TEST BANK b
Test Bank For Focus on Nursing Pharmacology
b b b b b b
b 7th Edition by Amy M. Karch
b b b b b
TEST BANK b
, Test Bank For Focus on Nursing Pharmacology 7th Edition by Amy M. Karch Table of
b b b b b b b b b b b b b b
b Contents
Chapter 01- Introduction to Drugs
b b b b
Chapter 02- Drugs and the Body
b b b b b b
Chapter 03- Toxic Effects of Drugs
b b b b b b
Chapter 04- The Nursing Process in Drug Therapy and Patient Safety
b b b b b b b b b b
Chapter 05- Dosage Calculations
b b b b
Chapter 06- Challenges to Effective Drug Therapy
b b b b b b
Chapter 07- Introduction to Cell Physiology Chapter
b b b b b b b
08- Anti-infective Agents
b b b
Chapter 09- Antibiotics
b b
Chapter 10- Antiviral Agents
b b b b
Chapter 11- Antifungal Agents
b b b b
Chapter 12- Antiprotozoal Agents
b b b
Chapter 13- Anthelmintic Agents
b b b b
Chapter 14- Antineoplastic Agents
b b b b
Chapter 15- Introduction to the Immune Response and Inflammation
b b b b b b b b
Chapter 16- Anti-inflammatory, Antiarthritis, and Related Agents Chapter
b b b b b b b b
17- Immune Modulators
b b b
Chapter 18- Vaccines and Sera
b b b b
Chapter 19- Introduction to Nerves and the Nervous System
b b b b b b b b
Chapter 20- Anxiolytic and Hypnotic Agents
b b b b b b
Chapter 21- Antidepressant Agents
b b b
Chapter 22- Psychotherapeutic Agents
b b b b
Chapter 23- Antiseizure Agents
b b b b
Chapter 24- Antiparkinsonism Agents
b b b b
Chapter 25- Muscle Relaxants
b b b b
Chapter 26- Narcotics, Narcotic Antagonists, and Antimigraine Agents
b b b b b b b
Chapter 27- General and Local Anesthetic Agents
b b b b b b b
Chapter 28- Neuromuscular Junction Blocking Agents
b b b b b
Chapter 29- Introduction to the Autonomic Nervous System
b b b b b b b b
Chapter 30- Adrenergic Agonists
b b b b
Chapter 31- Adrenergic Antagonists
b b b
Chapter 32- Cholinergic Agonists
b b b b
Chapter 33- Anticholinergic Agents
b b b b
Chapter 34- Introduction to the Endocrine System
b b b b b b
Chapter 35- Hypothalamic and Pituitary Agents
b b b b b b
Chapter 36- Adrenocortical Agents
b b b b
Chapter 37- Thyroid and Parathyroid Agents Chapter
b b b b b b
38- Agents to Control Blood Glucose Levels Chapter
b b b b b b b b
39- Introduction to the Reproductive System
b b b b b b
Chapter 40- Drugs Affecting the Female Reproductive System
b b b b b b b
Chapter 41- Drugs Affecting the Male Reproductive System
b b b b b b b b
Chapter 42- Introduction to the Cardiovascular System Chapter
b b b b b b b b
43- Drugs Affecting Blood Pressure
b b b b b
Chapter 44- Agents for Treating Heart Failure
b b b b b b
Chapter 45- Antiarrhythmic Agents
b b b b
Chapter 46- Antianginal Agents
b b b
Chapter 47- Lipid-Lowering Agents
b b b b
Chapter 48- Drugs Affecting Blood Coagulation
b b b b b
Chapter 49- Drugs Used to Treat Anemias Chapter
b b b b b b b b
50- Introduction to the Renal System Chapter 51-
b b b b b b b b
Diuretic Agents
b b
Chapter 52- Drugs Affecting the Urinary Tract and the Bladder Chapter
b b b b b b b b b b
53- Introduction to the Respiratory System
b b b b b b
Chapter 54- Drugs Acting on the Upper Respiratory Tract
b b b b b b b b
Chapter 55- Drugs Acting on the Lower Respiratory Tract
b b b b b b b b b
Chapter 56- Introduction to the Gastrointestinal System
b b b b b b b
Chapter 57- Drugs Affecting Gastrointestinal Secretions
b b b b b b
Chapter 58- Drugs Affecting Gastrointestinal Motility Chapter
b b b b b b b
59- Antiemetic Agents
b b b
, Chapter 1: Introduction to Drugs b b b b
CognitiveLevel: Application b b
Difficulty: Moderate
b b
Integrated Process: Nursing process b b b
1.A nurse working in radiology administers iodine to a patient who is having a
b b b b b b b b b b b b b
computerized axial tomography (CAT) scan. A nurse working on an oncology unit
b b b b b b b b b b b b
administers chemotherapy to patients who have cancer. At the Public Health
b b b b b b b b b b b
Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
b b b b b b b b b b b
month-old child as a routine immunization. Which branch of pharmacology best
b b b b b b b b b b b
describes the actions of all three nurses?
