Chapter 1: Bonus Test 1 Intro KARCH Prep U

Which of the following duties related to drug therapy is inconsistent with the role of the registered nurse (RN)? a) Administering drugs b) Assessing drug effects c) Providing patient teaching about drugs d) Prescribing drugs

Prescribing drugs

A client has been prescribed a medication that has the potential to cause psychological dependency. How will the nurse best explain this possible situation to the client? a) "After taking this medication for a while, your mind, not your body, will desire the effect of this medication." b) "You may notice while taking this drug that you will require larger and larger doses to achieve the same effect." c) "If you take this medication for longer than three days you will have withdrawal symptoms when you stop taking it." d) "If you take this medication repeatedly, you will develop physical symptoms if you stop taking it."

"After taking this medication for a while, your mind, not your body, will desire the effect of this medication."

The nurse is administering Tylenol to a patient with a fever. The patient says that she usually takes acetaminophen for fever and pain. What should the nurse explain to the patient about the name of the drug? a) "The name 'Tylenol' is the trade name for acetaminophen." b) "Tylenol and acetaminophen are not the same medication." c) "The name 'Tylenol' is a generic name and is the same as acetaminophen." d) "The name 'Tylenol' is the chemical name for acetaminophen."

"The name 'Tylenol' is the trade name for acetaminophen."

Which statement correctly defines a drug? a) A drug is a genetic composition of molecular compounds. b) A drug is a biological composition that can affect living processes. c) A drug is any chemical that can affect living processes. d) A drug is a narcotic composition.

A drug is any chemical that can affect living processes.

A client is describing a therapy for hypertension that is used in place of antihypertensive medication. The nurse knows that the patient is referring to what type of therapy? a) Conventional b) Western c) Complementary d) Alternative

Alternative

The nurse is called to a client's room 15 minutes after the client has received a new medication. The client is complaining of pruritus as well as nausea. The nurse notes that the client appears pale, is sweating, and has begun to cough and wheeze. The nurse determines that the client is experiencing what type of reaction related to the new medication? a) Additive b) Toxic c) Synergistic d) Anaphylactic shock

Anaphylactic shock

A nurse is preparing to administer morphine. The nurse understands that this drug is categorized as which schedule of a controlled substance? a) C-V b) C-IV c) C-II d) C-III

C-II

A nurse reviews the pregnancy risk categories for several drugs. A drug belonging to which category would the nurse identify as being safest to administer to a pregnant woman? a) Category C b) Category X c) Category A d) Category B

Category A

A nurse is to administer several drugs. A drug belonging to which class would the nurse interpret as being contraindicated for a pregnant woman? a) Category C b) Category B c) Category A d) Category X

Category X

The nurse is administering a medication to a patient who reports pain in her knees from arthritis. The nurse observes the name of the drug as p-isobutylhydratropic and recognizes that this refers to what type of name? a) Proprietary name b) Trade name c) Generic name d) Chemical name

Chemical name

The nurse is discussing complementary and alternative medicine with a group of new mothers. The nurse knows that further instruction is needed when one member of the group identifies which therapies as being a part of this type of health care system? Select all that apply. a) Massage therapy b) Chemotherapy for cancer c) Relaxation therapy d) Epidural pain control e) Laying-on of hands

Chemotherapy for cancer • Epidural pain control

What is the manufacturer's responsibility during Phase IV of a drug trial? a) Match clients with similar characteristics to test drug effectiveness. b) Continue to monitor the drug's effects while the drug is in general use. c) Find healthy volunteers to test for adverse effects. d) Determine if the drug is too toxic for human use.

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

Which federal legislation classified drugs according to their potential for abuse? a) Orphan Drug Act b) Controlled Substances Act c) Pure Food and Drug Act d) Durham-Humphrey Amendment

Controlled Substances Act

A nurse is responsible for maintaining an accurate count and record of the controlled substances on the nursing division. This nursing action is regulated by which of the following laws or agencies? a) Drug Enforcement Administration b) Public Health Service c) Sherley Amendment d) Food, Drug, and Cosmetic Act of 1938

Drug Enforcement Administration

A nurse is responsible for maintaining an accurate count and record of the controlled substances on the nursing division. This nursing action is regulated by which of the following laws or agencies? a) Public Health Service b) Food, Drug, and Cosmetic Act of 1938 c) Drug Enforcement Administration d) Sherley Amendment

Drug Enforcement Administration

An instructor is preparing for a class focusing on drug evaluation. The instructor plans to explain why male volunteers are usually selected for drug testing during a phase I study. Which of the following would the instructor include as the major reason? a) Females are less likely to adhere to the requirements of the study. b) Drugs may harm a woman's ova, which cannot be produced after birth. c) Men are more likely to experience even minor adverse effects of the drug. d) Men as a group typically have more similar body builds and tissue mass.

