,Chapter 01: Drug Regulation, Actions, and Responses
bb bb bb bb bb bb
Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 2nd
bb bb bb bb bb bb bb bb bb
Edition
bb
MULTIPLE CHOICE bb
bb BASIC
CONCEPTS
bb
1. Which health care professional has the major responsibility for dispensing prescribed
bb bb bb bb bb bb bb bb bb bb
drugs under the direction of a pharmacist?
bb bb bb bb bb bb bb
a. Physician
b Nurse practitioner bb
.
c. Licensed nurse bb
d Pharmacy technician bb
.
ANS: D b b
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
bb bb bb bb bb bb bb bb bb bb bb bb
dispensing them. The licensed nurse has the primary responsibility for administering drugs,
bb bb bb bb bb bb bb bb bb bb bb bb
although under some circumstances a licensed nurse may dispense prescribed drugs but this is
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
not his or her major responsibility in drug therapy. The pharmacy technician has the major
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
bb bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 3 bb
2. Which term describes the effect of a drug that improves body function?
bb bb bb bb bb bb bb bb bb bb bb
a. Side effect bb
b Intended action bb
.
c. Adverse reaction bb
d Idiosyncratic response bb
.
ANS: B b b
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
This response is any drug’s intended action also known as a therapeutic response.
bb bb bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 3 bb
3. Which type of drug name is ―owned‖ by the company that manufactures it?
bb bb bb bb bb bb bb bb bb bb bb bb
a. Generic name bb
b Chemical name bb
, .
c. Category name bb
d Trade name bb
.
ANS: D b b
The chemical name is a drug’s exact chemical composition. The generic name is the name
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
category name refers to the type of drug (what it does or what it is used for) and is not an
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actual drug name. The trade name (brand name) is the name provided and owned by a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
specific drug’s manufacturer.
bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 4 bb
4. Which drug or drug class is a ―high alert‖ drug? bb bb bb bb bb bb bb bb bb
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS: B b b
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
wrong patient, or not given to the correct patient. Drugs classified as high alert drugs include
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
potassium, narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug
bb bb bb bb bb bb bb bb bb bb bb bb
that strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high
bb bb bb bb bb bb bb bb bb bb bb bb bb
alert drugs.
bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 4 bb
5. What is the term for a drug that has the same action as a naturally occurring
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
body hormone or enzyme?
bb bb bb bb
a. Agonist
b Blocking agent bb
.
c. Chemical
d Duplicator
.
ANS: A b b
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actions of naturally occurring body substances (intrinsic drugs). A blocking agent is a drug
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
term.
bb
DIF: Cognitive Level: Remembering bb bb REF: pp. 6-7 bb
6. Which term describes how the body affects drug activity? bb bb bb bb bb bb bb bb
a. Drug potency bb
b Pharmacodynamics
.
c. Therapeutic effect bb
d Pharmacokinetics
.
ANS: D b b
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
bb bb bb bb bb bb bb bb bb bb bb bb bb
Pharmacodynamics refers to how a drug works to change body function. Drug potency refers
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
to how strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
pharmacodynamics, meaning how a drug works to change body function.
bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 10 bb
7. In the United States, which group is responsible for enforcing established standards
bb bb bb bb bb bb bb bb bb bb bb
for
bb bb drug manufacturing?bb
a. U.S. Pharmacopeia bb
b National Institutes of Health bb bb bb
.
c. Food and Drug Administrationbb bb bb
d Association of Pharmaceutical Manufacturers bb bb bb
.
ANS: C b b
The standards for drug manufacture are established by the U.S. Pharmacopeia. These
bb bb bb bb bb bb bb bb bb bb bb
standards are enforced by the Food and Drug Administration. Neither the National Institutes of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce
bb bb bb bb bb bb bb bb bb bb bb bb
drug standards.
bb bb
DIF: b b b b Cognitive Level: Remembering bb bb b b b b b b b b REF: b b b b p. 5 bb
8. Which factor is a major disadvantage of the transdermal drug delivery route?
bb bb bb bb bb bb bb bb bb bb bb
a. Only a prescriber can administer drugs by the transdermal
bb bb bb bb bb bb bb bb
route. bb
b Transdermal drugs must be sterile rather than clean. bb bb bb bb bb bb bb
.
c. First pass drug loss by this route is the most extensive.
bb bb bb bb bb bb bb bb bb bb
d Drug absorption is dependent on adequate circulation.
bb bb bb bb bb bb
bb bb bb bb bb bb
Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 2nd
bb bb bb bb bb bb bb bb bb
Edition
bb
MULTIPLE CHOICE bb
bb BASIC
CONCEPTS
bb
1. Which health care professional has the major responsibility for dispensing prescribed
bb bb bb bb bb bb bb bb bb bb
drugs under the direction of a pharmacist?
bb bb bb bb bb bb bb
a. Physician
b Nurse practitioner bb
.
c. Licensed nurse bb
d Pharmacy technician bb
.
