Test Bank - Focus on Nursing Pharmacology 9th Editionby
.F .F .F .F .F .F .F .F .F
Amy Karch Chapter 1-59 |Complete Guide 2023
.F .F .F .F .F .F .F .F
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 3
Chapter 01 - Introduction to Drugs .F .F .F .F .F
A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)scan.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
The nurse working on the oncology unit administers chemotherapy to patients who have cancer. At the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Public Health Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
.F .F .F .F .F .F .F .F .F .F .F .F .F
month-old child as a routine immunization. Which branch of pharmacology best describes the actions .F .F .F .F .F .F .F .F .F .F .F .F .F
of all three nurses? .F .F .F .F
Pharmacoeconomics
.F Pharmacotherapeutic
sPharmacodynamics
.F
.F Pharmacokinetics
.F Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical .F .F .F .F .F .F .F .F .F .F .F .F .F .F
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
ofdrugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help diagnose
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
a disease. The oncology nurse is administering a drug to help treat a disease.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how .F .F .F .F .F .F .F .F .F .F
adrug affects the body and pharmacokinetics is how the body acts on the body.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed forpain
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Underwhatcategory would morphine be classified? .F .F .F .F .F .F
Schedule I .F
.F Schedule II .F
.F Schedule
.F IIISchedule
.F
.F IV Ans: .F B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Want to earn $1.236
.F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year?
.F .F
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 4
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugshave
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse potential
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
and limited dependence liability.
.F .F .F .F
When involved in phase III drug evaluation studies, what responsibilities would the nurse
.F .F .F .F .F .F .F .F .F .F .F .F
have?Working with animals who are given experimental drugs
.F .F .F .F .F .F .F .F .F
Choosing appropriate patients to be involved in the drug study
.F .F .F .F .F .F .F .F .F
.F Monitoring and observing patients closely for adverse effects
.F .F .F .F .F .F .F
.F Conductingresearch to determine effectiveness of the drug Ans: C
.F .F .F .F .F .F .F .F . F
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to recordany
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
symptoms they experience while taking the drugs. Nurses may be responsible for helping collect and analyze
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
the information to be shared with the Food and Drug Administration (FDA) but would not conduct research
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
independently because nurses do not prescribe medications. Use of animals in drug testing is done in the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
preclinical trials. Select patients who are involved in phase II studies to participatein studies where the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
participants have the disease the drug is intended to treat. These patients are monitored closely for drug action
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
and adverse effects. Phase I studies involve healthy human volunteerswho are usually paid for their
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
participation. Nurses may observe for adverse effects and toxicity.
.F .F .F .F .F .F .F .F .F
What concept is considered when generic drugs are substituted for brand name
.F .F .F .F .F .F .F .F .F .F .F
drugs?Bioavailability
.F .F
Critical
concentrationDistrib
.F .F
ution
Half-life
.F Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug thatreaches the systemic circulation and is available to act on .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
body cells. Binders used in a generic drug may not be the same as those used in the brand name drug.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Therefore, the way the body breaks down and uses the drug may differ, which may eliminate a generic drug
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
substitution. Critical concentration is the amount of a drug that is needed to cause a therapeutic effect and
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
should not differ between generic and brand name medications. Distribution is the phase of
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
pharmacokinetics, which involves the movement of a drug to the body’s tissues and is the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Want to earn $1.236 .F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year?.F .F
, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 5
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
todecrease to half the peak level, which should not change when substituting a generic medication.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
A nurse isassessing thepatient’s home medication use.After listening to the patientlistcurrent medications, the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
nurse asks what priority question?
.F .F .F .F .F
Do you take any generic medications?
.F .F .F .F .F
Areany of these medications orphan drugs?
.F .F .F .F .F .F
Are these medications safe to take during
.F .F .F .F .F .F
.F pregnancy?Do you take any over-the-counter .F .F .F .F .F
medications?
.F
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because patients
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
may not consider them important. The patient is unlikely to know the meaning of orphan drugsunless they
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
too are health care providers. Safety during pregnancy, use of a generic medication, or classification of
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
orphan drugs are things the patient would be unable to answer but could be found in reference books if the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
nurse wishes to research them.
.F .F .F .F .F
After completing a course on pharmacology for nurses, what will the nurse
.F .F .F .F .F .F .F .F .F .F .F
.F know?Everything necessary for safe and effective medication administration
.F .F .F .F .F .F .F .F
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
.F .F .F .F .F .F .F .F .F .F .F .F
.F General drug information; the nurse can consult a drug guide for specific drug information.The
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
drug actions thatare associated with each classification of medication Ans:
.F .F .F .F .F .F .F .F .F .F .F C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe
.F .F .F .F .F .F .F .F .F .F .F .F .F
andeffective medication administration but will need to consult a drug guide for specific drug information
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
before administering any medication. Pharmacology is constantly changing, with new drugs entering the
.F .F .F .F .F .F .F .F .F .F .F .F .F
market and new uses for existing drugs identified. Continuing education in pharmacology is essential to safe
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
practice. Nurses tend to become familiar with the medications they administer most often, but there will
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
always be a need to research new drugs and also those the nurse is not familiar withbecause no nurse knows all
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
medications.
