Test Bank For Introductory Clinical Pharmacology
12th Edition By Susan Ford
Chapter 1 - 54 | Complete
, Introductory Clinical Pharmacology 12th Edition Susan Ford Nursing Test Bank
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Contents
Unit 1 Nursing Foundation of Clinical Pharmacology
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1 General Principles of Pharmacology
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2 Administration of Drugs
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3 Making Drug Dosing Safer
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4 The Nursing Process
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5 Client and Family Teaching
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Unit 2 Drugs Used to Fight Infections
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6 Antibacterial Drugs: Sulfonamides
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7 Antibacterial Drugs That Disrupt the Bacterial Cell Wall
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8 Antibacterial Drugs That Interfere With Protein Synthesis
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9 Antibacterial Drugs That Interfere With DNA/RNA Synthesis
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10 Antitubercular Drugs
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11 Antiviral Drugs
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12 Antifungal and Antiparasitic Drugs
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Unit 3 Drugs Used to Manage Pain
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13 Nonopioid Analgesics: Salicylates and Nonsalicylates
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14 Nonopioid Analgesics: Nonsteroidal Anti-inflammatory Drugs and Migraine Headache
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Medications
15 Opioid Analgesics and Antagonists
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16 Anesthetic Drugs
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Unit 4 Drugs That Affect the Central Nervous System
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17 Central Nervous System Stimulants
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18 Antidementia Drugs
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19 Antianxiety Drugs
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20 Sedatives and Hypnotics
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21 Antidepressant Drugs
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22 Antipsychotic Drug
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Unit 5 Drugs That Affect the Peripheral Nervous System
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23 Adrenergic Drugs
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24 Adrenergic Blocking Drugs
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25 Cholinergic Drugs
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26 Cholinergic Blocking Drugs
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Unit 6 Drugs That Affect the Neuromuscular System
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27 Antiparkinson Drugs
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28 Antiepileptics
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,29 Skeletal Muscle, Bone, and Joint Disorder Drugs
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Unit 7 Drugs That Affect the Respiratory System
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30 Upper Respiratory System Drugs
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31 Lower Respiratory System Drugs
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Unit 8 Drugs That Affect the Cardiovascular System
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32 Diuretics
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33 Antihyperlipidemic Drugs
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34 Antihypertensive Drugs
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35 Antianginal and Vasodilating Drugs
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36 Anticoagulant and Thrombolytic Drugs
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37 Cardiotonic and Antiarrhythmic Drugs
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Unit 9 Drugs That Affect the Gastrointestinal System
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38 Upper Gastrointestinal System Drugs
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39 Lower Gastrointestinal System Drug
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Unit 10 Drugs That Affect the Endocrine System
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40 Antidiabetic Drugs
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41 Pituitary and Adrenocortical Hormones
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42 Thyroid and Antithyroid Drugs
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43 Male and Female Hormones
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44 Uterine Drugs
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Unit 11 Drugs That Affect the Urinary System
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45 Menopause and Andropause Drugs
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46 Urinary Tract Anti-Infectives and Other Urinary Drugs
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Unit 12 Drugs That Affect the Immune System
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47 Vaccines
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48 Immunostimulants and Immunomodulators
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49 Immune Blockers
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Unit 13 Drugs That Fight Cancer
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50 Traditional Chemotherapy
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51 Immune Modulating Therapies
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Unit 14 Drugs That Affect Other Body Systems
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52 Skin Disorder Topical Drugs
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53 Otic and Ophthalmic Preparations
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54 Fluids, Electrolytes, and Parenteral Therapy
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,1 General Principles of Pharmacology
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A nursing instructor is preparing a teaching plan for a group of nursing students
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about pharmacology. When describing this topic, the instructor would focus the
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discussion onwhich of the following as an essential aspect?
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A) Drug name Qg
B) Drug class Qg
C) Drug action Qg
D) Drug
source
Qg
ANSWER: C
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Feedback:
Qg
Pharmacology is the study of drugs and their action on living organisms.
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Thus, an essential aspect of pharmacology is drug action. An understanding
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of the drug name,drug class, and drug source is important, but the most
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critical aspect related to pharmacology is how the drug acts in the body.
