TestBankForClayton’sBasicPharmacologyforNurses19thEdition
n n n n n n n n
By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton
n n n n n n n n n
Complete
n
,Chapter 01: Drug Definitions, Standards, and Information Sources
n n n n n n n
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
n n n n n n n n
MULTIPLE CHOICE n
1. Which name identifies a drug listed bythe US Food and
n n n n n n n n n
Drug Administration (FDA)?
n n n
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C n
The official name is the name under which a drug is listed
n n n n n n n n n n n
by the FDA. The brand name, or trademark, is the name
n n n n n n n n n n n
given to a drug by its manufacturer. The nonproprietary, or
n n n n n n n n n n
generic, name is provided by the United States Adopted
n n n n n n n n n
Names Council.
n n
DIF: Cognitive Level: Knowledge REF: p. 9 n n n n
OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care
n n n n n n n n
Environment TOP: Nursing Process Step: Assessment
n n CON: n n n n
Patient Education
n n
2. Whichsource contains information specific to nutritional supplements?
n n n n n n
a. USPDictionary of USAN &International Drug Names n n n n n
b. Natural Medicines Comprehensive Database n n n
c. United States Pharmacopoeia/National Formulary (USPNF)
n n n n
d. DrugInteraction Facts n n
ANS: C n
UnitedStates Pharmacopoeia/National Formulary contains information specific to nutritional
n n n n n n n n
supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug
n n n n n n n n n n n n n n
names, pronunciation guide, and possible future FDA approved drugs; it does not include
n n n n n n n n n n n n n
nutritional supplements. Natural Medicines Comprehensive Database contains
n n n n n n n
evidence-based information on herbal medicines and herbal combination products; it does not
n n n n n n n n n n n
include information specific to nutritional supplements. Drug Interaction Facts contains
n n n n n n n n n n
comprehensive information on drug interaction facts; it does not include nutritional
n n n n n n n n n n n
supplements.
n
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3 n n n n n
NAT: NCLEX Client Needs Category: Physiological Integrity
n n n n n n n
TOP: Nursing Process Step: Assessment CON: Nutrition |Patient Education
n n n n n n n
3. Which drug reference contains drug monographs that describe all drugs in a therapeutic class?
n n n n n n n n n n n n n
a. Drug Facts and Comparisons n n n
,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th
n n n n n n n n 3
Edition
n
b. DrugInteraction Facts n n
c. Handbook on Injectable Drugs n n n
d. Martindale—The Complete Drug Reference n n n
ANS: A n
Drug Facts and Comparisons contains drug monographs that describe all drugs in a
n n n n n n n n n n n n
therapeutic class. Monographs are formatted as tables to allow comparison ofsimilar
n n n n n n n n n n n n
nproducts, brand names, manufacturers, cost indices, and available dosage forms
n n n n n n n n n
nOnline version is available.
n n n
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 n n n n n n
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP: Nursing Process Step: Assessment CON: Safety |Patient Education |Clinical Judgment
n n n n n n n n n
4. Which drug reference contains monographs about virtuallyeverysingle-entitydrug available
n n n n n n n
in the United States and describes therapeutic uses of drugs, including approved and
n n n n n n n n n n n n n
nunapproved uses? n
a. Martindale: The Complete Drug Reference n n n n
b. AHFS Drug Information n n
c. DrugReference n
d. DrugFacts and Comparisons n n n
ANS: B n
AHFS Drug Information contains monographs about virtually every single-entity drug
n n n n n n n n n
available in the United States and describes therapeutic uses ofdrugs, including approved and
n n n n n n n n n n n n n
unapproved uses.
n n
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 n n n n n n
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP: Nursing Process Step: Planning CON: Safety |Patient Education |Clinical Judgment
n n n n n n n n
5. Which online drug reference makes available to healthcare providers and the public a
n n n n n n n n n n n n
nstandard, comprehensive, up-to-date look up and downloadable resource about medicines?
