BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
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, BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
4. Which of the following names may be assigned to a drug during the process of
1. A nursing instructor is preparing a teaching plan for a group of nursing students about development? Select all that apply.
pharmacology. When describing this topic, the instructor would focus the discussion on A) Chemical name
which of the following as an essential aspect? B) Official name
A) Drug name C) Pharmacologic name
B) Drug class D) Trade name
C) Drug action E) Nonproprietary name
D) Drug source Ans: A, B, D, E
Ans: C Feedback:
Feedback: Throughout the process of development, drugs may have several names assigned to
Pharmacology is the study of drugs and their action on living organisms. Thus, an them including a chemical name, a generic (nonproprietary) name, an official name, and
essential aspect of pharmacology is drug action. An understanding of the drug name, a trade or brand name.
drug class, and drug source is important, but the most critical aspect related to
pharmacology is how the drug acts in the body.
5. A drug may be classified by which of the following? Select all that apply.
A) The chemical type of the drug's active ingredient
2. A nursing student is preparing to administer a prescribed drug to a patient. The student B) The way the drug is used to treat a specific condition
reviews information about the drug and its actions. Which of the following would be the C) The generic name of the drug
best choice for obtaining this information? Select all that apply. D) The trade name of the drug
A) Nursing instructor E) The nonproprietary name of the drug
B) Nurse assigned to the patient Ans: A, B
C) Clinical drug reference Feedback:
D) Prescribing health care provider A drug may be classified by the chemical type of the active ingredient or by the way it is
E) Clinical pharmacist used to treat a particular condition. Generic, trade, and nonproprietary refer to how a
Ans: C, E drug is named.
Feedback:
Although the nursing student can ask the nursing instructor, the nurse assigned to the
patient, and the prescribing health care provider for information about the drug, the best 6. A group of nursing students are reviewing information about the process of drug
choices for drug information would include an appropriate drug reference and the development in the United States. The students demonstrate understanding of this
clinical pharmacist. process when they identify that which of the following categories are assigned by the
Food and Drug Administration to newly approved drugs? Select all that apply.
A) Metabolite
3. When describing the various types of medications to a group of nursing students, a B) Noncontrolled substance
nursing instructor would identify which of the following as a source for deriving C) Prescription
medications? Select all that apply. D) Nonprescription
A) Plants E) Controlled substance
B) Synthetic sources Ans: C, D, E
C) Mold Feedback:
D) Minerals Once drugs are approved for use, the FDA assigns the drug to one of the following
E) Animals categories: prescription, nonprescription, or controlled substance. Metabolite refers to
Ans: A, B, C, D, E the inactive form of the drug. Noncontrolled substance is a term that is not used.
Feedback:
Medications are derived from natural sources, for example, plants, molds, minerals, and
animals, as well as created synthetically in a laboratory.
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,BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
7. Which of the following would be most important for the nurse to do to ensure the safe 10. A nursing student is reviewing information about the Controlled Substances Act of
use of prescription drugs in the institutional setting? Select all that apply. 1970. The student would expect to find which of the following as being regulated for
A) Administering drugs drugs classified as controlled substances? Select all that apply.
B) Monitoring clients for drug effects A) Manufacturing
C) Prescribing drugs B) Elimination
D) Evaluating clients for toxic effects C) Distribution
E) Educating clients/caregivers about drugs D) Formulation
Ans: A, B, D, E E) Dispensing
Feedback: Ans: A, C, E
In the institutional setting, the nurse's role to ensure safe use of prescription drugs Feedback:
includes administering drugs, monitoring drug effects, evaluating for toxic effects, and The Controlled Substances Act of 1970 regulates the manufacture, distribution, and
educating clients and caregivers about drugs. dispensing of drugs classified as controlled substances. Elimination refers to the
excretion of drugs from the body, a pharmacokinetic activity. The act does not address
formulation of the drug.
8. The nurse is helping a client review a prescription from the health care provider. When
examining the prescription, which of the following would the nurse expect to find
documented? Select all that apply. 11. When reviewing information about the Orphan Drug Program, which of the following
A) Name of the drug would the nurse expect to find? Select all that apply.
B) Dosage of the drug A) The program encourages the development and marketing of products to treat rare
C) Route of drug administration diseases.
D) Times of drug administration B) The program grants provisional approval with a written commitment from the
E) Licensed prescriber's signature drug company to formally demonstrate client benefits.
Ans: A, B, C, D, E C) The program provides for incentives, such as research grants, protocol assistance,
Feedback: and special tax credits, to develop products to treat rare diseases.
The prescription must contain the client's name, the name of the drug, the dosage, the D) The program grants 7 years of exclusive marketing rights to the manufacturer if
method and times of administration, and the signature of the licensed health care approved.
provider prescribing the drug. E) The program accelerates approval of drugs based on preliminary evidence before
formal demonstration of client benefits.
Ans: A, C, D
9. After teaching a group of nursing students about nonprescription drugs, the nursing Feedback:
instructor determines that the teaching was successful when the students identify which The Orphan Drug Program encourages the development and marketing of products used
of the following? Select all that apply. to treat rare diseases. The program provides incentives to encourage manufacturers to
A) They require a licensed health care provider's signature. develop orphan drugs, and if approved, the manufacturer has 7 years of exclusive
B) They are referred to as over-the-counter drugs. marketing rights. Accelerated programs involve provisional approval and approval
C) They can be taken without risk to the client. based on preliminary evidence.
D) They have certain labeling requirements.
E) They should be taken only as directed on the label.
Ans: B, D, E
Feedback:
Nonprescription drugs are often referred to as over-the-counter (OTC) drugs. They do
not require a prescription (a licensed health care provider's signature) but do not come
without risk to the client. The federal government has imposed labeling requirements of
OTC drugs and they should only be taken as directed on the label unless under the
supervision of a health care provider.
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, BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
12. After teaching a group of nursing students about pharmacokinetics, the instructor 15. A nurse is assessing a client after administering a prescribed medication. Which of the
determines that the teaching was successful when the students identify which of the following would alert the nurse to suspect that the client is developing anaphylactic
following as a phase? Select all that apply. shock? Select all that apply.
A) Absorption A) Bradycardia
B) Distribution B) Hypertension
C) Administration C) Dyspnea
D) Metabolism D) Urticaria
E) Excretion E) Angioedema
Ans: A, B, D, E Ans: C, D, E
Feedback: Feedback:
The pharmacokinetic phases are absorption, distribution, metabolism, and excretion. The symptoms of anaphylactic shock are dyspnea, feeling of fullness in the throat,
The acronym ADME is a helpful way to remember the pharmacokinetic phases. cough, wheezing, extremely low blood pressure, tachycardia (heart rate >100 bpm),
palpitations, syncope, cardiac arrest, urticaria, angioedema, pruritus, sweating, nausea,
vomiting, and abdominal pain.
13. A nurse is preparing a teaching plan for a client who is prescribed an oral medication.
As part of the plan, the nurse expects to describe the importance of absorption. The
nurse would integrate knowledge of which of the following as a mechanism for 16. Which of the following would the nurse identify as a factor that alters drug response in
absorption in the gastrointestinal tract? Select all that apply. children and infants? Select all that apply.
A) Active transport A) Slower gastric emptying
B) Transposition B) Greater surface area
C) Passive transport C) Less protein binding
D) Endocytosis D) Decreased body water content
E) Pinocytosis E) Less cutaneous fat
Ans: A, C, E Ans: A, B, C, E
Feedback: Feedback:
During absorption, the drug particles in the GI tract are moved into the body fluids via Children and infants are not small adults; therefore, they have altered pharmacokinetics.
active transport, passive transport, and pinocytosis. Factors that alter pharmacokinetics in children include slower gastric emptying, less
cutaneous fat, greater surface area, increased body water content, less protein binding,
and immature hepatic and renal function.
14. After teaching a group of nursing students about the half-life of a drug, the instructor
determines the need for additional teaching when the students identify which of the
following as true? Select all that apply: 17. The FDA established a safety information and adverse events reporting program called
A) Half-life can be decreased in clients with renal disease. MedWatch. Which individuals can access the MedWatch website to obtain safety alerts
B) Half-life can help determine dosing frequency. on drugs, devices, or dietary supplements? Select all that apply.
C) Half-life does not change throughout a client's life. A) Physicians
D) Liver disease can increase half-life. B) Nurses
E) Half-life is the measure of the rate at which drugs are removed from the body. C) Patients
Ans: A, C D) Pharmacists
Feedback: E) Caregivers
Half-life is the measure of the rate at which drugs are removed from the body, and any Ans: A, B, C, D, E
difficulty in excreting a drug increases half-life, including liver or kidney disease or Feedback:
advanced age. Anyone can access the MedWatch website to obtain safety alerts on drugs, devices, or
dietary supplements.