ANS: D b b
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
bb bb bb bb bb bb bb bb bb bb bb bb
dispensing them. The licensed nurse has the primary responsibility for administering drugs,
bb bb bb bb bb bb bb bb bb bb bb bb
although under some circumstances a licensed nurse may dispense prescribed drugs but this is
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
not his or her major responsibility in drug therapy. The pharmacy technician has the major
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
bb bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 3 bb
2. Which term describes the effect of a drug that improves body function?
bb bb bb bb bb bb bb bb bb bb bb
a. Side effect bb
b Intended action bb
.
c. Adverse reaction bb
d Idiosyncratic response bb
.
ANS: B b b
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
This response is any drug’s intended action also known as a therapeutic response.
bb bb bb bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 3 bb
3. Which type of drug name is ―owned‖ by the company that manufactures it?
bb bb bb bb bb bb bb bb bb bb bb bb
a. Generic name bb
b Chemical name bb
, .
c. Category name bb
d Trade name bb
.
ANS: D b b
The chemical name is a drug’s exact chemical composition. The generic name is the name
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
category name refers to the type of drug (what it does or what it is used for) and is not an
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actual drug name. The trade name (brand name) is the name provided and owned by a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
specific drug’s manufacturer.
bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 4 bb
4. Which drug or drug class is a ―high alert‖ drug? bb bb bb bb bb bb bb bb bb
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS: B b b
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
wrong patient, or not given to the correct patient. Drugs classified as high alert drugs include
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
potassium, narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug
bb bb bb bb bb bb bb bb bb bb bb bb
that strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high
bb bb bb bb bb bb bb bb bb bb bb bb bb
alert drugs.
bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 4 bb
5. What is the term for a drug that has the same action as a naturally occurring
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
body hormone or enzyme?
bb bb bb bb
a. Agonist
b Blocking agent bb
.
c. Chemical
d Duplicator
.
ANS: A b b
A drug agonist is an extrinsic drug that activates the receptor sites of a cell and mimics the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
actions of naturally occurring body substances (intrinsic drugs). A blocking agent is a drug
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
, antagonist. A chemical would not necessarily be a drug at all. A duplicator is not a pharmacologic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
term.
bb
DIF: Cognitive Level: Remembering bb bb REF: pp. 6-7 bb
6. Which term describes how the body affects drug activity? bb bb bb bb bb bb bb bb
a. Drug potency bb
b Pharmacodynamics
.
c. Therapeutic effect bb
d Pharmacokinetics
.
ANS: D b b
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
bb bb bb bb bb bb bb bb bb bb bb bb bb
Pharmacodynamics refers to how a drug works to change body function. Drug potency refers
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
to how strongly or to what degree a drug exerts its effects. The therapeutic effect is closer to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
pharmacodynamics, meaning how a drug works to change body function.
bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering bb bb REF: p. 10 bb
7. In the United States, which group is responsible for enforcing established standards
bb bb bb bb bb bb bb bb bb bb bb
for
bb bb drug manufacturing?bb
a. U.S. Pharmacopeia bb
b National Institutes of Health bb bb bb
.
c. Food and Drug Administrationbb bb bb
d Association of Pharmaceutical Manufacturers bb bb bb
.
ANS: C b b
The standards for drug manufacture are established by the U.S. Pharmacopeia. These
bb bb bb bb bb bb bb bb bb bb bb
standards are enforced by the Food and Drug Administration. Neither the National Institutes of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce
bb bb bb bb bb bb bb bb bb bb bb bb
drug standards.
bb bb
DIF: b b b b Cognitive Level: Remembering bb bb b b b b b b b b REF: b b b b p. 5 bb
8. Which factor is a major disadvantage of the transdermal drug delivery route?
bb bb bb bb bb bb bb bb bb bb bb
a. Only a prescriber can administer drugs by the transdermal
bb bb bb bb bb bb bb bb
route. bb
b Transdermal drugs must be sterile rather than clean. bb bb bb bb bb bb bb
.
c. First pass drug loss by this route is the most extensive.
bb bb bb bb bb bb bb bb bb bb
d Drug absorption is dependent on adequate circulation.
bb bb bb bb bb bb