n n n n n n n n n
a. AmericanDrug Index n n
b. American Hospital Formulary n n
c. DailyMed
d. Drug Reference n
ANS: C n
DailyMed makes available to healthcare providers and the public a standard, comprehensive,
n n n n n n n n n n n
up-to-date look up and downloadable resource about medicines. The American Drug Index is
n n n n n n n n n n n n n
not appropriate for patient use. The American Hospital Formulary is not appropriate for
n n n n n n n n n n n n n
patient use. The drug reference is not appropriate for patient use.
n n n n n n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: 3 n n n n n n n
NAT: NCLEX Client Needs Category: Physiological Integrity
n n n n n n n
TOP: Nursing Process Step: Implementation
n n n n
CON: Safety |Patient Education | Clinical Judgment
n n n nn n
6. Which legislation authorizes the FDA to determine the safetyof a drug before its marketing?
n n n n n n n n n n n n n
a. Federal Food, Drug, and Cosmetic Act (1938)
n n n n n n
b. Durham Humphrey Amendment (1952) n n n
, Test Bank For Clayton’s Basic Pharmacology for Nurses 19th
n n n n n n n n 4
Edition
n
c. Controlled Substances Act (1970) n n n
d. KefauverHarris Drug Amendment (1962) n n n n
ANS: A n
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the
n n n n n n n n n n n n n n
nsafety of all drugs before marketing. Later amendments and acts helped tighten FDA control
n n n n n n n n n n n n n
and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
n n n n n n n n n n n n n n
ncannot be used safely without medical supervision and restricts their sale to prescription by
n n n n n n n n n n n n n
nalicensed practitioner. The Controlled Substances Act addresses onlycontrolled substances and
n n n n n n n n n n
ntheir categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
n n n n n n n n n n n
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
n n n n n n n n n n n n n n n
nproducts before marketing them. n n n
DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3
n n n n n n
OBJ: n 5 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP:
n n Nursing Process Step: Assessment n n n
CON: n Safety |Patient Education | Evidence | Health Care Law
n n n n n n n n
7. Whichclassification does meperidine (Demerol) fall under? n n n n n
a. I
b. II
c. III
d. IV
ANS: B n
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
n n n n n n n n n n n n n n n n n
severepsychological and physical dependence. Schedule Idrugs have high potential for abuse
n n n n n n n n n n n
and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
n n n n n n n n n n n n n n n
lead to low to moderate physical dependence or high psychological dependence. Schedule IV
n n n n n n n n n n n n n
drugs have low potential for abuse. Use may lead to limited physical or psychological
n n n n n n n n n n n n n n
dependence.
n
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2 n n n n n
NAT: NCLEX Client Needs Category: Safe, Effective Care
n n n n n n n n
nEnvironment
TOP: Nursing Process Step: Assessment CON: Patient Education |Addiction |Pain
n n n n n n n n
8. Which action would the FDA take to expedite drug development and approval for an outbreakof
n n n n n n n n n n n n n n n
nsmallpox?
a. List smallpox as a health orphan disease.
n n n n n n
b. Omit the preclinical research phase. n n n n
c. Extend the clinical research phase. n n n n
d. Fast track the investigational drug.
n n n n
ANS: D n
Once the Investigational New Drug Application has been approved, the drug can receive
n n n n n n n n n n n n
highest priority within the agency, which is called fast tracking. A smallpox outbreak would
n n n n n n n n n n n n n n
become a priority concern in the world. Orphan diseases are not researched in a priority
n n n n n n n n n n n n n n n
manner. Preclinical research is not omitted. Extending any phase of the research would mean
n n n n n n n n n n n n n n
a longer time to develop a vaccine. The FDA must ensure that all phases of the preclinical and
n n n n n n n n n n n n n n n n n n
clinical research phase have been completed in a safe manner.
