Test bank for focus on nursing pharmacology 7th edition by kar
k k k k k k k k k k
ch all chapters
k k
Advanced Health Assessment (Walden University)
k k k k
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
CognitivekLevel:k ApplicationkDiffic
ulty:k Moderate
IntegratedkProcess:k Nursingkprocess
1.Aknursekworkingkinkradiologykadministerskiodinektokakpatientkwhokiskhavingkakcomput
erizedkaxialktomographyk(CAT)kscan.kAknursekworkingkonkankoncologykunitkadminist
erskchemotherapyktokpatientskwhokhavekcancer.kAtkthekPublickHealthkDepartment,kakn
ursekadministerskakmeasles-mumps-rubellak(MMR)kvaccinektokak14-kmonth-
oldkchildkaskakroutinekimmunization.kWhichkbranchkofkpharmacologykbestkdescribeskt
hekactionskofkallkthreeknurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacologykiskthekstudykofkthekbiologickeffectskofkchemicals.kNurseskarekinvolvedkwi
thkclinicalkpharmacologykorkpharmacotherapeutics,kwhichkiskakbranchkofkpharmacology
kthatkdealskwithkthekuseskofkdrugsktoktreat,kprevent,kandkdiagnosekdisease.kTheknursekwor
kingkinkradiologykiskadministeringkakdrugktokhelpkdiagnosekakdisease.kTheknursekworkin
gkonkankoncologykunitkiskadministeringkakdrugktokhelpktreatkakdisease.kPharmacoeconomi
cskincludeskanykcostskinvolvedkinkdrugktherapy.
Pharmacodynamicskinvolveskhowkakdrugkaffectskthekbody,kandkpharmacokineticskiskho
wkthekbodykactskonkthekdrug.
CognitivekLevel:k ComprehensionkDi
fficulty:k Easy
IntegratedkProcess:k Nursingkprocess
2.Akphysiciankhaskorderedkintramuscularkinjectionskofkmorphine,kaknarcotic,keveryk4khour
skaskneededkforkpainkforkakmotorkvehiclekaccidentkvictim.kTheknursekiskawarekthatktherekis
kakhighkabusekpotentialkforkthiskdrug;ktherefore,kmorphinekiskcategorizedkaska:
A) SchedulekIkdrug
B) SchedulekIIkdrug
C) SchedulekIIIkdrug
D) SchedulekIVkdrug
Ans: B
Response:
NarcoticsksuchkaskmorphinekarekconsideredkschedulekIIkdrugskbecausekofkthekhighkabuse
kpotentialkwithkseverekdependencekliability.kSchedulekIkdrugskhavekhighkabusekpotentialk
andknokacceptedkmedicalkuse.kSchedulekIIIkdrugskhavekaklesserkabusekpotentialkthanksch
edulekIIkdrugskandkankacceptedkmedicalkuse.kSchedulekIVkdrugskhaveklowkabusekpotentia
lkandklimitedkdependencekliability.
CognitivekLevel:k Comprehensionk
Difficulty:k Easy
IntegratedkProcess:k Communicationkandkdocumentation
3.AknursekworkingkforkakdrugkcompanykiskinvolvedkinkphasekIIIkdrugkevaluationkstudies.k
Whichkofkthekfollowingkmightktheknursekbekresponsiblekforkduringkthiskstagekofkdrugkde
velopment?
Pagek1
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
A) Workingkwithkanimalskwhokarekgivenkexperimentalkdrugs
B) Monitoringkdrugkeffectskinkpatientskwhokarekselectedktokparticipatekinkakstudy,kwh
okhavekthekdiseasekthatkthekdrugkiskmeantktoktreat
C) Collectingkrecordskofksymptomskthatkparticipantskexperiencekwhilektakingkakdru
gkandkdeterminingkwhetherktheykarekcausedkbykthekdiseasekorkthekdrugkInforming
D) khealthy,kyoungkvolunteerkparticipantskofkpossiblekriskskthatkcouldkoccurkfromktak
ingkankexperimentalkdrug
Ans: C
Response:
PhasekIIIkstudieskinvolvekusekofkakdrugkinkakvastkclinicalkmarketkwherekpatientskarekaske
dktokrecordkanyksymptomsktheykexperiencekwhilektakingkthekdrugs.kNurseskmaykbekrespo
nsiblekforkhelpingkcollectkandkanalyzekthekinformationktokbeksharedkwithkthek Foodkandk
DrugkAdministrationk(FDA).kUsekofkanimalskinkdrugktestingkiskdonekinkthekpreclinicalktr
ials.kAkselectkgroupkofkpatientskwhokarekinvolvedkinkphasekIIkstudieskparticipatekinkstudi
eskwherekthekparticipantskhavekthekdiseasekthekdrugkiskintendedktoktreat.kThesekpatientska
rekmonitoredkcloselykforkdrugkeffects.kPhasekIkstudieskinvolvekhealthykhumankvolunteer
skwhokarekusuallykpaidkforktheirkparticipation.kNurseskmaykobservekforkadversekeffectska
ndktoxicity.
