CERTIFIED BRAIN INJURY SPECIALIST (CBIS) EXAM CHAPTER 23

Which source of drug information would be least reliable for healthcare providers when researching a medication? A. Physician's Desk Reference (PDR) B. Nursing drug handbooks C. Pharmacopoeia and formularies D. Unverified internet sources D. Unverified internet sources Which type of drug name is assigned by the United States Adopted Names Council when the manufacturer is ready to market the drug? A. Chemical name B. Generic name C. Brand name D. Official name B. Generic name Which of the following medication systems is designed to store client-specific doses for 24 hours and is considered the safest method for dispensing medication? A. Stock supply B. Unit dose C. Automated dispensing system D. Self-administration system B. Unit dose A patient has liver disease. Which pharmacokinetic process is most likely to be affected? A. Absorption B. Distribution C. Metabolism D. Excretion C. Metabolism What is the therapeutic range of a drug? A. The time it takes for a drug to reach its peak concentration B. The level of drug concentration that produces desired effects without causing toxicity C. The minimum concentration needed for a drug to have an effect D. The time it takes for half of the drug to be eliminated from the body B. The level of drug concentration that produces desired effects without causing toxicity What effect does a low-protein diet have on drug distribution? A. Increases drug absorption B. Leads to faster drug metabolism C. Increases the availability of "free" drug in the blood D. Delays drug excretion C. Increases the availability of "free" drug in the blood Which route of drug administration provides the most immediate absorption? A. Oral B. Intramuscular C. Intravenous D. Subcutaneous C. Intravenous We have an expert-written solution to this problem! Which term describes a medication that replaces body fluids or chemicals needed for improved function? A. Palliative effect B. Supportive effect C. Substitutive effect D. Restorative effect C. Substitutive effect A patient reports feeling drowsy after taking a medication that was prescribed to relieve pain. This reaction is an example of which type of drug effect? A. Therapeutic effect B. Side effect C. Adverse reaction D. Toxic reaction B. Side effect What is the nurse's first step if a medication error occurs? A. Report the error to the nurse manager B. Notify the primary care provider C. Assess the patient's vital signs and physical status D. Complete an incident report C. Assess the patient's vital signs and physical status Which type of drug requires a written prescription from a licensed healthcare provider? A. Over-the-counter drugs B. Prescription drugs C. Generic drugs D. Herbal supplements B. Prescription drugs Which organization regulates the sale and safety of medications in the United States? A. Centers for Disease Control and Prevention (CDC) B. Drug Enforcement Administration (DEA) C. U.S. Pharmacopeia (USP) D. Food and Drug Administration (FDA) D. Food and Drug Administration (FDA) Which route of administration is considered the safest method for ensuring accurate dosing of medication? A. Bulk supply B. Unit dose system C. Automated dispensing D. Self-administration B. Unit dose system What is the primary factor affecting drug distribution? A. Route of administration B. Local blood flow C. pH of the stomach D. Liver function B. Local blood flow Which process involves the chemical conversion of a drug into a form that can be excreted from the body? A. Absorption B. Distribution C. Metabolism D. Excretion C. Metabolism