Pharmacology For Nurses: A Pathophysiologic Approach , 4th Edition Test Bank
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Adams, Pharmacology for Nurse: A Pathophysiologic
Approach,
Chapter 1
Question 1
Type: MCMA
The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key
events in the history of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Initial drugs included morphine, cocaine, and penicillin.
2. Early researchers used themselves as test subjects.
3. The initial intention of pharmacology was to relieve human suffering.
4. Modern pharmacology began in the early 1600s.
5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.
Correct Answer: 2,3,5
Rationale 1: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 2: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 3: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Approach,
Chapter 1
Question 1
Type: MCMA
The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key
events in the history of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Initial drugs included morphine, cocaine, and penicillin.
2. Early researchers used themselves as test subjects.
3. The initial intention of pharmacology was to relieve human suffering.
4. Modern pharmacology began in the early 1600s.
5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.
Correct Answer: 2,3,5
Rationale 1: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 2: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 3: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Adams, Pharmacology for Nurse: A Pathophysiologic
Approach,
Chapter 1
Question 1
Type: MCMA
The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key
events in the history of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Initial drugs included morphine, cocaine, and penicillin.
2. Early researchers used themselves as test subjects.
3. The initial intention of pharmacology was to relieve human suffering.
4. Modern pharmacology began in the early 1600s.
5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.
Correct Answer: 2,3,5
Rationale 1: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 2: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 3: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Approach,
Chapter 1
Question 1
Type: MCMA
The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key
events in the history of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Initial drugs included morphine, cocaine, and penicillin.
2. Early researchers used themselves as test subjects.
3. The initial intention of pharmacology was to relieve human suffering.
4. Modern pharmacology began in the early 1600s.
5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.
Correct Answer: 2,3,5
Rationale 1: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 2: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 3: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 4: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 5: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1
Question 2
Type: MCSA
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well
as microbiology, when he only wants to learn about pharmacology. What is the best response by the
instructor?
1. “Because pharmacology is an outgrowth of those subjects.”
2. “You must learn all, since those subjects, as well as pharmacology, are part of the curriculum.”
3. “Knowledge of all those subjects will prepare you to provide the best patient care, including the
administration of medications.”
4. “Because an understanding of those subjects is essential to understanding pharmacology.”
Correct Answer: 4
Rationale 1: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 2: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 5: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1
Question 2
Type: MCSA
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well
as microbiology, when he only wants to learn about pharmacology. What is the best response by the
instructor?
1. “Because pharmacology is an outgrowth of those subjects.”
2. “You must learn all, since those subjects, as well as pharmacology, are part of the curriculum.”
3. “Knowledge of all those subjects will prepare you to provide the best patient care, including the
administration of medications.”
4. “Because an understanding of those subjects is essential to understanding pharmacology.”
Correct Answer: 4
Rationale 1: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 2: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
Rationale 4: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 5: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1
Question 2
Type: MCSA
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well
as microbiology, when he only wants to learn about pharmacology. What is the best response by the
instructor?
1. “Because pharmacology is an outgrowth of those subjects.”
2. “You must learn all, since those subjects, as well as pharmacology, are part of the curriculum.”
3. “Knowledge of all those subjects will prepare you to provide the best patient care, including the
administration of medications.”
4. “Because an understanding of those subjects is essential to understanding pharmacology.”
Correct Answer: 4
Rationale 1: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 2: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Rationale 5: The early roots of pharmacology included the application of products to relieve human
suffering, and early researchers used themselves as test subjects. Initial drugs included morphine,
colchicines, curare, and cocaine, but not penicillin. Modern pharmacology began in the early 1800s,
not the 1600s. By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1
Question 2
Type: MCSA
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well
as microbiology, when he only wants to learn about pharmacology. What is the best response by the
instructor?
1. “Because pharmacology is an outgrowth of those subjects.”
2. “You must learn all, since those subjects, as well as pharmacology, are part of the curriculum.”
3. “Knowledge of all those subjects will prepare you to provide the best patient care, including the
administration of medications.”
4. “Because an understanding of those subjects is essential to understanding pharmacology.”
