Pharmacology Theory Final Exam Chapters 1 - 10, 13

110 Questions | Total Attempts: 145

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Pharmacology Theory Final Exam Chapters 1 - 10, 13


Questions and Answers
  • 1. 
    A client tells the nurse, "I have been reading about research trials, and would like to be involved in one." The nurse asks the client is she has any documented diseases, knowing the client might be eligible to participate in which clinical trial phase?
    • A. 

      Phase I

    • B. 

      Phase II

    • C. 

      Preclinical investigation

    • D. 

      Postmarketing surveillance

  • 2. 
    A client, who plans to purchase drugs from Canada, expresses concerns that the drugs will be substandard. The nurse explains:
    • A. 

      "You should have reservations about obtaining drugs from Canada."

    • B. 

      "Drugs from Canada must comply with standards established by recognized formularies in the United States and are safe."

    • C. 

      "The Canadian Food and Drug Act has a much different approval process that is not as stringent as ours in the United States."

    • D. 

      "I can understand you want to save money, but it would be better to purchase your drugs in the United States."

  • 3. 
    A client prefers to purchase over-the-counter medications rather than prescription medications whenever possible. The nurse informs the client that advantages to using over-the-counter (OTC) medications include which of the following?
    • A. 

      They are less expensive than prescription medications.

    • B. 

      Fewer side effects can be expected.

    • C. 

      Access to them is easier.

    • D. 

      They do not interact with food and beverages.

  • 4. 
    The nurse explains to a client that the phase post-marketing surveillance is best described as:
    • A. 

      Trials and animal drug testing

    • B. 

      The longest part of the approval process

    • C. 

      The final stage of the approval process

    • D. 

      Extensive laboratory research

  • 5. 
    The nurse explains to a client that during the FDA drug approval process, clinical investigators from many different medical specialties address concerns such as:
    • A. 

      Whether the drug is effective.

    • B. 

      Whether a New Drug Application (NDA) must be filed.

    • C. 

      Placing the application for review for six months.

    • D. 

      Determining the marketability of the drug.

  • 6. 
    A client asks the nurse, "I read that the pill I am taking is a biologic. Is this some kind of special drug?" The nurse's explanation is based on the knowledge that biologics:
    • A. 

      Include medications as well as all types of complementary alternative therapies.

    • B. 

      Are strictly derived from natural plant products.

    • C. 

      Are drugs that are similar to natural products but are artificially created in a laboratory.

    • D. 

      Are agents naturally produced by animals, microorganisms, or the human body.

  • 7. 
    A healthy, young client informs the nurse that she has enrolled in a clinical drug research study. The nurse recognizes that the client is involved in which phase of trials?
    • A. 

      Preclinical investigation

    • B. 

      Clinical investigation

    • C. 

      Review of the New Drug Application (NDA)

    • D. 

      Post-marketing surveillance

  • 8. 
    A nurse is preparing to teach about drugs and FDA approval to a group of nursing students. The nurse includes the information that which of the following drug types must obtain FDA approval before being marketed? (Select all that apply.)
    • A. 

      Laboratory-created drugs

    • B. 

      Biologics

    • C. 

      Herbal preparations

    • D. 

      Dietary supplements

    • E. 

      Vaccines

  • 9. 
    The nurse learns that an elderly client on a fixed income has stopped taking prescription medications and is using an over-the-counter (OTC) medication instead. The nurse expresses concern and informs the client that OTC medications can have which of the following disadvantages? (Select all that apply.)
    • A. 

      They are often more expensive.

    • B. 

      Access to them often is restricted.

    • C. 

      Self-treatment might be ineffective.

    • D. 

      They can have serious side effects.

  • 10. 
    The nurse can check the U.S. Pharmacopoeia: National Formulary to find which information about a drug that a client is receiving?
    • A. 

      Exact ingredients and strength of purity

    • B. 

      Common side effects

    • C. 

      Reports of death

    • D. 

      Off-label uses for the drug

  • 11. 
    A client says to a nurse, "My nurse practitioner said the pharmacist should give me the generic drug instead of Tylenol. How will I know if it is the same drug?" Which response should the nurse make to the client?
    • A. 

      "There is only one generic name for each drug. In this case, it is acetaminophen, so your pharmacist will give you that drug."

    • B. 

      "Generic drugs are less expensive, but do not always have the same ingredients as other drugs, so let's talk with the nurse practitioner about this."

    • C. 

      "The company that markets the drug gives it the generic name so you will easily recognize it."

    • D. 

      "Generic drugs often are combined with other drugs to produce the desired effect. Your pharmacist will explain this when you purchase the medication."

  • 12. 
    The nurse researches a new drug ordered for a client. In order to understand the drug's mechanism of action, the nurse checks to determine which of the following?
    • A. 