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2. A nursing student is preparing to administer a prescribed drug to a patient. The
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Qgstudent reviews information about the drug and its actions. Which of the
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Qgfollowing would be thebest choice for obtaining this information? Select all that
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Qgapply.
A) Nursing instructor Qg
B) Nurse assigned to the patient Qg Qg Qg Qg
C) Clinical drug reference Qg Qg
D) Prescribing health care provider Qg Qg Qg
E) Clinical
QgpharmacistANSWER: gQ
QgC, E Qg
Feedback:
Although the nursing student can ask the nursing instructor, the nurse assigned
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Qgto the patient, and the prescribing health care provider for information about
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Qgthe drug, the bestchoices for drug information would include an appropriate
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Qgdrug reference and the clinical pharmacist.
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3. When describing the various types of medications to a group of nursing
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Qgstudents, anursing instructor would identify which of the following as a
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Qgsource for deriving medications? Select all that apply.
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A) Plants
B) Synthetic sources Qg
C) Mold
D) Minerals
E) Animals
QgANSWER: A, B, Qg Qg
, C, D, E
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Feedback:
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Medications are derived from natural sources, for example, plants, molds,
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minerals, andanimals, as well as created synthetically in a laboratory.
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,4. Which of the following names may be assigned to a drug during the
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Qgprocess ofdevelopment? Select all that apply.
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A) Chemical name Qg
B) Official name Qg
C) Pharmacologic name Qg
D) Trade name Qg
E) Nonproprietary
nameANSWER: A, B,
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QgD, E Feedback:
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Throughout the process of development, drugs may have several names assigned
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Qgto them including a chemical name, a generic (nonproprietary) name, an official
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Qgname, anda trade or brand name.
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5. A drug may be classified by which of the following? Select all that apply.
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A) The chemical type of the drug's active ingredient
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B) The way the drug is used to treat a specific condition
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C) The generic name of the drug Qg Qg Qg Qg Qg
D) The trade name of the drug Qg Qg Qg Qg Qg
E) The nonproprietary name of the Qg Qg Qg Qg
QgdrugANSWER: A, B
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Feedback:
A drug may be classified by the chemical type of the active ingredient or by the
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Qgway it isused to treat a particular condition. Generic, trade, and nonproprietary
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Qgrefer to how a drug is named.
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6. A group of nursing students are reviewing information about the process of
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Qgdrug development in the United States. The students demonstrate
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Qgunderstanding of this process when they identify that which of the following
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Qgcategories are assigned by theFood and Drug Administration to newly
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Qgapproved drugs? Select all that apply.
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A) Metabolite
B) Noncontrolled substance Qg
C) Prescription
D) Nonprescription
E) Controlled
QgsubstanceANSWER: C, gQ Qg
QgD, E Qg
Feedback:
Once drugs are approved for use, the FDA assigns the drug to one of the
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Qgfollowing categories: prescription, nonprescription, or controlled substance.
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QgMetabolite refers tothe inactive form of the drug. Noncontrolled substance is a
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Qgterm that is not used.
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,7. Which of the following would be most important for the nurse to do to ensure
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Qgthe safeuse of prescription drugs in the institutional setting? Select all that
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Qgapply.
A) Administering drugs Qg
B) Monitoring clients for drug effects Qg Qg Qg Qg
C) Prescribing drugs Qg
D) Evaluating clients for toxic effects Qg Qg Qg Qg
E) Educating clients/caregivers about Qg Qg
QgdrugsANSWER: A, B, D, E
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Feedback:
In the institutional setting, the nurse's role to ensure safe use of prescription
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Qgdrugs includes administering drugs, monitoring drug effects, evaluating for toxic
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Qgeffects, andeducating clients and caregivers about drugs.
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8. The nurse is helping a client review a prescription from the health care
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Qgprovider. Whenexamining the prescription, which of the following would the
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Qgnurse expect to find documented? Select all that apply.
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A) Name of the drug Qg Qg Qg
B) Dosage of the drug Qg Qg Qg
C) Route of drug administration Qg Qg Qg
D) Times of drug administration Qg Qg Qg
E) Licensed prescriber's Qg
QgsignatureANSWER: A, B, C, D, gQ Qg Qg Qg Qg
QgE
Feedback:
The prescription must contain the client's name, the name of the drug, the
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Qgdosage, themethod and times of administration, and the signature of the
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Qglicensed health care provider prescribing the drug.
