Adams and Urban, Pharmacology: Connections to Nursing Practice, 3e Test Bank Chapter 1 Question 1 Type: MCMA
The nurse is teaching a pharmacology class
... [Show More] to a group of student nurses. Which key events does the nurse include in the history of pharmacology?
Note: Credit will be given only ifall correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Early researchers used themselves and animals as test subjects. 2. Pharmacologists began to synthesize drugs in the laboratory in the 20th century. 3. Modern pharmacology began in the mid-1600s. 4. The first drugs included morphine, cocaine, and penicillin. 5. The Dark Ages provided much useful information that we still use today. Correct Answer: 1,2 Rationale 1: Early researchers did use themselves and animals as test subjects. Rationale 2: Pharmacologists did begin to synthesize drugs in the laboratory in the 20th century. Rationale 3: Modern pharmacology began in the 1800s, not 1600s. Rationale 4: The first drugs included morphine and cocaine, but not penicillin. Rationale 5: Little is known about pharmacology during the Dark Ages.
Global Rationale: The nurse would state that early researchers did use themselves and animals as test subjects; pharmacologists did begin to synthesize drugs in the laboratory in the 20th century; and modern pharmacology began in the 1800s, not 1600s. The first drugs included morphine and cocaine, but not penicillin. Little is known about pharmacology during the Dark Ages.
Question 2 Type: MCSA
1 | P a g eAlthough all areas of medicine, including pharmacology, have made great advances in the last century, the
early roots of pharmacology still apply for the nurse and other health professionals. What were the early
roots of pharmacology?
1. Applying products to relieve human suffering
2. Creating new drugs as quickly as possible
3. Finding medicinal alternatives to plants
4. Understanding how drugs take their effects
Correct Answer: 1
Rationale 1: The early root of pharmacology was to relieve human suffering.
Rationale 2: The early root of pharmacology was not to create new drugs quickly.
Rationale 3: Early pharmacology involved using plants to relieve symptoms of suffering.
Rationale 4: The early root of pharmacology was not to understand how drugs take their effects.
Global Rationale: The early root of pharmacology was to relieve human suffering, not to create new
drugs quickly or to understand how drugs take their effects. Early pharmacology did involve using plants
to relieve symptoms of suffering.
Question 3
Type: MCSA
Although many substances can be considered drugs, which drug definition is the most appropriate?
1. Any substance that is found in nature or that normally occurs in the body
2. Any substance that is synthesized and tested in the laboratory setting
3. Any substance that is taken to prevent, cure, or reduce symptoms of a medical condition
4. Any substance that can be isolated from natural substances in nature
Correct Answer: 3
Rationale 1: A drug is not a substance that is found in nature or that normally occurs in the human body.
Rationale 2: A drug is not only a substance that is synthesized and tested.
Rationale 3: A drug is considered to be any substance that is taken to prevent, cure, or reduce symptoms
of a medical condition.Rationale 4: A drug is not only a substance isolated from natural substances.
Global Rationale: A drug is considered to be any substance that is taken to prevent, cure, or reduce
symptoms of a medical condition. A drug is not a substance that is found in nature or that normally
occurs in the human body; it is not any substance that is synthesized and tested in the laboratory setting,
nor is it only a substance isolated from natural substances.
Question 4
Type: MCSA
Pharmacotherapy is a critical intervention for many conditions, and a key part of nursing intervention.
Which statement best describes pharmacotherapy?
1. The study of medicine and drug therapy
2. The application of natural substances to cure diseases
3. The application of drugs for the prevention and treatment of disease and human suffering
4. Understanding the difference between trade and generic medications
Correct Answer: 3
Rationale 1: Pharmacotherapy is not just the study of medicine and drug therapy.
Rationale 2: Pharmacotherapy is not the application of natural substances to cure diseases.
Rationale 3: Pharmacotherapy is the application of drugs for the prevention and treatment of diseases
and human suffering.
Rationale 4: Pharmacotherapy comprises more than understanding the difference between trade and
generic drugs.
Global Rationale: Pharmacotherapy is the application of drugs for the prevention and treatment of
diseases and human suffering. It is not just the study of medicine and drug therapy nor is it the
application of natural substances to cure diseases. Pharmacotherapy comprises more than understanding
the difference between trade and generic drugs.
Question 5
Type: MCSA
Which principle best describes what the nurse is expected to understand when administering medication
to a client?
1. The pharmacotherapeutics for all of the medications
2. The most common side effects of the drug’s prototype
3 | P a g e3. The trade and generic names for all of the medications
4. The cost of the drug therapy
Correct Answer: 1
Rationale 1: The nurse should understand the pharmacotherapeutics for all medications that the client
is
receiving.
