TESTBANK FORTH
h CLAYON’SBASIC PHARMACOLOGY
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FORNURSES 19
h EDITION/WILLIHNGANZVERIFIED
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QUESTIONSANDANSWERSWITH2024UPDATES (ALL
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CHAPTERSINLUDED1-48)
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, 2
Chapter 01:Drug Definitions, Standards, and Information Sources Willihnganz:
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Clayton’sBasicPharmacologyforNurses,19thEdition
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1. WhichnameidentifiesadruglistedbytheUS FoodDrug h h h
Administration(FDA)?
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a. Bran
b. Nonproprietar
c. Official
d. Trademark
ANS:
The official name is the name under which a drug is listed by the
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FDA. The brand name, or trademark, is the name given to a drug by
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its manufacturer. The nonproprietary, or generic, name is
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provided bythe United States Adopted Names Council.
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Cognitive Level: Knowledge REF: p. 9
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OBJ: 1NAT: NCLEXClient NeedsCategory: Safe,EffectiveCare
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Environment TOP: Nursing Process Step: Assessment
h CON: h bh b h h h
Patient Education
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2. Whichsourcecontainsinformationspecifictonutritionalsupplements? b b b
a. USPDictionaryof USAN &International DrugNames h bh b h h
b. NaturalMedicinesComprehensiveDatabase
c. UnitedStatesPharmacopoeia/NationalFormulary(USPNF) h h
d. DrugInteractionFacts h
ANS: C h
UnitedStatesPharmacopoeia/NationalFormularycontainsinformationspecifictonutritional
h supplements.USPDictionaryofUSAN &InternationalDrugNamesisacompilationofdrugnames,
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pronunciation guide,and possiblefuture FDA approveddrugs; itdoesnotincludenutritional
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supplements. Natural Medicines Comprehensive Database contains
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evidence-based information onherbalmedicinesandherbalcombinationproducts;itdoesnot N b b h
include information specific to nutritional supplements. Drug Interaction Facts contains
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comprehensive information on druginteraction facts; it does not include nutritional supplements.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:3 h h bh b h
NAT:
h NCLEX Client Needs Category: Physiological Integrity
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TOP: NursingProcessStep:Assessment
bh b CON: Nutrition|PatientEducation
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3. Whichdrugreferencecontainsdrugmonographs thatdescribeall drugsinatherapeuticclass? h h h h h h h
a. DrugFactsandComparisons
, 3
b. DrugInteractionFacts h
c. HandbookonInjectableDrugs h h
d. Martindale—TheCompleteDrugReference
ANS: A h
Drug Facts and Comparisons contains drugmonographs that describeall drugs in a
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therapeuticclass.Monographsareformattedastablestoallowcomparisonofsimilar
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products,brandnames,manufacturers,costindices,andavailabledosageformsOnline
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version is available.
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DIF: CognitiveLevel:Knowledge REF: p.4Table1.2 h h b h b h h
OBJ: 3 NAT: NCLEXClientNeedsCategory:PhysiologicalIntegrity h
TOP: NursingProcessStep:Assessment
bh b CON: Safety|PatientEducation|ClinicalJudgment
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4. Whichdrugreference containsmonographs about virtuallyeverysingle-entitydrugavailable in bh bh bh bh
the United States and describes therapeutic uses of drugs, including approved and unapproved
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uses?
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a. Martindale:TheComplete Drug Reference h N
b. AHFSDrugInformation b
c. DrugReference
d. DrugFacts and Comparisons N
ANS: B h
AHFS Drug Information contains monographs about virtuallyeverysingle-entitydrug
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availableintheUnitedStatesanddescribestherapeuticusesofdrugs,includingapproved and
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unapproveduses.
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DIF: CognitiveLevel:Knowledge REF: p.4Table1.2 h h b h b h h
OBJ: 3 NAT: NCLEX ClientNeeds Category:PhysiologicalIntegrity hb N N
TOP: NursingProcessStep:Planning
bh b CON: Safety|PatientEducation|ClinicalJudgment
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5. Whichonline drug referencemakes available to healthcare providers and the public a
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standard,comprehensive,up-to-datelookupanddownloadableresourceaboutmedicines?
