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Focus on Nursing Pharmacology 6e Instructor Test Bank (OPTO 6253 )

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Sandra Watson
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us on Nursing Pharmacology 6e Instructor Test Bank (OPTO 6253 )

1. Routine immunization. Which branch of pharmacology best describes the actions of all three nurses?

A)Pharmacoeconomic

B)Pharmacotherapeutics

C)Pharmacodynamics

D)Pharmacokinetics

2. A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential. Under what category would morphine be classified?
A Schedule I
B)Schedule II
C)Schedule III
D)Schedule IV

3. When involved in phase III drug evaluation studies, what responsibilities would the nurse have?

A)Working with animals who are given experimental drugs
B)Choosing appropriate patients to be involved in the drug study
C)Monitoring and observing patients closely for adverse effects
D)Conducting research to determine effectiveness of the drug

4.  What concept is considered when generic drugs are substituted for brand name drugs?

A)Bioavailability

B)Critical concentration

C)Distribution

D)Half-life

5. A nurse is assessing the patient’s home medication use. After listening to the patient list current medications, the nurse asks what priority question?

A) “Do you take any generic medications?”

B)“Are any of these medications orphan drugs?”

C) “Are these medications safe to take during pregnancy?”

D)“Do you take any over-the-counter medications?”

6. After completing a course on pharmacology for nurses, what will the nurse know?

A) Everything necessary for safe and effective medication administration

B) Current pharmacologic therapy; the nurse will not require ongoing education for 5 years.

C) General drug information; the nurse can consult a drug guide for specific drug information.

D)The drug actions that are associated with each classification of medication

7. A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a
Pregnancy Category B drug. What would the nurse inform the patient?

A) Adequate studies in pregnant women have demonstrated there is no risk to the fetus.
Animal studies have not demonstrated a risk to the fetus, but there have been no
B) adequate studies in pregnant women.” “Animal studies have shown an adverse effect on the fetus, but there are no
C) adequate studies in pregnant women.” “There is evidence of human fetal risk, but the potential benefits from use of the
D) drug may be acceptable despite potential risks.”

8. Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?

A)OTC drugs are safe and do not cause adverse effects if taken properly.

B)“OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA).”

C)“OTC drugs are different from any drugs available by prescription and cost less.”

D) OTC drugs could cause serious harm if not taken according to directions.

9. What would be the best source of drug information for a nurse?

A) Drug Facts and Comparisons

B) A nurse’s drug guide

C) A drug package insert

D) The Physicians’ Drug Reference (PDR)

10. The nurse is preparing to administer a medication from a multidose bottle. The label is torn and soiled but the name of the medication is still readable. What is the nurse’s priority action?

A) Discard the entire bottle and contents and obtain a new bottle.

B) Find the drug information and create a new label for the bottle.

C) Ask another nurse to verify the contents of the bottle.

D) Administer the medication if the name of the drug can be clearly read.

11. What aspect of pharmacology does a nurse study? (Select all that apply.)

A) Chemical pharmacology

B) Molecular pharmacology

C) Impact of drugs on the body

D) The body’s response to a drug

12. The nurse, providing patient teaching about home medication use to an older adult, explains that even when drugs are taken properly they can produce negative or unexpected effects. What are these negative or unexpected effects called?
A) Teratogenic effects

B) Toxic effects

C) Adverse effects

D) Therapeutic effects

13. After administering a medication, for what would the nurse assess the patient?

A) Drug effects

B) Allergies

C) Pregnancy

D) Preexisting conditions

14. The nurse receives an order to administer an unfamiliar medication and obtains a nurse’s
drug guide published four years earlier. What is the nurse’s most prudent action?

A) Find a more recent reference source.

B) Use the guide if the drug is listed.

C) Ask another nurse for drug information.

D) Verify the information in the guide with the pharmacist.