Correct Answer: 4
Rationale 1: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 2: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 3: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 4: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2
Question 3
Type: MCMA
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is
pharmacology and therapeutics. The nursing instructor determines that learning has occurred when
the students make which comments?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Pharmacology is the use of drugs to relieve suffering.”
2. “Pharmacology is the study of medicines.”
3. “Therapeutics is the study of the therapeutic use of drugs.”
4. “Therapeutics is the study of drug interactions.”
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 3: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Rationale 4: It is essential for the nurse to have a broad knowledge base of many sciences in order
to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to understand
pharmacology, not because they are part of the curriculum. Pharmacology is an outgrowth of
anatomy, physiology, and microbiology, but this is not the reason for the nurse to learn them.
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
pharmacology, not to provide care such as administration of medications.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2
Question 3
Type: MCMA
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is
pharmacology and therapeutics. The nursing instructor determines that learning has occurred when
the students make which comments?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Pharmacology is the use of drugs to relieve suffering.”
2. “Pharmacology is the study of medicines.”
3. “Therapeutics is the study of the therapeutic use of drugs.”
4. “Therapeutics is the study of drug interactions.”
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5. “Pharmacology is the study of drugs to prevent disease.”
Correct Answer: 1,2
Rationale 1: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 2: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 3: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 4: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 5: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-3
Question 4
Type: MCSA
The nurse administers a vaccine to a child. What is the best understanding of the nurse as it relates
to the manufacture of this vaccine?
1. The vaccine is produced by natural plant extracts in the laboratory.
2. The vaccine is naturally produced in animal cells or microorganisms.
3. The vaccine is produced by a combination of animal and plant products.
4. The vaccine is most commonly synthesized in a laboratory.
Correct Answer: 1,2
Rationale 1: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 2: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 3: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 4: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Rationale 5: Pharmacology is the study of medicines and the use of drugs to relieve suffering.
Therapeutics is the study of disease prevention and treatment of suffering. Pharmacotherapy is the
application of drugs for the purpose of disease prevention.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-3
Question 4
Type: MCSA
The nurse administers a vaccine to a child. What is the best understanding of the nurse as it relates
to the manufacture of this vaccine?
1. The vaccine is produced by natural plant extracts in the laboratory.
2. The vaccine is naturally produced in animal cells or microorganisms.
3. The vaccine is produced by a combination of animal and plant products.
4. The vaccine is most commonly synthesized in a laboratory.
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Correct Answer: 2
Rationale 1: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 2: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 3: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 4: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4
Question 5
Type: MCSA
The elderly client has gastrointestinal bleeding. The client says to the nurse “I don’t understand this.
All I did was take ibuprofen (Advil) for my arthritis.” Which plan would be best as it relates to the
nurse’s education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol)
3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC)
medications
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)
Correct Answer: 4
Rationale 1: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 2: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 3: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Rationale 4: Vaccines are naturally produced in animal cells, microorganisms, or by the body itself.
Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural plant extracts.
Vaccines are not produced by a combination of animal and plant products.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4
Question 5
Type: MCSA
The elderly client has gastrointestinal bleeding. The client says to the nurse “I don’t understand this.
All I did was take ibuprofen (Advil) for my arthritis.” Which plan would be best as it relates to the
nurse’s education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol)
3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC)
medications
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)
Correct Answer: 4
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Rationale 1: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 2: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 3: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-5
Question 6
Type: MCSA
The elderly client has gastrointestinal bleeding. The client says to the nurse “I don’t understand this.
All I did was take ibuprofen (Advil) for my arthritis.” Which plan would be best as it relates to the
nurse’s education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs.
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol).
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 2: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 3: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-5
Question 6
Type: MCSA
The elderly client has gastrointestinal bleeding. The client says to the nurse “I don’t understand this.
All I did was take ibuprofen (Advil) for my arthritis.” Which plan would be best as it relates to the
nurse’s education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs.
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol).
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3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC)
medications.
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil).
Correct Answer: 4
Rationale 1: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 2: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 3: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-5
Question 7
Type: MCSA
medications.
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil).
Correct Answer: 4
Rationale 1: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 2: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 3: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter (OTC)
medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot
be done in all situations. The use of topical drugs may be an option, but the drug a client needs may
not be available in this form. It is not a realistic plan to expect clients to contact their physician prior
to taking any over-the-counter (OTC) medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-5
Question 7
Type: MCSA
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The pharmaceutical representative comes to the physician’s office and says his company’s
pharmaceutical laboratory is marketing a drug that does not need approval by the Food and Drug
Administration (FDA). What is the best response by the nurse?