Drugs may harm a woman's ova, which cannot be produced after birth.

What factor does the nurse understand is the key safeguard in drug therapy? a) Making sure that the right medication is given to the right patient b) Checking for allergies in a patient prior to giving a medication c) Educating patients about drug therapy d) Making sure that each facility has bar code scanning capabilities

Educating patients about drug therapy

Genetic engineering allows scientists to produce human insulin by altering which type of bacteria? a) Escherichia coli b) Pseudomonas c) Beta strep d) Klebsiella

Escherichia coli

FDA approval of a drug for OTC availability includes what? a) Studies involving the safe use of the medication by the consumer b) Evaluation of evidence that the consumer can use the drug safely, using information on the product label c) Analysis of the cost of the drug to the consumer d) Analysis of the diagnoses for which the medication may be used by the consumer

Evaluation of evidence that the consumer can use the drug safely, using information on the product label

The nurse is administering a drug to a client that has a half-life of approximately 36 hours. The nurse knows that this drug will be administered at what frequency? a) Every four hours b) Every 12 hours c) Every 24 hours d) Every eight hours

Every 24 hours

The nurse understands that medications are not just manufactured and dispensed. How many phases of clinical trials must a drug go through in order to meet approval standards? a) Four b) One c) Two d) Three

Four

The nurse dispensing medications to clients knows that medications have various names. Which of the following is the medication name most physicians use to prescribe drugs? a) Official name b) Trade name c) Chemical name d) Generic name

Generic name

Drugs related to the chemical or official name and independent of the manufacturer are: a) Synthetic compounds. b) Generic name drugs. c) The standard with which newer, similar drugs are compared. d) Prototypes.

Generic name drugs.

One of the phases of drug development is the post-marketing surveillance phase. Which one of the following activities is carried out during this phase? a) Health care providers report adverse effects to FDA. b) In vitro tests are performed using human cells. c) Healthy volunteers are involved in the test. d) The drug is given to patients with the disease.

Health care providers report adverse effects to FDA.

The nurse knows that a client is at high risk for developing drug tolerance because the client will be taking which drug for a long period of time? a) Amoxicillin (Amoxil) for an infection b) Furosemide (Lasix) for edema c) Darifenacin (Enablex) for overactive bladder d) Hydromorphone (Dilaudid) for pain

Hydromorphone (Dilaudid) for pain

Which of the following effects may occur with the ingestion of large amounts of licorice? a) Hypocalcemia b) Hypercalcemia c) Hypokalemia d) Hyperkalemia

Hypokalemia

Which of the following drugs may be derived from an animal source? a) Opium b) Digitalis c) Insulin d) Morphine

Insulin

The nurse is transcribing physician orders for a patient with pneumonia who has been admitted to the hospital. Why should the physician order the medications using the generic name instead of a brand name? a) It does not make a difference if the brand names are used and is a preference of the physician. b) Numerous brand names may exist for the same drug, and the generic drug should be ordered. c) More nurses are familiar with the generic names than the brand names. d) The pharmacy department is not aware of the brand names, so generic names should be written.

Numerous brand names may exist for the same drug, and the generic drug should be ordered.

The nurse knows that the pharmaceutic phase of drug activity must take place for which formulation of medication? a) Solutions for IM injections b) Oral tablets c) Oral liquids d) Solutions for IV injections

Oral tablets

Which of the following drug types have been discovered but not "adopted" by any drug company? a) Brand b) Generic c) Orphan d) Over-the-counter

Orphan

A patient with a rare genetic disorder is prescribed a medication specific to this disorder. What is the name given to drugs manufactured by companies that receive tax benefits to invest in these drugs? a) Ghost drugs b) Rare drugs c) Orphan drugs d) Practice drugs

Orphan drugs

What type of drug therapy uses an individualized drug plan based upon a client's DNA? a) Pharmacokinetics b) Pharmacogenetics c) Pharmacodynamics d) Pharmaceutics

Pharmacogenetics

A nurse is administering a drug to clients who have the disease for which a drug is designed to treat. The nurse is most likely participating in which of the following? a) Phase III study b) Phase I study c) Phase II study d) Preclinical trial

Phase II study

Since 1962, newly developed drugs have been extensively tested before being marketed for general use. What do drug companies do to test drugs initially? a) Test the drugs with animals. b) Test the drugs in a controlled laboratory experiment. c) Test the drugs with humans. d) Test the drugs on volunteers.

Test the drugs with animals.

The nurse is reviewing a prescription for a medication with a patient. On the prescription, the nurse notes "DAW." The nurse explains that this indicates which of the following? a) A generic form of the drug must be used if available. b) The drug available is considered to be an orphan drug. c) The brand name of the drug must be dispensed. d) A drug with a similar chemical name can be substituted.

The brand name of the drug must be dispensed.

