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McKenry: Mosby’s Pharmacology in Nursing, 22nd Edition
Test Bank
Chapter 1: Orientation to Pharmacology
MULTIPLE CHOICE
1.
1.
2.
3.
4.
The nurse would use which of the following terms when referring to the study of the effects of
drugs within a living system?
Pharmacokinetics
Pharmacology
Pharmacy
Pharmacopeia
ANS: 2
Pharmacology is a science that studies drug effects within a living system. Pharmacokinetics refers
to the study of drug concentration during drug absorption, distribution, biotransformation, and
excretion. A pharmacy is a location for purchasing prescription or over-the-counter medications.
A pharmacopoeia is a reference for reading drug information.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: General
2.
1.
2.
3.
4.
REF: Text Reference: 1
MSC: NCLEX: General
The nurse anticipates that trends in health care and pharmaceutics in the twenty-first century
will most likely focus on which of the following?
Controlling overpopulation with the use of oral contraceptives
Providing quality, cost-effective health care to promote healthy living and disease
prevention
Instructing clients on how to take responsibility for their health and maintain
compliant behaviors
Researching drug use in geographic areas with high incidences of infectious
diseases
ANS: 2
Trends into the twenty-first century will focus on providing quality health care that is cost
effective and client focused and that promotes health. The other options listed are not as
comprehensive or global as option 2.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: General
REF: Text Reference: 2
MSC: NCLEX: General
Mosby items and derived items © 2006 by Mosby, Inc.
Test Bank
3.
1.
2.
3.
4.
2
A client overhears the physician use the term “legend drug” when discussing his medication
regimen with a pharmacist on the telephone. When the client asks the nurse what this means,
the appropriate response by the nurse is that this drug
can be dispensed over the counter.
has a registered trademark.
is the same as a generic drug.
requires a legal order before it can be dispensed.
ANS: 4
A prescription drug, which requires a legal prescription or an order, is also called a legend drug.
The other statements are inaccurate.
DIF: Cognitive Level: Knowledge
TOP: Nursing Process: General
4.
1.
2.
3.
4.
REF: Text Reference: 4
MSC: NCLEX: General
The nurse would do which of the following as part of the implementation phase of the nursing
process when monitoring the client receiving drug therapy?
Scheduling the timing of doses for optimal effect
Using special handling during drug storage
Providing the outcome criteria for reviewing care
Observing the status of the client's symptoms
ANS: 4
Observing the status of the client’s symptoms is part of monitoring drug effects. The
implementation step of the nursing process incorporates the nursing activities of monitoring,
intervention, and education. Option 1 reflects planning; option 2 reflects intervention as part of
implementation; option 3 reflects evaluation.
DIF: Cognitive Level: Application
REF: Text Reference: 10
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5.
1.
2.
3.
4.
For which of the following activities would the nurse be responsible during the evaluation
phase of drug administration?
Preparing and administering medications safely and as ordered
Providing outcome results to predicted criteria related to drug therapy
Ongoing monitoring of the client for therapeutic and adverse effects
Gathering data in a drug and dietary history
ANS: 2
Evaluation provides outcome criteria for reviewing care of the client regarding safe and effective
drug therapy. Options 1 and 3 reflect implementation and option 4 reflects assessment.
DIF:
Cognitive Level: Application
REF: Text Reference: 10
Mosby items and derived items © 2006 by Mosby, Inc.
Test Bank
3
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6.
1.
2.
3.
4.
A client is discharged home with a prescription for tetracycline 250 mg PO three times daily.
Which type of name does “tetracycline” represent?
Chemical
Generic
Trade
Brand
ANS: 2
Tetracycline is the generic name, which is often assigned by the manufacturer.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: General
7.
1.
2.
3.
4.
REF: Text Reference: 4
MSC: NCLEX: General
The nurse would identify that which of the following drugs is not derived from a plant source?
Vincristine
Digoxin
Colchicine
Epinephrine
ANS: 4
Epinephrine is derived from an animal source, not a plant source.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: General
8.
1.
2.
3.
4.
REF: Text Reference: 4
MSC: NCLEX: General
The nurse preceptor explains to a beginning nursing student that digoxin is an example of what
type of plant drug?
Alkaloid
Glycoside
Gum
Oil
ANS: 2
Glycosides are active plant substances that, on hydrolysis, yield a sugar plus one or more
additional active substances; digoxin is an important cardiac glycoside used in medicine.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: General
REF: Text Reference: 3
MSC: NCLEX: General
Mosby items and derived items © 2006 by Mosby, Inc.
Test Bank
9.
1.
2.
3.
4.
4
Which of the following drug sources would be least useful to the nurse who needs to identify
medications brought to the hospital by a client who removed them from their original
prescription bottles?
Physician’s Desk Reference (PDR)
United States Pharmacopeia Dispensing Information (USP DI)
Mosby’s Drug Consult
A nursing drug handbook
ANS: 4
The PDR, USP DI, and Mosby’s Drug Consult all provide pictures of medication pills or tablets to
aid in identification of drugs. Not all nursing drug handbooks routinely include this type of
information, making it the least reliable source for this information.
DIF: Cognitive Level: Application
TOP: Nursing Process: General
10.
1.
2.
3.
4.
REF: Text Reference: 8
MSC: NCLEX: General
A new drug has become available on the market and a client who has begun taking it is
admitted to the hospital. Which of the following strategies by the nurse is likely to be most
effective in learning about this new drug?
Study it in relation to the prototype drug in its category
Memorize both the generic and trade name for the drug
Try to identify the top three organ systems affected by adverse effects
Repeatedly look up the drug with each dose until the information is committed to
memory
ANS: 1
The nurse should study the drug in relation to the prototype drug in its category. In this way the
nurse can identify both similarities and differences between the new drug and its prototype. The
other strategies are likely to lead to retention of insufficient information (options 2 and 3) or be
inefficient (option 4).
DIF: Cognitive Level: Application
TOP: Nursing Process: General
REF: Text Reference: 5
MSC: NCLEX: General
Mosby items and derived items © 2006 by Mosby, Inc.