1. “Any pharmaceutical laboratory in America must have approval from the Food and Drug
Administration (FDA) before marketing a drug.”
2. “Is this an over-the-counter (OTC) drug? They do not need approval by the Food and Drug
Administration (FDA).”
3. “Is your pharmaceutical laboratory private? Only public pharmaceutical laboratories need approval
from the Food and Drug Administration (FDA).”
4. “Your pharmaceutical laboratory must be involved in academic research because they are exempt
from approval by the Food and Drug Administration (FDA).”
Correct Answer: 1
Rationale 1: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 2: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 3: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 4: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Global Rationale:
pharmaceutical laboratory is marketing a drug that does not need approval by the Food and Drug
Administration (FDA). What is the best response by the nurse?
1. “Any pharmaceutical laboratory in America must have approval from the Food and Drug
Administration (FDA) before marketing a drug.”
2. “Is this an over-the-counter (OTC) drug? They do not need approval by the Food and Drug
Administration (FDA).”
3. “Is your pharmaceutical laboratory private? Only public pharmaceutical laboratories need approval
from the Food and Drug Administration (FDA).”
4. “Your pharmaceutical laboratory must be involved in academic research because they are exempt
from approval by the Food and Drug Administration (FDA).”
Correct Answer: 1
Rationale 1: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 2: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 3: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Rationale 4: Any pharmaceutical laboratory, whether private, public, or academic, must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Private
pharmaceutical laboratories must obtain approval from the Food and Drug Administration (FDA)
before marketing a drug. Pharmaceutical laboratories involved in academic research must obtain
approval from the Food and Drug Administration (FDA) before marketing a drug. Pharmaceutical
laboratories that manufacture over-the-counter (OTC) drugs must obtain approval from the Food and
Drug Administration (FDA) before marketing these drugs.
Global Rationale:
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Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-7
Question 8
Type: MCSA
The nurse is employed by the Food and Drug Administration (FDA), and is involved in clinical
investigation. What is the primary role of the nurse in this phase of the review and approval process
by the FDA?
1. To perform tests on the population-at-large
2. To perform tests on various species of animals
3. To perform tests on human cells cultured in the laboratory
4. To perform tests on human clients
Correct Answer: 4
Rationale 1: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 2: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 3: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 4: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-7
Question 8
Type: MCSA
The nurse is employed by the Food and Drug Administration (FDA), and is involved in clinical
investigation. What is the primary role of the nurse in this phase of the review and approval process
by the FDA?
1. To perform tests on the population-at-large
2. To perform tests on various species of animals
3. To perform tests on human cells cultured in the laboratory
4. To perform tests on human clients
Correct Answer: 4
Rationale 1: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 2: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 3: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
Rationale 4: Clinical investigation includes performing tests on healthy volunteers, and later, on
selected clients with a particular disease. Performing tests on human cells cultured in the laboratory
is the preclinical investigation stage. Performing tests on the population-at-large is the stage of post-
marketing surveillance. Performing tests on various species of animals is the preclinical investigation
stage.
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Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-8
Question 9
Type: MCSA
The student nurse is taking a pharmacology course and studying about the Food and Drug
Administration (FDA). What has the student learned about how the FDA has decreased the amount
of time involved in bringing a new drug to the market?
1. The Food and Drug Administration (FDA) is not as strict as it once was with regard to drug
approval.
2. Since consumers have demanded more drugs, the Food and Drug Administration (FDA) has
streamlined the review/approval process.
3. Drug manufacturers are required to pay yearly user fees, which allow the Food and Drug
Administration (FDA) to hire more employees to increase its efficiency.
4. Drug manufacturers are required by the Food and Drug Administration (FDA) to test more drugs
on an annual basis.
Correct Answer: 3
Rationale 1: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 2: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 3: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-8
Question 9
Type: MCSA
The student nurse is taking a pharmacology course and studying about the Food and Drug
Administration (FDA). What has the student learned about how the FDA has decreased the amount
of time involved in bringing a new drug to the market?
