of The Act.
B) The Act Gives The FDA Power To Enforce The Laws Governed By The Act.
C) The Act Permits General Health Claims.
D) The Act Permits Curative Health Claims.
E) The Act Defines Specific Substances As ―Dietary
Supplements.‖Zanswer: B, C, E
Rationale:
The DSHEA Defines Substances Such As Herbs, Vitamins, Minerals, Amino Acids,
And Other Natural Substances As ―Dietary Supplements‖ And Permits General Health
Claims Aszlong As The Label Also Has A Disclaimer Stating That The Supplements
Are Not Approved Byzthe FDA And Are Not Intended To Diagnose, Treat, Cure, Or
Prevent Any Disease. The Act Gives The FDA The Power To Enforce The Laws
Governed By The Act.
INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION BY
SUSAN FORD, 9781975163730, CHAPTER 1-54 COMPLETE GUIDE
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Introductory Clinical Pharmacology 12th Edition Susan Ford Nursing Test Bank
Contents
Unit 1 Nursing Foundation Of Clinical Pharmacology
1 General Principles Of Pharmacology
2 Administration Of Drugs
3 Making Drug Dosing Safer
4 The Nursing Process
5 Client And Family Teaching
Unit 2 Drugs Used To Fight Infections
6 Antibacterial Drugs: Sulfonamides
7 Antibacterial Drugs That Disrupt The Bacterial Cell Wall
8 Antibacterial Drugs That Interfere With Protein Synthesis
9 Antibacterial Drugs That Interfere With DNA/RNA Synthesis
10 Antitubercular Drugs
11 Antiviral Drugs
12 Antifungal And Antiparasitic Drugs
Unit 3 Drugs Used To Manage Pain
13 Nonopioid Analgesics: Salicylates And Nonsalicylates
14 Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs And Migraine Headache
Medications
15 Opioid Analgesics And Antagonists
16 Anesthetic Drugs
Unit 4 Drugs That Affect The Central Nervous System
17 Central Nervous System Stimulants
18 Antidementia Drugs
19 Antianxiety Drugs
20 Sedatives And Hypnotics
21 Antidepressant Drugs
22 Antipsychotic Drug
Unit 5 Drugs That Affect The Peripheral Nervous System
23 Adrenergic Drugs
24 Adrenergic Blocking Drugs
25 Cholinergic Drugs
26 Cholinergic Blocking Drugs
Unit 6 Drugs That Affect The Neuromuscular System
27 Antiparkinson Drugs
,28 Antiepileptics
29 Skeletal Muscle, Bone, And Joint Disorder Drugs
Unit 7 Drugs That Affect The Respiratory System
30 Upper Respiratory System Drugs
31 Lower Respiratory System Drugs
Unit 8 Drugs That Affect The Cardiovascular System
32 Diuretics
33 Antihyperlipidemic Drugs
34 Antihypertensive Drugs
35 Antianginal And Vasodilating Drugs
36 Anticoagulant And Thrombolytic Drugs
37 Cardiotonic And Antiarrhythmic Drugs
Unit 9 Drugs That Affect The Gastrointestinal System
38 Upper Gastrointestinal System Drugs
39 Lower Gastrointestinal System Drug
Unit 10 Drugs That Affect The Endocrine System
40 Antidiabetic Drugs
41 Pituitary And Adrenocortical Hormones
42 Thyroid And Antithyroid Drugs
43 Male And Female Hormones
44 Uterine Drugs
Unit 11 Drugs That Affect The Urinary System
45 Menopause And Andropause Drugs
46 Urinary Tract Anti-Infectives And Other Urinary Drugs
Unit 12 Drugs That Affect The Immune System
47 Vaccines
48 Immunostimulants And Immunomodulators
49 Immune Blockers
Unit 13 Drugs That Fight Cancer
50 Traditional Chemotherapy
51 Immune Modulating Therapies
Unit 14 Drugs That Affect Other Body Systems
52 Skin Disorder Topical Drugs
53 Otic And Ophthalmic Preparations
54 Fluids, Electrolytes, And Parenteral Therapy
,1 General Principles Of Pharmacology
A Nursing Instructor Is Preparing A Teaching Plan For A Group Of Nursing Students
About Pharmacology. When Describing This Topic, The Instructor Would Focus The
Discussion On Which Of The Following As An Essential Aspect?
