TEST BANK
Pharmacology Clear and Simple: A Guide to Drug
Classifications and Dosage Calculations
4th Edition
By Cynthia J. Watkins
Chapter 1: History of Pharmacology
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. While caring for a client taking furosemide (Lasix), the nurse recognizes dietary
teaching has been effective if the patient includes which food?
A. Broccoli and kiwi
B. Oranges and sweet potatoes
C. Kale and cucumbers
D. Bananas and melon
2. A client newly diagnosed with diabetes states, "I can't take insulin made from pigs or
cows." Which response is best?
A. "Most insulin comes from animal sources, but alternatives exist."
B. "Animal-derived medications are typically less expensive than synthetic."
C. "Most insulin is synthetic now to help reduce disease transmission risk."
D. "Animals aren't hurt in production, so you don't need to worry."
3. The nurse anticipates hydralazine/isosorbide dinitrate (BiDil) would most likely be
prescribed for which client?
A. 48-year-old Caucasian male with atrial fibrillation
,B. 55-year-old African American female with hypertension
C. 63-year-old Caucasian female with sick sinus syndrome
D. 64-year-old African American male with heart failure
4. A patient scheduled for knee replacement receives cefazolin (Ancef) 30 minutes pre-
op. Which statement indicates effective teaching?
A. "The antibiotic is prophylactic to help reduce infection risk after surgery."
B. "This is a palliative medication to help ease post-surgical pain."
C. "This medication replaces vitamins lost due to bleeding during surgery."
D. "This helps the surgeon identify bone destruction from arthritis."
5. A patient with hypothyroidism should have which medication on their list?
A. Levothyroxine sodium (Synthroid)
B. Estrogen (Estradiol)
C. Iodine 131
D. Carbimazole (Methimazole)
6. A 55-year-old with vomiting is scheduled for an upper GI radiograph. Which
statement should the nurse include in teaching?
A. "You will need to drink prep to clear out your system before the test."
B. "You will be given prophylactic medication to prevent aspiration."
C. "You will drink barium contrast 30 minutes before the test to highlight digestive
problems."
D. "You will receive a sedative to make you sleepy during the procedure."
7. A student nurse cares for a 29-year-old with advanced cervical cancer. Which
medication is palliative?
A. Cisplatin (Platinol) 50 mg IV weekly
B. Sorafenib (Nexavar) 200 mg orally twice daily
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy
D. Morphine sulfate (Roxanol) 5 mg PO every 4 hours PRN pain
8. A woman asks about conjugated estrogen (Premarin). Which statement indicates
understanding of its origin?
A. "I won't take anything made from animal flesh due to animal cruelty."
B. "I was told the medication is derived from the urine of pregnant horses."
C. "Because I'm Jewish, I can't take it since it comes from pigs."
D. "Harvesting medicines from cows seems rather odd."
9. A 47-year-old reports iodine allergy. Which test should be avoided?
A. Computerized axial tomography (CAT) scan
B. Magnetic resonance imaging (MRI)
,C. Colonoscopy
D. Thyroid scan
10. Which medication is derived from the foxglove plant?
A. Digoxin (Lanoxin)
B. Warfarin (Coumadin)
C. Morphine sulfate
D. Penicillin
11. A nurse administers a medication to prevent deep vein thrombosis post-surgery.
This is an example of which drug category?
A. Palliative
B. Prophylactic
C. Diagnostic
D. Replacement
12. Which ancient civilization is credited with documenting the use of opium for pain
relief?
A. Egyptians
B. Greeks
C. Chinese
D. Sumerians
13. The nurse understands that the Pure Food and Drug Act of 1906 required which
action?
A. Proof of drug effectiveness before marketing
B. Accurate labeling of medications
C. Prescriptions for all narcotics
D. Reporting of adverse drug reactions
14. A patient asks about herbal supplements. Which response by the nurse is most
appropriate?
A. "Herbal supplements are regulated by the FDA like prescription drugs."
B. "Natural supplements have no side effects or drug interactions."
C. "You should tell your provider about all supplements you take."
D. "Herbal products are safer than prescription medications."
15. The nurse administers naloxone (Narcan) to reverse opioid overdose. This is an
example of which drug action?
A. Agonist
B. Antagonist
, C. Partial agonist
D. Synergist
16. A patient taking warfarin (Coumadin) asks about its origin. The nurse explains
warfarin was derived from:
A. Mold
B. Sweet clover
C. Poppy plant
D. Foxglove
17. Which legislation required proof of drug effectiveness and safety before marketing?
A. Food, Drug, and Cosmetic Act of 1938
B. Durham-Humphrey Amendment of 1951
C. Kefauver-Harris Amendment of 1962
D. Controlled Substances Act of 1970
18. The nurse identifies that a medication prescribed "for off-label use" means:
A. The drug is being used illegally
B. The drug is expired or contaminated
C. The drug is used for a condition not FDA-approved
D. The drug is administered by an unapproved route
19. Which schedule of controlled substances has the highest abuse potential?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
20. A patient with ADHD is prescribed methylphenidate (Ritalin). This medication is
classified as which schedule?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
21. The nurse understands that pharmacokinetics involves which process?
A. Study of drug mechanisms of action
B. Movement of drugs through the body (ADME)
C. Genetic factors affecting drug response
D. Contraindications and adverse effects
Pharmacology Clear and Simple: A Guide to Drug
Classifications and Dosage Calculations
4th Edition
By Cynthia J. Watkins
Chapter 1: History of Pharmacology
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. While caring for a client taking furosemide (Lasix), the nurse recognizes dietary
teaching has been effective if the patient includes which food?