1. The Food and Drug Administration (FDA) is not as strict as it once was with regard to drug
approval.
2. Since consumers have demanded more drugs, the Food and Drug Administration (FDA) has
streamlined the review/approval process.
3. Drug manufacturers are required to pay yearly user fees, which allow the Food and Drug
Administration (FDA) to hire more employees to increase its efficiency.
4. Drug manufacturers are required by the Food and Drug Administration (FDA) to test more drugs
on an annual basis.
Correct Answer: 3
Rationale 1: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 2: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 3: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
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(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 4: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-9
Question 10
Type: MCSA
The student nurse has completed an initial pharmacology course and tells the nursing instructor that
it was difficult and she is glad it is over. What is the best response by the nursing instructor?
1. “It may be over, but now you must apply what you have learned to patient care.”
2. “Learning is gradual and continuous; we never completely master all areas of pharmacology.”
3. “Learning is always painful, but we must continue anyway.”
4. “It really isn’t over; you should take a graduate course next.”
Correct Answer: 2
Rationale 1: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Rationale 2: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Rationale 4: In 1992, the Prescription Drug User Fee Act was passed. This required drug
manufacturers to provide yearly product user fees so the Food and Drug Administration (FDA) could
restructure, hire more employees, and operate more efficiently. The Food and Drug Administration
(FDA) is just as strict now as it always was with regard to drug approval. The Food and Drug
Administration (FDA) has not streamlined the review/approval process. The Food and Drug
Administration (FDA) does not require drug manufacturers to test more drugs on an annual basis.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-9
Question 10
Type: MCSA
The student nurse has completed an initial pharmacology course and tells the nursing instructor that
it was difficult and she is glad it is over. What is the best response by the nursing instructor?
1. “It may be over, but now you must apply what you have learned to patient care.”
2. “Learning is gradual and continuous; we never completely master all areas of pharmacology.”
3. “Learning is always painful, but we must continue anyway.”
4. “It really isn’t over; you should take a graduate course next.”
Correct Answer: 2
Rationale 1: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Rationale 2: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
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that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Rationale 3: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Rationale 4: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2
Question 11
Type: MCSA
The client says to the nurse, “My wife and I take the same drug, but we have different side effects.
Are we doing something wrong?” What is the best response by the nurse?
1. “No. Differences such as your sex can result in different side effects.”
2. “I’ll have to check. What is the name of the drug you were using?”
3. “Possibly. This could happen if one uses generic or brand name drugs.”
4. “I’m not sure. Maybe the drug is not the same; you should check it.”
Correct Answer: 1
Rationale 1: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking he client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
learning is over. Learning is not always painful.
Rationale 3: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Rationale 4: Learning pharmacology is a gradual, continuous process that does not end with
graduation. Never does one completely master every facet of drug action and application. There is
no reason for the student nurse to take a graduate level pharmacology course at this time. It is true
that the student must apply what has been learned to patient care, but this response implies that
learning is over. Learning is not always painful.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2
Question 11
Type: MCSA
The client says to the nurse, “My wife and I take the same drug, but we have different side effects.
Are we doing something wrong?” What is the best response by the nurse?
1. “No. Differences such as your sex can result in different side effects.”
2. “I’ll have to check. What is the name of the drug you were using?”
3. “Possibly. This could happen if one uses generic or brand name drugs.”
4. “I’m not sure. Maybe the drug is not the same; you should check it.”
Correct Answer: 1
Rationale 1: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking he client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
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Rationale 2: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Rationale 3: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Rationale 4: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-4
Question 12
Type: MCSA
The client comes to the emergency department with a myocardial infarction. The client’s husband
tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought
was indigestion. What is the best response by the nurse?
1. “Your wife should not have self-diagnosed herself. I hope she will be okay.”
2. “Why did you let her do that? She should have seen a doctor.”
3. “Well, I am glad she is here, as it certainly wasn’t indigestion.”
4. “Your wife was self-diagnosing, which is generally not a good idea.”
