Test Bank -
n n
Focus on Nursing Pharmacology 9th Editionby Amy Karc
n n n n n n n n n
h Chapter 1-59 | Complete Guide 2023
n n n n n n
,TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 3
Chapter 01 - Introduction to Drugs
n n n n n
Annursenworkingninnradiologynadministersniodinentonanpatientnwhonisnhavingnancomputedntomographyn(CT)n
scan.nThennursenworkingnonnthenoncologynunitnadministersnchemotherapyntonpatientsnwhonhavencan
cer.nAtnthenPublicnHealthnDepartment,nannursenadministersnanmeasles-mumps-
rubellan(MMR)nvaccinentonan14-month-
oldnchildnasnanroutinenimmunization.nWhichnbranchnofnpharmacologynbestndescribesnthenactionsnofna
llnthreennurses?
Pharmacoeconomicsn
Pharmacotherapeuticsn
PharmacodynamicsnP
harmacokineticsnAns:
B
Feedback:
Pharmacologynisnthenstudynofnthenbiologicneffectsnofnchemicals.nNursesnareninvolvednwithnclinicalnphar
macologynornpharmacotherapeutics,nwhichnisnanbranchnofnpharmacologynthatndealsnwithnthenusesnofndrug
sntontreat,nprevent,nandndiagnosendisease.nThenradiologynnursenisnadministeringnandrugntonhelpndiagnosen
andisease.nThenoncologynnursenisnadministeringnandrugntonhelpntreatnandisease.
Pharmacoeconomicsnincludesnanyncostsninvolvedninndrugntherapy.nPharmacodynamicsninvolvesnhownan
drugnaffectsnthenbodynandnpharmacokineticsnisnhownthenbodynactsnonnthenbody.
Anphysiciannhasnorderednintramuscularn(IM)ninjectionsnofnmorphine,nannarcotic,neveryn4nhoursnasnneedednforn
painninnanmotornvehiclenaccidentnvictim.nThennursenisnawarenthisndrugnhasnanhighnabusenpotential.
Undernwhatncategorynwouldnmorphinenbenclassified?
SchedulenInS
chedulenIInSc
hedulenIIInSc
hedulenIVnA
ns: B
Feedback:
NarcoticsnwithnanhighnabusenpotentialnarenclassifiednasnSchedulenIIndrugsnbecausenofnseverendependence
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
,TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 4
liability.nSchedulenIndrugsnhavenhighnabusenpotentialnandnnonacceptednmedicalnuse.nSchedulenIIIndrugsn
havenanlessernabusenpotentialnthannIInandnannacceptednmedicalnuse.nSchedulenIVndrugsnhavenlownabusen
potentialnandnlimitedndependencenliability.
WhenninvolvedninnphasenIIIndrugnevaluationnstudies,nwhatnresponsibilitiesnwouldnthennursenhave?n
Workingnwithnanimalsnwhonarengivennexperimentalndrugs
ChoosingnappropriatenpatientsntonbeninvolvedninnthendrugnstudynMonito
ringnandnobservingnpatientsncloselynfornadverseneffectsnConductingnres
earchntondetermineneffectivenessnofnthendrugnAns:n C
Feedback:
PhasenIIInstudiesninvolvenusenofnandrugninnanvastnclinicalnpopulationninnwhichnpatientsnarenaskedntonrecordn
anynsymptomsntheynexperiencenwhilentakingnthendrugs.nNursesnmaynbenresponsiblenfornhelpingncollectnan
dnanalyzentheninformationntonbensharednwithnthenFoodnandnDrugnAdministrationn(FDA)nbutnwouldnnotncon
ductnresearchnindependentlynbecausennursesndonnotnprescribenmedications.nUsenofnanimalsninndrugntesting
nisndoneninnthenpreclinicalntrials.nSelectnpatientsnwhonareninvolvedninnphasenIInstudiesntonparticipateninnstudi
esnwherenthenparticipantsnhaventhendiseasenthendrugnisnintendedntontreat.nThesenpatientsnarenmonitorednclos
elynforndrugnactionnandnadverseneffects.nPhasenInstudiesninvolvenhealthynhumannvolunteersnwhonarenusuall
ynpaidnforntheirnparticipation.nNursesnmaynobservenfornadverseneffectsnandntoxicity.
Whatnconceptnisnconsiderednwhenngenericndrugsnarensubstitutednfornbrandnnamendrugs?n
Bioavailability
Criticalnconcentrationn
Distribution
Half-
lifenAns: A
Feedback:
Bioavailabilitynisnthenportionnofnandosenofnandrugnthatnreachesnthensystemicncirculationnandnisnavailablenton
actnonnbodyncells.nBindersnusedninnangenericndrugnmaynnotnbenthensamenasnthosenusedninnthenbrandnnamen
drug.nTherefore,nthenwaynthenbodynbreaksndownnandnusesnthendrugnmayndiffer,nwhichnmayneliminatenange
nericndrugnsubstitution.nCriticalnconcentrationnisnthenamountnofnandrugnthatnisnneededntoncausenantherapeu
ticneffectnandnshouldnnotndiffernbetweenngenericnandnbrandnnamenmedications.nDistributionnisnthenphasen
ofnpharmacokinetics,nwhichninvolvesnthenmovementnofnandrugntonthenbody’sntissuesnandnisnthe
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
, TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 5
sameninngenericnandnbrandnnamendrugs.nAndrug’snhalf-
lifenisnthentimenitntakesnfornthenamountnofndrugntondecreasentonhalfnthenpeaknlevel,nwhichnshouldnnotnchan
genwhennsubstitutingnangenericnmedication.
Annursenisnassessingnthenpatient’snhomenmedicationnuse.nAfternlisteningntonthenpatientnlistncurrentnmedicatio
ns,nthennursenasksnwhatnprioritynquestion?
Donyountakenanyngenericnmedications?
Arenanynofnthesenmedicationsnorphanndrugs?
Arenthesenmedicationsnsafentontakenduringnpregnancy?n
Donyountakenanynover-the-counternmedications?
Ans: D
Feedback:
Itnisnimportantnfornthennursentonspecificallynquestionnusenofnover-the-
counternmedicationsnbecausenpatientsnmaynnotnconsidernthemnimportant.nThenpatientnisnunlikelyntonknown
thenmeaningnofnorphanndrugsnunlessntheyntoonarenhealthncarenproviders.nSafetynduringnpregnancy,nusenofna
ngenericnmedication,nornclassificationnofnorphanndrugsnarenthingsnthenpatientnwouldnbenunablentonanswern
butncouldnbenfoundninnreferencenbooksnifnthennursenwishesntonresearchnthem.
Afterncompletingnancoursenonnpharmacologynfornnurses,nwhatnwillnthennursenknow?n
Everythingnnecessarynfornsafenandneffectivenmedicationnadministration
Currentnpharmacologicntherapy;nthennursenwillnnotnrequirenongoingneducationnforn5nyears.nG
eneralndrugninformation;nthennursencannconsultnandrugnguidenfornspecificndrugninformation.nT
hendrugnactionsnthatnarenassociatednwithneachnclassificationnofnmedicationnAns: C
Feedback:
Afterncompletingnanpharmacologyncoursennursesnwillnhavengeneralndrugninformationnneedednfornsafenandn
effectivenmedicationnadministrationnbutnwillnneedntonconsultnandrugnguidenfornspecificndrugninformationnb
eforenadministeringnanyn medication.nPharmacologynisnconstantlynchanging,nwithnnewndrugsnenteringnthen
marketnandnnewnusesnfornexistingndrugsnidentified.nContinuingneducationninnpharmacologynisnessentialnton
safenpractice.nNursesntendntonbecomenfamiliarnwithnthenmedicationsntheynadministernmostnoften,nbutnthere
nwillnalwaysnbenanneedntonresearchnnewndrugsnandnalsonthosenthennursenisnnotnfamiliarnwithnbecausennonnur
senknowsnallnmedications.
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
n n
Focus on Nursing Pharmacology 9th Editionby Amy Karc
n n n n n n n n n
h Chapter 1-59 | Complete Guide 2023
n n n n n n
,TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 3
Chapter 01 - Introduction to Drugs
n n n n n
Annursenworkingninnradiologynadministersniodinentonanpatientnwhonisnhavingnancomputedntomographyn(CT)n
scan.nThennursenworkingnonnthenoncologynunitnadministersnchemotherapyntonpatientsnwhonhavencan
cer.nAtnthenPublicnHealthnDepartment,nannursenadministersnanmeasles-mumps-
rubellan(MMR)nvaccinentonan14-month-
oldnchildnasnanroutinenimmunization.nWhichnbranchnofnpharmacologynbestndescribesnthenactionsnofna
llnthreennurses?
Pharmacoeconomicsn
Pharmacotherapeuticsn
PharmacodynamicsnP
harmacokineticsnAns:
B
Feedback:
Pharmacologynisnthenstudynofnthenbiologicneffectsnofnchemicals.nNursesnareninvolvednwithnclinicalnphar
macologynornpharmacotherapeutics,nwhichnisnanbranchnofnpharmacologynthatndealsnwithnthenusesnofndrug
sntontreat,nprevent,nandndiagnosendisease.nThenradiologynnursenisnadministeringnandrugntonhelpndiagnosen
andisease.nThenoncologynnursenisnadministeringnandrugntonhelpntreatnandisease.
Pharmacoeconomicsnincludesnanyncostsninvolvedninndrugntherapy.nPharmacodynamicsninvolvesnhownan
drugnaffectsnthenbodynandnpharmacokineticsnisnhownthenbodynactsnonnthenbody.
Anphysiciannhasnorderednintramuscularn(IM)ninjectionsnofnmorphine,nannarcotic,neveryn4nhoursnasnneedednforn
painninnanmotornvehiclenaccidentnvictim.nThennursenisnawarenthisndrugnhasnanhighnabusenpotential.
Undernwhatncategorynwouldnmorphinenbenclassified?
SchedulenInS
chedulenIInSc
hedulenIIInSc
hedulenIVnA
ns: B
Feedback:
NarcoticsnwithnanhighnabusenpotentialnarenclassifiednasnSchedulenIIndrugsnbecausenofnseverendependence
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
,TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 4
liability.nSchedulenIndrugsnhavenhighnabusenpotentialnandnnonacceptednmedicalnuse.nSchedulenIIIndrugsn
havenanlessernabusenpotentialnthannIInandnannacceptednmedicalnuse.nSchedulenIVndrugsnhavenlownabusen
potentialnandnlimitedndependencenliability.
WhenninvolvedninnphasenIIIndrugnevaluationnstudies,nwhatnresponsibilitiesnwouldnthennursenhave?n
Workingnwithnanimalsnwhonarengivennexperimentalndrugs
ChoosingnappropriatenpatientsntonbeninvolvedninnthendrugnstudynMonito
ringnandnobservingnpatientsncloselynfornadverseneffectsnConductingnres
earchntondetermineneffectivenessnofnthendrugnAns:n C
Feedback:
PhasenIIInstudiesninvolvenusenofnandrugninnanvastnclinicalnpopulationninnwhichnpatientsnarenaskedntonrecordn
anynsymptomsntheynexperiencenwhilentakingnthendrugs.nNursesnmaynbenresponsiblenfornhelpingncollectnan
dnanalyzentheninformationntonbensharednwithnthenFoodnandnDrugnAdministrationn(FDA)nbutnwouldnnotncon
ductnresearchnindependentlynbecausennursesndonnotnprescribenmedications.nUsenofnanimalsninndrugntesting
nisndoneninnthenpreclinicalntrials.nSelectnpatientsnwhonareninvolvedninnphasenIInstudiesntonparticipateninnstudi
esnwherenthenparticipantsnhaventhendiseasenthendrugnisnintendedntontreat.nThesenpatientsnarenmonitorednclos
elynforndrugnactionnandnadverseneffects.nPhasenInstudiesninvolvenhealthynhumannvolunteersnwhonarenusuall
ynpaidnforntheirnparticipation.nNursesnmaynobservenfornadverseneffectsnandntoxicity.