.F
Want to earn $1.236 .F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year? .F .F
.F .F .F .F .F .F .F .F .F
Amy Karch Chapter 1-59 |Complete Guide 2023
.F .F .F .F .F .F .F .F
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 3
Chapter 01 - Introduction to Drugs .F .F .F .F .F
A nurse working in radiology administers iodine to a patient who is having a computed tomography (CT)scan.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
The nurse working on the oncology unit administers chemotherapy to patients who have cancer. At the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Public Health Department, a nurse administers a measles-mumps-rubella (MMR) vaccine to a 14-
.F .F .F .F .F .F .F .F .F .F .F .F .F
month-old child as a routine immunization. Which branch of pharmacology best describes the actions .F .F .F .F .F .F .F .F .F .F .F .F .F
of all three nurses? .F .F .F .F
Pharmacoeconomics
.F Pharmacotherapeutic
sPharmacodynamics
.F
.F Pharmacokinetics
.F Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical .F .F .F .F .F .F .F .F .F .F .F .F .F .F
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
ofdrugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help diagnose
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
a disease. The oncology nurse is administering a drug to help treat a disease.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how .F .F .F .F .F .F .F .F .F .F
adrug affects the body and pharmacokinetics is how the body acts on the body.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed forpain
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Underwhatcategory would morphine be classified? .F .F .F .F .F .F
Schedule I .F
.F Schedule II .F
.F Schedule
.F IIISchedule
.F
.F IV Ans: .F B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Want to earn $1.236
.F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year?
.F .F
,Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 4
liability. Schedule I drugs have high abuse potential and no accepted medical use. Schedule III drugshave
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
a lesser abuse potential than II and an accepted medical use. Schedule IV drugs have low abuse potential
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
and limited dependence liability.
.F .F .F .F
When involved in phase III drug evaluation studies, what responsibilities would the nurse
.F .F .F .F .F .F .F .F .F .F .F .F
have?Working with animals who are given experimental drugs
.F .F .F .F .F .F .F .F .F
Choosing appropriate patients to be involved in the drug study
.F .F .F .F .F .F .F .F .F
.F Monitoring and observing patients closely for adverse effects
.F .F .F .F .F .F .F
.F Conductingresearch to determine effectiveness of the drug Ans: C
.F .F .F .F .F .F .F .F . F
Feedback:
Phase III studies involve use of a drug in a vast clinical population in which patients are asked to recordany
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
symptoms they experience while taking the drugs. Nurses may be responsible for helping collect and analyze
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
the information to be shared with the Food and Drug Administration (FDA) but would not conduct research
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
independently because nurses do not prescribe medications. Use of animals in drug testing is done in the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
preclinical trials. Select patients who are involved in phase II studies to participatein studies where the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
participants have the disease the drug is intended to treat. These patients are monitored closely for drug action
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
and adverse effects. Phase I studies involve healthy human volunteerswho are usually paid for their
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
participation. Nurses may observe for adverse effects and toxicity.
.F .F .F .F .F .F .F .F .F
What concept is considered when generic drugs are substituted for brand name
.F .F .F .F .F .F .F .F .F .F .F
drugs?Bioavailability
.F .F
Critical
concentrationDistrib
.F .F
ution
Half-life
.F Ans: A
Feedback:
Bioavailability is the portion of a dose of a drug thatreaches the systemic circulation and is available to act on .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
body cells. Binders used in a generic drug may not be the same as those used in the brand name drug.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Therefore, the way the body breaks down and uses the drug may differ, which may eliminate a generic drug
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
substitution. Critical concentration is the amount of a drug that is needed to cause a therapeutic effect and
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
should not differ between generic and brand name medications. Distribution is the phase of
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
pharmacokinetics, which involves the movement of a drug to the body’s tissues and is the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
Want to earn $1.236 .F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year?.F .F
, Test Bank - Focus on Nursing Pharmacology (9th Edition by Karch)
.F .F .F .F .F .F .F .F .F .F 5
same in generic and brand name drugs. A drug’s half-life is the time it takes for the amount of drug
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
todecrease to half the peak level, which should not change when substituting a generic medication.
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
A nurse isassessing thepatient’s home medication use.After listening to the patientlistcurrent medications, the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
nurse asks what priority question?
.F .F .F .F .F
Do you take any generic medications?
.F .F .F .F .F
Areany of these medications orphan drugs?
.F .F .F .F .F .F
Are these medications safe to take during
.F .F .F .F .F .F
.F pregnancy?Do you take any over-the-counter .F .F .F .F .F
medications?
.F
Ans: D
Feedback:
It is important for the nurse to specifically question use of over-the-counter medications because patients
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
may not consider them important. The patient is unlikely to know the meaning of orphan drugsunless they
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
too are health care providers. Safety during pregnancy, use of a generic medication, or classification of
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
orphan drugs are things the patient would be unable to answer but could be found in reference books if the
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
nurse wishes to research them.
.F .F .F .F .F
After completing a course on pharmacology for nurses, what will the nurse
.F .F .F .F .F .F .F .F .F .F .F
.F know?Everything necessary for safe and effective medication administration
.F .F .F .F .F .F .F .F
Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.
.F .F .F .F .F .F .F .F .F .F .F .F
.F General drug information; the nurse can consult a drug guide for specific drug information.The
.F .F .F .F .F .F .F .F .F .F .F .F .F .F
drug actions thatare associated with each classification of medication Ans:
.F .F .F .F .F .F .F .F .F .F .F C
Feedback:
After completing a pharmacology course nurses will have general drug information needed for safe
.F .F .F .F .F .F .F .F .F .F .F .F .F
andeffective medication administration but will need to consult a drug guide for specific drug information
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
before administering any medication. Pharmacology is constantly changing, with new drugs entering the
.F .F .F .F .F .F .F .F .F .F .F .F .F
market and new uses for existing drugs identified. Continuing education in pharmacology is essential to safe
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
practice. Nurses tend to become familiar with the medications they administer most often, but there will
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
always be a need to research new drugs and also those the nurse is not familiar withbecause no nurse knows all
.F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F .F
medications.
.F
Want to earn $1.236 .F .F .F
Distribution of this document is illegal .F .F .F .F .F extra per year? .F .F