Correct Answer: 4
Rationale 1: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Rationale 3: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Rationale 4: Drugs may elicit different responses depending on individual client factors such as age,
sex, body mass, health status, and genetics. Asking the client to check a medication is fine, but this
does not answer the client’s question. There are differences between some generic and brand name
drugs, but this is not the best answer. The nurse should not have to check the drug; basic
knowledge should include knowing that the sex of clients can result in different side effects.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-4
Question 12
Type: MCSA
The client comes to the emergency department with a myocardial infarction. The client’s husband
tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought
was indigestion. What is the best response by the nurse?
1. “Your wife should not have self-diagnosed herself. I hope she will be okay.”
2. “Why did you let her do that? She should have seen a doctor.”
3. “Well, I am glad she is here, as it certainly wasn’t indigestion.”
4. “Your wife was self-diagnosing, which is generally not a good idea.”
Correct Answer: 4
Rationale 1: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
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Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 2: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 3: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 4: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-5
Question 13
Type: MCSA
The nurse is teaching a class for clients about over-the-counter (OTC) medications. The nurse
determines that education has been effective when the clients make which statement?
1. “We should not take any over-the-counter (OTC) medicine without first calling and checking with
the doctor’s office.”
2. “We should always ask the pharmacist about how to take the over-the-counter (OTC) medicine.”
3. “We must read all the directions on the label and call the doctor’s office if they are not clear.”
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 2: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 3: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Rationale 4: Clients take over-the-counter (OTC) drugs for many reasons. Self-treatment is
sometimes ineffective, and the potential for harm may increase if the disease is allowed to progress.
Asking the husband why he let his wife take Tums is non-therapeutic and too accusatory; do not ask
“why” questions. Telling the husband that “it certainly wasn’t indigestion” is judgmental and will
alienate the client and husband. Telling the husband “I hope she will be okay” is a very frightening
response that implies she might die, and this is non-therapeutic.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-5
Question 13
Type: MCSA
The nurse is teaching a class for clients about over-the-counter (OTC) medications. The nurse
determines that education has been effective when the clients make which statement?
1. “We should not take any over-the-counter (OTC) medicine without first calling and checking with
the doctor’s office.”
2. “We should always ask the pharmacist about how to take the over-the-counter (OTC) medicine.”
3. “We must read all the directions on the label and call the doctor’s office if they are not clear.”
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4. “Medicines that are available over-the-counter (OTC) are really safe, or they would be prescription
medicines.”
Correct Answer: 3
Rationale 1: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 2: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 3: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 4: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-5
Question 14
Type: MCSA
medicines.”
Correct Answer: 3
Rationale 1: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 2: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 3: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Rationale 4: In most cases, clients may treat themselves safely if they carefully follow instructions
included with the medication. It is not realistic to expect clients to call the doctor’s office before taking
any over-the-counter (OTC) medicine. Most OTC medicines have a high margin of safety, but none
is considered completely safe. Asking the pharmacist is a good idea, but does not replace reading
the label directions. Also, the pharmacist might not always be in the store when the medicine is
purchased.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-5
Question 14
Type: MCSA
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The client has skin lesions that have not responded to prescription drugs. He tells the nurse he has
heard about some research going on with a new drug and questions why he can’t take it. What is the
best response by the nurse?
1. “I know it is frustrating, but the Food and Drug Administration (FDA) approval process is in place
to ensure that drugs are safe.”
2. “The Food and Drug Administration (FDA) has very strict rules about new drugs; it is important to
be patient regarding the review/approval process.”
3. “Your skin lesions really aren’t that bad, but maybe the new drug will be available soon.”
4. “Maybe you could contact the drug company about becoming involved in a clinical trial.”
Correct Answer: 1
Rationale 1: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 2: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 3: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 4: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Global Rationale:
Cognitive Level: Applying
heard about some research going on with a new drug and questions why he can’t take it. What is the
best response by the nurse?
1. “I know it is frustrating, but the Food and Drug Administration (FDA) approval process is in place
to ensure that drugs are safe.”
2. “The Food and Drug Administration (FDA) has very strict rules about new drugs; it is important to
be patient regarding the review/approval process.”
3. “Your skin lesions really aren’t that bad, but maybe the new drug will be available soon.”
4. “Maybe you could contact the drug company about becoming involved in a clinical trial.”
