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NUR 153- TEST #1
Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
1. Which of the following patients would be identified as most predisposed to adverse reactions:
a. a 30-year-old man with a fracture.
b. A 75-year-old woman with liver disease.
c. A 50-year-old man with a upper respiratory tract infection.
d. A 7-year-old with an ear infection.
2. Goals of the preadministration assessment of the patient include:
a. determining the action of the drug.
b. managing toxicity from the drug.
c. identifying patients at risk for adverse effects from the drug.
d. evaluating the expected outcome of the drug.
3. Which of the following is a PRN medication order?
a. a hypnotic if the patient cannot sleep
b. an antacid after each meal
c. a glucocorticoid taper
d. any drug not requiring a prescription
4. During which step of the nursing process does the nurse delineate specific interventions directed at
solving or preventing problems?
a. Assessment
b. Planning
c. Intervention
d. Evaluation
5. Normal volunteers are used for clinical trials of new drugs during:
a. Phase I.
b. Phase II.
c. Phase III.
d. Phase IV.
6. To reduce the adverse effects that may occur with administration of medications, the nurse should
know:
a. adverse effects that the drug can produce.
b. pharmacokinetics of the agent.
c. chemical structure of the drug.
d. cost comparisons between agents in the same class.
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ID: B
Name:
ID: B
7. The rationale for the 1992 changes in the Federal Drug Administration regulations to permit accelerated
approval of drugs for life-threatening or severely debilitating disease was:
a. to allow for marketing prior to completion of phase II of drug trials.
b. that the unknown risks associated with early approval are balanced by the need for effective
drugs.
c. that the rules needed to be changed because the FDA regulations were too stringent for potential
effective drugs.
d. acceleration of approve of drugs is not allowed for any reason.
8. "Ofd label" means that a drug:
a. is available in Europe by not in the United States.
b. Is FDA approved for one use but is being prescribed for another purpose.
c. The drug is in the "fast-track" process at the FDA.
d. The drug has no FDA approval.
9. Which of the following is a component of the baseline data that the nurse collects prior to
administering an antihypertensive agent to any patient?
a. The early signs that an adverse reaction is occurring
b. The route by which the drug was ordered to be administered
c. The patients blood pressure prior to administration
e. Drug storage instructions
10. A The nurse is evaluating a patient who has pre-existing hepatic failure. Acetaminophen is ordered,
though the nurse knows that this drug should not be used in patients with impaired liver function.
This is an example of
a. an indication.
b. a precaution.
c. a relative indication.
d. an absolute contraindication.
11. When discussing potential drug adverse events, it is safest:
a. to alert the patient to any possible adverse effects.
b. only educated the patient about the most likely adverse effects
c. Only educate the patient about the most dangerous adverse events.
d. keep discussion of adverse effects to a minimum as not to suggest adverse events that
would not occur if the patient were unaware.
12. The nurse is reviewing drug literature about a medication that she/he is preparing to administer. The literature
mentions precautions. Which of the following is the best example of a patient in whom precautions are
warranted for administration of penicillin?
a. In a patient who has a history of anaphylaxis from Timentin
b. A patient who has never received penicillin or any related agents
c. In a patient who is allergic to sulfa agents but has not history of reactions to penicillins
d. In a patient who reports a remote history of a mild rash from penicillin taken 20 years ago
Name:
ID: B
13. During which step of the nursing process is a nursing diagnosis for the patient developed?
a. Assessment
b. Analysis
c. Planning
d. Evaluation
14. When the nurse needs the most up-to-date and accurate information about a drug, the best source is:
a. Physician's Desk Reference.
b. Prescriber's Lette.
c. Goodman & Gillman's the Pharmacological Basis of Therapeutics.
d. Drug Facts and Comparisons.
15. Use of drugs to diagnose, prevent, or treat disease or to prevent pregnancy is known as:
a. clinical pharmacology.
b. pharmacology.
c. pharmacotherapeutics.
d. experimental pharmacology.
16. A drug that is selective should theoretically:
a. be void of side effects.
b. be administered safely in high doses.
c. be easy to administer.
d. not interact with other drugs.
17. The first legislation to regulate drug safety was the:
a. Federal Pure Food and Drug Act of 1906.
b. Food, Drug, and Cosmetic Act.
c. Kefauver-Harris Amendment.
d. Controlled Substances Act.
18. A drug that elicits only those responses for which it is given is considered to be:
a. safe.
b. effective.
c. selective.
d. predictable.
19. A 36 year-old patient receiving diuretics for hypertension has developed hearing loss. The nurse
realizes that this is a side effect of the drug. This action has occurred during which step of the Nursing
Process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
20. Generic names for drugs should ideally:
a. be simpler than the trade name.
b. be used only in medical records.
c. be simple and easy to recall.
d. be similar to the trade name.
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Name:
ID: B
21.
After which phase of a clincial trial may a manufacturer apply for FDA approval?
a. I
b. II
c. III
d. IV
22.
When a disease process triggers increased metabolism of a drug, the disease has altered the drug's:
a. pharmacodynamics.
b. pharmacokinetics.
c. pharmacotherapeutics.
d. selectivity.
23.
During which step of the Nursing Process will the nurse develop a teaching program for a diabetic
patient who is designated to start insulin therapy?
a. Assessment
b. Planning
c. Analysis
d. Implementation
24.
The most important property of an ideal drug is:
a. effectiveness.
b. predictability.
c. safety.
d. selectivity.
25. The best method to use in prescribing medications to patients is to:
a. prescribe only the safest drugs.
b. use the drug books to develop the textbook picture of exactly how a medication
will work with each patient.
c. tailor the drug to the individual.
d. look up categories and choose the least expensive drug.
26. Collaborative interventions differ from independent interventions in that:
a. they require two or more nurses to implement.
b. they require that the nurse consult a pharmacist.
c. they require a written or verbal order.
d. they take longer than one shift to implement.
27. When administering ordered medications, which of the following nursing practices is inappropriate?
a. give all medications exactly as ordered by the physician
b. verify the route ordered for the drug
c. implement recommended special handling
d. question the physician about orders that appear unclear
28. The greatest potential for abuse exists with drugs from Category:
a. I.
b. II.
c. IV.
d. V.