      The ingredients that are compounded in the drug

    • B. 

      The pharmacological classification

    • C. 

      The therapeutic action

    • D. 

      The frequency of reported adverse side effects

  • 13. 
    A client who is physically dependent on a drug prescribed by a physician stops taking the drug. The nurse should anticipate that the client will experience:
    • A. 

      Systems of euphoria

    • B. 

      Withdrawal syptoms

    • C. 

      Signs of drug toxicity

    • D. 

      Anger

  • 14. 
    A client is receiving a Schedule II drug and is angry that the physician always says, "You must return to the office before I can give you another prescription." Which response by the nurse is most appropriate?
    • A. 

      "It is important for the physician to know how you are doing before you get another prescription."

    • B. 

      "Insurance companies make these rules, and there is nothing that can be done about it."

    • C. 

      "You are receiving a drug that by law cannot be refilled until you have another physician visit."

    • D. 

      "Soon you will be off the medication, so just bear with the inconvenience for now."

  • 15. 
    When doing an admission drug history, the nurse observes the client has a prescription with a label indicating it is a "Schedule G" drug. The nurse recognizes that this indicates what?
    • A. 

      The prescription was ordered through a mail order pharmacy.

    • B. 

      The drug is an herbal preparation.

    • C. 

      The drug is a controlled substance.

    • D. 

      It cannot be refilled without calling in the prescription.

  • 16. 
    The nurse recognizes that Schedule I drugs rarely are administered to clients, since they are identified as having the highest abuse and risk for _____________ dependence.
  • 17. 
    The nurse can predict the actions and adverse effects of other drugs in the same pharmacologic class by understanding which of the following?
    • A. 

      Prototype drug

    • B. 

      Generic name of the drug

    • C. 

      Brand name of the drug

    • D. 

      Therapeutic classification

  • 18. 
    A client given a prescription for ibuprofen (Motrin) says to the nurse, "I thought I could buy this over the counter (OTC)." The nurse explains:
    • A. 

      "You could, but it would be more expensive."

    • B. 

      "This prescription is a higher dose than what is sold over the counter."

    • C. 

      "This brand name is more effective than what is available OTC."

    • D. 

      "There are so many brand names available OTC, it is confusing, so it is easier with a prescription."

  • 19. 
    The nurse has administered a Schedule V drug to a client. When monitoring the effect, the nurse considers which potential effect of this schedule of drugs?
    • A. 

      They have a high abuse potential.

    • B. 

      The client easily can become addicted to the drug.

    • C. 

      They are used only when other schedule drugs are ineffective.

    • D. 

      Potential for abuse and addiction is low.

  • 20. 
    A client given a prescription for a Schedule III drug asks what the schedule means. The nurse explains that scheduled drugs are classified according to:
    • A. 

      Risk for toxicity

    • B. 

      Degree of pain relief it can provide

    • C. 

      Potential for abuse

    • D. 

      Adverse effects

  • 21. 
    The nurse has instructed a parent on proper administration of a liquid preparation. The child is to be given 10 mL t.i.d. The nurse determines that teaching has been effective when the parent states:
    • A. 

      "I will give 2 teaspoons with each meal of the day."

    • B. 

      "I will give 2 teaspoons three times a day in a dosing syringe."

    • C. 

      "I will be sure to give a full rounded teaspoon with all three doses."

    • D. 

      "I need to give 1 tablespoon three times a day in a small medicine cup."

  • 22. 
    The nurse is preparing to administer a medication to a client receiving a continuous feeding via a gastrostomy tube. Before administration, the nurse takes what action?
    • A. 

      Mix the medication with at least 30 mL of the formula that the client is receiving.

    • B. 

      Aspirate feeding, and check for residual volume.

    • C. 

      Ensure that feeding is running at 50 mL or greater.

    • D. 

      Position the client on the left side, with the head elevated 90 degrees.

  • 23. 
    Within the question text below, there is one text entry field where you can enter your answer. A nurse asks a client to discuss the way medications will be taken at home during the ____________ phase of the nursing process.
  • 24. 
    A client has an allergic reaction to a newly prescribed medication. The nurse places the highest priority on which action?
    • A. 

      Instruct the client to remain calm.

    • B. 

      Document the allergy in the medical record.

    • C. 

      Communicate the allergic response to the physician and pharmacist.

    • D. 

      Place an agency-approved allergy bracelet on the client.

  • 25. 
    After administering medications to a client known to have multiple allergies, the client's vital signs are T 99.2 deg F, R 168, P 46, and BP 76/40. The nurse concludes that the client is experiencing which type of reaction?
    • A. 

      Allergic reaction

    • B. 

      Anaphylactic reaction

    • C. 

      Side effect

    • D. 

      Anticipated reaction

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