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Exam (elaborations)

Pharmacology for Nurses: Test Bank Review Guide (Chapters 1–4) – Key Concepts & Practice Questions

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This document is a comprehensive test bank extracted from Adams’ Pharmacology for Nurses: A Pathophysiologic Approach, 5th Edition, covering Chapters 1–4. It is designed to help nursing students review and assess their understanding of foundational pharmacology topics through multiple-choice questions (MCSA, MCMA), rationales, and learning outcomes. Topics Covered: Chapter 1: Introduction to Pharmacology Key historical events Interdisciplinary nature of pharmacology Drug classifications: therapeutic vs. pharmacological Prototype drugs, mechanism of action Prescription vs. OTC drugs, generic vs. brand name Chapter 2: Drug Approval and Regulation FDA role and drug approval process Controlled substances and DEA schedules Teratogenic risk categories (Pregnancy Categories A–X) Patient safety and nurse’s role in drug approval Chapter 3: Medication Administration Nurse’s responsibilities and the “Five Rights” Routes of administration: enteral, topical, parenteral Patient compliance and education Safe administration techniques and measurement systems Chapter 4: Pharmacokinetics Absorption, distribution, metabolism, excretion (ADME) Factors affecting drug absorption and distribution First-pass effect, protein binding, half-life Therapeutic range, loading vs. maintenance doses Features: Multiple-choice questions with correct answers and detailed rationales Cognitive level, client need, and QSEN competency alignment Learning outcomes and page references for further study Ideal for exam preparation, self-assessment, and concept reinforcement This resource is perfect for nursing students preparing for pharmacology exams, NCLEX review, or clinical practice application.

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Uploaded on
December 21, 2025
Number of pages
334
Written in
2025/2026
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Exam (elaborations)
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TEST BANK FOR
V V




ADAM’S
VPHARMACOLOGY FOR
V




NURSES A V




PATHOPHYSIOLOGIC V




APPROACH, 5TH
V




EDITION




MedV
C

,ChapterV1

QuestionV1VTyp

e:VMCMA

TheVnurseVisVteachingVaVpharmacologyVclassVtoVstudentVnurses.VWhatVdoesVtheVnurseVinclud
eVasVkeyVeventsVinVtheVhistoryVofVpharmacology?

Note:VCreditVwillVbeVgivenVonlyVifVallVcorrectVchoicesVandVnoVincorrectVchoicesVareVselected.

StandardVText:VSelectVallVthatVapply.

1. InitialVdrugsVincludedVmorphine,Vcocaine,VandVpenicillin.

2. EarlyVresearchersVusedVthemselvesVasVtestVsubjects.

3. TheVinitialVintentionVofVpharmacologyVwasVtoVrelieveVhumanVsuffering.

4. ModernVpharmacologyVbeganVinVtheVearlyV1600s.

5. PharmacologistsVsynthesizedVdrugsVinVtheVlaboratoryVinVtheVtwentiethVcentury.

CorrectVAnswer:V2,3,5

RationaleV1:VInitialVdrugsVisolatedVfromVcomplexVmixturesVincludedVmorphine,Vcolchicines,Vc
urare,VandVcocaine,VbutVnotVpenicillin.

RationaleV2:VSomeVearlyVresearchers,VsuchVasVFriedrichVSerturner,VusedVthemselvesVasVtestV

subjects.

RationaleV3:VTheVearlyVrootsVofVpharmacologyVincludedVtheVapplicationVofVproductsVtoVrelie
veVhumanVsuffering.

RationaleV4:VModernVpharmacologyVbeganVinVtheVearlyV1800s,VnotVtheV1600s.

RationaleV5:VByVtheVtwentiethVcentury,VpharmacologistsVcouldVsynthesizeVdrugsVinVtheVlabor
atory.

GlobalVRationale:VTheVearlyVrootsVofVpharmacologyVincludedVtheVapplicationVofVproductsVt
oVrelieveVhumanVsuffering,VandVearlyVresearchersVusedVthemselvesVasVtestVsubjects.VInitialV
drugsVincludedVmorphine,Vcolchicines,Vcurare,VandVcocaine,VbutVnotVpenicillin.VModernVphar
macologyVbeganVinVtheVearlyV1800s,VnotVtheV1600s.VByVtheVtwentiethVcentury,Vpharmacolo
gistsVcouldVsynthesizeVdrugsVinVtheVlaboratory.
CognitiveVLevel:VApplying

MedV
C

,ClientVNeed:VPhysiologicalVIntegrity
ClientVNeedVSub:VPharmacologicalVandVParenteralVTherapies
QSENVCompetencies:VI.A.1VIntegrateVunderstandingVofVmultipleVdimensionsVofVpatientVcente
redVcare:Vpatient/family/communityVpreferences,Vvalues;VcoordinationVandVintegrationVofVc
are;Vinformation,Vcommunication,VandVeducation;VphysicalVcomfortVandVemotionalVsupport;
VinvolvementVofVfamilyVandVfriends;VandVtransitionVandVcommunity.
AACNVEssentialVCompetencies:VI.7VIntegrateVtheVknowledgeVandVmethodsVofVaVvarietyVofVdi
sciplinesVtoVinformVdecisionVmaking.
NLNVCompetencies:VKnowledgeVandVScience:VIntegrationVofVknowledgeVfromVnursingVandVotherV
disciplines.
Nursing/IntegratedVConcepts:VNursingVProcess:VImplementation
LearningVOutcome:V1-1VIdentifyVkeyVeventsVinVtheVhistoryVofVpharmacology.
MNLVLearningVOutcome:V1.1.1VApplyVbasicVconceptsVrelatedVtoVpharmacology.



PageVNumber:V3



QuestionV2VTyp
e:VMCSA

TheVstudentVnurseVasksVtheVnursingVinstructorVwhyVheVneedsVtoVtakeVanatomyVandVphysiolo
gy,VasVwellVasVmicrobiology,VwhenVheVonlyVwantsVtoVlearnVaboutVpharmacology.VWhatVisVth
eVbestVresponseVbyVtheVinstructor?

1. "BecauseVpharmacologyVisVanVoutgrowthVofVthoseVsubjects."

2. "YouVmustVlearnVall,VsinceVthoseVsubjects,VasVwellVasVpharmacology,VareVpartVo
fVtheVcurriculum."

3. "KnowledgeVofVallVthoseVsubjectsVwillVprepareVyouVtoVprovideVtheVbestVpatientVcare,Vincl
udingVtheVadministrationVofVmedications."

4. "BecauseVanVunderstandingVofVthoseVsubjectsVisVessentialVtoVunderstandingVpharmacology."

CorrectVAnswer:V4

RationaleV1:VPharmacologyVisVanVoutgrowthVofVanatomy,Vphysiology,VandVmicrobiology,Vbut
VthisVisVnotVtheVmostVcompleteVreasonVforVtheVnurseVtoVlearnVthem.




MedV
C

, RationaleV2:VTheVnurseVmustVlearnVanatomy,Vphysiology,VandVmicrobiologyVtoVunderstandVp
harmacology,VnotVbecauseVtheyVareVpartVofVtheVcurriculum.

RationaleV3:VKnowledgeVofVanatomy,Vphysiology,VandVmicrobiologyVpreparesVtheVnurseVtoVu
nderstandVpharmacology,VnotVtoVprovideVcareVsuchVasVadministrationVofVmedications.

RationaleV4:VItVisVessentialVforVtheVnurseVtoVhaveVaVbroadVknowledgeVbaseVofVmanyVscience
sVinVorderVtoVlearnVpharmacology.

GlobalVRationale:VItVisVessentialVforVtheVnurseVtoVhaveVaVbroadVknowledgeVbaseVofVmanyVsci
encesVinVorderVtoVlearnVpharmacology.VTheVnurseVmustVlearnVanatomy,Vphysiology,VandVmic
robiologyVtoVunderstandVpharmacology,VnotVbecauseVtheyVareVpartVofVtheVcurriculum.VPhar
macologyVisVanVoutgrowthVofVanatomy,Vphysiology,VandVmicrobiology,VbutVthisVisVnotVtheVre
asonVforVtheVnurseVtoVlearnVthem.VKnowledgeVofVanatomy,Vphysiology,VandVmicrobiologyVpr
eparesVtheVnurseVtoVunderstandVpharmacology,VnotVtoVprovideVcareVsuchVasVadministration
VofVmedications.


CognitiveVLevel:VApplying
ClientVNeed:VPhysiologicalVIntegrity
ClientVNeedVSub:VPharmacologicalVandVParenteralVTherapies
QSENVCompetencies:VI.A.1VIntegrateVunderstandingVofVmultipleVdimensionsVofVpatientVcente
redVcare:Vpatient/family/communityVpreferences,Vvalues;VcoordinationVandVintegrationVofVc
are;Vinformation,Vcommunication,VandVeducation;VphysicalVcomfortVandVemotionalVsupport;
VinvolvementVofVfamilyVandVfriends;VandVtransitionVandVcommunity.
AACNVEssentialVCompetencies:VI.7VIntegrateVtheVknowledgeVandVmethodsVofVaVvarietyVofVdi
sciplinesVtoVinformVdecisionVmaking.
NLNVCompetencies:VKnowledgeVandVScience:VIntegrationVofVknowledgeVfromVnursingVandVotherV
disciplines.
Nursing/IntegratedVConcepts:VNursingVProcess:VImplementation
LearningVOutcome:V1-
2VExplainVtheVinterdisciplinaryVnatureVofVpharmacology,VgivingVanVexampleVofVhowVknowledg
eVfromVdifferentVsciencesVimpactsVtheVnurse’sVroleVinVdrugVadministration.
MNLVLearningVOutcome:V1.1.1VApplyVbasicVconceptsVrelatedVtoVpharmacology.VP
ageVNumber:V3



QuestionV3VTyp
e:VMCMA

TheVnursingVinstructorVisVteachingVaVpharmacologyVclassVtoVstudentVnurses.VTheVcurrentVfo
cusVisVpharmacologyVandVtherapeutics.VTheVnursingVinstructorVdeterminesVthatVlearningVha
sVoccurredVwhenVtheVstudentsVmakeVwhichVcomments?

Note:VCreditVwillVbeVgivenVonlyVifVallVcorrectVchoicesVandVnoVincorrectVchoicesVareVselected.
MedV
C
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