1
TEST BANK For Clayton’s Basic Pharmacology for
Nurses 19th Edition Michelle Willihnganz, All Chapters
1 - 48, Complete Newest Version
, 2
Chapter 1: Medication Definitions, Standards, and Information Sources Test Bank
MULTIPLE CHOICE
1. What is the name under which a medication is listed by the U.S. Food and Medication Administration (FDA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C
The official name is the name under which a medication is listed by the FDA. The brand name, or trademark, is
the name given to a medication by its manufacturer. The nonproprietary, or generic, name is provided by the
U.S. Adopted Names Council.
DIF: Cognitive Level: Knowledge REF: p. 9
OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment TOP: Nursing Process Step: Assessment CON:
Patient Education
2. Which source contains information specific to nutritional supplements?
a. USP Dictionary of USAN & International Medication Names
b. Natural Medicines Comprehensive Database
c. United States Pharmacopoeia/National Formulary (USP NF)
d. Medication Interaction Facts
ANS: C
United States Pharmacopoeia/National Formulary contains information specific to nutritional
supplements. USP Dictionary of USAN & International Medication Names is a compilation
of medicationnames, pronunciation guide, and possible future FDA approved medications; it
does not include nutritional supplements. Natural Medicines Comprehensive Database
contains
evidence-based information on herbal medicines and herbal combination products; it does not
include information specific to nutritional supplements. Medication Interaction Facts
contains comprehensive information on medication interaction facts; it does not include
nutritional supplements.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Nutrition | Patient Education
3. Which medication reference contains medication monographs that describe all medications in a
therapeutic class?
a. Medication Facts and Comparisons
, 3
b. Medication Interaction Facts
c. Handbook on Injectable Medications
d. Martindale—The Complete Medication Reference
ANS: A
Medication Facts and Comparisons contains medication monographs that describe
all medications in a therapeutic class. Monographs are formatted as tables to allow
comparison of similarproducts, brand names, manufacturers, cost indices, and
available dosage forms Online version is available.
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Safety | Patient Education | Clinical Judgment
4. Which medication reference contains monographs about virtually every single-entity
medication availablein the United States and describes therapeutic uses of medications,
including approved and unapproved uses?
a. Martindale: The Complete Medication Reference
b. AHFS Medication Information
c. Medication Reference
d. Medication Facts and Comparisons
ANS: B
AHFS Medication Information contains monographs about virtually every single-entity
medication available in the United States and describes therapeutic uses of medications,
including approved andunapproved uses.
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Planning CON: Safety | Patient Education | Clinical Judgment
5. Which online medication reference makes available to healthcare providers and the public
a standard, comprehensive, up-to-date look up and downloadable resource about
medicines?
a. American Medication Index
b. American Hospital Formulary
c. DailyMed
d. Medication Reference
ANS: C
DailyMed makes available to healthcare providers and the public a standard, comprehensive,
up-to-date look up and downloadable resource about medicines. The American Medication
Index isnot appropriate for patient use. The American Hospital Formulary is not appropriate
for patient use. The medication reference is not appropriate for patient use.
DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Implementation
CON: Safety | Patient Education | Clinical Judgment
6. Which legislation authorizes the FDA to determine the safety of a medication before its marketing?
a. Federal Food, Medication, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952)
, 4
c. Controlled Substances Act (1970)
d. Kefauver Harris Medication Amendment (1962)
ANS: A
The Federal Food, Medication, and Cosmetic Act of 1938 authorized the FDA to determine
the safety of all medications before marketing. Later amendments and acts helped tighten
FDA control and ensure medication safety. The Durham Humphrey Amendment defines the
kinds of medications that cannot be used safely without medical supervision and restricts
their sale to prescription by a licensed practitioner. The Controlled Substances Act addresses
only controlled substances andtheir categorization. The Kefauver Harris Medication
Amendment ensures medication efficacy and greatermedication safety. Medication
manufacturers are required to prove to the FDA the effectiveness of their products before
marketing them.
DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3
OBJ: 5 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment
CON: Safety | Patient Education | Evidence | Health Care Law
7. Which classification does meperidine (Demerol) fall under?
a. I
b. II
c. III
d. IV
ANS: B
Meperidine (Demerol) is a Schedule II medication; it has a high potential for abuse and may
lead to severe psychological and physical dependence. Schedule I medications have high
potential for abuseand no recognized medical use. Schedule III medications have some
potential for abuse. Use may lead to low to moderate physical dependence or high
psychological dependence. Schedule IVmedications have low potential for abuse. Use may
lead to limited physical or psychological dependence.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2
NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
TOP: Nursing Process Step: Assessment CON: Patient Education | Addiction | Pain
8. Which action would the FDA take to expedite medication development and approval for an
outbreakof smallpox?
a. List smallpox as a health orphan disease.
b. Omit the preclinical research phase.
c. Extend the clinical research phase.
d. Fast track the investigational medication.
