Pharmacology Clear and Simple-
m m m
m A Guide to Drug Classifications and Dosage Calculations 3rd
m m m m m m m m
m Edition Watkins Test Bank
m m m
Chapterm 1.m History m of m Pharmacology
1.
c o
Am nursem workingm in m radiology m administersm iodinem to m am patientm who m ism hav
ingm amcomputed m tomography m (CT)m scan.m Them nurse m workingm on m them oncolog
cm Health mDepartment,m am nursem administersm am measles-mumps-
rubellam (MMR)m vaccinemto mam14-month-
k .
y m unitmadministersm chemotherapy m to m patientsm whom havem cancer.m Atm them Publi
n
old mchild masmamroutinemimmunization. mWhich mbranch mof mpharmacology mbestmd
ta
escribesmthemactionsmof mallmthreemnurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
nk
a
C) Pharmacodynamics
tb
D) Pharmacokinetics
Ans: B
Feedback:
s
t. e
Pharmacology m ism them study m of m them biologicm effectsm of mchemicals.m Nursesm are
minvolved m with m clinicalm pharmacology m orm pharmacotherapeutics, m which m ism am
branch m of m pharmacology m thatm dealsm with m them usesm ofm drugsm to m treat,m prevent,
w
mand m diagnose m disease. m The m radiology m nurse m ism administeringm a m drugm to m help
w
mdiagnose m a m disease. m The m oncology m nurse mism administeringm a m drugm to m help m tr
eatmam disease.m Pharmacoeconomics m includesm any m costsm involved m in m drugm ther
wapy.mPharmacodynamics minvolvesmhowmamdrugmaffectsmthembodymand mpharmac
okineticsmismhowmthembody mactsmon mthembody.
2.
Amphysician m hasm ordered m intramuscularm (IM)m injectionsm ofm morphine,m amn
arcotic,mevery m4 mhoursmasmneeded mformpain min mammotormvehicle maccidentmvict
im.m Them nursem ism awarem thism drugm hasm am high m abusem potential.m Underm whatm
category mwould mmorphine mbemclassified?
A) Schedule mI
B) Schedule mII
C) Schedule m III
D) Schedule m IV
Ans: B
, Feedback:
Narcoticsmwith mamhigh mabusempotentialmaremclassified masmSchedule mIImdrugsmbe
causem of m severe mdependence mliability.m Schedule m Im drugsm havem high m abusempot
entialm and m no m accepted m medicalm use.m Schedule m IIIm drugsm havem am lessermabus
em potentialm than m IIm and m an m accepted m medicalm use.m Schedule m IVm drugsm haveml
owmabusempotentialmand mlimited mdependence mliability.
3.
When m involved m in m phasem IIIm drugm evaluation m studies,m whatm responsibil
itiesmwould mthemnurse mhave?
A) Workingm with m animalsm who m arem given m experimentalm drugs
B)
o
Choosingm appropriate m patientsm to m bem involved m in m them drugm study
c
C)
D)
k .
Monitoringm and m observingm patientsm closely m form adverse m effects
Conductingm research m to m determine m effectivenessm of m them drug
Ans: C
n
ta
Feedback:
k
Phasem IIIm studiesm involve m usem ofm amdrugm in m am vastm clinicalm population m inm whi
ch mpatientsm arem asked m to m record m any msymptomsmthey m experiencem whilem taking
m the m
a n
drugs.mNursesmmay mbemresponsible mformhelpingmcollectmand manalyze mthemi
nformation m to m bem shared m with m them Food m and m Drugm Administration m (FDA)m b
utmwould m notm conductm research m independently m because m nursesm dom notm prescri
tb
bemmedications.m Usem of m animalsm in m drugm testingm ism donem in m them preclinicalm tr
ials.mSelectm patientsm who m arem involved m in m phasem IIm studiesmto m participate m inms
s
tudiesmwherem them participantsm havem them diseasem them drugm ism intended m to m treat.
t. e
m These mpatients m are m monitored m closely m form drugm action m andm adverse m effects. m
Phasem Imstudiesm involvem healthy m human mvolunteersm whom arem usually m paid m for
m theirmparticipation. mNurses mmay mobserve mformadverse meffects mand mtoxicity.
w
4.
w
Whatm conceptm ism considered m when m genericm drugsm arem substituted m form b
A)
B)
w
rand mnamemdrugs?
