MULTIPLEjCHOICE
1. WhatjisjthejnamejunderjwhichjajdrugjisjlistedjbyjthejU.S.jFoodjandjDrugjAdministrationj(F
DA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS:j C
ThejofficialjnamejisjthejnamejunderjwhichjajdrugjisjlistedjbyjthejFDA.jThejbrandjname,jorjtrad
emark,jisjthejnamejgivenjtojajdrugjbyjitsjmanufacturer.jThejnonproprietary,jorjgeneric,jnameji
sjprovidedjbyjthejU.S.jAdoptedjNamesjCouncil.
DIF:jCognitivejLevel:jKnowledgejREF:jp.j1jOBJ:j2TOP:j NursingjPro
cessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jSafe,jEffectivejCarejEnvironment
2. Whichjsourcejcontainsjinformationjspecificjtojnutritionaljsupplements?
a. USPjDictionaryjofjUSANj&jInternationaljDrugjNames
b. NaturaljMedicinesjComprehensivejDatabase
c. UnitedjStatesjPharmacopoeia/NationaljFormularyj(USPjNF)
d. DrugjInteractionjFacts
ANS:j C
UnitedjStatesjPharmacopoeia/NationaljFormularyjcontainsjinformationjspecificjtojnutritionaljs
upplements.jUSPjDictionaryjofjUSANj&jInternationaljDrugjNamesjisjajcompilationjofjdrugjnam
es,jpronunciationjguide,jandjpossiblejfuturejFDAjapprovedjdrugs;jitjdoesjnotjincludejnutritionalj
supplements.jNaturaljMedicinesjComprehensivejDatabasejcontainsjevidencejbasedjinformationj
onjherbaljmedicinesjandjherbaljcombinationjproducts;jitjdoesjnotjincludejinformationjspecificjtoj
nutritionaljsupplements.jDrugjInteractionjFactsjcontainsjcomprehensivejinformationjonjdrugjin
teractionjfacts;jitjdoesjnotjincludejnutritionaljsupplements.
DIF:jCognitivejLevel:jKnowledgejREF:jp.j2jOBJ:j4TOP:j NursingjPro
cessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
3. Whatjisjthejmostjcomprehensivejreferencejavailablejtojresearchjajdrugjinteraction?
a. DrugjFactsjandjComparisons
b. DrugjInteractionjFacts
c. HandbookjonjInjectablejDrugs
d. Martindale—ThejCompletejDrugjReference
ANS:j B
Firstjpublishedjinj1983,jDrugjInteractionjFactsjisjthejmostjcomprehensivejbookjavailablejondr
ugjinteractions.jInjadditionjtojmonographsjlistingjvariousjaspectsjofjdrugjinteractions,jthisjinfor
mationjisjreviewedjandjupdatedjbyjanjinternationallyjrenownedjgroupjofjphysiciansjandpharmac
istsjwithjclinicaljandjscientificjexpertise.
DIF:jCognitivejLevel:jComprehensionjREF:jp.j3jOBJ:j3TOP:
, NursingjProcessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
4. Thejphysicianjhasjwrittenjanjorderjforjajdrugjwithjwhichjthejnursejisjunfamiliar.jWhichjsectionj
ofjthejPhysicians’jDeskjReferencej(PDR)jisjmostjhelpfuljtojgetjinformationjaboutjthisjdrug?
a. Manufacturer’sjsection
b. BrandjandjGenericjNamejsection
c. ProductjCategoryjsection
d. ProductjInformationjsectionj
ANS:jB
DIF:jCognitivejLevel:jComprehensionjREF:jp.j3jOBJ:j4TOP:
NursingjProcessjStep:jPlanning
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
5. Whichjonlinejdrugjreferencejmakesjavailablejtojhealthjcarejprovidersjandjthejpublicjajstand
ard,jcomprehensive,jupjtojdatejlookjupjandjdownloadablejresourcejaboutjmedicines?
a. AmericanjDrugjIndex
b. AmericanjHospitaljFormulary
c. DailyMed
d. Physicians’jDeskjReferencej(PDR)
ANS:j C
DailyMedjmakesjavailablejtojhealthjcarejprovidersjandjthejpublicjajstandard,jcomprehensive,jupjt
ojdatejlookjupjandjdownloadablejresourcejaboutjmedicines.jThejAmericanjDrugjIndexjisjnotjapp
ropriatejforjpatientjuse.jThejAmericanjHospitaljFormularyjisjnotjappropriatejforjpatientjuse.jThej
PDRjisjnotjappropriatejforjpatientjuse.
