,Test Bank - Focus on Nursing Pharmacology (9th Edition by
s s s s s s s s s 3
Karch)
s
Chapter 01 - Introduction to Drugs s s s s s
A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)
s s s s s s s s s s s s s s s s
scan. The nurse working on the oncology unit administers chemotherapy to patients who have
s s s s s s s s s s s s s s
cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella (MMR)
s s s s s s s s s s s s
vaccine to a 14-month-old child as a routine immunization. Which branch of pharmacology best
s s s s s s s s s s s s s s
describes the actions of all three nurses?
s s s s s s s
Pharmacoeconomics
s Pharmacotherapeutic
sPharmacodynamics
s
s Pharmacokinetics
s Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
s s s s s s s s s s s s s s
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of
s s s s s s s s s s s s s s s
drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
s s s s s s s s s s s s s s s s
diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
s s s s s s s s s s s s s s s
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a s s s s s s s s s s s
drug affects the body and pharmacokinetics is how the body acts on the body.
s s s s s s s s s s s s s s
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for
s s s s s s s s s s s s s s s s
pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
s s s s s s s s s s s s s s s s s s
Under what category would morphine be classified?
s s s s s s
Schedule I s
s Schedule II s
s Schedule III s
Schedule IV
s s
s Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
s s s s s s s s s s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
,Test Bank - Focus on Nursing Pharmacology (9th Edition by
s s s s s s s s s 4
Karch)
s
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs
s s s s s s s s s s s s s s s
have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse
s s s s s s s s s s s s s s s s s s
potential and limited dependence liability.
s s s s s
When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
s s s s s s s s s s s s s
Working with animals who are given experimental drugs
s s s s s s s s
Choosing appropriate patients to be involved in the drug study
s s s s s s s s s
s Monitoring and observing patients closely for adverse effects
s s s s s s s
s Conducting research to determine effectiveness of the drug Ans: C
s s s s s s s s s
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to record
s s s s s s s s s s s s s s s s s s s
any symptoms they experience while taking the drugs. Nurses may be responsible for helping collect
s s s s s s s s s s s s s s s
sand analyze the information to be shared with the Food and Drug Administration (FDA) but would not
s s s s s s s s s s s s s s s s
sconduct research independently because nurses do not prescribe medications. Use of animals in drug
s s s s s s s s s s s s s
stesting is done in the preclinical trials. Select patients who are involved in phase II studies to participate
s s s s s s s s s s s s s s s s s
in studies where the participants have the disease the drug is intended to treat. These patients are
s s s s s s s s s s s s s s s s s
smonitored closely for drug action and adverse effects. Phase I studies involve healthy human volunteers
s s s s s s s s s s s s s s
who are usually paid for their participation. Nurses may observe for adverse effects and toxicity.
s s s s s s s s s s s s s s s
What concept is considered when generic drugs are substituted for brand name drugs?
s s s s s s s s s s s s
Bioavailability
s
Critical concentration s
Distribution
s
Half-life
s Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available to
s s s s s s s s s s s s s s s s s s
act on body cells. Binders used in a generic drug may not be the same as those used in the brand name
s s s s s s s s s s s s s s s s s s s s s s
drug. Therefore, the way the body breaks down and uses the drug may differ, which may eliminate a
s s s s s s s s s s s s s s s s s s
generic drug substitution. Critical concentration is the amount of a drug that is needed to cause a
s s s s s s s s s s s s s s s s s
therapeutic effect and should not differ between generic and brand name medications. Distribution is
s s s s s s s s s s s s s s
the phase of pharmacokinetics, which involves the movement of a drug to the body’s tissues and is the
s s s s s s s s s s s s s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
, Test Bank - Focus on Nursing Pharmacology (9th Edition by
s s s s s s s s s 5
Karch)
s
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug to
s s s s s s s s s s s s s s s s s s s s
decrease to half the peak level, which should not change when substituting a generic medication.
