MULTIPLE CHOICE
1. After teaching a group of students about the basics of pharmacology, the students will be
able to choose which aspect as the most critical to remember?
A) Drug name
B) Drug class
C) Drug action
D) Drug source
ANS: C
Feedback: Pharmacology is the study of drugs and their action on living organisms. Thus, an
essential aspect of pharmacology is drug action. An understanding of the drug name, drug
class, and drug source is important, but the most critical aspect related to pharmacology is
how the drug acts in the body.
PTS: 1
DIF:
Easy
REF: Header: Introduction | Page: 3
OBJ: 1
NAT: Client Needs: Physiological Integrity: Pharmacological Therapies
TOP: Chapter 1
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
2. A nurse suspects the client had an adverse reaction to a prescribed medication due to an
interaction with an unreported over-the-counter supplement. Which action by the nurse
will
best assist in preventing future similar incidents?
A) File a report with MedWatch
B) File a report with the State Board of Nursing
C) Instruct the client to avoid combining medications in the future
D) Document the incident and report to the health care provider
ANS: A
Feedback: Nurses play an important role in monitoring for adverse reactions. Therefore, it
,is
important to submit reports, even if there is uncertainty about the cause-effect relationship.
The FDA protects the identity of those who voluntarily report adverse reactions.
PTS: 1
DIF:
Moderate
REF: Header: Box 1.1 | Page: 7
OBJ: 10
NAT: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
TOP: Chapter 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Comprehension
3. A nurse is assessing a client and notes the client has developed swelling of the eyelids and
lips after administration of a prescribed medication. What does the nurse interpret this
finding to specifically indicate?
A) Mild allergic reaction
B) Anaphylactic shock
C) Angioedema
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D) Drug idiosyncrasy
ANS: C
Feedback: Angioedema is a type of allergic drug reaction manifested by the collection of
fluid in the subcutaneous tissues, most commonly affecting the eyelids, lips, mouth, and
throat. Allergic reactions can be manifested by a wide range of signs and symptoms such as
itching, rashes, and hives. Anaphylactic shock is a serious allergic reaction that requires
immediate medical attention. Drug idiosyncrasy describes any unusual or abnormal
reaction
to a drug, one that is different from the one normally expected.
PTS: 1
DIF:
Moderate
, REF: Header: Allergic Drug Reactions | Page: 11
OBJ: 5
NAT: Client Needs: Physiological Integrity: Reduction of Risk Potential
TOP: Chapter 1
KEY: Integrated Process: Clinical Problem-solving Process (Nursing Process)
BLM: Cognitive Level: Apply
4. The nurse is preparing to teach a client about a new drug which is the in the fourth phase
of
development. Which activity will the nurse explain as best illustrates this phase?
A) Health care providers report adverse effects to FDA.
B) Healthy volunteers are involved in the test.
C) In vitro tests are performed using human cells.
D) The drug is given to clients with the disease.
ANS: A
Feedback: The postmarketing surveillance phase of drug development encourages health
care professionals to report adverse effects of drugs to the FDA using MedWatch. Phase 1
of clinical testing involves 20 to 100 healthy volunteers. In vitro testing of the drug on
human or animal cells is done in the pre-FDA phase. In Phase 2 of clinical testing, the drug
is given to clients with the disease for which the drug is manufactured.
PTS: 1
DIF:
Moderate
REF: Header: Drug Development | Page: 6
OBJ: 4
NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 1
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply
5. A nurse is assessing a pregnant client who admits to a cocaine addiction. Which condition
of
the baby should the nurse explain and prepare the client for after the child is born?
A) Diabetes.
B) Hypertension.
C) Addiction to drugs.
D) CNS defects.