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9. After teaching a group of nursing students about nonprescription drugs, the
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Qgnursing instructor determines that the teaching was successful when the students
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Qgidentify whichof the following? Select all that apply.
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A) They require a licensed health care provider's signature.
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B) They are referred to as over-the-counter drugs.
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C) They can be taken without risk to the client.
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D) They have certain labeling requirements.
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E) They should be taken only as directed on the
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Qglabel.ANSWER: B, D, E
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Feedback:
Nonprescription drugs are often referred to as over-the-counter (OTC) drugs.
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QgThey do not require a prescription (a licensed health care provider's signature)
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Qgbut do not come without risk to the client. The federal government has
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Qgimposed labeling requirements ofOTC drugs and they should only be taken as
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Qgdirected on the label unless under the supervision of a health care provider.
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,10. A nursing student is reviewing information about the Controlled Substances
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Act of 1970. The student would expect to find which of the following as
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being regulated fordrugs classified as controlled substances? Select all that
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apply.
Qg
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
ANSWER: A,
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C, E
Qg Qg
Feedback:
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The Controlled Substances Act of 1970 regulates the manufacture, distribution,
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and dispensing of drugs classified as controlled substances. Elimination refers
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to the excretion of drugs from the body, a pharmacokinetic activity. The act
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does not addressformulation of the drug.
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11. When reviewing information about the Orphan Drug Program, which of the
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followingwould the nurse expect to find? Select all that apply.
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A) The program encourages the development and marketing of products to
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treat rarediseases.
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B) The program grants provisional approval with a written commitment
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from thedrug company to formally demonstrate client benefits.
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C) The program provides for incentives, such as research grants, protocol
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assistance,and special tax credits, to develop products to treat rare
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diseases. Qg
D) The program grants 7 years of exclusive marketing rights to the
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manufacturer ifapproved.
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E) The program accelerates approval of drugs based on preliminary evidence
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beforeformal demonstration of client benefits.
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ANSWER: A, C, D Qg Qg Qg
Feedback:
The Orphan Drug Program encourages the development and marketing of
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products usedto treat rare diseases. The program provides incentives to
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encourage manufacturers to develop orphan drugs, and if approved, the
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manufacturer has 7 years of exclusive marketing rights. Accelerated programs
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involve provisional approval and approval based on preliminary evidence.
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,12. After teaching a group of nursing students about pharmacokinetics, the
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instructor determines that the teaching was successful when the students
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identify which of thefollowing as a phase? Select all that apply.
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A) Absorption
B) Distribution
C) Administration
D) Metabolism
E) Excretion
ANSWER: A,
Qg Qg
B, D, E
Qg Qg Qg
Feedback:
gQ
The pharmacokinetic phases are absorption, distribution, metabolism, and
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excretion.The acronym ADME is a helpful way to remember the
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pharmacokinetic phases.
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13. A nurse is preparing a teaching plan for a client who is prescribed an oral
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medication.As part of the plan, the nurse expects to describe the importance
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of absorption. The nurse would integrate knowledge of which of the
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following as a mechanism for absorption in the gastrointestinal tract? Select
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all that apply.
Qg Qg Qg
A) Active transport Qg
B) Transposition
C) Passive transport Qg
D) Endocytosis
E) Pinocytosis
ANSWER: A,
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C, E
Qg Qg
Feedback:
Qg
During absorption, the drug particles in the GI tract are moved into the body fluids
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viaactive transport, passive transport, and pinocytosis.
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14. After teaching a group of nursing students about the half-life of a drug, the
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instructordetermines the need for additional teaching when the students
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identify which of the following as true? Select all that apply:
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A) Half-life can be decreased in clients with renal disease.
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B) Half-life can help determine dosing frequency. Qg Qg Qg Qg Qg
C) Half-life does not change throughout a client's life.
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D) Liver disease can increase half-life.
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E) Half-life is the measure of the rate at which drugs are removed from
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the body.ANSWER: A, C
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Feedback:
Half-life is the measure of the rate at which drugs are removed from the body,
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and anydifficulty in excreting a drug increases half-life, including liver or
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kidney disease or advanced age.
