Test Bank for Clayton’s Basic Pharmacology for Nurses 20th Edition By Willihnganz and Gurevitz

TEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR
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NURSES 19TH EDITION BY MICHELLE WILLIHNGANZ |
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COMPLETE CHAPTERS 1-48 | 100%VERIFIED.
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,Chapter1:DrugDefinitions,Standards, andInformationSources Test
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Bank

MULTIPLE CHOICE g.v




1. What is the name under which a drug is listed by the U.S. Food and Drug Administration
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(FDA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark

ANS: g . v C
The official name is the name under which a drug is listed by the FDA. The brand name, or
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trademark, is the name given to a drug by its manufacturer. The nonproprietary, or generic, g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




name is provided by the U.S. Adopted Names Council.
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DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: g.v g.v g . v g.v




g 2 TOP:
. v Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
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2. Whichsource contains informationspecific to nutritional supplements?
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a. USP Dictionary of USAN & International Drug Names g.v g.v g.v g.v g.v g.v g.v




b. NaturalMedicinesComprehensiveDatabase g.v g.v g.v




c. UnitedStatesPharmacopoeia/NationalFormulary(USPNF) g.v g.v g.v g.v g.v




d. Drug Interaction Facts g.v g.v




ANS: g . v C
United States Pharmacopoeia/National Formulary contains information specific to nutritional
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supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




names, pronunciation guide, and possible future FDA approved drugs; it does not include
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nutritionalsupplements. NaturalMedicinesComprehensiveDatabase containsevidencebased g.v g.v g.v g.v g.v g.v g.v g.v g.v




information on herbal medicines and herbal combination products; it does not include g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




information specific to nutritional supplements. Drug Interaction Facts contains comprehensive g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




information on drug interaction facts; it does not include nutritional supplements. g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




DIF: Cognitive Level: Knowledge REF: p. 2 g.v g.v g . v g.v OBJ:
g 4 TOP:
. v Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Physiological Integrity
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3. Whatis the most comprehensive reference availableto researcha drug interaction?
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a. Drug Facts and Comparisons g.v g.v g.v




b. Drug Interaction Facts g.v g.v




c. Handbookon Injectable Drugs g.v g.v g.v




d. Martindale—TheComplete Drug Reference g.v g.v g.v




ANS: g . v B

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First published in 1983, Drug Interaction Facts is the most comprehensive book available on drug
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interactions. In addition to monographs listing various aspects of drug interactions, this g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




information is reviewed and updated by an internationally renowned group of physicians and g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




pharmacists with clinical and scientific expertise. g.v g.v g.v g.v g.v




DIF: Cognitive Level: Comprehension REF: p. 3 g.v g.v g . v g.v OBJ:
g 3 TOP:
. v Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Physiological Integrity
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4. The physician has written an order for a drug with which the nurse is unfamiliar. Which section
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of the Physicians’Desk Reference (PDR) is most helpful to get informationabout this drug?
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a. Manufacturer’ssection g.v




b. Brand and Generic Name section g.v g.v g.v g.v




c. Product Category section g.v g.v




d. Product Information section g.v g.v




ANS: g . v B
A physician’s order would include thebrand and/or genericname of the drug. The alphabetic index in
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the PDR would make this section the most user friendly. Based on a physician’s order,
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manufacturer’s information and classification information would not be known. The g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




Manufacturer’s section is a roster of manufacturers. The Product Category section lists products g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and antibiotics. The g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




Product Information section contains reprints of the package inserts for the major products of
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manufacturers.