Rationale 2: The nurse should understand much more about a drug than just the common side effects of
the drug’s prototype.
Rationale 3: The nurse should understand much more about a drug than just its trade and generic
names.
Rationale 4: The cost of drug therapy is not a principle of drug administration.
Global Rationale: The nurse is expected to understand the pharmacotherapeutics for all medications
that the client is receiving. The nurse should understand much more than the common side effects of the
drug’s prototype and the trade and generic names. The cost of drug therapy is not a principle of drug
administration.
Question 6
Type: MCSA
The Food and Drug Administration classifies drugs by category, and these categories and drugs are found
in the “Orange Book.” To find out which drugs treat hypertension, the nurse would look under which
classification?
1. Cardiac
2. Pharmacologic
3. Disease
4. Therapeutic
Correct Answer: 4
Rationale 1: There is no cardiac classification.
Rationale 2: The pharmacologic category describes how the drug works, not what condition the drug
treats. However, the nurse could determine what condition the drug treats by knowing how the drug
works.
Rationale 3: Disease is not a category.Rationale 4: The nurse would look under the therapeutic category to find out what a drug will treat.
Global Rationale: To find out which drugs treat hypertension, the nurse would look under the
therapeutic category to find out what a drug will treat. The pharmacologic category describes how the
drug works, not what condition the drug treats. However, the nurse could determine what condition the
drug treats by knowing how the drug works. Disease is not a category and there is no cardiac
classification.
Question 7
Type: MCSA
The nurse is creating a teaching plan for a client on the cardiac unit and is researching the medications
the client is currently taking to understand how each drug produces its effects in the body. To find this
information, the nurse looks up which classification for each medication?
1. Therapeutic
2. Cardiac
3. Disease
4. Pharmacologic
Correct Answer: 4
Rationale 1: The therapeutic classification describes what condition is being treated by a drug, not how
the drug works in the body.
Rationale 2: There is no cardiac category.
Rationale 3: There is no disease category.
Rationale 4: The nurse researches the pharmacologic classification to discover how a drug works in the
body.
Global Rationale: The nurse researches the pharmacologic classification to discover how a drug works
in the body. The therapeutic classification describes what condition is being treated by a drug, not how
the drug works in the body. There is no cardiac or disease category.
Question 8
Type: MCMA
A prototype drug is a single drug in a class and can be compared with all other medications in the class.
What are the benefits for the nurse to studying the prototype drug in predicting characteristics of other
drugs in the same class?
Note: Credit will be given only ifall correct choices and no incorrect choices are selected.
5 | P a g eStandard Text: Select all that apply.
1. Which drugs have the most favorable safety profile
2. Their therapeutic indications
3. Their actions and adverse effects
4. Their specific clinical use
5. Contraindications specific to any drug in that group
Correct Answer: 2,3,4
Rationale 1: The prototype drug does not provide a safety profile of other drugs in the same class.
Rationale 2: Studying the therapeutic indications of a prototype drug may allow the nurse to predict
actions and adverse effects of other drugs in the same group.
Rationale 3: By studying the prototype, the nurse can predict the actions and adverse effects of other
drugs in the same class.
Rationale 4: Studying the prototype drug may allow the nurse to predict the clinical use of another drug
in the same class.
Rationale 5: Contraindications may differ for specific drugs in the same class as the prototype.
Global Rationale: Studying the therapeutic indications of a prototype drug may allow the nurse to
predict actions and adverse effects of other drugs in the same group. The nurse can also predict the
actions, adverse effects, and clinical uses of other drugs in the same class. The prototype drug does not
provide a safety profile of other drugs in the same class. Contraindications may differ for specific drugs in
the same class as the prototype.
Question 9
Type: MCMA
Chemical names are assigned for each drug. What are the major reasons for why nurses usually do not
use the chemical name of the drugs?
Note: Credit will be given only ifall correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. They are usually not brief or easy to remember.
2. They are often difficult to pronounce.
3. There is no standard for assigning names.4. They do not explain the nature of the drug.
5. There is only one chemical name for each drug.
Correct Answer: 1,2
Rationale 1: Chemical names are usually not brief or easy to remember.
Rationale 2: Chemical names are often difficult to pronounce.
Rationale 3: Chemical names are assigned by a standard nomenclature.
Rationale 4: Chemical names do explain the nature of the drug.
Rationale 5: While it is true each drug has only one chemical name, this is not one of the reasons nurses
do not use the chemical name.