Which of the following best describes the focus of pharmacotherapeutics? a) How the body processes drugs for elimination b) The effect of the drug on the body c) The biological effect of a drug d) Proper method for drug administration

The effect of the drug on the body

Generic drugs are required to be: a) Categorized according to overall usefulness and potential for abuse. b) Designated and patented exclusively by the manufacturer. c) Free from patent protection. d) Therapeutically equivalent and less expensive than trade-name drugs.

Therapeutically equivalent and less expensive than trade-name drugs.

The nurse received an order for furosemide (Lasix). Why should the nurse write the generic name on the order sent to the pharmacy? a) The hospital policy specifies that only generic names can be used in the medical record. b) The generic name is easier to say and remember. c) There is less chance of the wrong drug being given, because trade names can be similar. d) The generic name is the preferred way to order the drug.

There is less chance of the wrong drug being given, because trade names can be similar.

The Food and Drug Administration regulates the development and sale of drugs. a) True b) False

True

The entire drug development and approval process can take 5 to 6 years resulting in a drug lag. a) False b) True

True

A drug being tested is removed from testing during a phase II study. Which of the following would be the most likely reason for such action? a) Lower risk for toxicity than planned b) Effectiveness greater than anticipated c) Unacceptable adverse effects d) Benefit-to-risk ratio greater than expected

Unacceptable adverse effects

Which of the following statements best defines how a chemical becomes termed a drug? a) A chemical becomes a drug when it is introduced into the body to cause a change. b) A chemical is considered a drug when the Food and Drug Administration (FDA) approves its release to be marketed. c) A chemical must have demonstrated therapeutic value to become a drug. d) A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug.

chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug

What is a major disadvantage of using over-the-counter (OTC) medications? a) Causes increased visits to the health care practitioner b) Consumers resist the effort to learn more about their condition. c) Lack of autonomy d) People may choose an OTC that interacts with another medication.

d) People may choose an OTC that interacts with another medication.

A nurse who provides care in a long-term care facility is documenting a new resident's medication regimen on the resident's intake admission. The nurse is documenting the generic, rather than proprietary or trade, names of the resident's current drugs because a) proprietary names of drugs can vary from state to state. b) there is a potential for confusion and miscommunication if proprietary names are used. c) documentation of trade names for drugs requires permission from the manufacturer. d) drugs with generic names are prescribed and used differently than proprietary drugs.

there is a potential for confusion and miscommunication if proprietary names are used.

When caring for a group of clients the nurse will monitor which clients for effects related to impaired drug excretion? Select all that apply. a) Client 55 years of age with chronic renal failure b) Client 18 years of age with appendicitis c) Client 88 years of age with a skin infection d) client 43 years of age with a deep vein thrombosis e) 6-week-old client with pertussis

• 6-week-old client with pertussis • Client 88 years of age with a skin infection • Client 55 years of age with chronic renal failure

Choice Multiple question - Select all answer choices that apply. A drug label identifies which of the following? Select all that apply. a) Special drug warnings b) Generic name of the drug c) Patient's social security number d) Expiration date of the medication e) Brand name of the drug

• Brand name of the drug • Generic name of the drug • Expiration date of the medication • Special drug warnings

The nurse is educating a client on over-the-counter (OTC) medications. What information is required to be placed on the label of the medication? Select all that apply. a) Contraindications to the medication b) Picture of the medication c) Dosage of the medication d) Suggested cost e) Adverse reactions

• Contraindications to the medication • Dosage of the medication • Adverse reactions

What are the elements of the pharmacokinetic phase of drug activity? Select all that apply. a) Biotransformation b) First-pass effect c) Alterations in cellular environment d) Half-life e) Active transport

• First-pass effect • Active transport • Half-life • Biotransformation

Which of the following are true of nonprescription drugs? Select all that apply. a) They are referred to as over-the-counter drugs. b) They can be taken without risk to the client. c) They have certain labeling requirements. d) They require a prescription to obtain. e) They should be taken only as directed on the label.

• They are referred to as over-the-counter drugs. • They have certain labeling requirements. • They should be taken only as directed on the label.

Sally, the nurse treating Mrs. Rodrigues for the past 7 days, notes no improvement in the patient's condition. Tim, a nurse at the same hospital, just happened to talk to Sally about a newly introduced drug that could be used for Mrs. Rodrigues' treatment. What is the most likely reason that Sally has not heard about this new drug? a) Sally lacked the initiative to find out about the new drug. b) Sally did not care enough about Mrs. Rodrigues' treatment. c) Sally was not aware of or did not have access to reliable resources for new drug information. d) Sally was not informed by her coworkers about the new drug.

Sally was not aware of or did not have access to reliable resources for new drug information.

According to the Drug Enforcement Agency (DEA), drugs of which schedule have high abuse potential and no accepted medical use? a) Schedule III b) Schedule II c) Schedule I d) Schedule IV

Schedule I