b b b b b b b
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with b b b b b b b b b b b b b
clinical pharmacology or pharmacotherapeutics, which is a branch of pharmacology that
b b b b b b b b b b b
deals with the uses of drugs to treat, prevent, and diagnose disease. The nurse working in
b b b b b b b b b b b b b b b b
radiology is administering a drug to help diagnose a disease. The nurse working on an
b b b b b b b b b b b b b b b
oncology unit is administering a drug to help treat a disease. Pharmacoeconomics
b b b b b b b b b b b b
includes any costs involved in drug therapy.
b b b b b b b
Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is how b b b b b b b b b b b
the body acts on the drug.
b b b b b b
CognitiveLevel: Comprehension b b
Difficulty: Easy
b b
Integrated Process: Nursing process b b b
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4 hours
b b b b b b b b b b b b
as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a
b b b b b b b b b b b b b b b b b b
high abuse potential for this drug; therefore, morphine is categorized as a:
b b b b b b b b b b b b
A) Schedule I drug b b
B) Schedule II drug b b
C) Schedule III drug b b
D) Schedule IV drug b b
Ans: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high abuse
b b b b b b b b b b b b b
potential with severe dependence liability. Schedule I drugs have high abuse potential
b b b b b b b b b b b b
and no accepted medical use. Schedule III drugs have a lesser abuse potential than
b b b b b b b b b b b b b b
schedule II drugs and an accepted medical use. Schedule IV drugs have low abuse
b b b b b b b b b b b b b b
potential and limited dependence liability.
b b b b b
CognitiveLevel: Comprehension b b
Difficulty: Easy
b b
Integrated Process: Communication and documentation b b b b
3.A nurse working for a drug company is involved in phase III drug evaluation studies.
b b b b b b b b b b b b b b
Which of the following might the nurse be responsible for during this stage of drug
b b b b b b b b b b b b b b b
development?
b
, Chapter 1: Introduction to Drugs b b b b
A) Working with animals who are given experimental drugs b b b b b b b
B) Monitoring drug effects in patients who are selected to participate in a study, who b b b b b b b b b b b b b
have the disease that the drug is meant to treat
b b b b b b b b b b
C) Collecting records of symptoms that participants experience while taking a b b b b b b b b b
drug and determining whether they are caused by the disease or the drug
b b b b b b b b b b b b b
D) Informing healthy, young volunteer participants of possible risks that could b b b b b b b b b
occur from taking an experimental drug
b b b b b b
Ans: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are asked to
b b b b b b b b b b b b b b b b b
record any symptoms they experience while taking the drugs. Nurses may be responsible
b b b b b b b b b b b b b
for helping collect and analyze the information to be shared with the Food and Drug
b b b b b b b b b b b b b b b
Administration (FDA). Use of animals in drug testing is done in the preclinical trials. A
b b b b b b b b b b b b b b b
select group of patients who are involved in phase II studies participate in studies where
b b b b b b b b b b b b b b b
the participants have the disease the drug is intended to treat. These patients are
b b b b b b b b b b b b b b
monitored closely for drug effects. Phase I studies involve healthy human volunteers
b b b b b b b b b b b b
who are usually paid for their participation. Nurses may observe for adverse effects and
b b b b b b b b b b b b b b
toxicity.