Whatnconceptnisnconsiderednwhenngenericndrugsnarensubstitutednfornbrandnnamendrugs?n
Bioavailability
Criticalnconcentrationn
Distribution
Half-
lifenAns: A
Feedback:
Bioavailabilitynisnthenportionnofnandosenofnandrugnthatnreachesnthensystemicncirculationnandnisnavailablenton
actnonnbodyncells.nBindersnusedninnangenericndrugnmaynnotnbenthensamenasnthosenusedninnthenbrandnnamen
drug.nTherefore,nthenwaynthenbodynbreaksndownnandnusesnthendrugnmayndiffer,nwhichnmayneliminatenange
nericndrugnsubstitution.nCriticalnconcentrationnisnthenamountnofnandrugnthatnisnneededntoncausenantherapeu
ticneffectnandnshouldnnotndiffernbetweenngenericnandnbrandnnamenmedications.nDistributionnisnthenphasen
ofnpharmacokinetics,nwhichninvolvesnthenmovementnofnandrugntonthenbody’sntissuesnandnisnthe
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
, TestnBankn-nFocusnonnNursingnPharmacologyn(9thnEditionnbynKarch) 5
sameninngenericnandnbrandnnamendrugs.nAndrug’snhalf-
lifenisnthentimenitntakesnfornthenamountnofndrugntondecreasentonhalfnthenpeaknlevel,nwhichnshouldnnotnchan
genwhennsubstitutingnangenericnmedication.
Annursenisnassessingnthenpatient’snhomenmedicationnuse.nAfternlisteningntonthenpatientnlistncurrentnmedicatio
ns,nthennursenasksnwhatnprioritynquestion?
Donyountakenanyngenericnmedications?
Arenanynofnthesenmedicationsnorphanndrugs?
Arenthesenmedicationsnsafentontakenduringnpregnancy?n
Donyountakenanynover-the-counternmedications?
Ans: D
Feedback:
Itnisnimportantnfornthennursentonspecificallynquestionnusenofnover-the-
counternmedicationsnbecausenpatientsnmaynnotnconsidernthemnimportant.nThenpatientnisnunlikelyntonknown
thenmeaningnofnorphanndrugsnunlessntheyntoonarenhealthncarenproviders.nSafetynduringnpregnancy,nusenofna
ngenericnmedication,nornclassificationnofnorphanndrugsnarenthingsnthenpatientnwouldnbenunablentonanswern
butncouldnbenfoundninnreferencenbooksnifnthennursenwishesntonresearchnthem.
Afterncompletingnancoursenonnpharmacologynfornnurses,nwhatnwillnthennursenknow?n
Everythingnnecessarynfornsafenandneffectivenmedicationnadministration
Currentnpharmacologicntherapy;nthennursenwillnnotnrequirenongoingneducationnforn5nyears.nG
eneralndrugninformation;nthennursencannconsultnandrugnguidenfornspecificndrugninformation.nT
hendrugnactionsnthatnarenassociatednwithneachnclassificationnofnmedicationnAns: C
Feedback:
Afterncompletingnanpharmacologyncoursennursesnwillnhavengeneralndrugninformationnneedednfornsafenandn
effectivenmedicationnadministrationnbutnwillnneedntonconsultnandrugnguidenfornspecificndrugninformationnb
eforenadministeringnanyn medication.nPharmacologynisnconstantlynchanging,nwithnnewndrugsnenteringnthen
marketnandnnewnusesnfornexistingndrugsnidentified.nContinuingneducationninnpharmacologynisnessentialnton
safenpractice.nNursesntendntonbecomenfamiliarnwithnthenmedicationsntheynadministernmostnoften,nbutnthere
nwillnalwaysnbenanneedntonresearchnnewndrugsnandnalsonthosenthennursenisnnotnfamiliarnwithnbecausennonnur
senknowsnallnmedications.
Wantntonearnn$1.23
6
Distributionnofnthisndocumentnisnillega
l extranpernyear?
