Test Bank for Understanding Pharmacology Essentials for Medication Safety,
3rd Edition by M. Linda Workman & LaCharity
,Chapter 01: Drug Regulation, Actions, and Responses
Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rd Edition
MULTIPLE CHOICE BASIC
CONCEPTS
1. Which health care professional has the major responsibility for dispensing prescribed
drugs under the direction of a pharmacist?
a. Physician
b Nurse practitioner
.
c. Licensed nurse
d Pharmacy technician
.
ANS: D
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
dispensing them. The licensed nurse has the primary responsibility for administering drugs,
although under some circumstances a licensed nurse may dispense prescribed drugs but this is not
his or her major responsibility in drug therapy. The pharmacy technician has the major
responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
DIF: Cognitive Level: Remembering REF: p. 3
2. Which term describes the effect of a drug that improves body function?
a. Side effect
b Intended action
.
c. Adverse reaction
d Idiosyncratic response
.
ANS: B
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem. This
response is any drug’s intended action also known as a therapeutic response.
DIF: Cognitive Level: Remembering REF: p. 3
3. Which type of drug name is “owned” by the company that manufactures it?
a. Generic name
b Chemical name
,.
c. Category[name
d Trade[name
.
ANS:[[ D
The[chemical[name[is[a[drug’s[exact[chemical[composition.[The[generic[name[is[the[name[assigned[t
o[ the[drug[by[the[U.S.[Adopted[Names[Council[and[is[not[owned[by[anyone.[The[category[name[refer
s[ to[the[type[of[drug[(what[it[does[or[what[it[is[used[for)[and[is[not[an[actual[drug[name.[The[trade[ n
ame[(brand[name)[is[the[name[provided[and[owned[by[a[specific[drug’s[manufacturer.
DIF: Cognitive[Level:[Remembering REF: p.[4
4. Which[drug[or[drug[class[is[a[“high[alert”[drug?
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS:[[ B
A[high[alert[drug[is[one[in[which[harm[is[likely[to[result[if[given[at[the[ wrong[dose,[to[the[wrong[ pa
tient,[or[not[given[to[the[correct[patient.[Drugs[classified[as[high[alert[drugs[include[potassium,[ narc
otics[(opioids),[insulin,[cancer[chemotherapy[drugs,[and[heparin[(or[any[drug[that[strongly[ affects[b
lood[clotting).[Penicillin,[NSAIDs,[and[calcium[are[not[considered[high[alert[drugs.
DIF: Cognitive[Level:[Remembering REF: p.[4
5. What[is[the[term[for[a[drug[that[has[the[same[action[as[a[naturally[occurring[body
[ hormone[or[enzyme?
a. Agonist
b Blocking[agent
.
c. Chemical
d Duplicator
.
ANS:[[ A
A[drug[agonist[is[an[extrinsic[drug[that[activates[the[receptor[sites[of[a[cell[and[mimics[the[actions[of[ n
aturally[occurring[body[substances[(intrinsic[drugs).[A[blocking[agent[is[a[drug
, antagonist.[A[chemical[would[not[necessarily[be[a[drug[at[all.[A[duplicator[is[not[a[pharmacologic[term
.[ DIF: Cognitive[Level:[Remembering REF: pp.[6-7
6. Which[term[describes[how[the[body[affects[drug[activity?
a. Drug[potency
b Pharmacodynamics
.
c. Therapeutic[effect
d Pharmacokinetics
.
ANS:[[ D
The[term[pharmacokinetics[refers[to[drug[metabolism[and[how[the[body[changes[a[drug.[ Pharmaco
dynamics[refers[to[how[a[drug[works[to[change[body[function.[Drug[potency[refers[to[how[ strongly[
or[to[what[degree[a[drug[exerts[its[effects.[The[therapeutic[effect[is[closer[to[ pharmacodynamics,[me
aning[how[a[drug[works[to[change[body[function.
DIF: Cognitive[Level:[Remembering REF: p.[10
7. In[the[United[States,[which[group[is[responsible[for[enforcing[established[standards[for
[ drug[manufacturing?
a. U.S.[Pharmacopeia
b National[Institutes[of[Health
.
c. Food[and[Drug[Administration
d Association[of[Pharmaceutical[Manufacturers
.
ANS:[[ C
The[ standards[ for[drug[ manufacture[ are[ established[by[ the[U.S.[Pharmacopeia.[These[ standards[ are
[ enforced[ by[ the[ Food[ and[ Drug[ Administration.[ Neither[ the[ National[ Institutes[ of[ Health[ nor[ th
e[ Association[of[Pharmaceutical[Manufacturers[has[any[authority[to[enforce[drug[standards.
DIF:[[[[ Cognitive[Level:[Remembering[[[[[[[[[ REF:[[[ p.[5
8. Which[factor[is[a[major[disadvantage[of[the[transdermal[drug[delivery[route?
a. Only[a[prescriber[can[administer[drugs[by[the[transdermal[route.
b Transdermal[drugs[must[be[sterile[rather[than[clean.
.
c. First[pass[drug[loss[by[this[route[is[the[most[extensive.
d Drug[absorption[is[dependent[on[adequate[circulation.