DIF: Cognitive Level: Comprehension REF: p. 3 g.v g.v g . v g.v OBJ:
g 4 TOP:
. v Nursing Process Step: Planning
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MSC: NCLEX Client Needs Category: Physiological Integrity
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5. Which online drug reference makes available to health care providers and the public a
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standard, comprehensive,up to datelookup and downloadableresourceaboutmedicines? g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




a. AmericanDrug Index g.v g.v




b. AmericanHospital Formulary g.v g.v




c. DailyMed
d. Physicians’DeskReference(PDR) g.v g.v g.v




ANS: g . v C
DailyMedmakes available to healthcareprovidersandthe publicastandard,comprehensive, up to g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




date look up and downloadable resource about medicines. The American Drug Index is not
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appropriate for patient use. The American Hospital Formulary is not appropriate for patient use. g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




The PDR is not appropriate for patient use.
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DIF: Cognitive Level: Knowledge REF: p. 4 g.v g.v g . v g.v OBJ:
g 5 TOP:
. v Nursing Process Step: Implementation
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MSC: NCLEX Client Needs Category: Physiological Integrity
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6. Whichlegislationauthorizes the FDA to determine the safety of a drug before its marketing?
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a. Federal Food, Drug, and Cosmetic Act (1938) g.v g.v g.v g.v g.v g.v




b. DurhamHumphreyAmendment(1952) g.v g.v g.v




c. ControlledSubstances Act (1970) g.v g.v g.v




19TH EDITION
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d. KefauverHarris DrugAmendment (1962) g.v g.v g.v g.v




ANS: g . v A
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the safety of
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all drugs before marketing. Later amendments and acts helped tighten FDA control and ensure
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drug safety. The Durham Humphrey Amendment defines the kinds of drugs that cannot be used
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safely without medical supervision and restricts their sale to prescription by a licensed
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practitioner.TheControlledSubstances Act addresses onlycontrolledsubstances and their g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater drug g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




safety. Drug manufacturers are required to prove to the FDA the effectiveness of their products
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before marketing them. g.v g.v




DIF: Cognitive Level: Knowledge REF: p. 4 g.v g.v g . v g.v OBJ:
g 8 TOP:
. Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Physiological Integrity
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7. Meperidine (Demerol)is a narcoticwith a high potential for physicaland psychological g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




dependency. Under which classification does this drug fall? g.v g.v g.v g.v g.v g.v g.v




a. I
b. II
c. III
d. IV
ANS: g . v B
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v g.v




severepsychologicaland physical dependence.ScheduleI drugs havehigh potentialfor abuse and
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no recognized medical use. Schedule III drugs have some potential for abuse. Use may lead to low
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to moderate physical dependence or high psychological dependence. Schedule IV drugs have
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low potential for abuse. Use may lead to limited physical or psychological dependence.
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DIF: Cognitive Level: Comprehension REF: p. 4 | p. 5 OBJ: g.v g.v g . v g.v g.v g.v g.v




g 7 TOP:
. Nursing Process Step: Assessment
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MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
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8. What would the FDA do to expedite drug development and approval for an outbreak of
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smallpox, for which there is no known treatment? g.v g.v g.v g.v g.v g.v g.v




a. List smallpox as a health orphan disease. g.v g.v g.v g.v g.v g.v




b. Omitthepreclinical researchphase. g.v g.v g.v g.v




c. Extendthe clinical researchphase. g.v g.v g.v g.v




d. Fast track theinvestigational drug. g.v g.v g.v g.v




ANS: g . v D
Once the Investigational New Drug Application has been approved, the drug can receive highest
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priority within the agency, which is called fast tracking. A smallpox outbreak would become a
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priority concern in the world. Orphan diseases are not researched in a priority manner. Preclinical
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research is not omitted. Extending any phase of the research would mean a longertime to develop
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a vaccine. The FDA must ensure that all phases of the preclinical and clinical research phase have
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been completed in a safe manner. g.v g.v g.v g.v g.v




DIF: Cognitive Level: Knowledge REF: g.v g.v g . v p. 7 g.v OBJ:
g 8 TOP:
. Nursing Process Step: Assessment
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19TH EDITION
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Downloaded by: Ariah | g.v g.v g.v g.v




Distribution of this document is illegal g .v g.v g.v g .v g.v