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, BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
4. Which of the following names may be assigned to a drug during the process of
1. A nursing instructor is preparing a teaching plan for a group of nursing students about development? Select all that apply.
pharmacology. When describing this topic, the instructor would focus the discussion on A) Chemical name
which of the following as an essential aspect? B) Official name
A) Drug name C) Pharmacologic name
B) Drug class D) Trade name
C) Drug action E) Nonproprietary name
D) Drug source Ans: A, B, D, E
Ans: C Feedback:
Feedback: Throughout the process of development, drugs may have several names assigned to
Pharmacology is the study of drugs and their action on living organisms. Thus, an them including a chemical name, a generic (nonproprietary) name, an official name, and
essential aspect of pharmacology is drug action. An understanding of the drug name, a trade or brand name.
drug class, and drug source is important, but the most critical aspect related to
pharmacology is how the drug acts in the body.
5. A drug may be classified by which of the following? Select all that apply.
A) The chemical type of the drug's active ingredient
2. A nursing student is preparing to administer a prescribed drug to a patient. The student B) The way the drug is used to treat a specific condition
reviews information about the drug and its actions. Which of the following would be the C) The generic name of the drug
best choice for obtaining this information? Select all that apply. D) The trade name of the drug
A) Nursing instructor E) The nonproprietary name of the drug
B) Nurse assigned to the patient Ans: A, B
C) Clinical drug reference Feedback:
D) Prescribing health care provider A drug may be classified by the chemical type of the active ingredient or by the way it is
E) Clinical pharmacist used to treat a particular condition. Generic, trade, and nonproprietary refer to how a
Ans: C, E drug is named.
Feedback:
Although the nursing student can ask the nursing instructor, the nurse assigned to the
patient, and the prescribing health care provider for information about the drug, the best 6. A group of nursing students are reviewing information about the process of drug
choices for drug information would include an appropriate drug reference and the development in the United States. The students demonstrate understanding of this
clinical pharmacist. process when they identify that which of the following categories are assigned by the
Food and Drug Administration to newly approved drugs? Select all that apply.
A) Metabolite
3. When describing the various types of medications to a group of nursing students, a B) Noncontrolled substance
nursing instructor would identify which of the following as a source for deriving C) Prescription
medications? Select all that apply. D) Nonprescription
A) Plants E) Controlled substance
B) Synthetic sources Ans: C, D, E
C) Mold Feedback:
D) Minerals Once drugs are approved for use, the FDA assigns the drug to one of the following
E) Animals categories: prescription, nonprescription, or controlled substance. Metabolite refers to
Ans: A, B, C, D, E the inactive form of the drug. Noncontrolled substance is a term that is not used.
Feedback:
Medications are derived from natural sources, for example, plants, molds, minerals, and
animals, as well as created synthetically in a laboratory.
Page 3 Page 4
,BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
7. Which of the following would be most important for the nurse to do to ensure the safe 10. A nursing student is reviewing information about the Controlled Substances Act of
use of prescription drugs in the institutional setting? Select all that apply. 1970. The student would expect to find which of the following as being regulated for
A) Administering drugs drugs classified as controlled substances? Select all that apply.
B) Monitoring clients for drug effects A) Manufacturing
C) Prescribing drugs B) Elimination
D) Evaluating clients for toxic effects C) Distribution
E) Educating clients/caregivers about drugs D) Formulation
Ans: A, B, D, E E) Dispensing
Feedback: Ans: A, C, E
In the institutional setting, the nurse's role to ensure safe use of prescription drugs Feedback:
includes administering drugs, monitoring drug effects, evaluating for toxic effects, and The Controlled Substances Act of 1970 regulates the manufacture, distribution, and
educating clients and caregivers about drugs. dispensing of drugs classified as controlled substances. Elimination refers to the
excretion of drugs from the body, a pharmacokinetic activity. The act does not address
formulation of the drug.
8. The nurse is helping a client review a prescription from the health care provider. When
examining the prescription, which of the following would the nurse expect to find
documented? Select all that apply. 11. When reviewing information about the Orphan Drug Program, which of the following
A) Name of the drug would the nurse expect to find? Select all that apply.
B) Dosage of the drug A) The program encourages the development and marketing of products to treat rare
C) Route of drug administration diseases.
D) Times of drug administration B) The program grants provisional approval with a written commitment from the
E) Licensed prescriber's signature drug company to formally demonstrate client benefits.
Ans: A, B, C, D, E C) The program provides for incentives, such as research grants, protocol assistance,
Feedback: and special tax credits, to develop products to treat rare diseases.