b
CognitiveLevel: Comprehension b b
Difficulty: Moderate
b b
Integrated Process: Nursing Process b b b
4. Which of the following concepts is considered when generic drugs are substituted for
b b b b b b b b b b b b
brand-name drugs?
b b
A) Bioavailability
B) Critical concentration b
C) Distribution
D) Half-life
Ans: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and b b b b b b b b b b b b b b b
is available to act on body cells. Binders used in a generic drug may not be the same as
b b b b b b b b b b b b b b b b b b b
those used in the brand-name drug. Therefore, the way the bodybreaks down and uses the
b b b b b b b b b b b b b b b b
drug may differ, which may eliminate a substitution. Critical concentration is the amount
b b b b b b b b b b b b b
of a drug that is needed to cause a therapeutic effect.
b b b b b b b b b b b
Distribution is the phase of pharmacokinetics that involves the movement of a drug to the
b b b b b b b b b b b b b b
body's tissues. A drug's half-life is the time it takes for the amount of drug to decrease to
b b b b b b b b b b b b b b b b b b
one-half of the peak level.
b b b b b
CognitiveLevel: Analysis Difficulty: b b b
b Difficult
Integrated Process: Teaching/learning b b
5. A nurse is teaching her patient about the use of over-the-counter (OTC) drugs. Which of
b b b b b b b b b b b b b b
b the following statements best informs the patient about their safe use?
b b b b b b b b b b
A) “OTC drugs are products that are available without prescription for self- b b b b b b b b b b
treatment of minor complaints.”
b b b b
B) “OTC drugs are considered medications and should be reported on a drug b b b b b b b b b b b
history.” b
Test Bank For Focus on Nursing Pharmacology
b b b b b b
b 7th Edition by Amy M. Karch
b b b b b
TEST BANK b
, Test Bank For Focus on Nursing Pharmacology 7th Edition by Amy M. Karch Table of
b b b b b b b b b b b b b b
b Contents
Chapter 01- Introduction to Drugs
b b b b
Chapter 02- Drugs and the Body
b b b b b b
Chapter 03- Toxic Effects of Drugs
b b b b b b
Chapter 04- The Nursing Process in Drug Therapy and Patient Safety
b b b b b b b b b b
Chapter 05- Dosage Calculations
b b b b
Chapter 06- Challenges to Effective Drug Therapy
b b b b b b
Chapter 07- Introduction to Cell Physiology Chapter
b b b b b b b
08- Anti-infective Agents
b b b
Chapter 09- Antibiotics
b b
Chapter 10- Antiviral Agents
b b b b
Chapter 11- Antifungal Agents
b b b b
Chapter 12- Antiprotozoal Agents
b b b
Chapter 13- Anthelmintic Agents
b b b b
Chapter 14- Antineoplastic Agents
b b b b
Chapter 15- Introduction to the Immune Response and Inflammation
b b b b b b b b
Chapter 16- Anti-inflammatory, Antiarthritis, and Related Agents Chapter
b b b b b b b b
17- Immune Modulators
b b b
Chapter 18- Vaccines and Sera
b b b b
Chapter 19- Introduction to Nerves and the Nervous System
b b b b b b b b
Chapter 20- Anxiolytic and Hypnotic Agents
b b b b b b
Chapter 21- Antidepressant Agents
b b b
Chapter 22- Psychotherapeutic Agents
b b b b
Chapter 23- Antiseizure Agents
b b b b
Chapter 24- Antiparkinsonism Agents
b b b b
Chapter 25- Muscle Relaxants
b b b b
Chapter 26- Narcotics, Narcotic Antagonists, and Antimigraine Agents
b b b b b b b
Chapter 27- General and Local Anesthetic Agents
b b b b b b b
Chapter 28- Neuromuscular Junction Blocking Agents
b b b b b
Chapter 29- Introduction to the Autonomic Nervous System
b b b b b b b b
Chapter 30- Adrenergic Agonists
b b b b
Chapter 31- Adrenergic Antagonists
b b b
Chapter 32- Cholinergic Agonists
b b b b
Chapter 33- Anticholinergic Agents
b b b b
Chapter 34- Introduction to the Endocrine System
b b b b b b
Chapter 35- Hypothalamic and Pituitary Agents
b b b b b b
Chapter 36- Adrenocortical Agents
b b b b
Chapter 37- Thyroid and Parathyroid Agents Chapter
b b b b b b
38- Agents to Control Blood Glucose Levels Chapter
b b b b b b b b
39- Introduction to the Reproductive System
b b b b b b
Chapter 40- Drugs Affecting the Female Reproductive System
b b b b b b b
Chapter 41- Drugs Affecting the Male Reproductive System
b b b b b b b b
Chapter 42- Introduction to the Cardiovascular System Chapter
b b b b b b b b
43- Drugs Affecting Blood Pressure
b b b b b
Chapter 44- Agents for Treating Heart Failure
b b b b b b
Chapter 45- Antiarrhythmic Agents
b b b b
Chapter 46- Antianginal Agents
b b b
Chapter 47- Lipid-Lowering Agents
b b b b
Chapter 48- Drugs Affecting Blood Coagulation
b b b b b
Chapter 49- Drugs Used to Treat Anemias Chapter
b b b b b b b b
50- Introduction to the Renal System Chapter 51-
b b b b b b b b
Diuretic Agents
b b
Chapter 52- Drugs Affecting the Urinary Tract and the Bladder Chapter
b b b b b b b b b b
53- Introduction to the Respiratory System
b b b b b b
Chapter 54- Drugs Acting on the Upper Respiratory Tract
b b b b b b b b
Chapter 55- Drugs Acting on the Lower Respiratory Tract
b b b b b b b b b
Chapter 56- Introduction to the Gastrointestinal System
b b b b b b b
Chapter 57- Drugs Affecting Gastrointestinal Secretions
b b b b b b
Chapter 58- Drugs Affecting Gastrointestinal Motility Chapter
b b b b b b b
59- Antiemetic Agents
b b b
, Chapter 1: Introduction to Drugs b b b b
CognitiveLevel: Application b b
Difficulty: Moderate
b b
Integrated Process: Nursing process b b b
1.A nurse working in radiology administers iodine to a patient who is having a
b b b b b b b b b b b b b
computerized axial tomography (CAT) scan. A nurse working on an oncology unit
b b b b b b b b b b b b
administers chemotherapy to patients who have cancer. At the Public Health
b b b b b b b b b b b
Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
b b b b b b b b b b b
month-old child as a routine immunization. Which branch of pharmacology best
b b b b b b b b b b b
describes the actions of all three nurses?
b b b b b b b
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with b b b b b b b b b b b b b
clinical pharmacology or pharmacotherapeutics, which is a branch of pharmacology that
b b b b b b b b b b b
deals with the uses of drugs to treat, prevent, and diagnose disease. The nurse working in
b b b b b b b b b b b b b b b b
radiology is administering a drug to help diagnose a disease. The nurse working on an
b b b b b b b b b b b b b b b
oncology unit is administering a drug to help treat a disease. Pharmacoeconomics
b b b b b b b b b b b b
includes any costs involved in drug therapy.
b b b b b b b
Pharmacodynamics involves how a drug affects the body, and pharmacokinetics is how b b b b b b b b b b b
the body acts on the drug.