A. Broccoli and kiwi
B. Oranges and sweet potatoes
C. Kale and cucumbers
D. Bananas and melon
2. A client newly diagnosed with diabetes states, "I can't take insulin made from pigs or
cows." Which response is best?
A. "Most insulin comes from animal sources, but alternatives exist."
B. "Animal-derived medications are typically less expensive than synthetic."
C. "Most insulin is synthetic now to help reduce disease transmission risk."
D. "Animals aren't hurt in production, so you don't need to worry."
3. The nurse anticipates hydralazine/isosorbide dinitrate (BiDil) would most likely be
prescribed for which client?
A. 48-year-old Caucasian male with atrial fibrillation
,B. 55-year-old African American female with hypertension
C. 63-year-old Caucasian female with sick sinus syndrome
D. 64-year-old African American male with heart failure
4. A patient scheduled for knee replacement receives cefazolin (Ancef) 30 minutes pre-
op. Which statement indicates effective teaching?
A. "The antibiotic is prophylactic to help reduce infection risk after surgery."
B. "This is a palliative medication to help ease post-surgical pain."
C. "This medication replaces vitamins lost due to bleeding during surgery."
D. "This helps the surgeon identify bone destruction from arthritis."
5. A patient with hypothyroidism should have which medication on their list?
A. Levothyroxine sodium (Synthroid)
B. Estrogen (Estradiol)
C. Iodine 131
D. Carbimazole (Methimazole)
6. A 55-year-old with vomiting is scheduled for an upper GI radiograph. Which
statement should the nurse include in teaching?
A. "You will need to drink prep to clear out your system before the test."
B. "You will be given prophylactic medication to prevent aspiration."
C. "You will drink barium contrast 30 minutes before the test to highlight digestive
problems."
D. "You will receive a sedative to make you sleepy during the procedure."
7. A student nurse cares for a 29-year-old with advanced cervical cancer. Which
medication is palliative?
A. Cisplatin (Platinol) 50 mg IV weekly
B. Sorafenib (Nexavar) 200 mg orally twice daily
C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy
D. Morphine sulfate (Roxanol) 5 mg PO every 4 hours PRN pain
8. A woman asks about conjugated estrogen (Premarin). Which statement indicates
understanding of its origin?
A. "I won't take anything made from animal flesh due to animal cruelty."
B. "I was told the medication is derived from the urine of pregnant horses."
C. "Because I'm Jewish, I can't take it since it comes from pigs."
D. "Harvesting medicines from cows seems rather odd."
9. A 47-year-old reports iodine allergy. Which test should be avoided?
A. Computerized axial tomography (CAT) scan
B. Magnetic resonance imaging (MRI)
,C. Colonoscopy
D. Thyroid scan
10. Which medication is derived from the foxglove plant?
A. Digoxin (Lanoxin)
B. Warfarin (Coumadin)
C. Morphine sulfate
D. Penicillin
11. A nurse administers a medication to prevent deep vein thrombosis post-surgery.
This is an example of which drug category?
A. Palliative
B. Prophylactic
C. Diagnostic
D. Replacement
12. Which ancient civilization is credited with documenting the use of opium for pain
relief?
A. Egyptians
B. Greeks
C. Chinese
D. Sumerians
13. The nurse understands that the Pure Food and Drug Act of 1906 required which
action?
A. Proof of drug effectiveness before marketing
B. Accurate labeling of medications
C. Prescriptions for all narcotics
D. Reporting of adverse drug reactions
14. A patient asks about herbal supplements. Which response by the nurse is most
appropriate?
A. "Herbal supplements are regulated by the FDA like prescription drugs."
B. "Natural supplements have no side effects or drug interactions."
C. "You should tell your provider about all supplements you take."
D. "Herbal products are safer than prescription medications."
15. The nurse administers naloxone (Narcan) to reverse opioid overdose. This is an
example of which drug action?
A. Agonist
B. Antagonist
, C. Partial agonist
D. Synergist
16. A patient taking warfarin (Coumadin) asks about its origin. The nurse explains
warfarin was derived from:
A. Mold
B. Sweet clover
C. Poppy plant
D. Foxglove
17. Which legislation required proof of drug effectiveness and safety before marketing?
A. Food, Drug, and Cosmetic Act of 1938
B. Durham-Humphrey Amendment of 1951
C. Kefauver-Harris Amendment of 1962
D. Controlled Substances Act of 1970
18. The nurse identifies that a medication prescribed "for off-label use" means:
A. The drug is being used illegally
B. The drug is expired or contaminated
C. The drug is used for a condition not FDA-approved
D. The drug is administered by an unapproved route
19. Which schedule of controlled substances has the highest abuse potential?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
20. A patient with ADHD is prescribed methylphenidate (Ritalin). This medication is
classified as which schedule?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
21. The nurse understands that pharmacokinetics involves which process?
A. Study of drug mechanisms of action
B. Movement of drugs through the body (ADME)
C. Genetic factors affecting drug response
D. Contraindications and adverse effects