DIF:jCognitivejLevel:jKnowledgejREF:jp.j4jOBJ:j5TOP:j NursingjPro
cessjStep:jImplementation
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
6. WhichjlegislationjauthorizesjthejFDAjtojdeterminejthejsafetyjofjajdrugjbeforejitsjmarketing?
a. FederaljFood,jDrug,jandjCosmeticjActj(1938)
b. DurhamjHumphreyjAmendmentj(1952)
c. ControlledjSubstancesjActj(1970)
d. KefauverjHarrisjDrugjAmendmentj(1962)
ANS:j A
ThejFederaljFood,jDrug,jandjCosmeticjActjofj1938jauthorizedjthejFDAjtojdeterminejthejsafetyjo
fjalljdrugsjbeforejmarketing.jLaterjamendmentsjandjactsjhelpedjtightenjFDAjcontroljandjensurej
drugjsafety.jThejDurhamjHumphreyjAmendmentjdefinesjthejkindsjofjdrugsjthatjcannotjbejusedjs
afelyjwithoutjmedicaljsupervisionjandjrestrictsjtheirjsalejtojprescriptionjbyjajlicensedjpractitioner
.jThejControlledjSubstancesjActjaddressesjonlyjcontrolledjsubstancesjandjtheirjcategorization.jTh
ejKefauverjHarrisjDrugjAmendmentjensuresjdrugjefficacyjandjgreaterjdrugjsafety.jDrugjmanufa
cturersjarejrequiredjtojprovejtojthejFDAjthejeffectivenessjofjtheirjproductsjbeforejmarketingjthe
m.
DIF:jCognitivejLevel:jKnowledgejREF:jp.j4jOBJ:j8TOP:j NursingjPro
cessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
7. Meperidinej(Demerol)jisjajnarcoticjwithjajhighjpotentialjforjphysicaljandjpsychological
, dependency.jUnderjwhichjclassificationjdoesjthisjdrugjfall?
a. I
b. II
c. III
d. IV
ANS:j B
Meperidinej(Demerol)jisjajSchedulejIIjdrug;jitjhasjajhighjpotentialjforjabusejandjmayjleadjtojseve
rejpsychologicaljandjphysicaljdependence.jSchedulejIjdrugsjhavejhighjpotentialjforjabusejandjnojr
ecognizedjmedicaljuse.jSchedulejIIIjdrugsjhavejsomejpotentialjforjabuse.jUsejmayjleadjtojlowjtoj
moderatejphysicaljdependencejorjhighjpsychologicaljdependence.jSchedulejIVjdrugsjhavejlowjp
otentialjforjabuse.jUsejmayjleadjtojlimitedjphysicaljorjpsychologicaljdependence.
DIF:jCognitivejLevel:jComprehensionjREF:jp.j4j|jp.j5jOBJ:j7TOP:jNu
rsingjProcessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jSafe,jEffectivejCarejEnvironment
8. WhatjwouldjthejFDAjdojtojexpeditejdrugjdevelopmentjandjapprovaljforjanjoutbreakjofjsm
allpox,jforjwhichjtherejisjnojknownjtreatment?
a. Listjsmallpoxjasjajhealthjorphanjdisease.
b. Omitjthejpreclinicaljresearchjphase.
c. Extendjthejclinicaljresearchjphase.
d. Fastjtrackjthejinvestigationaljdrug.
ANS:j D
OncejthejInvestigationaljNewjDrugjApplicationjhasjbeenjapproved,jthejdrugjcanjreceivejhighes
tjpriorityjwithinjthejagency,jwhichjisjcalledjfastjtracking.jAjsmallpoxjoutbreakjwouldjbecomejaj
priorityjconcernjinjthejworld.jOrphanjdiseasesjarejnotjresearchedjinjajpriorityjmanner.jPreclinic
aljresearchjisjnotjomitted.jExtendingjanyjphasejofjthejresearchjwouldjmeanjajlongerjtimejtojdeve
lopjajvaccine.jThejFDAjmustjensurejthatjalljphasesjofjthejpreclinicaljandjclinicaljresearchjphasej
havejbeenjcompletedjinjajsafejmanner.
DIF:jCognitivejLevel:jKnowledgejREF:jp.j7jOBJ:j8TOP:j NursingjPro
cessjStep:jAssessment
MSC:j NCLEXjClientjNeedsjCategory:jSafe,jEffectivejCarejEnvironment
9. Whichjstatementjisjtruejaboutjoverjthejcounterj(OTC)jdrugs?
a. TheyjarejnotjlistedjinjthejUSPjNF.
b. Ajprescriptionjfromjajhealthjcarejproviderjisjneeded.
c. Theyjarejsoldjwithoutjajprescription.
d. Theyjarejknownjonlyjbyjtheirjbrandjnames.
ANS:j C
OTCjmedicationsjdojnotjrequirejajprescription.jAjvarietyjofjnames,jbothjgenericjandjtrade,jcanjb
ejusedjforjindividualjdrugsjsoldjOTC.jOTCjdrugsjarejlistedjinjthejUSPjNF.jPrescriptionjdrugsjreq
uirejanjorderjbyjajhealthjprofessionaljwhojisjlicensedjtojprescribe,jsuchjasjajphysician,jnursejprac
titioner,jphysicianjassistant,jorjdentist.
DIF:jCognitivejLevel:jComprehensionjREF:jp.j2jOBJ:j2TOP:jNursing
jProcessjStep:jPlanning
MSC:j NCLEXjClientjNeedsjCategory:jPhysiologicaljIntegrity
10. Whichjisjthejmostjauthoritativejreferencejforjmedicationsjthatjarejinjected?