Test Bank - Karch Focus on Nursing Pharmacology 9th
Edition by Rebecca Tucker
Chapters 1 - 59
, Chapter 1: Introduction to Drugs
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
1.A nurse working in radiology administers iodine to a patient who is having a
computerized axial tomography (CAT) scan. A nurse working on an oncology unit
administers chemotherapy to patients who have cancer. At the Public Health
Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a
14-month-old child as a routine immunization. Which branch of pharmacology
best describes the actions of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved
with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose
disease. The nurse working in radiology is administering a drug to help diagnose a
disease. The nurse working on an oncology unit is administering a drug to help treat
adisease. Pharmacoeconomics includes any costs involved in drug therapy.
Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is
how the body acts on the drug.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing process
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4
hours as needed for pain for a motor vehicle accident victim. The nurse is aware that
there is a high abuse potential for this drug; therefore, morphine is categorized as a:
A) Schedule I drug
,B) Schedule II drug
C) Schedule III drug
D) Schedule IV drug
ANSWER: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high
abuse potential with severe dependence liability. Schedule I drugs have high abuse
potential and no accepted medical use. Schedule III drugs have a lesser abuse
potential than schedule II drugs and an accepted medical use. Schedule IV drugs
havelow abuse potential and limited dependence liability.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Communication and documentation
3.A nurse working for a drug company is involved in phase III drug evaluation studies.
Which of the following might the nurse be responsible for during this stage of drug
development?
Chapter 1: Introduction to Drugs
A) Working with animals who are given experimental drugs
B) Monitoring drug effects in patients who are selected to participate in a
study,who have the disease that the drug is meant to treat
C) Collecting records of symptoms that participants experience while taking
adrug and determining whether they are caused by the disease or the
drug
D) Informing healthy, young volunteer participants of possible risks that
couldoccur from taking an experimental drug
ANSWER: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are
asked to record any symptoms they experience while taking the drugs. Nurses may
beresponsible for helping collect and analyze the information to be shared with the
Food and Drug Administration (FDA). Use of animals in drug testing is done in the
preclinical trials. A select group of patients who are involved in phase II studies
participate in studies where the participants have the disease the drug is intended
, to treat. These patients are monitored closely for drug effects. Phase I studies
involve healthy human volunteers who are usually paid for their participation.
Nurses may observe for adverse effects and toxicity.
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
4.Which of the following concepts is considered when generic drugs are substituted
forbrand-name drugs?
A) Bioavailability
B) Critical concentration
C) Distribution
D) Half-life
ANSWER: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation
and is available to act on body cells. Binders used in a generic drug may not be the
same as those used in the brand-name drug. Therefore, the way the body breaks
downand uses the drug may differ, which may eliminate a substitution. Critical
concentration is the amount of a drug that is needed to cause a therapeutic effect.
Distribution is the phase of pharmacokinetics that involves the movement of a drug
tothe body's tissues. A drug's half-life is the time it takes for the amount of drug to
decrease to one-half of the peak level.
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Teaching/learning
5.A nurse is teaching her patient about the use of over-the-counter (OTC) drugs.
Whichof the following statements best informs the patient about their safe use?
A) “OTC drugs are products that are available without prescription for
self-treatment of minor complaints.”
B) “OTC drugs are considered medications and should be reported on a
drughistory.”
Edition by Rebecca Tucker
Chapters 1 - 59
, Chapter 1: Introduction to Drugs
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
1.A nurse working in radiology administers iodine to a patient who is having a
computerized axial tomography (CAT) scan. A nurse working on an oncology unit
administers chemotherapy to patients who have cancer. At the Public Health
Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a
14-month-old child as a routine immunization. Which branch of pharmacology
best describes the actions of all three nurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
ANSWER: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved
with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose
disease. The nurse working in radiology is administering a drug to help diagnose a
disease. The nurse working on an oncology unit is administering a drug to help treat
adisease. Pharmacoeconomics includes any costs involved in drug therapy.
Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is
how the body acts on the drug.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing process
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4
hours as needed for pain for a motor vehicle accident victim. The nurse is aware that
there is a high abuse potential for this drug; therefore, morphine is categorized as a:
A) Schedule I drug
,B) Schedule II drug
C) Schedule III drug
D) Schedule IV drug
ANSWER: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high
abuse potential with severe dependence liability. Schedule I drugs have high abuse
potential and no accepted medical use. Schedule III drugs have a lesser abuse
potential than schedule II drugs and an accepted medical use. Schedule IV drugs
havelow abuse potential and limited dependence liability.
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Communication and documentation
3.A nurse working for a drug company is involved in phase III drug evaluation studies.
Which of the following might the nurse be responsible for during this stage of drug
development?
Chapter 1: Introduction to Drugs
A) Working with animals who are given experimental drugs
B) Monitoring drug effects in patients who are selected to participate in a
study,who have the disease that the drug is meant to treat
C) Collecting records of symptoms that participants experience while taking
adrug and determining whether they are caused by the disease or the
drug
D) Informing healthy, young volunteer participants of possible risks that
couldoccur from taking an experimental drug
ANSWER: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are
asked to record any symptoms they experience while taking the drugs. Nurses may
beresponsible for helping collect and analyze the information to be shared with the
Food and Drug Administration (FDA). Use of animals in drug testing is done in the
preclinical trials. A select group of patients who are involved in phase II studies
participate in studies where the participants have the disease the drug is intended
, to treat. These patients are monitored closely for drug effects. Phase I studies
involve healthy human volunteers who are usually paid for their participation.
Nurses may observe for adverse effects and toxicity.
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
4.Which of the following concepts is considered when generic drugs are substituted
forbrand-name drugs?
A) Bioavailability
B) Critical concentration
C) Distribution
D) Half-life
ANSWER: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation
and is available to act on body cells. Binders used in a generic drug may not be the
same as those used in the brand-name drug. Therefore, the way the body breaks
downand uses the drug may differ, which may eliminate a substitution. Critical
concentration is the amount of a drug that is needed to cause a therapeutic effect.
Distribution is the phase of pharmacokinetics that involves the movement of a drug
tothe body's tissues. A drug's half-life is the time it takes for the amount of drug to
decrease to one-half of the peak level.
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Teaching/learning
5.A nurse is teaching her patient about the use of over-the-counter (OTC) drugs.
Whichof the following statements best informs the patient about their safe use?
A) “OTC drugs are products that are available without prescription for
self-treatment of minor complaints.”
B) “OTC drugs are considered medications and should be reported on a
drughistory.”