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, 15. A nurse is assessing a client after administering a prescribed medication.
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Which of thefollowing would alert the nurse to suspect that the client is
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developing anaphylactic shock? Select all that apply.
Qg Qg Qg Qg Qg Qg Qg
A) Bradycardia
B) Hypertension
C) Dyspnea
D) Urticaria
E) Angioedema
ANSWER: C, D,
gQ Qg Qg
E Feedback:
Qg Qg
The symptoms of anaphylactic shock are dyspnea, feeling of fullness in the
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throat, cough, wheezing, extremely low blood pressure, tachycardia (heart rate
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>100 bpm), palpitations, syncope, cardiac arrest, urticaria, angioedema, pruritus,
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sweating, nausea,vomiting, and abdominal pain.
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16. Which of the following would the nurse identify as a factor that alters drug
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response inchildren and infants? Select all that apply.
Qg Qg gQ Qg Qg Qg Qg Qg Qg
A) Slower gastric emptying Qg Qg
B) Greater surface area Qg Qg
C) Less protein binding Qg Qg
D) Decreased body water content Qg Qg Qg
E) Less cutaneous Qg
fatANSWER: A, B,
Qg gQ Qg Qg
C, E Feedback:
Qg Qg Qg
Children and infants are not small adults; therefore, they have altered
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pharmacokinetics.Factors that alter pharmacokinetics in children include slower
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gastric emptying, less cutaneous fat, greater surface area, increased body water
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
content, less protein binding, and immature hepatic and renal function.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
17. The FDA established a safety information and adverse events reporting program
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called MedWatch. Which individuals can access the MedWatch website to
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obtain safety alerts on drugs, devices, or dietary supplements? Select all that
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
apply.
Qg
A) Physicians
B) Nurses
C) Patients
D) Pharmacists
E) Caregivers
ANSWER: A, B,
Qg Qg Qg
C, D, E
Qg Qg Qg
Feedback:
gQ
Anyone can access the MedWatch website to obtain safety alerts on drugs,
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devices, ordietary supplements.
Qg Qg gQ Qg
12th Edition By Susan Ford
Chapter 1 - 54 | Complete
, Introductory Clinical Pharmacology 12th Edition Susan Ford Nursing Test Bank
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Contents
Unit 1 Nursing Foundation of Clinical Pharmacology
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1 General Principles of Pharmacology
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2 Administration of Drugs
Qg Qg Qg
3 Making Drug Dosing Safer
Qg Qg Qg Qg
4 The Nursing Process
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5 Client and Family Teaching
Qg Qg Qg Qg
Unit 2 Drugs Used to Fight Infections
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6 Antibacterial Drugs: Sulfonamides
Qg Qg Qg
7 Antibacterial Drugs That Disrupt the Bacterial Cell Wall
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8 Antibacterial Drugs That Interfere With Protein Synthesis
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9 Antibacterial Drugs That Interfere With DNA/RNA Synthesis
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10 Antitubercular Drugs
Qg Qg
11 Antiviral Drugs
Qg Qg
12 Antifungal and Antiparasitic Drugs
Qg Qg Qg Qg
Unit 3 Drugs Used to Manage Pain
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13 Nonopioid Analgesics: Salicylates and Nonsalicylates
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14 Nonopioid Analgesics: Nonsteroidal Anti-inflammatory Drugs and Migraine Headache
Qg Qg Qg Qg Qg Qg Qg Qg
Medications
15 Opioid Analgesics and Antagonists
Qg Qg Qg Qg
16 Anesthetic Drugs
Qg Qg
Unit 4 Drugs That Affect the Central Nervous System
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17 Central Nervous System Stimulants
Qg Qg Qg Qg
18 Antidementia Drugs
Qg Qg
19 Antianxiety Drugs
Qg Qg
20 Sedatives and Hypnotics
Qg Qg Qg
21 Antidepressant Drugs
Qg Qg
22 Antipsychotic Drug
Qg Qg
Unit 5 Drugs That Affect the Peripheral Nervous System
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23 Adrenergic Drugs
Qg Qg
24 Adrenergic Blocking Drugs
Qg Qg Qg
25 Cholinergic Drugs
Qg Qg
26 Cholinergic Blocking Drugs
Qg Qg Qg
Unit 6 Drugs That Affect the Neuromuscular System
Qg Qg Qg Qg Qg Qg Qg
27 Antiparkinson Drugs
Qg Qg
28 Antiepileptics
Qg
,29 Skeletal Muscle, Bone, and Joint Disorder Drugs
Qg Qg Qg Qg Qg Qg Qg
Unit 7 Drugs That Affect the Respiratory System
Qg Qg Qg Qg Qg Qg Qg
30 Upper Respiratory System Drugs
Qg Qg Qg Qg
31 Lower Respiratory System Drugs
Qg Qg Qg Qg
Unit 8 Drugs That Affect the Cardiovascular System
Qg Qg Qg Qg Qg Qg Qg
32 Diuretics
Qg
33 Antihyperlipidemic Drugs
Qg Qg
34 Antihypertensive Drugs
Qg Qg
35 Antianginal and Vasodilating Drugs
Qg Qg Qg Qg
36 Anticoagulant and Thrombolytic Drugs
Qg Qg Qg Qg
37 Cardiotonic and Antiarrhythmic Drugs
Qg Qg Qg Qg
Unit 9 Drugs That Affect the Gastrointestinal System
Qg Qg Qg Qg Qg Qg Qg
38 Upper Gastrointestinal System Drugs
Qg Qg Qg Qg
39 Lower Gastrointestinal System Drug
Qg Qg Qg Qg
Unit 10 Drugs That Affect the Endocrine System
Qg Qg Qg Qg Qg Qg Qg
40 Antidiabetic Drugs
Qg Qg
41 Pituitary and Adrenocortical Hormones
Qg Qg Qg Qg
42 Thyroid and Antithyroid Drugs
Qg Qg Qg Qg
43 Male and Female Hormones
Qg Qg Qg Qg
44 Uterine Drugs
Qg Qg
Unit 11 Drugs That Affect the Urinary System
Qg Qg Qg Qg Qg Qg Qg
45 Menopause and Andropause Drugs
Qg Qg Qg Qg
46 Urinary Tract Anti-Infectives and Other Urinary Drugs
Qg Qg Qg Qg Qg Qg Qg
Unit 12 Drugs That Affect the Immune System
Qg Qg Qg Qg Qg Qg Qg
47 Vaccines
Qg
48 Immunostimulants and Immunomodulators
Qg Qg Qg
49 Immune Blockers
Qg Qg
Unit 13 Drugs That Fight Cancer
Qg Qg Qg Qg Qg
50 Traditional Chemotherapy
Qg Qg
51 Immune Modulating Therapies
Qg Qg Qg
Unit 14 Drugs That Affect Other Body Systems
Qg Qg Qg Qg Qg Qg Qg
52 Skin Disorder Topical Drugs
Qg Qg Qg Qg
53 Otic and Ophthalmic Preparations
Qg Qg Qg Qg
54 Fluids, Electrolytes, and Parenteral Therapy
Qg Qg Qg Qg
,1 General Principles of Pharmacology
Qg Qg Qg Qg
A nursing instructor is preparing a teaching plan for a group of nursing students
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
about pharmacology. When describing this topic, the instructor would focus the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
discussion onwhich of the following as an essential aspect?
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg
A) Drug name Qg
B) Drug class Qg
C) Drug action Qg
D) Drug
source
Qg
ANSWER: C
gQ Q g
Feedback:
Qg
Pharmacology is the study of drugs and their action on living organisms.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Thus, an essential aspect of pharmacology is drug action. An understanding
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of the drug name,drug class, and drug source is important, but the most
Qg Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
critical aspect related to pharmacology is how the drug acts in the body.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
2. A nursing student is preparing to administer a prescribed drug to a patient. The
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgstudent reviews information about the drug and its actions. Which of the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgfollowing would be thebest choice for obtaining this information? Select all that
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
Qgapply.
A) Nursing instructor Qg
B) Nurse assigned to the patient Qg Qg Qg Qg
C) Clinical drug reference Qg Qg
D) Prescribing health care provider Qg Qg Qg
E) Clinical
QgpharmacistANSWER: gQ
QgC, E Qg
Feedback:
Although the nursing student can ask the nursing instructor, the nurse assigned
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgto the patient, and the prescribing health care provider for information about
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgthe drug, the bestchoices for drug information would include an appropriate
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg
Qgdrug reference and the clinical pharmacist.