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a. AmericanDrugIndex
b. AmericanHospitalFormulary
c. DailyMed
d. DrugReference h
ANS: C h
DailyMedmakes availabletohealthcareproviders andthepublica standard,comprehensive, up- h h b b h b
to-datelookupanddownloadableresourceaboutmedicines.TheAmericanDrugIndexis not h h
appropriate forpatient use. TheAmerican Hospital Formularyisnot appropriatefor patient use.
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The drug reference is not appropriate for patient use.
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DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 h h b h b h h h h OBJ:3
NAT:h NCLEX Client Needs Category: Physiological Integrity
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TOP: NursingProcessStep:Implementation
h b
b h
CON:
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Safety|PatientEducation|ClinicalJudgment
b h
6. Whichlegislation authorizestheFDAto determinethesafetyofadrugbeforeitsmarketing? h b b h h
a. FederalFood,Drug,andCosmeticAct(1938) h h h h
b. DurhamHumphreyAmendment(1952) h h
, 4
c. ControlledSubstancesAct (1970) N
d. KefauverHarrisDrugAmendment(1962) h
ANS: A h
TheFederalFood,Drug,andCosmeticActof1938authorizedtheFDAtodeterminethesafety of all
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drugs beforemarketing. Later amendments and acts helped tighten FDA control and
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ensuredrugsafety.TheDurhamHumphreyAmendmentdefinesthekindsofdrugsthatcannot be
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usedsafelywithoutmedicalsupervisionand restrictstheirsaletoprescriptionb yalicensed
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practitioner.TheControlledSubstancesAct addressesonlycontrolledsubstancesand their
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categorization. TheKefauverHarris DrugAmendmentensuresdrugefficacyand greater drug
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safety.DrugmanufacturersarerequiredtoprovetotheFDAtheeffectiveness oftheirproducts before
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marketing them.
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DIF: CognitiveLevel:Knowledge REF: p.5Tablel.3 h h bh b h h
OBJ: 5 NAT:NCLEXClientNeedsCategory:PhysiologicalIntegrity
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TOP: Nursing Process Step: Assessment
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CON: Safety|Patient Education|Evidence |HealthCareLaw
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7. Whichclassification doesmeperidine(Demerol)fall under? h h h
a. I
b. II
c. III
d. IV
ANS: B h
Meperidine(Demerol) is a Schedule IIdrug; ithas ahigh potentialfor abuseand maylead to
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severe psychologicaland physicaldependence.Schedule Idrugshavehighpotentialforabuse and
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no recognized medicaluse.Schedule IIIdrugs have somepotential forabuse. Use mayleadto low
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tomoderatephysical dependenceor high psychological dependence. Schedule IV drugs havelow
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potential forabuse.Usemaylead to limited physical or psychological dependence.
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DIF: Cognitive Level: Knowledge REF: p. 10 OBJ:2 h h bh b h
NAT: NCLEXClient NeedsCategory: Safe,EffectiveCareEnvironment
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TOP: NursingProcessStep:Assessment CON: PatientEducation|Addiction|Pain
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8. WhichactionwouldtheFDAtaketoexpeditedrugdevelopment andapprovalforanoutbreak of
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b smallpox?
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a. Listsmallpox asahealth orphandisease. hb
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b. Omitthepreclinical researchphase. h
c. Extend the clinical research phase. N b N b
d. Fast tracktheinvestigationaldrug. N b b
ANS: D h
OncetheInvestigationalNewDrugApplicationhasbeenapproved,thedrugcanreceivehighest
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prioritywithinthe agency, which is called fast tracking. Asmallpox outbreak wouldbecome a
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priorityconcernintheworld.Orphan diseases are not researched in aprioritymanner.
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Preclinicalresearchisnotomitted.Extendinganyphaseoftheresearchwouldmeanalonger
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timetodevelop avaccine.TheFDAmust ensurethat all phases of thepreclinical and clinical
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b research phase have been completed in a safe manner.
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DIF: CognitiveLevel:Knowledge h h REF: p.7 h OBJ: b h b 5