Correct Answer: 1
Rationale 1: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 2: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 3: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Rationale 4: Although the public is anxious to receive new drugs, the fundamental priority of the
Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the
nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what
he is feeling. The client could contact the drug company, but this response fosters false hope as he
may not be a viable candidate for this drug. Telling the client his skin lesions “aren’t that bad” is a
non-therapeutic response; the client’s perception is his reality. Telling the client to be patient is a
condescending response; the client wants relief from the skin condition.
Global Rationale:
Cognitive Level: Applying
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Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-7
Question 15
Type: MCSA
What percentage of Americans takes at least one prescription drug per year?
1. 50%
2. 10%
3. 40%
4. 25%
Correct Answer: 1
Rationale 1: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 2: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 3: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 4: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1
Question 16
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-7
Question 15
Type: MCSA
What percentage of Americans takes at least one prescription drug per year?
1. 50%
2. 10%
3. 40%
4. 25%
Correct Answer: 1
Rationale 1: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 2: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 3: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Rationale 4: About half of Americans take prescription drugs while about 17% takes at least three
prescription drugs.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1
Question 16
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Type: MCSA
Modern pharmacology was introduced to the United States by the opening of the first department of
pharmacology at the University of Michigan in the year
1. 1805.
2. 1890.
3. 1847.
4. 1908.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1
Question 17
Type: MCSA
The application of drugs for the purpose of disease prevention and treatment of suffering is known
as
1. biologics.
2. pharmacotherapeutics.
3. alternative therapies.
4. therapeutics.
Modern pharmacology was introduced to the United States by the opening of the first department of
pharmacology at the University of Michigan in the year
1. 1805.
2. 1890.
3. 1847.
4. 1908.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1
Question 17
Type: MCSA
The application of drugs for the purpose of disease prevention and treatment of suffering is known
as
1. biologics.
2. pharmacotherapeutics.
3. alternative therapies.
4. therapeutics.
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Correct Answer: 2
Rationale 1: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 2: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 3: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 4: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-3
Question 18
Type: MCSA
A patient with chronic back pain informs the nurse he has been receiving therapeutic touch in
addition to his medications. This type of therapy is best classified as
1. pharmacotherapy.
2. drug-absence therapy.
3. complementary therapy.
4. biologic therapy.
Correct Answer: 3
Rationale 1: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Rationale 1: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 2: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 3: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Rationale 4: Pharmacotherapeutics is the application of drugs for the purpose of disease prevention
and the treatment of suffering.
Global Rationale:
Cognitive Level: Remembering
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-3
Question 18
Type: MCSA
A patient with chronic back pain informs the nurse he has been receiving therapeutic touch in
addition to his medications. This type of therapy is best classified as
1. pharmacotherapy.
2. drug-absence therapy.
3. complementary therapy.
4. biologic therapy.
Correct Answer: 3
Rationale 1: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
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Rationale 2: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Rationale 3: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Rationale 4: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Global Rationale:
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4
Question 19
Type: MCSA
How many years does it generally take to research and develop a drug before it is submitted to the
FDA for review?
1. 6 years
2. 5 years
3. 11 years
4. 9 years
Correct Answer: 3
Rationale 1: PharmFacts (p.8)
Rationale 2: PharmFacts (p.8)
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Rationale 3: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Rationale 4: The patient is using a non-conventional type of treatment (therapeutic touch) that is
classified as complimentary to his conventional pharmacotherapy. Biologic therapy involves the use
of naturally produced substances by microorganisms or within the body. The patient is using
medications as well as an alternative therapy which is why complementary therapy is the best
choice.
Global Rationale:
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4
Question 19
Type: MCSA
How many years does it generally take to research and develop a drug before it is submitted to the
FDA for review?
1. 6 years
2. 5 years
3. 11 years
4. 9 years
Correct Answer: 3
Rationale 1: PharmFacts (p.8)
Rationale 2: PharmFacts (p.8)
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Rationale 3: PharmFacts (p.8)
Rationale 4: PharmFacts (p.8)
Global Rationale:
Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-7 and 1- 8
Question 20
Type: MCSA
A drug manufacturer that is performing the effects of a drug on laboratory animals would be in which
phase of the new drug development timeline?
1. Clinical Investigation
2. Preclinical Investigation
3. New Drug Application Review
4. Postmarketing Studies
Correct Answer: 2
Rationale 1: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 2: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 3: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 4: Preclinical investigation involves laboratory research on nonhuman subjects.