CognitivekLevel:k ComprehensionkDi
fficulty:k Moderate
IntegratedkProcess:k NursingkProcess
4. Whichkofkthekfollowingkconceptskiskconsideredkwhenkgenerickdrugskareksubstitutedkfork
brand-namekdrugs?
A) Bioavailability
B) Criticalkconcentration
C) Distribution
D) Half-life
Ans: A
Response:
Bioavailabilitykiskthekportionkofkakdosekofkakdrugkthatkreachesktheksystemickcirculationka
ndkiskavailablektokactkonkbodykcells.kBinderskusedkinkakgenerickdrugkmayknotkbektheksame
kaskthosekusedkinkthekbrand-
namekdrug.kTherefore,kthekwaykthekbodykbreakskdownkandkuseskthekdrugkmaykdiffer,kwhi
chkmaykeliminatekaksubstitution.kCriticalkconcentrationkiskthekamountkofkakdrugkthatkiskn
eededktokcausekaktherapeutickeffect.
Distributionkiskthekphasekofkpharmacokineticskthatkinvolveskthekmovementkofkakdrugktokt
hekbody'sktissues.kAkdrug'skhalf-
lifekiskthektimekitktakeskforkthekamountkofkdrugktokdecreasektokone-halfkofkthekpeakklevel.
CognitivekLevel:k AnalysiskDifficult
y:k Difficult
IntegratedkProcess:k Teaching/learning
5.Aknursekiskteachingkherkpatientkaboutkthekusekofkover-the-
A) counterk(OTC)kdrugs.kWhichkofkthekfollowingkstatementskbestkinformskthekpatientkabout
ktheirksafekuse?
B) “OTCkdrugskarekproductskthatkarekavailablekwithoutkprescriptionkforkself-
ktreatmentkofkminorkcomplaints.”
“OTCkdrugskarekconsideredkmedicationskandkshouldkbekreportedkonkakdrugkhistor
y.”
Pagek2
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
C) “OTCkdrugskwerekapprovedkaskprescriptionkdrugskbutklaterkwerekfoundktokbeksafek
withoutkthekneedkforkakprescription.”
D) “OTCkdrugskneedktokbektakenkwithkcaution.kTheykcankmaskktheksignskandksympto
mskofkankunderlyingkdiseasekandkinterferekwithkprescriptionkdrugktherapy.”
D
Ans: Response:
OTCkdrugskarekconsideredkmedicationskandkshouldkbekreported.kOTCkdrugskarekavailab
lekwithoutkakprescription,kalthoughksomekwerekfirstkapprovedkaskprescriptionkdrugs.kThe
kmostkimportantkteachingkshouldkrelatektoktheirksafekusekandkthatkOTCkdrugskcankmaskks
ymptomskofkdiseasekandkinterferekwithkprescribedkdrugs.
CognitivekLevel:k KnowledgekDiffic
ulty:k Easy
IntegratedkProcess:k NursingkProcess
6. WhichkofkthekfollowingklegislativekactskallowedkthekFoodkandkDrugkAdministrationk(
FDA)ktoktightenkcontrolkoverkthekqualitykofkdrugskandkrequiredkthatksafetykandkeffica
cykstandardskbekestablished?