15. What would the nurse provide when preparing a patient for discharge and home . medication self- dministration?

A) Personal contact information to use if the patient has questions

B) Thorough medication teaching about drugs and the drug regimen

C) Over-the-counter medications to use to treat potential adverse effects

D) A sample size package of medication to take home until prescription is filled

16. In response to the patient’s question about how to know whether drugs are safe, the nurse explains that all             medications undergo rigorous scientific testing controlled by what organization?

A) Food and Drug Administration (FDA)

B) Drug Enforcement Agency (DEA)

C) Centers for Disease Control and Prevention (CDC)

D) Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

17. The nurse, assisting with Phase I drug studies, is talking with a woman who asks, “Why .can’t I participate in this         study?” What would be the nurse’s best response?

A) Drugs pose a greater risk to women of reproductive age.

B) Drugs are only tested on men because they are stronger.

C) Women are more prone to adverse effects from medications.

D) Drugs affect women differently than they affect women.

18. The patient tells the nurse about a new drug being tested to treat the disease she was diagnosed with and asks the nurse whether the doctor can prescribe a medication still in the preclinical phase of testing. What is the nurse’s best response?
A “The doctor would have to complete a great deal of paperwork to get approval to prescribe that drug.”
B) “Sometimes pharmaceutical companies are looking for volunteers to test a new drug and the doctor could give them your name.”
C ) “Drugs in the preclinical phase of testing are only tested on animals and so would not be available to you.”
D) “Drugs in the preclinical phase of testing are given only to healthy young men and so would not be available to you.”

19. The nurse is caring for a patient who had a severe, acute, previously unseen adverse effect of a drug in Phase III testing. The patient asks, “After all the testing done on this drug, didn’t they know this adverse effect could occur?” What is the nurse’s best response?

A) (Select all that apply.) “Pharmaceutical companies sometimes underreport problems to make more
B) money.”
“Your response to this medication will be reported to the drug company and the Food and Drug Administration (FDA).”
C) “When a drug begins to be used by a large clinical market, new adverse effects may be found.”
D) “The pharmaceutical company weighs the benefits of the drug with the severity of adverse effects.”
E) After a drug reaches phase III testing it is considered an accepted drug and will not be recalled.

20. The telephone triage nurse receives a call from a patient asking for a prescription for a narcotic to manage his surgical pain. The nurse explains that narcotic prescriptions must be written and cannot be called in to the pharmacy. The patient says, “Why are narcotics so difficult to get a prescription for?” What is the nurse’s best response?

A) “The Drug Enforcement Agency (DEA) determines the risk for addiction and the Food and Drug Administration (FDA) enforces their control.”

B)“The increase in the number of drug addicts has made the rules stronger.”

C) “The Centers for Disease Control and Prevention (CDC) regulates use of controlled  substances to reduce the risk of injury.”

D) “Controlled substances like narcotics are controlled by the FDA and the DEA.”

E) Adverse and anticipated drug effects

21.The nurse explains the Drug Enforcement Agency’s (DEA’s) schedule of controlled substances to the nursing assistant who asks, “Do you ever get a prescription for Schedul I medications?” What is the nurse’s best response?

A)“Schedule I medications have no medical use so they are not prescribed.”
B)  “Schedule I medications have the lowest risk for abuse and do not require a prescription.”

C) “Schedule I medications are only prescribed in monitored units for patient safety.”
D)  “Schedule I medications are found in antitussives and antidiarrheals sold over the counter.”

22. The nurse, working on the maternity unit, receives a call from a pregnant woman asking how             she can know whether a medication is safe to take while pregnant. What is the nurse’s best                  response?

A) “You can take any drug indicated as a Category A.”

B) “No medications should be taken during pregnancy.”

C) “Never take medication until you receive approval from your health care provider.”

D) “Most medications are safe but you need to weigh benefit against risk.”

23. A patient asks the nurse, “What is a Drug Enforcement Agency (DEA) number?” What is the                nurse’s best response?