n n n n n n n n n n
DIF: Cognitive Level: Knowledge n n REF: p. 7 n OBJ: 5 n
n n n n n n n n
By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton
n n n n n n n n n
Complete
n
,Chapter 01: Drug Definitions, Standards, and Information Sources
n n n n n n n
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
n n n n n n n n
MULTIPLE CHOICE n
1. Which name identifies a drug listed bythe US Food and
n n n n n n n n n
Drug Administration (FDA)?
n n n
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C n
The official name is the name under which a drug is listed
n n n n n n n n n n n
by the FDA. The brand name, or trademark, is the name
n n n n n n n n n n n
given to a drug by its manufacturer. The nonproprietary, or
n n n n n n n n n n
generic, name is provided by the United States Adopted
n n n n n n n n n
Names Council.
n n
DIF: Cognitive Level: Knowledge REF: p. 9 n n n n
OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care
n n n n n n n n
Environment TOP: Nursing Process Step: Assessment
n n CON: n n n n
Patient Education
n n
2. Whichsource contains information specific to nutritional supplements?
n n n n n n
a. USPDictionary of USAN &International Drug Names n n n n n
b. Natural Medicines Comprehensive Database n n n
c. United States Pharmacopoeia/National Formulary (USPNF)
n n n n
d. DrugInteraction Facts n n
ANS: C n
UnitedStates Pharmacopoeia/National Formulary contains information specific to nutritional
n n n n n n n n
supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug
n n n n n n n n n n n n n n
names, pronunciation guide, and possible future FDA approved drugs; it does not include
n n n n n n n n n n n n n
nutritional supplements. Natural Medicines Comprehensive Database contains
n n n n n n n
evidence-based information on herbal medicines and herbal combination products; it does not
n n n n n n n n n n n
include information specific to nutritional supplements. Drug Interaction Facts contains
n n n n n n n n n n
comprehensive information on drug interaction facts; it does not include nutritional
n n n n n n n n n n n
supplements.
n
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3 n n n n n
NAT: NCLEX Client Needs Category: Physiological Integrity
n n n n n n n
TOP: Nursing Process Step: Assessment CON: Nutrition |Patient Education
n n n n n n n
3. Which drug reference contains drug monographs that describe all drugs in a therapeutic class?
n n n n n n n n n n n n n
a. Drug Facts and Comparisons n n n
,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th
n n n n n n n n 3
Edition
n
b. DrugInteraction Facts n n
c. Handbook on Injectable Drugs n n n
d. Martindale—The Complete Drug Reference n n n
ANS: A n
Drug Facts and Comparisons contains drug monographs that describe all drugs in a
n n n n n n n n n n n n
therapeutic class. Monographs are formatted as tables to allow comparison ofsimilar
n n n n n n n n n n n n
nproducts, brand names, manufacturers, cost indices, and available dosage forms
n n n n n n n n n
nOnline version is available.
n n n
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 n n n n n n
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP: Nursing Process Step: Assessment CON: Safety |Patient Education |Clinical Judgment
n n n n n n n n n
4. Which drug reference contains monographs about virtuallyeverysingle-entitydrug available
n n n n n n n
in the United States and describes therapeutic uses of drugs, including approved and
n n n n n n n n n n n n n
nunapproved uses? n
a. Martindale: The Complete Drug Reference n n n n
b. AHFS Drug Information n n
c. DrugReference n
d. DrugFacts and Comparisons n n n
ANS: B n
AHFS Drug Information contains monographs about virtually every single-entity drug
n n n n n n n n n
available in the United States and describes therapeutic uses ofdrugs, including approved and
n n n n n n n n n n n n n
unapproved uses.
n n
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 n n n n n n
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP: Nursing Process Step: Planning CON: Safety |Patient Education |Clinical Judgment
n n n n n n n n
5. Which online drug reference makes available to healthcare providers and the public a
n n n n n n n n n n n n
nstandard, comprehensive, up-to-date look up and downloadable resource about medicines?