ANS: D
Once the Investigational New Medication Application has been approved, the medication can
receive highest priority within the agency, which is called fast tracking. A smallpox outbreak
would become a priority concern in the world. Orphan diseases are not researched in a
priority manner. Preclinical research is not omitted. Extending any phase of the research
would meana longer time to develop a vaccine. The FDA must ensure that all phases of the
preclinical andclinical research phase have been completed in a safe manner.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 5
TEST BANK For Clayton’s Basic Pharmacology for
Nurses 19th Edition Michelle Willihnganz, All Chapters
1 - 48, Complete Newest Version
, 2
Chapter 1: Medication Definitions, Standards, and Information Sources Test Bank
MULTIPLE CHOICE
1. What is the name under which a medication is listed by the U.S. Food and Medication Administration (FDA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C
The official name is the name under which a medication is listed by the FDA. The brand name, or trademark, is
the name given to a medication by its manufacturer. The nonproprietary, or generic, name is provided by the
U.S. Adopted Names Council.
DIF: Cognitive Level: Knowledge REF: p. 9
OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment TOP: Nursing Process Step: Assessment CON:
Patient Education
2. Which source contains information specific to nutritional supplements?
a. USP Dictionary of USAN & International Medication Names
b. Natural Medicines Comprehensive Database
c. United States Pharmacopoeia/National Formulary (USP NF)
d. Medication Interaction Facts
ANS: C
United States Pharmacopoeia/National Formulary contains information specific to nutritional
supplements. USP Dictionary of USAN & International Medication Names is a compilation
of medicationnames, pronunciation guide, and possible future FDA approved medications; it
does not include nutritional supplements. Natural Medicines Comprehensive Database
contains
evidence-based information on herbal medicines and herbal combination products; it does not
include information specific to nutritional supplements. Medication Interaction Facts
contains comprehensive information on medication interaction facts; it does not include
nutritional supplements.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Nutrition | Patient Education
3. Which medication reference contains medication monographs that describe all medications in a
therapeutic class?
a. Medication Facts and Comparisons
, 3
b. Medication Interaction Facts
c. Handbook on Injectable Medications
d. Martindale—The Complete Medication Reference
ANS: A
Medication Facts and Comparisons contains medication monographs that describe
all medications in a therapeutic class. Monographs are formatted as tables to allow
comparison of similarproducts, brand names, manufacturers, cost indices, and
available dosage forms Online version is available.
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Safety | Patient Education | Clinical Judgment
4. Which medication reference contains monographs about virtually every single-entity
medication availablein the United States and describes therapeutic uses of medications,
including approved and unapproved uses?
a. Martindale: The Complete Medication Reference
b. AHFS Medication Information
c. Medication Reference
d. Medication Facts and Comparisons
ANS: B
AHFS Medication Information contains monographs about virtually every single-entity
medication available in the United States and describes therapeutic uses of medications,
including approved andunapproved uses.
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Planning CON: Safety | Patient Education | Clinical Judgment
5. Which online medication reference makes available to healthcare providers and the public
a standard, comprehensive, up-to-date look up and downloadable resource about
medicines?
a. American Medication Index
b. American Hospital Formulary
c. DailyMed
d. Medication Reference
ANS: C
DailyMed makes available to healthcare providers and the public a standard, comprehensive,
up-to-date look up and downloadable resource about medicines. The American Medication
Index isnot appropriate for patient use. The American Hospital Formulary is not appropriate
for patient use. The medication reference is not appropriate for patient use.
DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Implementation
CON: Safety | Patient Education | Clinical Judgment
6. Which legislation authorizes the FDA to determine the safety of a medication before its marketing?
a. Federal Food, Medication, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952)
, 4
c. Controlled Substances Act (1970)
d. Kefauver Harris Medication Amendment (1962)
ANS: A
The Federal Food, Medication, and Cosmetic Act of 1938 authorized the FDA to determine
the safety of all medications before marketing. Later amendments and acts helped tighten
FDA control and ensure medication safety. The Durham Humphrey Amendment defines the
kinds of medications that cannot be used safely without medical supervision and restricts
their sale to prescription by a licensed practitioner. The Controlled Substances Act addresses
only controlled substances andtheir categorization. The Kefauver Harris Medication
Amendment ensures medication efficacy and greatermedication safety. Medication
manufacturers are required to prove to the FDA the effectiveness of their products before
marketing them.
DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3
OBJ: 5 NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment
CON: Safety | Patient Education | Evidence | Health Care Law
7. Which classification does meperidine (Demerol) fall under?
a. I
b. II
c. III
d. IV
ANS: B
Meperidine (Demerol) is a Schedule II medication; it has a high potential for abuse and may
lead to severe psychological and physical dependence. Schedule I medications have high
potential for abuseand no recognized medical use. Schedule III medications have some
potential for abuse. Use may lead to low to moderate physical dependence or high
psychological dependence. Schedule IVmedications have low potential for abuse. Use may
lead to limited physical or psychological dependence.
DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2
NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
TOP: Nursing Process Step: Assessment CON: Patient Education | Addiction | Pain
8. Which action would the FDA take to expedite medication development and approval for an
outbreakof smallpox?
a. List smallpox as a health orphan disease.
b. Omit the preclinical research phase.
c. Extend the clinical research phase.
d. Fast track the investigational medication.
ANS: D
Once the Investigational New Medication Application has been approved, the medication can
receive highest priority within the agency, which is called fast tracking. A smallpox outbreak
would become a priority concern in the world. Orphan diseases are not researched in a
priority manner. Preclinical research is not omitted. Extending any phase of the research
would meana longer time to develop a vaccine. The FDA must ensure that all phases of the
preclinical andclinical research phase have been completed in a safe manner.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 5