Global Rationale:
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Rationale 4: PharmFacts (p.8)
Global Rationale:
Cognitive Level: Remembering
Client Need: Safe Effective Care Environment
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-7 and 1- 8
Question 20
Type: MCSA
A drug manufacturer that is performing the effects of a drug on laboratory animals would be in which
phase of the new drug development timeline?
1. Clinical Investigation
2. Preclinical Investigation
3. New Drug Application Review
4. Postmarketing Studies
Correct Answer: 2
Rationale 1: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 2: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 3: Preclinical investigation involves laboratory research on nonhuman subjects.
Rationale 4: Preclinical investigation involves laboratory research on nonhuman subjects.
Global Rationale:
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Loading page 22...
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-8
Question 21
Type: MCMA
The nurse is categorizing a client’s list of medications completing a health history. Which agents
would be categorized as complementary and alternative medicine?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Garlic
2. Vitamin C
3. Zinc
4. Aspirin
5. Benadryl
Correct Answer: 1,2,3
Rationale 1: Garlic is considered an herb, which is considered complementary and alternative
medicine therapy.
Rationale 2: Vitamins are considered complementary and alternative medicine therapy.
Rationale 3: Zinc is a mineral and is considered complementary and alternative medicine therapy.
Rationale 4: Aspirin is an over-the-counter medication.
Rationale 5: Benadryl is an over-the-counter medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-4
Learning Outcome: 1-8
Question 21
Type: MCMA
The nurse is categorizing a client’s list of medications completing a health history. Which agents
would be categorized as complementary and alternative medicine?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Garlic
2. Vitamin C
3. Zinc
4. Aspirin
5. Benadryl
Correct Answer: 1,2,3
Rationale 1: Garlic is considered an herb, which is considered complementary and alternative
medicine therapy.
Rationale 2: Vitamins are considered complementary and alternative medicine therapy.
Rationale 3: Zinc is a mineral and is considered complementary and alternative medicine therapy.
Rationale 4: Aspirin is an over-the-counter medication.
Rationale 5: Benadryl is an over-the-counter medication.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-4
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Question 22
Type: MCMA
While reading a medication package inserts the nurse notes the information contained within the
“black box.” What is the significance of this information to the nurse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The drug can cause “special problems.”
2. It identifies extreme adverse drug reactions.
3. It differentiates a prescribed medication from an over-the-counter medication.
4. It highlights the cost of the medication.
5. It signifies the medication is generic.
Correct Answer: 1,2
Rationale 1: The FDA created boxed warnings in order to regulate drugs with “special problems.”
Rationale 2: The black box warning is a primary alert for identifying extreme adverse drug reactions.
Rationale 3: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
is not a mechanism to differentiate a prescribed medication from an over-the-counter medication.
Rationale 4: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
does not highlight the cost of the medication.
Rationale 5: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
does not signify the medication as being generic.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-7
Question 23
Type: MCMA
While reading a medication package inserts the nurse notes the information contained within the
“black box.” What is the significance of this information to the nurse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The drug can cause “special problems.”
2. It identifies extreme adverse drug reactions.
3. It differentiates a prescribed medication from an over-the-counter medication.
4. It highlights the cost of the medication.
5. It signifies the medication is generic.
Correct Answer: 1,2
Rationale 1: The FDA created boxed warnings in order to regulate drugs with “special problems.”
Rationale 2: The black box warning is a primary alert for identifying extreme adverse drug reactions.
Rationale 3: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
is not a mechanism to differentiate a prescribed medication from an over-the-counter medication.
Rationale 4: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
does not highlight the cost of the medication.
Rationale 5: A black box warning is a primary alert for identifying extreme adverse drug reactions. It
does not signify the medication as being generic.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-7
Question 23
Loading page 24...
Type: MCMA
The nurse is participating in the New Drug Review step for a new therapeutic agent. Which activities
will the nurse most likely perform during this phase of the drug approval process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Attend meetings to finalize the brand name for the drug.