s s s s s s s s s s s s s s s
A nurse is assessing the patient’s home medication use. After listening to the patient list current
s s s s s s s s s s s s s s s
medications, the nurse asks what priority question?
s s s s s s s
Do you take any generic medications?
s s s s s
Are any of these medications orphan drugs?
s s s s s s
Are these medications safe to take during pregnancy?
s s s s s s s
Do you take any over-the-counter medications?
s s s s s s
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because
s s s s s s s s s s s s s
patients may not consider them important. The patient is unlikely to know the meaning of orphan drugs
s s s s s s s s s s s s s s s s s
unless they too are health care providers. Safety during pregnancy, use of a generic medication, or
s s s s s s s s s s s s s s s s
classification of orphan drugs are things the patient would be unable to answer but could be found in
s s s s s s s s s s s s s s s s s s
reference books if the nurse wishes to research them.
s s s s s s s s s
After completing a course on pharmacology for nurses, what will the nurse know?
s s s s s s s s s s s s
Everything necessary for safe and effective medication administration
s s s s s s s s
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
s s s s s s s s s s s s
s General drug information; the nurse can consult a drug guide for specific drug
s s s s s s s s s s s s
s information.The drug actions that are associated with each classification of medication
s s s s s s s s s s s
Ans:
s C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe and
s s s s s s s s s s s s s s
effective medication administration but will need to consult a drug guide for specific drug information
s s s s s s s s s s s s s s s
before administering any medication. Pharmacology is constantly changing, with new drugs entering
s s s s s s s s s s s s
the market and new uses for existing drugs identified. Continuing education in pharmacology is
s s s s s s s s s s s s s s
essential to safe practice. Nurses tend to become familiar with the medications they administer most
s s s s s s s s s s s s s s s
often, but there will always be a need to research new drugs and also those the nurse is not familiar with
s s s s s s s s s s s s s s s s s s s s s
because no nurse knows all medications.
s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
s s s s s s s s s 3
Karch)
s
Chapter 01 - Introduction to Drugs s s s s s
A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)
s s s s s s s s s s s s s s s s
scan. The nurse working on the oncology unit administers chemotherapy to patients who have
s s s s s s s s s s s s s s
cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella (MMR)
s s s s s s s s s s s s
vaccine to a 14-month-old child as a routine immunization. Which branch of pharmacology best
s s s s s s s s s s s s s s
describes the actions of all three nurses?
s s s s s s s
Pharmacoeconomics
s Pharmacotherapeutic
sPharmacodynamics
s
s Pharmacokinetics
s Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
s s s s s s s s s s s s s s
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of
s s s s s s s s s s s s s s s
drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
s s s s s s s s s s s s s s s s
diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
s s s s s s s s s s s s s s s
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a s s s s s s s s s s s
drug affects the body and pharmacokinetics is how the body acts on the body.
s s s s s s s s s s s s s s
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for
s s s s s s s s s s s s s s s s
pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
s s s s s s s s s s s s s s s s s s
Under what category would morphine be classified?
s s s s s s
Schedule I s
s Schedule II s
s Schedule III s
Schedule IV
s s
s Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
s s s s s s s s s s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
,Test Bank - Focus on Nursing Pharmacology (9th Edition by
s s s s s s s s s 4
Karch)
s
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugs
s s s s s s s s s s s s s s s
have a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse
s s s s s s s s s s s s s s s s s s
potential and limited dependence liability.
s s s s s
When involved in phase III drug evaluation studies, what responsibilities would the nurse have?