The prescription must contain the client's name, the name of the drug, the dosage, the D) The program grants 7 years of exclusive marketing rights to the manufacturer if
method and times of administration, and the signature of the licensed health care approved.
provider prescribing the drug. E) The program accelerates approval of drugs based on preliminary evidence before
formal demonstration of client benefits.
Ans: A, C, D
9. After teaching a group of nursing students about nonprescription drugs, the nursing Feedback:
instructor determines that the teaching was successful when the students identify which The Orphan Drug Program encourages the development and marketing of products used
of the following? Select all that apply. to treat rare diseases. The program provides incentives to encourage manufacturers to
A) They require a licensed health care provider's signature. develop orphan drugs, and if approved, the manufacturer has 7 years of exclusive
B) They are referred to as over-the-counter drugs. marketing rights. Accelerated programs involve provisional approval and approval
C) They can be taken without risk to the client. based on preliminary evidence.
D) They have certain labeling requirements.
E) They should be taken only as directed on the label.
Ans: B, D, E
Feedback:
Nonprescription drugs are often referred to as over-the-counter (OTC) drugs. They do
not require a prescription (a licensed health care provider's signature) but do not come
without risk to the client. The federal government has imposed labeling requirements of
OTC drugs and they should only be taken as directed on the label unless under the
supervision of a health care provider.
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, BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK BIOL 141 ROACH INTRODUCTORY CLINICAL PHARMACOLOGY 11TH EDITION TESTBANK
12. After teaching a group of nursing students about pharmacokinetics, the instructor 15. A nurse is assessing a client after administering a prescribed medication. Which of the
determines that the teaching was successful when the students identify which of the following would alert the nurse to suspect that the client is developing anaphylactic
following as a phase? Select all that apply. shock? Select all that apply.
A) Absorption A) Bradycardia
B) Distribution B) Hypertension
C) Administration C) Dyspnea
D) Metabolism D) Urticaria
E) Excretion E) Angioedema
Ans: A, B, D, E Ans: C, D, E
Feedback: Feedback:
The pharmacokinetic phases are absorption, distribution, metabolism, and excretion. The symptoms of anaphylactic shock are dyspnea, feeling of fullness in the throat,
The acronym ADME is a helpful way to remember the pharmacokinetic phases. cough, wheezing, extremely low blood pressure, tachycardia (heart rate >100 bpm),
palpitations, syncope, cardiac arrest, urticaria, angioedema, pruritus, sweating, nausea,
vomiting, and abdominal pain.
13. A nurse is preparing a teaching plan for a client who is prescribed an oral medication.
As part of the plan, the nurse expects to describe the importance of absorption. The
nurse would integrate knowledge of which of the following as a mechanism for 16. Which of the following would the nurse identify as a factor that alters drug response in
absorption in the gastrointestinal tract? Select all that apply. children and infants? Select all that apply.
A) Active transport A) Slower gastric emptying
B) Transposition B) Greater surface area
C) Passive transport C) Less protein binding
D) Endocytosis D) Decreased body water content
E) Pinocytosis E) Less cutaneous fat
Ans: A, C, E Ans: A, B, C, E
Feedback: Feedback:
During absorption, the drug particles in the GI tract are moved into the body fluids via Children and infants are not small adults; therefore, they have altered pharmacokinetics.
active transport, passive transport, and pinocytosis. Factors that alter pharmacokinetics in children include slower gastric emptying, less
cutaneous fat, greater surface area, increased body water content, less protein binding,
and immature hepatic and renal function.
14. After teaching a group of nursing students about the half-life of a drug, the instructor
determines the need for additional teaching when the students identify which of the
following as true? Select all that apply: 17. The FDA established a safety information and adverse events reporting program called
A) Half-life can be decreased in clients with renal disease. MedWatch. Which individuals can access the MedWatch website to obtain safety alerts
B) Half-life can help determine dosing frequency. on drugs, devices, or dietary supplements? Select all that apply.
C) Half-life does not change throughout a client's life. A) Physicians
D) Liver disease can increase half-life. B) Nurses
E) Half-life is the measure of the rate at which drugs are removed from the body. C) Patients
Ans: A, C D) Pharmacists
Feedback: E) Caregivers
Half-life is the measure of the rate at which drugs are removed from the body, and any Ans: A, B, C, D, E
difficulty in excreting a drug increases half-life, including liver or kidney disease or Feedback:
advanced age. Anyone can access the MedWatch website to obtain safety alerts on drugs, devices, or
dietary supplements.
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