A) Drug Name
B) Drug Class
C) Drug Action
D) Drug
Source
ANSWER: C
Rationale:
Pharmacology Is The Study Of Drugs And Their Action On Living Organisms. Thus,
An Essential Aspect Of Pharmacology Is Drug Action. An Understanding Of The Drug
Name, Drug Class, And Drug Source Is Important, But The Most Critical Aspect
Related To Pharmacology Is How The Drug Acts In The Body.
2. A Nursing Student Is Preparing To Administer A Prescribed Drug To A Patient. The
Student Reviews Information About The Drug And Its Actions. Which Of The
Following Would Be The Best Choice For Obtaining This Information? Select All That
Apply.
A) Nursing Instructor
B) Nurse Assigned To The Patient
C) Clinical Drug Reference
D) Prescribing Health Care Provider
E) Clinical Pharmacist
ANSWER: C, E
Rationale:
Although The Nursing Student Can Ask The Nursing Instructor, The Nurse Assigned
To The Patient, And The Prescribing Health Care Provider For Information About The
Drug, The Best Choices For Drug Information Would Include An Appropriate Drug
Reference And The Clinical Pharmacist.
3. When Describing The Various Types Of Medications To A Group Of Nursing
Students, A Nursing Instructor Would Identify Which Of The Following As A
Source For Deriving Medications? Select All That Apply.
A) Plants
B) Synthetic Sources
C) Mold
D) Minerals
E) Animals
ANSWER: A, B,
C, D, E Rationale:
Medications Are Derived From Natural Sources, For Example, Plants, Molds, Minerals, And
Animals, As Well As Created Synthetically In A Laboratory.
,4. Which Of The Following Names May Be Assigned To A Drug During The
Process Ofzdevelopment? Select All That Apply.
A) Chemical Name
B) Official Name
C) Pharmacologic Name
D) Trade Name
E) Nonproprietary
Znamezanswer: A, B, D,
E Rationale:
Throughout The Process Of Development, Drugs May Have Several Names Assigned
To Them Including A Chemical Name, A Generic (Nonproprietary) Name, An Official
Name, Andza Trade Or Brand Name.
5. A Drug May Be Classified By Which Of The Following? Select All That Apply.
A) The Chemical Type Of The Drug's Active Ingredient
B) The Way The Drug Is Used To Treat A Specific Condition
C) The Generic Name Of The Drug
D) The Trade Name Of The Drug
E) The Nonproprietary Name Of The
Drugzanswer: A, B
Rationale:
A Drug May Be Classified By The Chemical Type Of The Active Ingredient Or By The
Way It Iszused To Treat A Particular Condition. Generic, Trade, And Nonproprietary
Refer To How A Drug Is Named.
6. A Group Of Nursing Students Are Reviewing Information About The Process Of
Drug Development In The United States. The Students Demonstrate
Understanding Of This Process When They Identify That Which Of The Following
Categories Are Assigned By Thezfood And Drug Administration To Newly
Approved Drugs? Select All That Apply.
A) Metabolite
B) Noncontrolled Substance
C) Prescription
D) Nonprescription
E) Controlled
Zsubstancezanswer: C, D, E
Rationale:
Once Drugs Are Approved For Use, The FDA Assigns The Drug To One Of The
Following Categories: Prescription, Nonprescription, Or Controlled Substance.
Metabolite Refers Tozthe Inactive Form Of The Drug. Noncontrolled Substance Is A Term
That Is Not Used.
,7. Which Of The Following Would Be Most Important For The Nurse To Do To Ensure
The Safezuse Of Prescription Drugs In The Institutional Setting? Select All That
Apply.
A) Administering Drugs
B) Monitoring Clients For Drug Effects
C) Prescribing Drugs
D) Evaluating Clients For Toxic Effects
E) Educating Clients/Caregivers About
Drugszanswer: A, B, D, E
Rationale:
In The Institutional Setting, The Nurse's Role To Ensure Safe Use Of Prescription Drugs
Includes Administering Drugs, Monitoring Drug Effects, Evaluating For Toxic Effects,
Andzeducating Clients And Caregivers About Drugs.
8. The Nurse Is Helping A Client Review A Prescription From The Health Care Provider.
Whenzexamining The Prescription, Which Of The Following Would The Nurse Expect
To Find Documented? Select All That Apply.
A) Name Of The Drug
B) Dosage Of The Drug
C) Route Of Drug Administration
D) Times Of Drug Administration
E) Licensed Prescriber's
Signaturezanswer: A, B, C, D, E
Rationale:
The Prescription Must Contain The Client's Name, The Name Of The Drug, The
Dosage, Thezmethod And Times Of Administration, And The Signature Of The
Licensed Health Care Provider Prescribing The Drug.