A) PurekFoodkandkDrugkActkofk1906
B) FederalkFood,kDrug,kandkCosmetickActkofk1938
C) DurhamkHumphreykAmendmentkofk1951
D) Kefauver-HarriskActkofk1962
Ans: D
Response:
ThekKefauver-
HarriskActkwaskthekresultkofkthekusekofkthek1960skdrugkthalidomidek(Thalomid).kThekpu
blickconcernkledktoktheklegislationkthatkgavekthekFDAkregulatorykcontrolkoverktestingkan
dkevaluatingkofkdrugskandkallowedkitktoksetkstandardskforkefficacykandksafety.kThekPurek
FoodkandkDrugkActkrequiredklabelingktokeliminatekfalsekclaims.kThekFederalkFood,kDru
g,kandkCosmetickActkgavekthekFDAkthekpowerktokenforcekstandardskforktestingkdrugktox
icitykandkmonitoringklabeling.kThekDurham-
kHumphreykAmendmentkenforcedkprescriptionskforkdistribution.
CognitivekLevel:k ApplicationkDiffic
ulty:k Moderate
IntegratedkProcess:k Teaching/learning
7. Aknursekiskinstructingkakpregnantkpatientkconcerningkthekpotentialkriskktokherkfetuskf
romkakpregnancykcategorykBkdrug.kTheknursekwouldkinformkthekpatientkthat:
A) “Adequatekstudieskinkpregnantkwomenkhavekdemonstratedktherekisknokriskktokthekf
etus.”
B) “Animalkstudieskhaveknotkdemonstratedkakriskktokthekfetuskbutktherekhavekbeenkn
okadequatekstudieskinkpregnantkwomen.”
C) “Animalkstudieskhavekshownkankadversekeffectkonkthekfetuskbutktherekareknoka
dequatekstudieskinkpregnantkwomen.”
D) “Therekiskevidencekofkhumankfetalkriskkbutkthekpotentialkbenefitskfromkusekofkthekd
rugkmaykbekacceptablekdespitekpotentialkrisks.”
Ans: B
Response:
CategorykBkindicateskthatkanimalkstudieskhaveknotkdemonstratedkakriskktokthekfetuskbut
Pagek3
k k k k k k k k k k
ch all chapters
k k
Advanced Health Assessment (Walden University)
k k k k
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
CognitivekLevel:k ApplicationkDiffic
ulty:k Moderate
IntegratedkProcess:k Nursingkprocess
1.Aknursekworkingkinkradiologykadministerskiodinektokakpatientkwhokiskhavingkakcomput
erizedkaxialktomographyk(CAT)kscan.kAknursekworkingkonkankoncologykunitkadminist
erskchemotherapyktokpatientskwhokhavekcancer.kAtkthekPublickHealthkDepartment,kakn
ursekadministerskakmeasles-mumps-rubellak(MMR)kvaccinektokak14-kmonth-
oldkchildkaskakroutinekimmunization.kWhichkbranchkofkpharmacologykbestkdescribeskt
hekactionskofkallkthreeknurses?
A) Pharmacoeconomics
B) Pharmacotherapeutics
C) Pharmacodynamics
D) Pharmacokinetics
Ans: B
Response:
Pharmacologykiskthekstudykofkthekbiologickeffectskofkchemicals.kNurseskarekinvolvedkwi
thkclinicalkpharmacologykorkpharmacotherapeutics,kwhichkiskakbranchkofkpharmacology
kthatkdealskwithkthekuseskofkdrugsktoktreat,kprevent,kandkdiagnosekdisease.kTheknursekwor
kingkinkradiologykiskadministeringkakdrugktokhelpkdiagnosekakdisease.kTheknursekworkin
gkonkankoncologykunitkiskadministeringkakdrugktokhelpktreatkakdisease.kPharmacoeconomi
cskincludeskanykcostskinvolvedkinkdrugktherapy.
Pharmacodynamicskinvolveskhowkakdrugkaffectskthekbody,kandkpharmacokineticskiskho
wkthekbodykactskonkthekdrug.