s s s s s s s s s s s s s
Working with animals who are given experimental drugs
s s s s s s s s
Choosing appropriate patients to be involved in the drug study
s s s s s s s s s
s Monitoring and observing patients closely for adverse effects
s s s s s s s
s Conducting research to determine effectiveness of the drug Ans: C
s s s s s s s s s
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to record
s s s s s s s s s s s s s s s s s s s
any symptoms they experience while taking the drugs. Nurses may be responsible for helping collect
s s s s s s s s s s s s s s s
sand analyze the information to be shared with the Food and Drug Administration (FDA) but would not
s s s s s s s s s s s s s s s s
sconduct research independently because nurses do not prescribe medications. Use of animals in drug
s s s s s s s s s s s s s
stesting is done in the preclinical trials. Select patients who are involved in phase II studies to participate
s s s s s s s s s s s s s s s s s
in studies where the participants have the disease the drug is intended to treat. These patients are
s s s s s s s s s s s s s s s s s
smonitored closely for drug action and adverse effects. Phase I studies involve healthy human volunteers
s s s s s s s s s s s s s s
who are usually paid for their participation. Nurses may observe for adverse effects and toxicity.
s s s s s s s s s s s s s s s
What concept is considered when generic drugs are substituted for brand name drugs?
s s s s s s s s s s s s
Bioavailability
s
Critical concentration s
Distribution
s
Half-life
s Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug that reaches the systemic circulation and is available to
s s s s s s s s s s s s s s s s s s
act on body cells. Binders used in a generic drug may not be the same as those used in the brand name
s s s s s s s s s s s s s s s s s s s s s s
drug. Therefore, the way the body breaks down and uses the drug may differ, which may eliminate a
s s s s s s s s s s s s s s s s s s
generic drug substitution. Critical concentration is the amount of a drug that is needed to cause a
s s s s s s s s s s s s s s s s s
therapeutic effect and should not differ between generic and brand name medications. Distribution is
s s s s s s s s s s s s s s
the phase of pharmacokinetics, which involves the movement of a drug to the body’s tissues and is the
s s s s s s s s s s s s s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
, Test Bank - Focus on Nursing Pharmacology (9th Edition by
s s s s s s s s s 5
Karch)
s
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug to
s s s s s s s s s s s s s s s s s s s s
decrease to half the peak level, which should not change when substituting a generic medication.
s s s s s s s s s s s s s s s
A nurse is assessing the patient’s home medication use. After listening to the patient list current
s s s s s s s s s s s s s s s
medications, the nurse asks what priority question?
s s s s s s s
Do you take any generic medications?
s s s s s
Are any of these medications orphan drugs?
s s s s s s
Are these medications safe to take during pregnancy?
s s s s s s s
Do you take any over-the-counter medications?
s s s s s s
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because
s s s s s s s s s s s s s
patients may not consider them important. The patient is unlikely to know the meaning of orphan drugs
s s s s s s s s s s s s s s s s s
unless they too are health care providers. Safety during pregnancy, use of a generic medication, or
s s s s s s s s s s s s s s s s
classification of orphan drugs are things the patient would be unable to answer but could be found in
s s s s s s s s s s s s s s s s s s
reference books if the nurse wishes to research them.
s s s s s s s s s
After completing a course on pharmacology for nurses, what will the nurse know?
s s s s s s s s s s s s
Everything necessary for safe and effective medication administration
s s s s s s s s
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
s s s s s s s s s s s s
s General drug information; the nurse can consult a drug guide for specific drug
s s s s s s s s s s s s
s information.The drug actions that are associated with each classification of medication
s s s s s s s s s s s
Ans:
s C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe and
s s s s s s s s s s s s s s
effective medication administration but will need to consult a drug guide for specific drug information
s s s s s s s s s s s s s s s
before administering any medication. Pharmacology is constantly changing, with new drugs entering
s s s s s s s s s s s s
the market and new uses for existing drugs identified. Continuing education in pharmacology is
s s s s s s s s s s s s s s
essential to safe practice. Nurses tend to become familiar with the medications they administer most
s s s s s s s s s s s s s s s
often, but there will always be a need to research new drugs and also those the nurse is not familiar with
s s s s s s s s s s s s s s s s s s s s s
because no nurse knows all medications.
s s s s s s
Want sto searn
s$1.236
Distribution sof sthis sdocument sis
sillegal extra sper syear?