9. After Teaching A Group Of Nursing Students About Nonprescription Drugs, The
Nursing Instructor Determines That The Teaching Was Successful When The Students
Identify Whichzof The Following? Select All That Apply.
A) They Require A Licensed Health Care Provider's Signature.
B) They Are Referred To As Over-The-Counter Drugs.
C) They Can Be Taken Without Risk To The Client.
D) They Have Certain Labeling Requirements.
E) They Should Be Taken Only As Directed On The
Label.Zanswer: B, D, E
Rationale:
Nonprescription Drugs Are Often Referred To As Over-The-Counter (OTC) Drugs.
They Do Not Require A Prescription (A Licensed Health Care Provider's Signature) But
Do Not Come Without Risk To The Client. The Federal Government Has Imposed
Labeling Requirements Ofzotc Drugs And They Should Only Be Taken As Directed On
The Label Unless Under The Supervision Of A Health Care Provider.
,10. A Nursing Student Is Reviewing Information About The Controlled Substances
Act Of 1970. The Student Would Expect To Find Which Of The Following As
Being Regulated Forzdrugs Classified As Controlled Substances? Select All That
Apply.
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
Zanswer: A,
C, E Rationale:
The Controlled Substances Act Of 1970 Regulates The Manufacture, Distribution, And
Dispensing Of Drugs Classified As Controlled Substances. Elimination Refers To The
Excretion Of Drugs From The Body, A Pharmacokinetic Activity. The Act Does Not
Addresszformulation Of The Drug.
11. When Reviewing Information About The Orphan Drug Program, Which Of The
Followingzwould The Nurse Expect To Find? Select All That Apply.
A) The Program Encourages The Development And Marketing Of Products To
Treat Rarezdiseases.
B) The Program Grants Provisional Approval With A Written Commitment
From Thezdrug Company To Formally Demonstrate Client Benefits.
C) The Program Provides For Incentives, Such As Research Grants, Protocol
Assistance,Zand Special Tax Credits, To Develop Products To Treat Rare Diseases.
D) The Program Grants 7 Years Of Exclusive Marketing Rights To The
Manufacturer Ifzapproved.
E) The Program Accelerates Approval Of Drugs Based On Preliminary Evidence
Beforezformal Demonstration Of Client Benefits.
ANSWER: A, C, D
Rationale:
The Orphan Drug Program Encourages The Development And Marketing Of Products Usedzto
Treat Rare Diseases. The Program Provides Incentives To Encourage Manufacturers To
Develop Orphan Drugs, And If Approved, The Manufacturer Has 7 Years Of Exclusive
Marketing Rights. Accelerated Programs Involve Provisional Approval And Approval Based
On Preliminary Evidence.
,12. After Teaching A Group Of Nursing Students About Pharmacokinetics, The
Instructor Determines That The Teaching Was Successful When The Students
Identify Which Of Thezfollowing As A Phase? Select All That Apply.
A) Absorption
B) Distribution
C) Administration
D) Metabolism
E) Excretion
Zanswer: A,
Zb, D, E
Rationale:
The Pharmacokinetic Phases Are Absorption, Distribution, Metabolism, And
Excretion.Zthe Acronym ADME Is A Helpful Way To Remember The Pharmacokinetic
Phases.
13. A Nurse Is Preparing A Teaching Plan For A Client Who Is Prescribed An Oral
Medication.Zas Part Of The Plan, The Nurse Expects To Describe The Importance Of
Absorption. The Nurse Would Integrate Knowledge Of Which Of The Following As A
Mechanism For Absorption In The Gastrointestinal Tract? Select All That Apply.
A) Active Transport
B) Transposition
C) Passive Transport
D) Endocytosis
E) Pinocytosis
Zanswer: A,
Zc, E Rationale:
During Absorption, The Drug Particles In The GI Tract Are Moved Into The Body Fluids
Viazactive Transport, Passive Transport, And Pinocytosis.
14. After Teaching A Group Of Nursing Students About The Half-Life Of A Drug, The
Instructorzdetermines The Need For Additional Teaching When The Students
Identify Which Of The Following As True? Select All That Apply:
A) Half-Life Can Be Decreased In Clients With Renal Disease.
B) Half-Life Can Help Determine Dosing Frequency.
C) Half-Life Does Not Change Throughout A Client's Life.
D) Liver Disease Can Increase Half-Life.
E) Half-Life Is The Measure Of The Rate At Which Drugs Are Removed From
The Body.Zanswer: A, C
Rationale:
Half-Life Is The Measure Of The Rate At Which Drugs Are Removed From The Body,
And Anyzdifficulty In Excreting A Drug Increases Half-Life, Including Liver Or Kidney
Disease Or Advanced Age.