Bioavailability
Criticalm concentration
C) Distribution
D) Half-life
Ans: A
Feedback:
, Bioavailability mism them portion m of m am dosem ofm am drugmthatm reachesmthem systemic
mcirculation m and m ism available m to m actm onm body mcells. m Binders m used m in m a m generi
cmdrugm may m notm bem them samem asm thosemused min m them brandm name mdrug.m Theref
ore,mthemway mthembody mbreaksmdown mand musesmthemdrugmmay mdiffer,mwhich m
may meliminatem am generic m drugm substitution. m Criticalm concentration m ism them am
ountm of mamdrugmthatmismneeded mto mcause mamtherapeutic meffectmand mshould mnotmd
iffermbetween m genericm and m brandm namemmedications. m Distribution m ism them pha
sem of mpharmacokinetics, m which minvolvesm them movementm of m am drugm to m them bo
dysmtissuesm and m ism them samem in m genericm andm brand m namem drugs.m Am drugsm hal
f-
lifem ismthemtimemitmtakesm formthemamountm of mdrugmto m decrease mto mhalf mthem peak
mlevel, mwhich mshould mnotmchange mwhen msubstitutingma mgeneric mmedication.
5.
c o
k .
Am nursem ism assessingm them patientsm home m medication m use.m Afterm listeningm t
o m thempatientmlistm currentmmedications, m them nursemasksm whatm priority mquestion
?
A) Do m you m takem any m genericm medications?
n
B)
C)
Arem any m of m thesem medicationsm orphan m drugs?
k ta
Arem thesem medicationsm safem to m takem duringm pregnancy?
D)
Ans: D
a n
Do m you m takem any m over-the-counterm medications?
tb
Feedback:
s
Itm ism importantm form them nurse m to m specifically m question m usem of m over-the-
countermmedicationsm because m patientsm maym notm considerm themm important.mTh
t. e
em patientmism unlikely m to m knowm them meaningm of morphan m drugsm unlessm theym too
m are m health mcare m providers. m Safety m duringm pregnancy, m usem ofm a m generic m medi
cation,m ormclassification mof morphan mdrugsmaremthingsmthempatientmwould mbemun
w
ablemto manswerm butm could m bem foundm in m reference m booksm ifm them nurse m wishesmt
o m research mthem.
w
6.
w Afterm completingm am course m on m pharmacology m form nurses,m whatm willm them
nursemknow?
A) Everythingm necessary m form safem and m effective m medication m administration
B)
Currentm pharmacologic m therapy;m them nursem willm notm require m
ongoingmeducation mform5 myears.
C)
Generalm drugm information;m them nurse m can m consultm am drugm guidem for
m specific mdrugminformation.
D)
Them drugm actionsm thatm arem associated m with m each m classifi
cation m of mmedication
Ans: C
, Feedback:
m m m
m A Guide to Drug Classifications and Dosage Calculations 3rd
m m m m m m m m
m Edition Watkins Test Bank
m m m
Chapterm 1.m History m of m Pharmacology
1.
c o
Am nursem workingm in m radiology m administersm iodinem to m am patientm who m ism hav
ingm amcomputed m tomography m (CT)m scan.m Them nurse m workingm on m them oncolog
cm Health mDepartment,m am nursem administersm am measles-mumps-
rubellam (MMR)m vaccinemto mam14-month-
k .
y m unitmadministersm chemotherapy m to m patientsm whom havem cancer.m Atm them Publi
n
old mchild masmamroutinemimmunization. mWhich mbranch mof mpharmacology mbestmd
ta
escribesmthemactionsmof mallmthreemnurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
nk
a
C) Pharmacodynamics
tb
D) Pharmacokinetics
Ans: B
Feedback:
s
t. e
Pharmacology m ism them study m of m them biologicm effectsm of mchemicals.m Nursesm are
minvolved m with m clinicalm pharmacology m orm pharmacotherapeutics, m which m ism am
branch m of m pharmacology m thatm dealsm with m them usesm ofm drugsm to m treat,m prevent,
w
mand m diagnose m disease. m The m radiology m nurse m ism administeringm a m drugm to m help
w
mdiagnose m a m disease. m The m oncology m nurse mism administeringm a m drugm to m help m tr
eatmam disease.m Pharmacoeconomics m includesm any m costsm involved m in m drugm ther
wapy.mPharmacodynamics minvolvesmhowmamdrugmaffectsmthembodymand mpharmac
okineticsmismhowmthembody mactsmon mthembody.
2.
Amphysician m hasm ordered m intramuscularm (IM)m injectionsm ofm morphine,m amn
arcotic,mevery m4 mhoursmasmneeded mformpain min mammotormvehicle maccidentmvict
im.m Them nursem ism awarem thism drugm hasm am high m abusem potential.m Underm whatm
category mwould mmorphine mbemclassified?
A) Schedule mI
B) Schedule mII
C) Schedule m III
D) Schedule m IV
Ans: B
, Feedback:
Narcoticsmwith mamhigh mabusempotentialmaremclassified masmSchedule mIImdrugsmbe
causem of m severe mdependence mliability.m Schedule m Im drugsm havem high m abusempot
entialm and m no m accepted m medicalm use.m Schedule m IIIm drugsm havem am lessermabus
em potentialm than m IIm and m an m accepted m medicalm use.m Schedule m IVm drugsm haveml
owmabusempotentialmand mlimited mdependence mliability.