CognitivekLevel:k ComprehensionkDi
fficulty:k Easy
IntegratedkProcess:k Nursingkprocess
2.Akphysiciankhaskorderedkintramuscularkinjectionskofkmorphine,kaknarcotic,keveryk4khour
skaskneededkforkpainkforkakmotorkvehiclekaccidentkvictim.kTheknursekiskawarekthatktherekis
kakhighkabusekpotentialkforkthiskdrug;ktherefore,kmorphinekiskcategorizedkaska:
A) SchedulekIkdrug
B) SchedulekIIkdrug
C) SchedulekIIIkdrug
D) SchedulekIVkdrug
Ans: B
Response:
NarcoticsksuchkaskmorphinekarekconsideredkschedulekIIkdrugskbecausekofkthekhighkabuse
kpotentialkwithkseverekdependencekliability.kSchedulekIkdrugskhavekhighkabusekpotentialk
andknokacceptedkmedicalkuse.kSchedulekIIIkdrugskhavekaklesserkabusekpotentialkthanksch
edulekIIkdrugskandkankacceptedkmedicalkuse.kSchedulekIVkdrugskhaveklowkabusekpotentia
lkandklimitedkdependencekliability.
CognitivekLevel:k Comprehensionk
Difficulty:k Easy
IntegratedkProcess:k Communicationkandkdocumentation
3.AknursekworkingkforkakdrugkcompanykiskinvolvedkinkphasekIIIkdrugkevaluationkstudies.k
Whichkofkthekfollowingkmightktheknursekbekresponsiblekforkduringkthiskstagekofkdrugkde
velopment?
Pagek1
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
A) Workingkwithkanimalskwhokarekgivenkexperimentalkdrugs
B) Monitoringkdrugkeffectskinkpatientskwhokarekselectedktokparticipatekinkakstudy,kwh
okhavekthekdiseasekthatkthekdrugkiskmeantktoktreat
C) Collectingkrecordskofksymptomskthatkparticipantskexperiencekwhilektakingkakdru
gkandkdeterminingkwhetherktheykarekcausedkbykthekdiseasekorkthekdrugkInforming
D) khealthy,kyoungkvolunteerkparticipantskofkpossiblekriskskthatkcouldkoccurkfromktak
ingkankexperimentalkdrug
Ans: C
Response:
PhasekIIIkstudieskinvolvekusekofkakdrugkinkakvastkclinicalkmarketkwherekpatientskarekaske
dktokrecordkanyksymptomsktheykexperiencekwhilektakingkthekdrugs.kNurseskmaykbekrespo
nsiblekforkhelpingkcollectkandkanalyzekthekinformationktokbeksharedkwithkthek Foodkandk
DrugkAdministrationk(FDA).kUsekofkanimalskinkdrugktestingkiskdonekinkthekpreclinicalktr
ials.kAkselectkgroupkofkpatientskwhokarekinvolvedkinkphasekIIkstudieskparticipatekinkstudi
eskwherekthekparticipantskhavekthekdiseasekthekdrugkiskintendedktoktreat.kThesekpatientska
rekmonitoredkcloselykforkdrugkeffects.kPhasekIkstudieskinvolvekhealthykhumankvolunteer
skwhokarekusuallykpaidkforktheirkparticipation.kNurseskmaykobservekforkadversekeffectska
ndktoxicity.
CognitivekLevel:k ComprehensionkDi
fficulty:k Moderate
IntegratedkProcess:k NursingkProcess
4. Whichkofkthekfollowingkconceptskiskconsideredkwhenkgenerickdrugskareksubstitutedkfork
brand-namekdrugs?
A) Bioavailability
B) Criticalkconcentration
C) Distribution
D) Half-life
Ans: A
Response:
Bioavailabilitykiskthekportionkofkakdosekofkakdrugkthatkreachesktheksystemickcirculationka
ndkiskavailablektokactkonkbodykcells.kBinderskusedkinkakgenerickdrugkmayknotkbektheksame
kaskthosekusedkinkthekbrand-
namekdrug.kTherefore,kthekwaykthekbodykbreakskdownkandkuseskthekdrugkmaykdiffer,kwhi
chkmaykeliminatekaksubstitution.kCriticalkconcentrationkiskthekamountkofkakdrugkthatkiskn
eededktokcausekaktherapeutickeffect.
Distributionkiskthekphasekofkpharmacokineticskthatkinvolveskthekmovementkofkakdrugktokt
hekbody'sktissues.kAkdrug'skhalf-
lifekiskthektimekitktakeskforkthekamountkofkdrugktokdecreasektokone-halfkofkthekpeakklevel.