Qg Qg Qg Qg Qg
3. When describing the various types of medications to a group of nursing
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgstudents, anursing instructor would identify which of the following as a
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgsource for deriving medications? Select all that apply.
Qg Qg Qg Qg Qg Qg Qg
A) Plants
B) Synthetic sources Qg
C) Mold
D) Minerals
E) Animals
QgANSWER: A, B, Qg Qg
, C, D, E
Qg Qg Qg
Feedback:
gQ
Medications are derived from natural sources, for example, plants, molds,
Qg Qg Qg Qg Qg Qg Qg Qg Qg
minerals, andanimals, as well as created synthetically in a laboratory.
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
,4. Which of the following names may be assigned to a drug during the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgprocess ofdevelopment? Select all that apply.
Qg gQ Qg Qg Qg Qg
A) Chemical name Qg
B) Official name Qg
C) Pharmacologic name Qg
D) Trade name Qg
E) Nonproprietary
nameANSWER: A, B,
Qg gQ Q g Qg
QgD, E Feedback:
Qg Qg
Throughout the process of development, drugs may have several names assigned
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgto them including a chemical name, a generic (nonproprietary) name, an official
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgname, anda trade or brand name.
Qg gQ Qg Qg Qg Qg
5. A drug may be classified by which of the following? Select all that apply.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
A) The chemical type of the drug's active ingredient
Qg Qg Qg Qg Qg Qg Qg
B) The way the drug is used to treat a specific condition
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
C) The generic name of the drug Qg Qg Qg Qg Qg
D) The trade name of the drug Qg Qg Qg Qg Qg
E) The nonproprietary name of the Qg Qg Qg Qg
QgdrugANSWER: A, B
gQ Qg Qg
Feedback:
A drug may be classified by the chemical type of the active ingredient or by the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgway it isused to treat a particular condition. Generic, trade, and nonproprietary
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgrefer to how a drug is named.
Qg Qg Qg Qg Qg Qg
6. A group of nursing students are reviewing information about the process of
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgdrug development in the United States. The students demonstrate
Qg Qg Qg Qg Qg Qg Qg Qg
Qgunderstanding of this process when they identify that which of the following
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgcategories are assigned by theFood and Drug Administration to newly
Qg Qg Qg Qg gQ Qg Qg Qg Qg Qg
Qgapproved drugs? Select all that apply.
Qg Qg Qg Qg Qg
A) Metabolite
B) Noncontrolled substance Qg
C) Prescription
D) Nonprescription
E) Controlled
QgsubstanceANSWER: C, gQ Qg
QgD, E Qg
Feedback:
Once drugs are approved for use, the FDA assigns the drug to one of the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgfollowing categories: prescription, nonprescription, or controlled substance.
Qg Qg Qg Qg Qg Qg
QgMetabolite refers tothe inactive form of the drug. Noncontrolled substance is a
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgterm that is not used.
Qg Qg Qg Qg
,7. Which of the following would be most important for the nurse to do to ensure
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgthe safeuse of prescription drugs in the institutional setting? Select all that
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgapply.
A) Administering drugs Qg
B) Monitoring clients for drug effects Qg Qg Qg Qg
C) Prescribing drugs Qg
D) Evaluating clients for toxic effects Qg Qg Qg Qg
E) Educating clients/caregivers about Qg Qg
QgdrugsANSWER: A, B, D, E
gQ Qg Qg Qg Qg
Feedback:
In the institutional setting, the nurse's role to ensure safe use of prescription
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgdrugs includes administering drugs, monitoring drug effects, evaluating for toxic
Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgeffects, andeducating clients and caregivers about drugs.
Qg gQ Qg Qg Qg Qg Qg
8. The nurse is helping a client review a prescription from the health care
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgprovider. Whenexamining the prescription, which of the following would the
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
Qgnurse expect to find documented? Select all that apply.
