Pharm 1 PrepU Questions

One of the phases of drug development is the post-marketing surveillance phase. Which activity is carried out during this phase?

Health care providers report adverse effects to FDA.

Which drug may be derived from an animal source?

Insulin

When involved in phase III drug evaluation studies, what action should the nurse perform?

Monitor and observe clients closely for adverse effects

Which of the following drugs is considered the prototype of opioid analgesics?

Morphine

After teaching a group of nursing students about drug classes and categories, the instructor determines that the teaching was successful when the students identify legend drugs as referred to as which medication?

Prescription drugs

Which would the nurse identify as a factor in the distribution of a drug? Select all that apply.

Protein binding, solubility, blood flow

The nurse is preparing a medication that is new to the market and cannot be found in the nurse's drug guide. How should the nurse obtain the most reliable information about this medication?

Read the package insert

The care provider has prescribed intravenous hydromorphone, an opioid, for a client using client-controlled analgesia (PCA) pump. The nurse is aware that this drug has a high abuse potential. Under what category would hydromorphone be classified?

Schedule II

A nurse is preparing to administer morphine and recognizes morphine as belonging to what classification of controlled substance?

Schedule II (C-II)

Since 1962, newly developed drugs have been extensively tested before being marketed for general use. What do drug companies do to test drugs initially?

Test the drugs with animals

While studying for the test, the nursing student encounters the drug papaverine (Pavabid). What does the nursing student identify the name Pavabid as?

The brand name

A nurse is administering a large number of medications to a diverse group of clients. What types of drugs will be excluded from these medications?

schedule I

A client asks the nurse, "What is a Drug Enforcement Agency (DEA) number?" What is the nurse's best response?

"DEA numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances."

The client is prescribed a medication that was just placed in phase IV study. The client tells the nurse, "This medication is too expensive. Could Dr. Smith order a generic form of this medication?" What is the nurse's best response?

"Medications are not produced in generic form until the patent expires, which normally takes several years."

While collecting a medication history, the client admits to doubling the recommended dosage of acetaminophen, saying "It's harmless or they would require a prescription." What is the nurse's best response?

"OTC drugs are serious medications and carry serious risks if not taken as directed."

A nurse is teaching the client about the use of over-the-counter (OTC) drugs. Which statement best informs the client about their safe use?

"OTC drugs need to be taken with caution; they can mask the signs and symptoms of an underlying disease and interfere with prescription drug therapy."

The nurse is caring for an older adult and is teaching the client about medications. The nurse should address what topic during medication education?

Adverse effects

A nurse determines that medications are known by different names.What are the different classifications of names assigned to medications? Select all that apply.

Chemical, trade, and generic name

What information does the nurse acquire by knowing the therapeutic classification of the drug being adminstered?

Conditions for which the medication is used

What is the manufacturer's responsibility during phase IV of a drug trial?

Continue to monitor the drug's effects while the drug is in general use

Which is an example of a black box warning by the Food and Drug Administration (FDA)?

Difficulty breathing and maintaining an airway

Which agency is responsible for the enforcement of controlled substances?

Drug Enforcement Agency (DEA)

The nurse is currently participating in phase IV of a clinical study of a chemotherapeutic drug. What action would the nurse be expected to perform during this phase of testing?

Gathering data from clients taking the drug after it has been released to market.

The nurse instructs the client that some drugs are no longer covered under patent and may be less expensive. What type of drug is the nurse describing?

Generic

What statement describes a required characteristic of all generic drugs?

Generic drugs must be therapeutically equivalent and less expensive than trade name drugs.

The nurse is working in a community outreach clinic. What should the nurse teach a client about over-the-counter medications?

OTC medications are not risk free

What is a major disadvantage of using over-the-counter (OTC) medications?

People may choose an OTC that interacts with another medication

A drug has been approved by the Food and Drug Administration. What study phase would occur next?

Phase IV study

A drug being tested is removed from testing during a phase II study. What would be the most likely reason for the drug being removed from testing?

Unacceptable adverse effects

A nurse working in radiology administers iodine to a client who is having a CAT scan. The nurse working on the oncology unit administers chemotherapy to clients who have cancer. At the Public Health Department, a nurse administers an MMR to a 14-month-old child as a routine immunization. Which branch of pharmacology best describes the actions of all three nurses?

pharmacotherapeutics

Which phase of drug development is associated with continual evaluation of the drug?

phase IV study

Which statement is true regarding either prescription or nonprescription drugs?

prescription drugs require a written order by a prescriber

What is not a responsibility of the nurse administering a controlled substance to a hospitalized client?

renewing expired controlled substance prescriptions

A nurse is teaching a client about the pharmacotherapeutics of the hormone replacement therapy that the client has been prescribed. What topic should the nurse address?

the effect of the drug on the client's body

Which of the following are examples of drugs with local effects? Select all that apply.

wart medicine, sunscreen, cold sore medicine