3rd Edition by M. Linda Workman & LaCharity
,Chapter 01: Drug Regulation, Actions, and Responses
Workman & LaCharity: Understanding Pharmacology: Essentials for Medication Safety, 3rd Edition
MULTIPLE CHOICE BASIC
CONCEPTS
1. Which health care professional has the major responsibility for dispensing prescribed
drugs under the direction of a pharmacist?
a. Physician
b Nurse practitioner
.
c. Licensed nurse
d Pharmacy technician
.
ANS: D
The physician and nurse practitioner have the major responsibility for prescribing drugs, not
dispensing them. The licensed nurse has the primary responsibility for administering drugs,
although under some circumstances a licensed nurse may dispense prescribed drugs but this is not
his or her major responsibility in drug therapy. The pharmacy technician has the major
responsibility of dispensing prescribed drugs under the direction of a licensed pharmacist.
DIF: Cognitive Level: Remembering REF: p. 3
2. Which term describes the effect of a drug that improves body function?
a. Side effect
b Intended action
.
c. Adverse reaction
d Idiosyncratic response
.
ANS: B
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health problem. This
response is any drug’s intended action also known as a therapeutic response.
DIF: Cognitive Level: Remembering REF: p. 3
3. Which type of drug name is “owned” by the company that manufactures it?
a. Generic name
b Chemical name
,.
c. Category[name
d Trade[name
.
ANS:[[ D
The[chemical[name[is[a[drug’s[exact[chemical[composition.[The[generic[name[is[the[name[assigned[t
o[ the[drug[by[the[U.S.[Adopted[Names[Council[and[is[not[owned[by[anyone.[The[category[name[refer
s[ to[the[type[of[drug[(what[it[does[or[what[it[is[used[for)[and[is[not[an[actual[drug[name.[The[trade[ n
ame[(brand[name)[is[the[name[provided[and[owned[by[a[specific[drug’s[manufacturer.
DIF: Cognitive[Level:[Remembering REF: p.[4
4. Which[drug[or[drug[class[is[a[“high[alert”[drug?
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ANS:[[ B
A[high[alert[drug[is[one[in[which[harm[is[likely[to[result[if[given[at[the[ wrong[dose,[to[the[wrong[ pa
tient,[or[not[given[to[the[correct[patient.[Drugs[classified[as[high[alert[drugs[include[potassium,[ narc
otics[(opioids),[insulin,[cancer[chemotherapy[drugs,[and[heparin[(or[any[drug[that[strongly[ affects[b
lood[clotting).[Penicillin,[NSAIDs,[and[calcium[are[not[considered[high[alert[drugs.
DIF: Cognitive[Level:[Remembering REF: p.[4
5. What[is[the[term[for[a[drug[that[has[the[same[action[as[a[naturally[occurring[body
[ hormone[or[enzyme?
a. Agonist
b Blocking[agent
.
c. Chemical
d Duplicator
.
ANS:[[ A
A[drug[agonist[is[an[extrinsic[drug[that[activates[the[receptor[sites[of[a[cell[and[mimics[the[actions[of[ n
aturally[occurring[body[substances[(intrinsic[drugs).[A[blocking[agent[is[a[drug
, antagonist.[A[chemical[would[not[necessarily[be[a[drug[at[all.[A[duplicator[is[not[a[pharmacologic[term
.[ DIF: Cognitive[Level:[Remembering REF: pp.[6-7
6. Which[term[describes[how[the[body[affects[drug[activity?
a. Drug[potency
b Pharmacodynamics
.
c. Therapeutic[effect
d Pharmacokinetics
.
ANS:[[ D
The[term[pharmacokinetics[refers[to[drug[metabolism[and[how[the[body[changes[a[drug.[ Pharmaco
dynamics[refers[to[how[a[drug[works[to[change[body[function.[Drug[potency[refers[to[how[ strongly[
or[to[what[degree[a[drug[exerts[its[effects.[The[therapeutic[effect[is[closer[to[ pharmacodynamics,[me
aning[how[a[drug[works[to[change[body[function.
DIF: Cognitive[Level:[Remembering REF: p.[10
7. In[the[United[States,[which[group[is[responsible[for[enforcing[established[standards[for
[ drug[manufacturing?
a. U.S.[Pharmacopeia
b National[Institutes[of[Health
.
c. Food[and[Drug[Administration
d Association[of[Pharmaceutical[Manufacturers
.
ANS:[[ C
The[ standards[ for[drug[ manufacture[ are[ established[by[ the[U.S.[Pharmacopeia.[These[ standards[ are
[ enforced[ by[ the[ Food[ and[ Drug[ Administration.[ Neither[ the[ National[ Institutes[ of[ Health[ nor[ th
e[ Association[of[Pharmaceutical[Manufacturers[has[any[authority[to[enforce[drug[standards.
DIF:[[[[ Cognitive[Level:[Remembering[[[[[[[[[ REF:[[[ p.[5
8. Which[factor[is[a[major[disadvantage[of[the[transdermal[drug[delivery[route?
a. Only[a[prescriber[can[administer[drugs[by[the[transdermal[route.
b Transdermal[drugs[must[be[sterile[rather[than[clean.
.
c. First[pass[drug[loss[by[this[route[is[the[most[extensive.
d Drug[absorption[is[dependent[on[adequate[circulation.