b b b b b b
CognitiveLevel: Comprehension b b
Difficulty: Easy
b b
Integrated Process: Nursing process b b b
2.A physician has ordered intramuscular injections of morphine, a narcotic, every 4 hours
b b b b b b b b b b b b
as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a
b b b b b b b b b b b b b b b b b b
high abuse potential for this drug; therefore, morphine is categorized as a:
b b b b b b b b b b b b
A) Schedule I drug b b
B) Schedule II drug b b
C) Schedule III drug b b
D) Schedule IV drug b b
Ans: B
Response:
Narcotics such as morphine are considered schedule II drugs because of the high abuse
b b b b b b b b b b b b b
potential with severe dependence liability. Schedule I drugs have high abuse potential
b b b b b b b b b b b b
and no accepted medical use. Schedule III drugs have a lesser abuse potential than
b b b b b b b b b b b b b b
schedule II drugs and an accepted medical use. Schedule IV drugs have low abuse
b b b b b b b b b b b b b b
potential and limited dependence liability.
b b b b b
CognitiveLevel: Comprehension b b
Difficulty: Easy
b b
Integrated Process: Communication and documentation b b b b
3.A nurse working for a drug company is involved in phase III drug evaluation studies.
b b b b b b b b b b b b b b
Which of the following might the nurse be responsible for during this stage of drug
b b b b b b b b b b b b b b b
development?
b
, Chapter 1: Introduction to Drugs b b b b
A) Working with animals who are given experimental drugs b b b b b b b
B) Monitoring drug effects in patients who are selected to participate in a study, who b b b b b b b b b b b b b
have the disease that the drug is meant to treat
b b b b b b b b b b
C) Collecting records of symptoms that participants experience while taking a b b b b b b b b b
drug and determining whether they are caused by the disease or the drug
b b b b b b b b b b b b b
D) Informing healthy, young volunteer participants of possible risks that could b b b b b b b b b
occur from taking an experimental drug
b b b b b b
Ans: C
Response:
Phase III studies involve use of a drug in a vast clinical market where patients are asked to
b b b b b b b b b b b b b b b b b
record any symptoms they experience while taking the drugs. Nurses may be responsible
b b b b b b b b b b b b b
for helping collect and analyze the information to be shared with the Food and Drug
b b b b b b b b b b b b b b b
Administration (FDA). Use of animals in drug testing is done in the preclinical trials. A
b b b b b b b b b b b b b b b
select group of patients who are involved in phase II studies participate in studies where
b b b b b b b b b b b b b b b
the participants have the disease the drug is intended to treat. These patients are
b b b b b b b b b b b b b b
monitored closely for drug effects. Phase I studies involve healthy human volunteers
b b b b b b b b b b b b
who are usually paid for their participation. Nurses may observe for adverse effects and
b b b b b b b b b b b b b b
toxicity.
b
CognitiveLevel: Comprehension b b
Difficulty: Moderate
b b
Integrated Process: Nursing Process b b b
4. Which of the following concepts is considered when generic drugs are substituted for
b b b b b b b b b b b b
brand-name drugs?
b b
A) Bioavailability
B) Critical concentration b
C) Distribution
D) Half-life
Ans: A
Response:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and b b b b b b b b b b b b b b b
is available to act on body cells. Binders used in a generic drug may not be the same as
b b b b b b b b b b b b b b b b b b b
those used in the brand-name drug. Therefore, the way the bodybreaks down and uses the
b b b b b b b b b b b b b b b b
drug may differ, which may eliminate a substitution. Critical concentration is the amount
b b b b b b b b b b b b b
of a drug that is needed to cause a therapeutic effect.
b b b b b b b b b b b
Distribution is the phase of pharmacokinetics that involves the movement of a drug to the
b b b b b b b b b b b b b b
body's tissues. A drug's half-life is the time it takes for the amount of drug to decrease to
b b b b b b b b b b b b b b b b b b
one-half of the peak level.
b b b b b
CognitiveLevel: Analysis Difficulty: b b b
b Difficult
Integrated Process: Teaching/learning b b
5. A nurse is teaching her patient about the use of over-the-counter (OTC) drugs. Which of
b b b b b b b b b b b b b b
b the following statements best informs the patient about their safe use?
b b b b b b b b b b
A) “OTC drugs are products that are available without prescription for self- b b b b b b b b b b
treatment of minor complaints.”
b b b b
B) “OTC drugs are considered medications and should be reported on a drug b b b b b b b b b b b
history.” b
