TEST BANK FOR INTRODUCTORY CLINICAL
n1 n1 n1 n1
n1 PHARMACOLOGY 12TH EDITION BY SUSAN FORD CHAPTER
n1 n1 n1 n1 n1 n1
1-54 | COMPLETE GUIDE
n1 n1 n1 n1
, Chapter 01: General Principles of Pharmacology
n1 n1 n1 n1 n1
Ford: Introductory Clinical Pharmacology 12th Edition
n1 n1 n1 n1 n1
1. After teaching a group of learners about thebasics of pharmacology, the learners will be able
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to choose which aspect as the most critical to remember?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
A) Drug name n1
B) Drug class n1
C) Drug action n1
D) Drug source n1
ACCURATE CHOICE:-C n1
Reasoning :->> Pharmacology is the study of drugs and its action on living organisms.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Thus, an essential aspect of pharmacology is drug action. An understanding of the drug
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
name, drug class, and drug source is important, but the most critical aspect related to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n 1 n1 n1 n1
pharmacology is how the drug acts in the body.
n1 n1 n1 n1 n1 n1 n1 n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 1 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Physiological Integrity: Pharmacological Therapies
n1 n1 n1 n1 n1 n1
Integrated Process: Teaching/Learning
n1 n1 n1
Reference: p. 3, Introduction n1 n1 n1
2. A nursing attendant suspects the hospital client had an adverse reaction to a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
prescribed medication due to an interaction with an unreported over-the-counter
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
supplement. Which action by the nursing attendant will best assist in preventing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
future similar incidents?
n1 n1 n1
A) File a report with MedWatch n1 n1 n1 n1
B) File a report with the State Board of Nursing
n1 n1 n1 n1 n1 n1 n1 n1
C) Instruct the hospital client to avoid combining medications in the future
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
D) Document the incident and report it to the primary health care provider
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE CHOICE:-A n1
Reasoning :->> Professional nurses play an important role in monitoring for adverse
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reactions. Therefore, it is important to submit reports, even if there is uncertainty about the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
cause–effect relationship. The FDA protects the identity of those who voluntarily report
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
adverse reactions.
n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 9 Cognitive n1 n1 n1
Level: Apply
n1 n1
, Hospital client Needs: Safe and Effective Care Environment: Safety and Infection Control
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing Process)
n1 n1 n1 n1 n1 n1
Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. A nursing attendant is assessing a hospital client and notes the hospital client has
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
developed swelling of the eyelids and lips after administration of a prescribed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
medication. What does the nursing attendant interpret this finding to specifically
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
indicate?
n1
A) Mild allergic reaction n1 n1
B) Anaphylactic shock n1
C) Angioedema
D) Drug idiosyncrasy n1
ACCURATE CHOICE:-C n1
Reasoning:->> Angioedema is a type of allergic drug reaction manifested by the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
mouth, and throat. Allergic reactions can be manifested by a wide range of signs and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious allergic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reaction that requires immediate medical attention. Drug idiosyncrasy describes any
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
unusual or abnormal reaction to a drug, one that is different from the one normally
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
expected.
n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 5 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Physiological Integrity: Reduction of Risk Potential
n1 n1 n1 n1 n1 n1 n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing Process)
n1 n1 n1 n1 n1 n1 n1
Reference: p. 12, Allergic Drug Reactions
n1 n1 n1 n1 n1 n1
4. The nursing attendant is preparing to teach a hospital client about a new drug which is in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the fourth phase of development. Which activity will the nursing attendant explain best
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
illustrates this phase?
n1 n1 n1
A) Primary health care providers report adverse effects to FDA.
n1 n1 n1 n1 n1 n1 n1 n1
B) Healthy volunteers are involved in the test.
n1 n1 n1 n1 n1 n1
C) In vitro tests are performed using human cells.
n1 n1 n1 n1 n1 n1 n1
D) The drug is given to hospital clients with the disease.
n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE CHOICE:-A n1
, Reasoning:->> The post marketing surveillance phase of drug development encourages
n1 n1 n1 n1 n1 n1 n1 n1 n1
primary health care professionals to report adverse effects of drugs to the FDA using
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
MedWatch. Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
testing of the drug on human or animal cells is done in the pre-FDA phase. In Phase 2 of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
clinical testing, the drug is given to hospital clients with the disease for which the drug is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
manufactured.
n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 4 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Health Promotion and
n1 n1 n1 n1 n1
Maintenance Integrated Process: Teaching/Learning
n1 n1 n1 n1
Reference: p. 7, Concept Mastery Alert
n1 n1 n1 n1 n1 n1
5. A nursing attendant is assessing an expectant hospital client who admits to having
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a cocaine addiction. Which condition of the baby after birth should the nursing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
attendant explain and prepare the hospital client for?
n1 n1 n1 n1 n1 n1 n1 n1
A) Diabetes
B) Hypertension
C) Addiction to drugs n1 n1
D) CNS defects n1
ACCURATE CHOICE:-C n1
Reasoning:->> The nursing attendant informs the hospital client that children born to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
mothers using addictive drugs are often born with an addiction to the drug. Children
n 1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
born to mothers who are addicted to cocaine are not known to be born with diabetes,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
CNS defects, or hypertension.
n1 n1 n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 6 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1
Integrated Process: Teaching/Learning
n1 n1 n1
Reference: p. 11, Drug Use, Pregnancy, and Lactation
n1 n1 n1 n1 n1 n1 n1
6. A hospital client arrives at the primary health care clinic and reports taking several
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
pills for a headache and severe cough without relief. Which adverse effect should the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant be aware may develop from this combination?
n1 n1 n1 n1 n1 n1 n1 n1 n1
A) Gastrointestinal bleeding n1
B) Breathing difficulties n1
C) Liver damage n1
D) Anaphylaxis
n1 n1 n1 n1
n1 PHARMACOLOGY 12TH EDITION BY SUSAN FORD CHAPTER
n1 n1 n1 n1 n1 n1
1-54 | COMPLETE GUIDE
n1 n1 n1 n1
, Chapter 01: General Principles of Pharmacology
n1 n1 n1 n1 n1
Ford: Introductory Clinical Pharmacology 12th Edition
n1 n1 n1 n1 n1
1. After teaching a group of learners about thebasics of pharmacology, the learners will be able
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to choose which aspect as the most critical to remember?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
A) Drug name n1
B) Drug class n1
C) Drug action n1
D) Drug source n1
ACCURATE CHOICE:-C n1
Reasoning :->> Pharmacology is the study of drugs and its action on living organisms.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Thus, an essential aspect of pharmacology is drug action. An understanding of the drug
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
name, drug class, and drug source is important, but the most critical aspect related to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n 1 n1 n1 n1
pharmacology is how the drug acts in the body.
n1 n1 n1 n1 n1 n1 n1 n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 1 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Physiological Integrity: Pharmacological Therapies
n1 n1 n1 n1 n1 n1
Integrated Process: Teaching/Learning
n1 n1 n1
Reference: p. 3, Introduction n1 n1 n1
2. A nursing attendant suspects the hospital client had an adverse reaction to a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
prescribed medication due to an interaction with an unreported over-the-counter
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
supplement. Which action by the nursing attendant will best assist in preventing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
future similar incidents?
n1 n1 n1
A) File a report with MedWatch n1 n1 n1 n1
B) File a report with the State Board of Nursing
n1 n1 n1 n1 n1 n1 n1 n1
C) Instruct the hospital client to avoid combining medications in the future
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
D) Document the incident and report it to the primary health care provider
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE CHOICE:-A n1
Reasoning :->> Professional nurses play an important role in monitoring for adverse
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reactions. Therefore, it is important to submit reports, even if there is uncertainty about the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
cause–effect relationship. The FDA protects the identity of those who voluntarily report
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
adverse reactions.
n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 9 Cognitive n1 n1 n1
Level: Apply
n1 n1
, Hospital client Needs: Safe and Effective Care Environment: Safety and Infection Control
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing Process)
n1 n1 n1 n1 n1 n1
Reference: p. 7, Box 1.1 MedWatch and Reporting Adverse Events
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. A nursing attendant is assessing a hospital client and notes the hospital client has
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
developed swelling of the eyelids and lips after administration of a prescribed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
medication. What does the nursing attendant interpret this finding to specifically
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
indicate?
n1
A) Mild allergic reaction n1 n1
B) Anaphylactic shock n1
C) Angioedema
D) Drug idiosyncrasy n1
ACCURATE CHOICE:-C n1
Reasoning:->> Angioedema is a type of allergic drug reaction manifested by the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
collection of fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
mouth, and throat. Allergic reactions can be manifested by a wide range of signs and
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
symptoms such as itching, rashes, and hives. Anaphylactic shock is a serious allergic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reaction that requires immediate medical attention. Drug idiosyncrasy describes any
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
unusual or abnormal reaction to a drug, one that is different from the one normally
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
expected.
n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 5 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Physiological Integrity: Reduction of Risk Potential
n1 n1 n1 n1 n1 n1 n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing Process)
n1 n1 n1 n1 n1 n1 n1
Reference: p. 12, Allergic Drug Reactions
n1 n1 n1 n1 n1 n1
4. The nursing attendant is preparing to teach a hospital client about a new drug which is in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the fourth phase of development. Which activity will the nursing attendant explain best
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
illustrates this phase?
n1 n1 n1
A) Primary health care providers report adverse effects to FDA.
n1 n1 n1 n1 n1 n1 n1 n1
B) Healthy volunteers are involved in the test.
n1 n1 n1 n1 n1 n1
C) In vitro tests are performed using human cells.
n1 n1 n1 n1 n1 n1 n1
D) The drug is given to hospital clients with the disease.
n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE CHOICE:-A n1
, Reasoning:->> The post marketing surveillance phase of drug development encourages
n1 n1 n1 n1 n1 n1 n1 n1 n1
primary health care professionals to report adverse effects of drugs to the FDA using
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
MedWatch. Phase 1 of clinical testing involves 20 to 100 healthy volunteers. In vitro
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
testing of the drug on human or animal cells is done in the pre-FDA phase. In Phase 2 of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
clinical testing, the drug is given to hospital clients with the disease for which the drug is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
manufactured.
n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 4 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Health Promotion and
n1 n1 n1 n1 n1
Maintenance Integrated Process: Teaching/Learning
n1 n1 n1 n1
Reference: p. 7, Concept Mastery Alert
n1 n1 n1 n1 n1 n1
5. A nursing attendant is assessing an expectant hospital client who admits to having
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a cocaine addiction. Which condition of the baby after birth should the nursing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
attendant explain and prepare the hospital client for?
n1 n1 n1 n1 n1 n1 n1 n1
A) Diabetes
B) Hypertension
C) Addiction to drugs n1 n1
D) CNS defects n1
ACCURATE CHOICE:-C n1
Reasoning:->> The nursing attendant informs the hospital client that children born to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
mothers using addictive drugs are often born with an addiction to the drug. Children
n 1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
born to mothers who are addicted to cocaine are not known to be born with diabetes,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
CNS defects, or hypertension.
n1 n1 n1 n1
Question Format: Multiple n1 n 1 n1
Choice Chapter: 1
n1 n1 n1
Learning Obj: 6 Cognitive n1 n1 n1
Level: Apply
n1 n1
Hospital client Needs: Health Promotion and Maintenance
n1 n1 n1 n1 n1 n1
Integrated Process: Teaching/Learning
n1 n1 n1
Reference: p. 11, Drug Use, Pregnancy, and Lactation
n1 n1 n1 n1 n1 n1 n1
6. A hospital client arrives at the primary health care clinic and reports taking several
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
pills for a headache and severe cough without relief. Which adverse effect should the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant be aware may develop from this combination?
n1 n1 n1 n1 n1 n1 n1 n1 n1
A) Gastrointestinal bleeding n1
B) Breathing difficulties n1
C) Liver damage n1
D) Anaphylaxis