3.
When m involved m in m phasem IIIm drugm evaluation m studies,m whatm responsibil
itiesmwould mthemnurse mhave?
A) Workingm with m animalsm who m arem given m experimentalm drugs
B)
o
Choosingm appropriate m patientsm to m bem involved m in m them drugm study
c
C)
D)
k .
Monitoringm and m observingm patientsm closely m form adverse m effects
Conductingm research m to m determine m effectivenessm of m them drug
Ans: C
n
ta
Feedback:
k
Phasem IIIm studiesm involve m usem ofm amdrugm in m am vastm clinicalm population m inm whi
ch mpatientsm arem asked m to m record m any msymptomsmthey m experiencem whilem taking
m the m
a n
drugs.mNursesmmay mbemresponsible mformhelpingmcollectmand manalyze mthemi
nformation m to m bem shared m with m them Food m and m Drugm Administration m (FDA)m b
utmwould m notm conductm research m independently m because m nursesm dom notm prescri
tb
bemmedications.m Usem of m animalsm in m drugm testingm ism donem in m them preclinicalm tr
ials.mSelectm patientsm who m arem involved m in m phasem IIm studiesmto m participate m inms
s
tudiesmwherem them participantsm havem them diseasem them drugm ism intended m to m treat.
t. e
m These mpatients m are m monitored m closely m form drugm action m andm adverse m effects. m
Phasem Imstudiesm involvem healthy m human mvolunteersm whom arem usually m paid m for
m theirmparticipation. mNurses mmay mobserve mformadverse meffects mand mtoxicity.
w
4.
w
Whatm conceptm ism considered m when m genericm drugsm arem substituted m form b
A)
B)
w
rand mnamemdrugs?
Bioavailability
Criticalm concentration
C) Distribution
D) Half-life
Ans: A
Feedback:
, Bioavailability mism them portion m of m am dosem ofm am drugmthatm reachesmthem systemic
mcirculation m and m ism available m to m actm onm body mcells. m Binders m used m in m a m generi
cmdrugm may m notm bem them samem asm thosemused min m them brandm name mdrug.m Theref
ore,mthemway mthembody mbreaksmdown mand musesmthemdrugmmay mdiffer,mwhich m
may meliminatem am generic m drugm substitution. m Criticalm concentration m ism them am
ountm of mamdrugmthatmismneeded mto mcause mamtherapeutic meffectmand mshould mnotmd
iffermbetween m genericm and m brandm namemmedications. m Distribution m ism them pha
sem of mpharmacokinetics, m which minvolvesm them movementm of m am drugm to m them bo
dysmtissuesm and m ism them samem in m genericm andm brand m namem drugs.m Am drugsm hal
f-
lifem ismthemtimemitmtakesm formthemamountm of mdrugmto m decrease mto mhalf mthem peak
mlevel, mwhich mshould mnotmchange mwhen msubstitutingma mgeneric mmedication.
5.
c o
k .
Am nursem ism assessingm them patientsm home m medication m use.m Afterm listeningm t
o m thempatientmlistm currentmmedications, m them nursemasksm whatm priority mquestion
?
A) Do m you m takem any m genericm medications?
n
B)
C)
Arem any m of m thesem medicationsm orphan m drugs?
k ta
Arem thesem medicationsm safem to m takem duringm pregnancy?
D)
Ans: D
a n
Do m you m takem any m over-the-counterm medications?
tb
Feedback:
s
Itm ism importantm form them nurse m to m specifically m question m usem of m over-the-
countermmedicationsm because m patientsm maym notm considerm themm important.mTh
t. e
em patientmism unlikely m to m knowm them meaningm of morphan m drugsm unlessm theym too
m are m health mcare m providers. m Safety m duringm pregnancy, m usem ofm a m generic m medi
cation,m ormclassification mof morphan mdrugsmaremthingsmthempatientmwould mbemun
w
ablemto manswerm butm could m bem foundm in m reference m booksm ifm them nurse m wishesmt
o m research mthem.
w
6.
w Afterm completingm am course m on m pharmacology m form nurses,m whatm willm them
nursemknow?
A) Everythingm necessary m form safem and m effective m medication m administration
B)
Currentm pharmacologic m therapy;m them nursem willm notm require m
ongoingmeducation mform5 myears.
C)
Generalm drugm information;m them nurse m can m consultm am drugm guidem for
m specific mdrugminformation.
D)
Them drugm actionsm thatm arem associated m with m each m classifi
cation m of mmedication
Ans: C
, Feedback:
