TEST BANK FOR UNDERSTANDING PHARMACOLOGY,
ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION
MULTIPLE CHOICE BASI
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,CCONCEPTS
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1
1. Which health care professional has the major responsibility for dispensing prescribed me 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M
dical drugs under the direction of a pharmacist?
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a. Physician
b Nursing attendant pra 1M 1M 1M
. ctitioner
c. Licensed nursing atte 1M 1M
ndant 1M
d Pharmacytechnician 1M
.
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The physician and nursing attendant have the major responsibility for prescribing medical drug
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
s, not dispensing them. The licensed nursing attendant has the primary responsibility for administeri
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
ng medical drugs, althoughunder some circumstances a licensed nursing attendant maydispense pre
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1
scribed medical drugs but this is not his or her major responsibility in medical drug therapy. The phar
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
macy technician has the major responsibility of dispensing prescribed medical drugs under the direc
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
tion of a licensed pharmacist.
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DIFFICULT: Cognitive Level: Remembering REF: p. 3 1M 1M 1M 1M
2. Which termdescribes the effect of a medical drug that improves body function? 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1
a. Side effect M
1
b Intended action 1M
.
c. Adverse reaction 1M
d Idiosyncraticresponse 1M
.
ACCURATE RESPONSE:-B 1M
Review feedback :- 1M 1M
>>>The aim ofmedical drug therapy is to take a medical drug to prevent, lessen, or correct a health pro
1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M M
1 1M 1M M
1 1M 1M 1M 1M
blem. This response is any medical drug’s intended action also known as a therapeutic response.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 3 1M 1M 1M 1M
3. Whichtype ofmedical drug name is “owned” bythe companythat manufactures it? 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M M
1 1M 1M
a. Generic name 1M
b Chemical name 1M
.
c. Category name 1M
d Trade name 1M
.
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The chemical name is a medical drug’s exact chemical composition. The generic name is the na
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
me assigned to the medical drug by the U.S. Adopted Names Council and is not owned by anyone. Th
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
,e categoryname refers to the type ofmedical drug (what it does or what it is used for) and is not an actua
1M M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M
l medical drug name. The trade name (brand name) is the name provided and owned by a specific me
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
dical drug’s manufacturer.1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 4 1M 1M 1M 1M
4. Which medical drug or medical drug class is a “high alert” medical drug?
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ACCURATE RESPONSE:-B 1M
Review feedback:- 1M
>>>A high alert medical drug is one in which harm is likely to result if given at the wrong dose, to the w
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
rong hospital client, or not givento the correct hospital client. Medical drugs classified as highalert me
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M
dical drugs include potassium, narcotics (opioids), insulin, cancer chemotherapy medical drugs, and
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
heparin (or any medical drug that strongly affects blood clotting). Penicillin, NSAIDs, and calcium ar
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
e not considered high alert medical drugs.
1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 4 1M 1M 1M 1M
5. What is the term for a medical drug that has the same action as a naturally occurring bo
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
dy hormone or enzyme?
1M 1M 1M
a. Agonist
b Blocking agent 1M
.
c. Chemical
d Duplicator
.
ACCURATE RESPONSE:- A 1M 1 M
Review feedback:- 1M
>>>A medical drug agonist is an extrinsic medical drug that activates the receptor sites ofa cell and m
M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M
imics the actions ofnaturallyoccurring bodysubstances (intrinsic medical drugs). Ablocking agent i
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1 1M 1M 1M M
1 M
1 1M 1M
s a medical drug antagonist. Achemicalwould not necessarilybe a medical drug at all. Aduplicator is n
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1 1M 1M 1M 1M 1M M
1 M
1 1M 1M
ot apharmacologic term.
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1 1M
DIFFICULT: Cognitive Level: Remembering REF: pp. 6-7 1M 1M 1M 1M
6. Which termdescribes how the bodyaffects medical drug activity? 1M 1M 1M 1M 1M M
1 1M 1M 1M
a. Medical drug potenc 1M 1M
y
b Pharmacodynamics
.
c. Therapeutic effect 1M
d Pharmacokinetics
.
, ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The term pharmacokinetics refers to medical drug metabolism and how the body changes a med
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
ical drug. Pharmacodynamics refers to how a medical drug worksto change body function. Medical d
1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1 1M M
1 1M 1M
rug potencyrefers to how strongly or to what degree a medical drug exerts its effects. The therapeutic
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1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
effect is closer to pharmacodynamics, meaning how a medical drug works to change body function.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 10 1M 1M 1M 1M
7. Inthe United States, which group is responsible for enforcing established standards for med
M
1 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M 1M 1M
ical drug manufacturing?
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a. U.S. Pharmacopeia 1M
b National Institutes of Health 1M 1M 1M
.
c. Food and Medical drugAdministration M
1 1M 1M 1M
d Association ofPharmaceuticalManufacturers 1M 1M 1M
.
ACCURATE RESPONSE:-C 1M
Review feedback:- 1M
>>>The standards for medical drug manufacture are established by the U.S. Pharmacopeia. These st
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
andards are enforced bythe Food and Medical drugAdministration. Neither the NationalInstitutes of
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1 1M 1M 1M M
1 M
1 M
1
Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce medical dr
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ug standards.
1M
DIFFICULT: Cognitive Level: Remembering REF: p. 5 1M 1M 1M 1M
8. Which factor is a major disadvantage ofthe transdermal medical drug deliveryroute? 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M M
1
a. Onlya prescriber can administer medical drugs bythe transdermal r
M
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1 1M 1M
oute.
b Transdermalmedical drugs must be sterile rather than clean. 1M 1M 1M 1M 1M 1M 1M M
1
.
c. First pass medical drug loss bythis route is the most extensive.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
d Medical drug absorption is dependent on adequate circulation. 1M 1M 1M 1M 1M 1M 1M
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>Once a transdermal medical drug moves throughthe skin, it must enter the bloodstreamto reach its
1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M 1M M
1 1M 1M M
1
target tissue. If circulation is poor to the area where the transdermal medical drug is applied, very little
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
, if any, of the medical drug will reach its target tissue.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 12 1M 1M 1M 1M
9. How are intrinsic medical drugs different fromextrinsic medical drugs? 1M 1M 1M 1M 1M 1M M
1 1M 1M
a. Intrinsic medical drugs are made bythe body, whereas extrinsic medical drugs are made outside th
1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M M
1 1M 1M 1M
e body. 1M
b Intrinsic medical drugs are administered bythe parenteralroute, whereas extrinsic medical drugs
1M 1M 1M 1M 1M M
1 1M M
1 M
1 1M 1M 1M 1M
. are administered by the oral route.
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c. Extrinsic medical drugs canonly be applied to the skin or mucous membranes, whereas intrinsic 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M
medical drugs are taken internally. 1M 1M 1M 1M
ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION
MULTIPLE CHOICE BASI
1M 1M
,CCONCEPTS
M
1
1. Which health care professional has the major responsibility for dispensing prescribed me 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M
dical drugs under the direction of a pharmacist?
1M 1M 1M 1M 1M 1M 1M
a. Physician
b Nursing attendant pra 1M 1M 1M
. ctitioner
c. Licensed nursing atte 1M 1M
ndant 1M
d Pharmacytechnician 1M
.
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The physician and nursing attendant have the major responsibility for prescribing medical drug
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
s, not dispensing them. The licensed nursing attendant has the primary responsibility for administeri
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
ng medical drugs, althoughunder some circumstances a licensed nursing attendant maydispense pre
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1
scribed medical drugs but this is not his or her major responsibility in medical drug therapy. The phar
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
macy technician has the major responsibility of dispensing prescribed medical drugs under the direc
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
tion of a licensed pharmacist.
1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 3 1M 1M 1M 1M
2. Which termdescribes the effect of a medical drug that improves body function? 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1
a. Side effect M
1
b Intended action 1M
.
c. Adverse reaction 1M
d Idiosyncraticresponse 1M
.
ACCURATE RESPONSE:-B 1M
Review feedback :- 1M 1M
>>>The aim ofmedical drug therapy is to take a medical drug to prevent, lessen, or correct a health pro
1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M M
1 1M 1M M
1 1M 1M 1M 1M
blem. This response is any medical drug’s intended action also known as a therapeutic response.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 3 1M 1M 1M 1M
3. Whichtype ofmedical drug name is “owned” bythe companythat manufactures it? 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M M
1 1M 1M
a. Generic name 1M
b Chemical name 1M
.
c. Category name 1M
d Trade name 1M
.
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The chemical name is a medical drug’s exact chemical composition. The generic name is the na
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
me assigned to the medical drug by the U.S. Adopted Names Council and is not owned by anyone. Th
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
,e categoryname refers to the type ofmedical drug (what it does or what it is used for) and is not an actua
1M M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M
l medical drug name. The trade name (brand name) is the name provided and owned by a specific me
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
dical drug’s manufacturer.1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 4 1M 1M 1M 1M
4. Which medical drug or medical drug class is a “high alert” medical drug?
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ACCURATE RESPONSE:-B 1M
Review feedback:- 1M
>>>A high alert medical drug is one in which harm is likely to result if given at the wrong dose, to the w
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
rong hospital client, or not givento the correct hospital client. Medical drugs classified as highalert me
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M
dical drugs include potassium, narcotics (opioids), insulin, cancer chemotherapy medical drugs, and
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
heparin (or any medical drug that strongly affects blood clotting). Penicillin, NSAIDs, and calcium ar
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
e not considered high alert medical drugs.
1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 4 1M 1M 1M 1M
5. What is the term for a medical drug that has the same action as a naturally occurring bo
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
dy hormone or enzyme?
1M 1M 1M
a. Agonist
b Blocking agent 1M
.
c. Chemical
d Duplicator
.
ACCURATE RESPONSE:- A 1M 1 M
Review feedback:- 1M
>>>A medical drug agonist is an extrinsic medical drug that activates the receptor sites ofa cell and m
M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M
imics the actions ofnaturallyoccurring bodysubstances (intrinsic medical drugs). Ablocking agent i
1M 1M 1M 1M 1M 1M M
1 1M 1M 1M M
1 M
1 1M 1M
s a medical drug antagonist. Achemicalwould not necessarilybe a medical drug at all. Aduplicator is n
1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M M
1 M
1 1M 1M
ot apharmacologic term.
1M M
1 1M
DIFFICULT: Cognitive Level: Remembering REF: pp. 6-7 1M 1M 1M 1M
6. Which termdescribes how the bodyaffects medical drug activity? 1M 1M 1M 1M 1M M
1 1M 1M 1M
a. Medical drug potenc 1M 1M
y
b Pharmacodynamics
.
c. Therapeutic effect 1M
d Pharmacokinetics
.
, ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>The term pharmacokinetics refers to medical drug metabolism and how the body changes a med
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
ical drug. Pharmacodynamics refers to how a medical drug worksto change body function. Medical d
1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 M
1 1M M
1 1M 1M
rug potencyrefers to how strongly or to what degree a medical drug exerts its effects. The therapeutic
1M M
1 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
effect is closer to pharmacodynamics, meaning how a medical drug works to change body function.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 10 1M 1M 1M 1M
7. Inthe United States, which group is responsible for enforcing established standards for med
M
1 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M 1M 1M
ical drug manufacturing?
1M 1M
a. U.S. Pharmacopeia 1M
b National Institutes of Health 1M 1M 1M
.
c. Food and Medical drugAdministration M
1 1M 1M 1M
d Association ofPharmaceuticalManufacturers 1M 1M 1M
.
ACCURATE RESPONSE:-C 1M
Review feedback:- 1M
>>>The standards for medical drug manufacture are established by the U.S. Pharmacopeia. These st
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
andards are enforced bythe Food and Medical drugAdministration. Neither the NationalInstitutes of
1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M M
1 M
1 M
1
Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce medical dr
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
ug standards.
1M
DIFFICULT: Cognitive Level: Remembering REF: p. 5 1M 1M 1M 1M
8. Which factor is a major disadvantage ofthe transdermal medical drug deliveryroute? 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M M
1
a. Onlya prescriber can administer medical drugs bythe transdermal r
M
1 1M 1M 1M 1M 1M 1M M
1 1M 1M
oute.
b Transdermalmedical drugs must be sterile rather than clean. 1M 1M 1M 1M 1M 1M 1M M
1
.
c. First pass medical drug loss bythis route is the most extensive.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
d Medical drug absorption is dependent on adequate circulation. 1M 1M 1M 1M 1M 1M 1M
ACCURATE RESPONSE:-D 1M
Review feedback:- 1M
>>>Once a transdermal medical drug moves throughthe skin, it must enter the bloodstreamto reach its
1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M 1M M
1 1M 1M M
1
target tissue. If circulation is poor to the area where the transdermal medical drug is applied, very little
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
, if any, of the medical drug will reach its target tissue.
1M 1M 1M 1M 1M 1M 1M 1M 1M 1M 1M
DIFFICULT: Cognitive Level: Remembering REF: p. 12 1M 1M 1M 1M
9. How are intrinsic medical drugs different fromextrinsic medical drugs? 1M 1M 1M 1M 1M 1M M
1 1M 1M
a. Intrinsic medical drugs are made bythe body, whereas extrinsic medical drugs are made outside th
1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M M
1 1M 1M 1M
e body. 1M
b Intrinsic medical drugs are administered bythe parenteralroute, whereas extrinsic medical drugs
1M 1M 1M 1M 1M M
1 1M M
1 M
1 1M 1M 1M 1M
. are administered by the oral route.
1M 1M 1M 1M 1M
c. Extrinsic medical drugs canonly be applied to the skin or mucous membranes, whereas intrinsic 1M 1M 1M 1M 1M 1M 1M 1M 1M M
1 1M 1M 1M 1M 1M
medical drugs are taken internally. 1M 1M 1M 1M
