(Complete Answered) Test Bank Pharmacology
Chapter 01: (Complete Answered) Test Bank Pharmacology A Patient-
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion
Chapter 1-58
MULTIPLE CHOICE
1. Which law(s) govern all drug administration by nurses?
a. Drug Regulation and Reform Act
b. FDA Amendments Act
c. Nurse Practice Acts
d. The Controlled Substances Act
ANS: C
Each state‘s Nurse Practice Act identifies how nurses administer medications. The other acts
govern how drugs are marketed and tested.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient is taking methadone as part of a heroin withdrawal program. The nurse
understands that, in this instance, methadone is classified as which drug schedule?
a. C-I
b. C-II
c. C-III
d. C-V
ANS: B
Methadone is a category II d r u gN, with a high potential for drug abuse.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is preparing to administer a combination drug containing acetaminophen
and codeine. The nurse knows that this drug is classified as which drug schedule?
a. C-II
b. C-III
c. C-IV
d. C-V
ANS: B
Codeine is normally a category II drug, except when it is part of a combination product
such as with acetaminophen, making it a category III drug.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
MULTIPLE RESPONSE
1. Which are responsibilities of the FDA? (Select all that apply.)
a. To ensure a drug has accurate labeling.
b. To ensure a drug is affordable.
c. To ensure a drug is effective.
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
d. To ensure a drug is free from adverse reactions.
e. To ensure a drug is tested for harmful effects.
ANS: A, C, E
The FDA ensures that drugs are labeled correctly, that they are tested and proven effective
for the conditions they are marketed to treat, and that they are tested for harmful effects.
The FDA does not ensure affordability or freedom from adverse reactions, although these
must be noted in drug information materials.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
N
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
Chapter 03: Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics McCuistion:
Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. Which drug will go through a disintegration process after it is administered?
a. Intramuscular (IM) cephalosporins
b. Intravenous (IV) vasopressors
c. Oral analgesics
d. Subcutaneous insulin
ANS: C
When drugs are administered parenterally, there is no disintegration process, which
occurs when a drug becomes a solution that can cross the biologic membrane.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is preparing to administer an oral medication and wants to ensure a rapid
drug action. Which form of the medication will the nurse prefer to administer?
a. Capsule
b. Enteric-coated pill
c. Liquid suspension
d. Tablet
N
ANS: C
Liquid drugs are already in solution, which is the form necessary for absorption in the
gastrointestinal (GI) tract. The other forms must disintegrate into small particles and
then dissolve before being absorbed.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is teaching a patient who will be discharged home with a prescription for an
enteric-coated tablet. Which statement by the patient indicates understanding of the
teaching?
a. ―I may crush the tablet and put it in applesauce to improve absorption.‖
b. ―I should consume acidic foods to enhance absorption of this medication.‖
c. ―I should expect a delay in onset of the drug‘s effects after taking the tablet.‖
d. ―I should take this medication with high-fat foods to improve its action.‖
ANS: C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
disintegrate when they reach the small intestine. There is usually some delay in onset of
actions after taking these medications. Enteric-coated tablets should not be crushed or
chewed, which would alter the time and location of absorption. Acidic foods will not
enhance the absorption of the medication. The patient should not eat high-fat food before
ingesting an enteric-coated tablet because high-fat foods decrease the absorption rate.
TESTBANKWORLD.ORG
, (Complete Answered) Test Bank Pharmacology
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must
be given by subcutaneous injection instead of by mouth. The nurse will explain that
this is because
a. absorption is diminished by the first-pass effects in the liver.
b. absorption is faster when insulin is given subcutaneously.
c. digestive enzymes in the GI tract break down the drug and prevent absorption.
d. the oral form is less predictable with more adverse effects.
ANS: C
Insulin, growth hormones, and other protein-based drugs are destroyed in the GI tract by
digestive enzymes and must be given parenterally. Because insulin is destroyed by
digestive enzymes, it must be given parenterally and would not make it to the liver for
metabolism with a first-pass effect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention: Patient
Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse is preparing to administer an oral medication that is water soluble. The
nurse understands that this drug:
a. must be taken on an empty stomach.
b. requires active transport for absorption.
c. should be taken with fatty f No ods .
d. will readily diffuse into the GI tract.