Global Rationale: Nurses typically do not use the chemical names of drugs because they are not brief or
easy to remember and they are often difficult to pronounce. Chemical names are assigned by a standard
nomenclature and they do explain the nature of the drug. While it is true each drug has only one
chemical name, this is not one of the reasons nurses do not use the chemical name.
Question 10
Type: MCSA
The trade name for a drug is usually selected to be short and easy to remember. What is the reason the
nurse does not use the trade name for a drug?
1. There are no trade names for combination drugs.
2. A drug can have more than one trade name.
3. The trade name will expire and no longer be used.
4. A company might change the trade name for a drug.
Correct Answer: 2
Rationale 1: There are trade names for combination drugs.
Rationale 2: A drug can have more than one trade name.
Rationale 3: The trade name does not expire and will continue to be used.
Rationale 4: Companies usually do not change the trade name of a drug.
7 | P a g eGlobal Rationale: Nurses typically do not use the trade name of medications because a drug can have
more than one trade name. There are trade names for combination drugs. Trade names do not expire,
and they will continue to be used. Companies usually do not change the trade name of a drug.
Question 11
Type: MCSA
Nursing students must memorize the generic names of drugs. What is the primary reason that generic
names are used by health care providers over chemical and trade names?
1. A drug can have more than one chemical and trade name.
2. There is only one generic name for each drug, and it is easier to remember than the chemical name.
3. The trade names do not reflect the action of the drug as the generic name does.
4. Nursing students should actually strive to learn both the generic and trade names to avoid confusion
with clients.
Correct Answer: 2
Rationale 1: A drug has only one chemical name; it can have multiple trade names.
Rationale 2: Each drug does have only one generic name.
Rationale 3: The generic name of a drug might not reflect the action of the drug.
Rationale 4: Nursing students should learn the generic name of a drug, since there can be multiple trade
names.
Global Rationale: Generic drug names are typically used because each drug only has one generic name,
while it can have multiple trade names. Chemical names are not often used because they are hard to
remember and pronounce. The generic name of a drug might not reflect the action of the drug.
Question 12
Type: MCSA
Which is one of the main reasons a pharmaceutical company might be granted an exclusive period to
market and distribute a new drug?
1. It allows the company to recoup the cost of research and development.
2. It allows consumers to get used to the trade name of the drug.
3. It allows all the adverse effects to be discovered.
4. Without competition, consumer savings are significant.Correct Answer: 1
Rationale 1: Exclusivity allows a pharmaceutical company a period of time to recoup the costs of
research and development of a drug.
Rationale 2: The period of exclusivity is not granted so that consumers will become familiar with a trade
name.
Rationale 3: Adverse effects are discovered during the clinical drug trials, not during the period of
exclusivity.
Rationale 4: Competition between pharmaceutical companies actually results in consumer savings.
Global Rationale: Exclusivity allows a pharmaceutical company a period of time to recoup the costs of
research and development of a drug. Exclusivity is not granted so that consumers will become familiar
with a trade name. Adverse effects are discovered during the clinical drug trials, not during the period of
exclusivity. Competition between pharmaceutical companies actually results in consumer savings.
Question 13
Type: MCSA
Bioavailability of a drug can be affected by many factors. Which factor does not affect the bioavailability
of a drug?
1. Inert ingredients
2. Rate of absorption
3. Safety margin
4. Tablet compression
Correct Answer: 3
Rationale 1: Inert ingredients can affect the bioavailability of a drug.
Rationale 2: Rate of absorption can affect the bioavailability of a drug.
Rationale 3: Safety margin will not affect the bioavailability of a drug.
Rationale 4: Tablet compression can affect the bioavailability of a drug.
Global Rationale: Safety margin will not affect the bioavailability of a drug. Inert ingredients, the safety
margin, and the tablet compression can all affect the bioavailability of a drug.
Question 14
Type: MCSA
9 | P a g eBioavailability can be different between the generic and trade versions of a drug. When is it not appropriate for a generic drug to be substituted for a trade version?
1. The trade version costs the same as the generic. 2. The time for onset of action is different between the generic and trade versions. 3. The inert ingredients are different in the generic and trade versions. 4. The drug is a critical care drug, or one with a narrow safety margin. Correct Answer: 4
Rationale 1: While the cost of the trade version is usually greater than that of the generic version of the same drug, cost does not affect bioavailability.
Rationale 2: The time of onset of action is not always an issue in using the generic over the trade version.
Rationale 3: The difference in inert ingredients is not always an issue in substitution of a generic over the trade version.
Rationale 4: The nurse should not substitute a generic drug for a trade version if the drug is a critical care drug or has a narrow safety margin.
Global Rationale: The nurse should not [Show Less]