CognitivekLevel:k AnalysiskDifficult
y:k Difficult
IntegratedkProcess:k Teaching/learning
5.Aknursekiskteachingkherkpatientkaboutkthekusekofkover-the-
A) counterk(OTC)kdrugs.kWhichkofkthekfollowingkstatementskbestkinformskthekpatientkabout
ktheirksafekuse?
B) “OTCkdrugskarekproductskthatkarekavailablekwithoutkprescriptionkforkself-
ktreatmentkofkminorkcomplaints.”
“OTCkdrugskarekconsideredkmedicationskandkshouldkbekreportedkonkakdrugkhistor
y.”
Pagek2
, TestkBankkforkFocuskOnkNursingkPharmacologyk7thkEditio
n
Chapterk1:kIntroductionktokDrugs
C) “OTCkdrugskwerekapprovedkaskprescriptionkdrugskbutklaterkwerekfoundktokbeksafek
withoutkthekneedkforkakprescription.”
D) “OTCkdrugskneedktokbektakenkwithkcaution.kTheykcankmaskktheksignskandksympto
mskofkankunderlyingkdiseasekandkinterferekwithkprescriptionkdrugktherapy.”
D
Ans: Response:
OTCkdrugskarekconsideredkmedicationskandkshouldkbekreported.kOTCkdrugskarekavailab
lekwithoutkakprescription,kalthoughksomekwerekfirstkapprovedkaskprescriptionkdrugs.kThe
kmostkimportantkteachingkshouldkrelatektoktheirksafekusekandkthatkOTCkdrugskcankmaskks
ymptomskofkdiseasekandkinterferekwithkprescribedkdrugs.
CognitivekLevel:k KnowledgekDiffic
ulty:k Easy
IntegratedkProcess:k NursingkProcess
6. WhichkofkthekfollowingklegislativekactskallowedkthekFoodkandkDrugkAdministrationk(
FDA)ktoktightenkcontrolkoverkthekqualitykofkdrugskandkrequiredkthatksafetykandkeffica
cykstandardskbekestablished?
A) PurekFoodkandkDrugkActkofk1906
B) FederalkFood,kDrug,kandkCosmetickActkofk1938
C) DurhamkHumphreykAmendmentkofk1951
D) Kefauver-HarriskActkofk1962
Ans: D
Response:
ThekKefauver-
HarriskActkwaskthekresultkofkthekusekofkthek1960skdrugkthalidomidek(Thalomid).kThekpu
blickconcernkledktoktheklegislationkthatkgavekthekFDAkregulatorykcontrolkoverktestingkan
dkevaluatingkofkdrugskandkallowedkitktoksetkstandardskforkefficacykandksafety.kThekPurek
FoodkandkDrugkActkrequiredklabelingktokeliminatekfalsekclaims.kThekFederalkFood,kDru
g,kandkCosmetickActkgavekthekFDAkthekpowerktokenforcekstandardskforktestingkdrugktox
icitykandkmonitoringklabeling.kThekDurham-
kHumphreykAmendmentkenforcedkprescriptionskforkdistribution.
CognitivekLevel:k ApplicationkDiffic
ulty:k Moderate
IntegratedkProcess:k Teaching/learning
7. Aknursekiskinstructingkakpregnantkpatientkconcerningkthekpotentialkriskktokherkfetuskf
romkakpregnancykcategorykBkdrug.kTheknursekwouldkinformkthekpatientkthat:
A) “Adequatekstudieskinkpregnantkwomenkhavekdemonstratedktherekisknokriskktokthekf
etus.”
B) “Animalkstudieskhaveknotkdemonstratedkakriskktokthekfetuskbutktherekhavekbeenkn
okadequatekstudieskinkpregnantkwomen.”
C) “Animalkstudieskhavekshownkankadversekeffectkonkthekfetuskbutktherekareknoka
dequatekstudieskinkpregnantkwomen.”
D) “Therekiskevidencekofkhumankfetalkriskkbutkthekpotentialkbenefitskfromkusekofkthekd
rugkmaykbekacceptablekdespitekpotentialkrisks.”
Ans: B
Response:
CategorykBkindicateskthatkanimalkstudieskhaveknotkdemonstratedkakriskktokthekfetuskbut
Pagek3