ANS: B
Water-soluble drugs require a carrier enzyme or protein to pass through the GI membrane.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. The nurse is preparing an injectable drug and wants to administer it for the most
rapid absorption as possible. How will the nurse give this medication?
a. IM into the deltoid muscle
b. IM into the gluteal muscle
c. Subcut into abdominal tissue
d. Subcut into the upper arm
ANS: A
Drugs given IM are absorbed faster in muscles that have the highest blood flow, such as the
deltoid, rather than those with fewer blood vessels, such as the gluteals. Subcutaneous
absorption is slower when compared to IM drug administration.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
TESTBANKWORLD.ORG
Chapter 01: (Complete Answered) Test Bank Pharmacology A Patient-
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion
Chapter 1-58
MULTIPLE CHOICE
1. Which law(s) govern all drug administration by nurses?
a. Drug Regulation and Reform Act
b. FDA Amendments Act
c. Nurse Practice Acts
d. The Controlled Substances Act
ANS: C
Each state‘s Nurse Practice Act identifies how nurses administer medications. The other acts
govern how drugs are marketed and tested.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient is taking methadone as part of a heroin withdrawal program. The nurse
understands that, in this instance, methadone is classified as which drug schedule?
a. C-I
b. C-II
c. C-III
d. C-V
ANS: B
Methadone is a category II d r u gN, with a high potential for drug abuse.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is preparing to administer a combination drug containing acetaminophen
and codeine. The nurse knows that this drug is classified as which drug schedule?
a. C-II
b. C-III
c. C-IV
d. C-V
ANS: B
Codeine is normally a category II drug, except when it is part of a combination product
such as with acetaminophen, making it a category III drug.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
MULTIPLE RESPONSE
1. Which are responsibilities of the FDA? (Select all that apply.)
a. To ensure a drug has accurate labeling.
b. To ensure a drug is affordable.
c. To ensure a drug is effective.
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
d. To ensure a drug is free from adverse reactions.
e. To ensure a drug is tested for harmful effects.
ANS: A, C, E
The FDA ensures that drugs are labeled correctly, that they are tested and proven effective
for the conditions they are marketed to treat, and that they are tested for harmful effects.
The FDA does not ensure affordability or freedom from adverse reactions, although these
must be noted in drug information materials.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
N
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
Chapter 03: Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics McCuistion:
Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. Which drug will go through a disintegration process after it is administered?
a. Intramuscular (IM) cephalosporins
b. Intravenous (IV) vasopressors
c. Oral analgesics
d. Subcutaneous insulin
ANS: C
When drugs are administered parenterally, there is no disintegration process, which
occurs when a drug becomes a solution that can cross the biologic membrane.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is preparing to administer an oral medication and wants to ensure a rapid
drug action. Which form of the medication will the nurse prefer to administer?
a. Capsule
b. Enteric-coated pill
c. Liquid suspension
d. Tablet
N
ANS: C
Liquid drugs are already in solution, which is the form necessary for absorption in the
gastrointestinal (GI) tract. The other forms must disintegrate into small particles and
then dissolve before being absorbed.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is teaching a patient who will be discharged home with a prescription for an
enteric-coated tablet. Which statement by the patient indicates understanding of the
teaching?
a. ―I may crush the tablet and put it in applesauce to improve absorption.‖
b. ―I should consume acidic foods to enhance absorption of this medication.‖
c. ―I should expect a delay in onset of the drug‘s effects after taking the tablet.‖
d. ―I should take this medication with high-fat foods to improve its action.‖
ANS: C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
disintegrate when they reach the small intestine. There is usually some delay in onset of
actions after taking these medications. Enteric-coated tablets should not be crushed or
chewed, which would alter the time and location of absorption. Acidic foods will not
enhance the absorption of the medication. The patient should not eat high-fat food before
ingesting an enteric-coated tablet because high-fat foods decrease the absorption rate.
TESTBANKWORLD.ORG
, (Complete Answered) Test Bank Pharmacology
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must
be given by subcutaneous injection instead of by mouth. The nurse will explain that
this is because
a. absorption is diminished by the first-pass effects in the liver.
b. absorption is faster when insulin is given subcutaneously.
c. digestive enzymes in the GI tract break down the drug and prevent absorption.
d. the oral form is less predictable with more adverse effects.
ANS: C
Insulin, growth hormones, and other protein-based drugs are destroyed in the GI tract by
digestive enzymes and must be given parenterally. Because insulin is destroyed by
digestive enzymes, it must be given parenterally and would not make it to the liver for
metabolism with a first-pass effect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention: Patient
Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse is preparing to administer an oral medication that is water soluble. The
nurse understands that this drug:
a. must be taken on an empty stomach.
b. requires active transport for absorption.
c. should be taken with fatty f No ods .
d. will readily diffuse into the GI tract.
ANS: B
Water-soluble drugs require a carrier enzyme or protein to pass through the GI membrane.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. The nurse is preparing an injectable drug and wants to administer it for the most
rapid absorption as possible. How will the nurse give this medication?
a. IM into the deltoid muscle
b. IM into the gluteal muscle
c. Subcut into abdominal tissue
d. Subcut into the upper arm
ANS: A
Drugs given IM are absorbed faster in muscles that have the highest blood flow, such as the
deltoid, rather than those with fewer blood vessels, such as the gluteals. Subcutaneous
absorption is slower when compared to IM drug administration.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
TESTBANKWORLD.ORG