A) “DEA Numbers are given to physicians and pharmacists when they register with the DEA to                 prescribe and dispense controlled substances.”
B) “Physicians must have a DEA number in order to prescribe any type of medication for patients.”
C) “DEA numbers are case numbers given when someone breaks the law involving a  controlled               substance.”
D) “DEA numbers are contact numbers to talk with someone at the DEA when questions arise                about controlled substances.”
24. When moving to another state, what is the nurse responsible for becoming familiar with?

A) Local policies and procedures for controlled substance administration

B) Local provider’s Drug Enforcement Agency (DEA) number for prescribing controlled substances

C)  The agency monitoring controlled substances in the new state

D) Board of Nursing regulations of controlled substances in the new state

25. The patient looks at the prescription provided by the doctor and asks the nurse whether he can       request a generic substitution. The nurse answers “No” when noting what on the prescription?

A) No refills

B) DAW

C) Brand name used on prescription

D) Patient older than 65 years of age

26. The patient asks the nurse why generic drugs would be used and voices concerns that only the            brand name product will be safe. What is the nurse’s best response?

A) “Generic drugs are often less expensive.”

B) “Some quality control problems have been found with generic drugs.”

C) “Most generic drugs are very safe and can be cost effective as well.”

D) “Although initial cost is higher for a brand name it may cost less in the long run.”

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

A)  The generic name

B) The chemical name

C) The brand name

D) The chemical and generic name

28. The patient is prescribed a medication that was just placed in Phase IV study. The patient tells the nurse, “This            medication is too expensive. Could the doctor order a generic form of this medication?” What is the nurse’s most         accurate response?

A) “Medications are not produced in generic form until the patent expires, which normally takes several years.”
B) “You can request the generic form but the binder used may make the drug less effective for this medication.”
C)  “The generic form of the medication would not be any less expensive because this is a relatively new medication.”

D) “Generic medications are lower quality drugs and that would mean you would not be getting the best treatment              available.”

29. The nurse learns that a drug needed by the patient is classified as an orphan drug and recognizes what as a                   reason for this classification? (Select all that apply.)

A) The drug is rarely prescribed.

B) The drug has dangerous adverse effects.

C) The drug treats a rare disease.

D) The patent on the medication is still effective.

E) Production by a company that only manufactures drugs.

30. While collecting a medication history, the patient admits to doubling the recommended dosage of an over-the-            counter (OTC) medication, saying “It’s harmless or they would require a prescription.” What is the nurse’s best            response?

A) “OTC drugs are serious medications and carry serious risks if not taken as directed.”

B) “Taking medications like that is careless and you could kill yourself doing it.”

C) “Sometimes you need to take more than the package directs to treat the symptoms.”

D) “Did you notify your doctor of the increased dosage you were taking?”

31. The patient asks the nurse, “Is it safe to take over-the-counter (OTC) medications with prescription                                 medications?” What is the nurse’s best response? (Select all that apply.)

A) “OTC medications can interact with prescription medications.”

B) “It is important to tell your doctor all medications you take, including OTC.”

C) “OTC medications could mask or hide signs and symptoms of a disease.”

D) “You should avoid taking any OTC medication when taking prescription drugs.”

E) “Taking OTC medications can make your prescription medication more effective.”

32. Before administering a prescription medication, what information does the nurse find on the drug label? (Select         all that apply.)

A) Brand name

B) Generic name

C) Drug concentration

D) Expiration date

E) Adverse effects

33. The nurse is preparing a medication that is new to the market and cannot be found in the nurse’s drug guide.              Where can the nurse get the most reliable information about this medication?

A) Package insert

B) Another nurse

C) Drug manufacturer

D) Physician

34. The nurse explains that what drug resource book is compiled from package inserts?

A) Nurses Drug Guide

B) Physicias’s Desk Reference (PDR)

C) Drug Facts and Comparisons

D) AMA Drug Evaluations

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Focus on Nursing Pharmacology 6e Instructor Test Bank (OPTO 6253 )

 

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