KARCH FOCUS ON NURSING
PHARMACOLOGY BY REBECCA COMPLETE
STUDY GUIDE AND DRUG THERAPY REVIEW
2026
◉ 2. The care provider has prescribed intravenous hydromorphone,
an opioid, for a client using a client-controlled analgesia (PCA)
pump. The nurse is aware that this drug has a high abuse potential.
Under what category would hydromorphone be classified?
A) schedule I
B) schedule II
C) schedule III
D) shedule IV.
Answer: B) schedule II
◉ 3. When involved in phase III drug evaluation studies, what action
should the nurse perform?
A) Work with animals which are given experimental drugs.
B) Select appropriate clients to be involved in the drug study.
C) Monitor and observe clients closely for adverse effects.
D) Make decisions that will determine effectiveness of the drug..
Answer: C) Monitor and observe clients closely for adverse effects.
,◉ 4. What concept is prioritized when a provider is considering the
substitution of brand name drug with a generic drug?
A) bioequivalency
B) critical concentration
C) distribution
D) half-life.
Answer: A) bioequivalency
◉ 5. A nurse is assessing the client's home medication use. After
listening to the client list current medications, the nurse asks what
priority question?
A) "Do you take any generic medications?"
B) "Are any of these medications orphan drugs?"
C) "Are these medications safe to take during pregnancy?"
D) "Do you take any over-the-counter medications?".
Answer: D) "Do you take any over-the-counter medications?"
◉ 6. What goal should a nurse set when beginning a course on
pharmacology for nurses?
A) At the completion of the course, the nurse will know everything
necessary for safe and effective medication administration.
, B) At the completion of the course, the nurse will know current
pharmacologic therapy and will not require ongoing education for 5
years.
C) At the completion of the course, the nurse will know general drug
information because the nurse can consult a drug guide for specific
drug information.
D) At the completion of the course, the nurse will understand each
drug action that is associated with each classification of medication..
Answer: C) At the completion of the course, the nurse will know
general drug information because the nurse can consult a drug guide
for specific drug information
◉ 7. A nurse is instructing a pregnant client concerning the potential
risk to their fetus from a pregnancy category D drug. What should
the nurse inform the client?
A) "Adequate studies in pregnant clients have demonstrated there is
no risk to the fetus."
B) "Animal studies have not demonstrated a risk to the fetus, but
there have been no adequate studies in pregnant clients."
C) "Animal studies have shown an adverse effect on the fetus, but
there are no adequate studies in pregnant clients."
D) "There is evidence of human fetal risk, but the potential benefits
from use of the drug may be acceptable despite potential risks.".
Answer: D) "There is evidence of human fetal risk, but the potential
benefits from use of the drug may be acceptable despite potential
risks."
PHARMACOLOGY BY REBECCA COMPLETE
STUDY GUIDE AND DRUG THERAPY REVIEW
2026
◉ 2. The care provider has prescribed intravenous hydromorphone,
an opioid, for a client using a client-controlled analgesia (PCA)
pump. The nurse is aware that this drug has a high abuse potential.
Under what category would hydromorphone be classified?
A) schedule I
B) schedule II
C) schedule III
D) shedule IV.
Answer: B) schedule II
◉ 3. When involved in phase III drug evaluation studies, what action
should the nurse perform?
A) Work with animals which are given experimental drugs.
B) Select appropriate clients to be involved in the drug study.
C) Monitor and observe clients closely for adverse effects.
D) Make decisions that will determine effectiveness of the drug..
Answer: C) Monitor and observe clients closely for adverse effects.
,◉ 4. What concept is prioritized when a provider is considering the
substitution of brand name drug with a generic drug?
A) bioequivalency
B) critical concentration
C) distribution
D) half-life.
Answer: A) bioequivalency
◉ 5. A nurse is assessing the client's home medication use. After
listening to the client list current medications, the nurse asks what
priority question?
A) "Do you take any generic medications?"
B) "Are any of these medications orphan drugs?"
C) "Are these medications safe to take during pregnancy?"
D) "Do you take any over-the-counter medications?".
Answer: D) "Do you take any over-the-counter medications?"
◉ 6. What goal should a nurse set when beginning a course on
pharmacology for nurses?
A) At the completion of the course, the nurse will know everything
necessary for safe and effective medication administration.
, B) At the completion of the course, the nurse will know current
pharmacologic therapy and will not require ongoing education for 5
years.
C) At the completion of the course, the nurse will know general drug
information because the nurse can consult a drug guide for specific
drug information.
D) At the completion of the course, the nurse will understand each
drug action that is associated with each classification of medication..
Answer: C) At the completion of the course, the nurse will know
general drug information because the nurse can consult a drug guide
for specific drug information
◉ 7. A nurse is instructing a pregnant client concerning the potential
risk to their fetus from a pregnancy category D drug. What should
the nurse inform the client?
A) "Adequate studies in pregnant clients have demonstrated there is
no risk to the fetus."
B) "Animal studies have not demonstrated a risk to the fetus, but
there have been no adequate studies in pregnant clients."
C) "Animal studies have shown an adverse effect on the fetus, but
there are no adequate studies in pregnant clients."
D) "There is evidence of human fetal risk, but the potential benefits
from use of the drug may be acceptable despite potential risks.".
Answer: D) "There is evidence of human fetal risk, but the potential
benefits from use of the drug may be acceptable despite potential
risks."