Qg Qg Qg Qg Qg Qg Qg Qg
A) Name of the drug Qg Qg Qg
B) Dosage of the drug Qg Qg Qg
C) Route of drug administration Qg Qg Qg
D) Times of drug administration Qg Qg Qg
E) Licensed prescriber's Qg
QgsignatureANSWER: A, B, C, D, gQ Qg Qg Qg Qg
QgE
Feedback:
The prescription must contain the client's name, the name of the drug, the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgdosage, themethod and times of administration, and the signature of the
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qglicensed health care provider prescribing the drug.
Qg Qg Qg Qg Qg Qg
9. After teaching a group of nursing students about nonprescription drugs, the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgnursing instructor determines that the teaching was successful when the students
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgidentify whichof the following? Select all that apply.
Qg gQ Qg Qg Qg Qg Qg Qg
A) They require a licensed health care provider's signature.
Qg Qg Qg Qg Qg Qg Qg
B) They are referred to as over-the-counter drugs.
Qg Qg Qg Qg Qg Qg
C) They can be taken without risk to the client.
Qg Qg Qg Qg Qg Qg Qg Qg
D) They have certain labeling requirements.
Qg Qg Qg Qg
E) They should be taken only as directed on the
Qg Qg Qg Qg Qg Qg Qg Qg
Qglabel.ANSWER: B, D, E
gQ Qg Qg Qg
Feedback:
Nonprescription drugs are often referred to as over-the-counter (OTC) drugs.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
QgThey do not require a prescription (a licensed health care provider's signature)
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgbut do not come without risk to the client. The federal government has
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qgimposed labeling requirements ofOTC drugs and they should only be taken as
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
Qgdirected on the label unless under the supervision of a health care provider.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
,10. A nursing student is reviewing information about the Controlled Substances
Qg Qg Qg Qg Qg Qg Qg Qg Qg
Act of 1970. The student would expect to find which of the following as
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
being regulated fordrugs classified as controlled substances? Select all that
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg
apply.
Qg
A) Manufacturing
B) Elimination
C) Distribution
D) Formulation
E) Dispensing
ANSWER: A,
gQ Qg
C, E
Qg Qg
Feedback:
Qg
The Controlled Substances Act of 1970 regulates the manufacture, distribution,
Qg Qg Qg Qg Qg Qg Qg Qg Qg
and dispensing of drugs classified as controlled substances. Elimination refers
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
to the excretion of drugs from the body, a pharmacokinetic activity. The act
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
does not addressformulation of the drug.
Qg Qg Qg gQ Qg Qg Qg
11. When reviewing information about the Orphan Drug Program, which of the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
followingwould the nurse expect to find? Select all that apply.
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
A) The program encourages the development and marketing of products to
Qg Qg Qg Qg Qg Qg Qg Qg Qg
treat rarediseases.
Qg Qg gQ
B) The program grants provisional approval with a written commitment
Qg Qg Qg Qg Qg Qg Qg Qg
from thedrug company to formally demonstrate client benefits.
Qg Qg gQ Qg Qg Qg Qg Qg Qg
C) The program provides for incentives, such as research grants, protocol
Qg Qg Qg Qg Qg Qg Qg Qg Qg
assistance,and special tax credits, to develop products to treat rare
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
diseases. Qg
D) The program grants 7 years of exclusive marketing rights to the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
manufacturer ifapproved.
Qg Qg gQ
E) The program accelerates approval of drugs based on preliminary evidence
Qg Qg Qg Qg Qg Qg Qg Qg Qg
beforeformal demonstration of client benefits.
Qg gQ Qg Qg Qg Qg
ANSWER: A, C, D Qg Qg Qg
Feedback:
The Orphan Drug Program encourages the development and marketing of
Qg Qg Qg Qg Qg Qg Qg Qg Qg
products usedto treat rare diseases. The program provides incentives to
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
encourage manufacturers to develop orphan drugs, and if approved, the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
manufacturer has 7 years of exclusive marketing rights. Accelerated programs
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
involve provisional approval and approval based on preliminary evidence.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
,12. After teaching a group of nursing students about pharmacokinetics, the
Qg Qg Qg Qg Qg Qg Qg Qg Qg
instructor determines that the teaching was successful when the students
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
identify which of thefollowing as a phase? Select all that apply.