n n n n n n n n n
a. AmericanDrug Index n n
b. American Hospital Formulary n n
c. DailyMed
d. Drug Reference n
ANS: C n
DailyMed makes available to healthcare providers and the public a standard, comprehensive,
n n n n n n n n n n n
up-to-date look up and downloadable resource about medicines. The American Drug Index is
n n n n n n n n n n n n n
not appropriate for patient use. The American Hospital Formulary is not appropriate for
n n n n n n n n n n n n n
patient use. The drug reference is not appropriate for patient use.
n n n n n n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: 3 n n n n n n n
NAT: NCLEX Client Needs Category: Physiological Integrity
n n n n n n n
TOP: Nursing Process Step: Implementation
n n n n
CON: Safety |Patient Education | Clinical Judgment
n n n nn n
6. Which legislation authorizes the FDA to determine the safetyof a drug before its marketing?
n n n n n n n n n n n n n
a. Federal Food, Drug, and Cosmetic Act (1938)
n n n n n n
b. Durham Humphrey Amendment (1952) n n n
, Test Bank For Clayton’s Basic Pharmacology for Nurses 19th
n n n n n n n n 4
Edition
n
c. Controlled Substances Act (1970) n n n
d. KefauverHarris Drug Amendment (1962) n n n n
ANS: A n
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the
n n n n n n n n n n n n n n
nsafety of all drugs before marketing. Later amendments and acts helped tighten FDA control
n n n n n n n n n n n n n
and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
n n n n n n n n n n n n n n
ncannot be used safely without medical supervision and restricts their sale to prescription by
n n n n n n n n n n n n n
nalicensed practitioner. The Controlled Substances Act addresses onlycontrolled substances and
n n n n n n n n n n
ntheir categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
n n n n n n n n n n n
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
n n n n n n n n n n n n n n n
nproducts before marketing them. n n n
DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3
n n n n n n
OBJ: n 5 NAT: NCLEX Client Needs Category: Physiological Integrity n n n n n n
TOP:
n n Nursing Process Step: Assessment n n n
CON: n Safety |Patient Education | Evidence | Health Care Law
n n n n n n n n
7. Whichclassification does meperidine (Demerol) fall under? n n n n n
a. I
b. II
c. III
d. IV
ANS: B n
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
n n n n n n n n n n n n n n n n n
severepsychological and physical dependence. Schedule Idrugs have high potential for abuse
n n n n n n n n n n n
and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
n n n n n n n n n n n n n n n
lead to low to moderate physical dependence or high psychological dependence. Schedule IV
n n n n n n n n n n n n n
drugs have low potential for abuse. Use may lead to limited physical or psychological
n n n n n n n n n n n n n n
dependence.
n
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2 n n n n n
NAT: NCLEX Client Needs Category: Safe, Effective Care
n n n n n n n n
nEnvironment
TOP: Nursing Process Step: Assessment CON: Patient Education |Addiction |Pain
n n n n n n n n
8. Which action would the FDA take to expedite drug development and approval for an outbreakof
n n n n n n n n n n n n n n n
nsmallpox?
a. List smallpox as a health orphan disease.
n n n n n n
b. Omit the preclinical research phase. n n n n
c. Extend the clinical research phase. n n n n
d. Fast track the investigational drug.
n n n n
ANS: D n
Once the Investigational New Drug Application has been approved, the drug can receive
n n n n n n n n n n n n
highest priority within the agency, which is called fast tracking. A smallpox outbreak would
n n n n n n n n n n n n n n
become a priority concern in the world. Orphan diseases are not researched in a priority
n n n n n n n n n n n n n n n
manner. Preclinical research is not omitted. Extending any phase of the research would mean
n n n n n n n n n n n n n n
a longer time to develop a vaccine. The FDA must ensure that all phases of the preclinical and
n n n n n n n n n n n n n n n n n n
clinical research phase have been completed in a safe manner.
n n n n n n n n n n
DIF: Cognitive Level: Knowledge n n REF: p. 7 n OBJ: 5 n