,15. A Nurse Is Assessing A Client After Administering A Prescribed Medication. Which Of
Thezfollowing Would Alert The Nurse To Suspect That The Client Is Developing
Anaphylactic Shock? Select All That Apply.
A) Bradycardia
B) Hypertension
C) Dyspnea
D) Urticaria
E) Angioedema
Zanswer: C, D,
Ze Rationale:
The Symptoms Of Anaphylactic Shock Are Dyspnea, Feeling Of Fullness In The
Throat, Cough, Wheezing, Extremely Low Blood Pressure, Tachycardia (Heart Rate
>100 Bpm), Palpitations, Syncope, Cardiac Arrest, Urticaria, Angioedema, Pruritus,
Sweating, Nausea,Zvomiting, And Abdominal Pain.
16. Which Of The Following Would The Nurse Identify As A Factor That Alters Drug
Response Inzchildren And Infants? Select All That Apply.
A) Slower Gastric Emptying
B) Greater Surface Area
C) Less Protein Binding
D) Decreased Body Water Content
E) Less Cutaneous
Fatzanswer: A, B, C, E
Rationale:
Children And Infants Are Not Small Adults; Therefore, They Have Altered
Pharmacokinetics.Zfactors That Alter Pharmacokinetics In Children Include Slower
Gastric Emptying, Less Cutaneous Fat, Greater Surface Area, Increased Body Water
Content, Less Protein Binding, And Immature Hepatic And Renal Function.
17. The FDA Established A Safety Information And Adverse Events Reporting Program
Called Medwatch. Which Individuals Can Access The Medwatch Website To Obtain
Safety Alerts On Drugs, Devices, Or Dietary Supplements? Select All That Apply.
A) Physicians
B) Nurses
C) Patients
D) Pharmacists
E) Caregivers
Zanswer: A, B,
Zc, D, E
Rationale:
Anyone Can Access The Medwatch Website To Obtain Safety Alerts On Drugs, Devices,
Orzdietary Supplements.
, 18. A Nurse Is Preparing To Administer A Prescribed Medication To A Client. The Nurse
Integrates Knowledge Of Which Of The Following As A Possible Factor That Could
Influencezthe Drug Response? Select All That Apply.
A) Age
B) Polypharmacy
C) Weight
D) Sex
E) Disease
ANSWER: A, B, C, D, E
Rationale:
Drug Response Can Be Influenced By The Following Factors: Age, Polypharmacy,
Weight,Zsex, Disease, And Genetics.
19. A Nurse Is Assessing A Client And Notes That The Client Has Developed Swelling Of
The Eyelids And Lips After Administration Of A Prescribed Medication. The Nurse
Interprets Thiszfinding As Specifically Indicating Which Of The Following?
A) Mild Allergic Reaction
B) Anaphylactic Shock
C) Angioedema
D) Drug
Zidiosyncrasy
ANSWER: C
Rationale:
Angioedema Is A Type Of Allergic Drug Reaction Manifested By The Collection Of
Fluid In The Subcutaneous Tissues, Most Commonly Affecting The Eyelids, Lips,
Mouth, And Throat.Zallergic Reactions Can Be Manifested By A Wide Range Of Signs
And Symptoms Such As Itching, Rashes, And Hives. Anaphylactic Shock Is A Serious
Allergic Reaction That Requireszimmediate Medical Attention. Drug Idiosyncrasy
Describes Any Unusual Or Abnormal Reaction To A Drug, One That Is Different From
The One Normally Expected.
20. Which Of The Following Is True Regarding The Dietary Supplement Health And
Educationzact (DSHEA)? Select All That Apply.
A) The Act Allows For DEA Enforcement Of The Act.
B) The Act Gives The FDA Power To Enforce The Laws Governed By The Act.
C) The Act Permits General Health Claims.
D) The Act Permits Curative Health Claims.
E) The Act Defines Specific Substances As ―Dietary
Supplements.‖Zanswer: B, C, E
Rationale:
The DSHEA Defines Substances Such As Herbs, Vitamins, Minerals, Amino Acids,
And Other Natural Substances As ―Dietary Supplements‖ And Permits General Health
Claims Aszlong As The Label Also Has A Disclaimer Stating That The Supplements
Are Not Approved Byzthe FDA And Are Not Intended To Diagnose, Treat, Cure, Or
Prevent Any Disease. The Act Gives The FDA The Power To Enforce The Laws
Governed By The Act.