Qg Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg
A) Absorption
B) Distribution
C) Administration
D) Metabolism
E) Excretion
ANSWER: A,
Qg Qg
B, D, E
Qg Qg Qg
Feedback:
gQ
The pharmacokinetic phases are absorption, distribution, metabolism, and
Qg Qg Qg Qg Qg Qg Qg
excretion.The acronym ADME is a helpful way to remember the
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
pharmacokinetic phases.
Qg Qg
13. A nurse is preparing a teaching plan for a client who is prescribed an oral
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
medication.As part of the plan, the nurse expects to describe the importance
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of absorption. The nurse would integrate knowledge of which of the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
following as a mechanism for absorption in the gastrointestinal tract? Select
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
all that apply.
Qg Qg Qg
A) Active transport Qg
B) Transposition
C) Passive transport Qg
D) Endocytosis
E) Pinocytosis
ANSWER: A,
gQ Qg
C, E
Qg Qg
Feedback:
Qg
During absorption, the drug particles in the GI tract are moved into the body fluids
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
viaactive transport, passive transport, and pinocytosis.
Qg gQ Qg Qg Qg Qg Qg
14. After teaching a group of nursing students about the half-life of a drug, the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
instructordetermines the need for additional teaching when the students
Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
identify which of the following as true? Select all that apply:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
A) Half-life can be decreased in clients with renal disease.
Qg Qg Qg Qg Qg Qg Qg Qg
B) Half-life can help determine dosing frequency. Qg Qg Qg Qg Qg
C) Half-life does not change throughout a client's life.
Qg Qg Qg Qg Qg Qg Qg
D) Liver disease can increase half-life.
Qg Qg Qg Qg
E) Half-life is the measure of the rate at which drugs are removed from
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the body.ANSWER: A, C
Qg Qg gQ Qg Qg
Feedback:
Half-life is the measure of the rate at which drugs are removed from the body,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
and anydifficulty in excreting a drug increases half-life, including liver or
Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg
kidney disease or advanced age.
Qg Qg Qg Qg Qg
, 15. A nurse is assessing a client after administering a prescribed medication.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Which of thefollowing would alert the nurse to suspect that the client is
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
developing anaphylactic shock? Select all that apply.
Qg Qg Qg Qg Qg Qg Qg
A) Bradycardia
B) Hypertension
C) Dyspnea
D) Urticaria
E) Angioedema
ANSWER: C, D,
gQ Qg Qg
E Feedback:
Qg Qg
The symptoms of anaphylactic shock are dyspnea, feeling of fullness in the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
throat, cough, wheezing, extremely low blood pressure, tachycardia (heart rate
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
>100 bpm), palpitations, syncope, cardiac arrest, urticaria, angioedema, pruritus,
Qg Qg Qg Qg Qg Qg Qg Qg Qg
sweating, nausea,vomiting, and abdominal pain.
Qg Qg gQ Qg Qg Qg
16. Which of the following would the nurse identify as a factor that alters drug
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
response inchildren and infants? Select all that apply.
Qg Qg gQ Qg Qg Qg Qg Qg Qg
A) Slower gastric emptying Qg Qg
B) Greater surface area Qg Qg
C) Less protein binding Qg Qg
D) Decreased body water content Qg Qg Qg
E) Less cutaneous Qg
fatANSWER: A, B,
Qg gQ Qg Qg
C, E Feedback:
Qg Qg Qg
Children and infants are not small adults; therefore, they have altered
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
pharmacokinetics.Factors that alter pharmacokinetics in children include slower
Qg gQ Qg Qg Qg Qg Qg Qg Qg
gastric emptying, less cutaneous fat, greater surface area, increased body water
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
content, less protein binding, and immature hepatic and renal function.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
17. The FDA established a safety information and adverse events reporting program
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
called MedWatch. Which individuals can access the MedWatch website to
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
obtain safety alerts on drugs, devices, or dietary supplements? Select all that
Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
apply.
Qg
A) Physicians
B) Nurses
C) Patients
D) Pharmacists
E) Caregivers
ANSWER: A, B,
Qg Qg Qg
C, D, E
Qg Qg Qg
Feedback:
gQ
Anyone can access the MedWatch website to obtain safety alerts on drugs,
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
devices, ordietary supplements.
Qg Qg gQ Qg