2. Check on the results of animal testing.
3. Survey for harmful effects in a larger population.
4. Evaluate the results of the drug on cultured cells.
5. Provide the medication to large groups of people with a particular disease.
Correct Answer: 1,2
Rationale 1: During the NDA or the third stage of the drug approval process the drug’s brand name
is finalized.
Rationale 2: During the NDA stage of the drug approval process animal testing may continue.
Rationale 3: Surveying for harmful effects in a larger population occurs during the postmarketing
surveillance step of the drug approval process.
Rationale 4: Evaluation of the results of the drug on cultured cells occurs during the preclinical
investigation step of the drug approval process.
Rationale 5: Providing the medication to large groups of people with a particular disease occurs
during the clinical phase trials which is in the second stage of the drug approval process.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-8
Question 24
Type: MCMA
The nurse is participating in the New Drug Review step for a new therapeutic agent. Which activities
will the nurse most likely perform during this phase of the drug approval process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Attend meetings to finalize the brand name for the drug.
2. Check on the results of animal testing.
3. Survey for harmful effects in a larger population.
4. Evaluate the results of the drug on cultured cells.
5. Provide the medication to large groups of people with a particular disease.
Correct Answer: 1,2
Rationale 1: During the NDA or the third stage of the drug approval process the drug’s brand name
is finalized.
Rationale 2: During the NDA stage of the drug approval process animal testing may continue.
Rationale 3: Surveying for harmful effects in a larger population occurs during the postmarketing
surveillance step of the drug approval process.
Rationale 4: Evaluation of the results of the drug on cultured cells occurs during the preclinical
investigation step of the drug approval process.
Rationale 5: Providing the medication to large groups of people with a particular disease occurs
during the clinical phase trials which is in the second stage of the drug approval process.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-8
Question 24
Type: MCMA
Loading page 25...
Which statements regarding the role of the U.S. Food and Drug Administration (FDA) are true?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The FDA is responsible for ensuring the security of human drugs.
2. The FDA publishes a summary of the standards of drug purity and strength.
3. The FDA ensures the availability of effective drugs.
4. The FDA takes action against any supplement that is deemed to be unsafe.
5. The FDA facilitates the availability of safe drugs.
Correct Answer: 1,3,4,5
Rationale 1: The FDA mission is to protect public health by ensuring the safety, efficacy, and
security of human and veterinary drugs, biologic products, medical devices, the nation’s food supply,
cosmetics, and products that emit radiation.
Rationale 2: It is the role of the U.S. Pharmacopeia (USP) to publish a summary of drug standards
(purity and strength).
Rationale 3: Ensuring the availability of effective drugs is one of the FDA’s roles.
Rationale 4: It is the FDA’s role to take action against any supplement that is deemed to be unsafe.
Rationale 5: It is the role of the FDA to facilitate the availability of safe drugs.
Global Rationale:
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-4
Question 25
Type: MCMA
Which statements regarding the preclinical research stage of drug development are true?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The FDA is responsible for ensuring the security of human drugs.
2. The FDA publishes a summary of the standards of drug purity and strength.
3. The FDA ensures the availability of effective drugs.
4. The FDA takes action against any supplement that is deemed to be unsafe.
5. The FDA facilitates the availability of safe drugs.
Correct Answer: 1,3,4,5
Rationale 1: The FDA mission is to protect public health by ensuring the safety, efficacy, and
security of human and veterinary drugs, biologic products, medical devices, the nation’s food supply,
cosmetics, and products that emit radiation.
Rationale 2: It is the role of the U.S. Pharmacopeia (USP) to publish a summary of drug standards
(purity and strength).
Rationale 3: Ensuring the availability of effective drugs is one of the FDA’s roles.
Rationale 4: It is the FDA’s role to take action against any supplement that is deemed to be unsafe.
Rationale 5: It is the role of the FDA to facilitate the availability of safe drugs.
Global Rationale:
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-4
Question 25
Type: MCMA
Which statements regarding the preclinical research stage of drug development are true?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Loading page 26...
Standard Text: Select all that apply.
1. Most drugs do not proceed past the preclinical stage because they are found to be too toxic or just
ineffective.
2. At the end of the preclinical research stage, client variability is determined and potential drug-to-
drug interactions are examined.
3. The preclinical stage of research involves extensive testing on animals in the laboratory to
determine if the drug will cause harm to humans.
4. Preclinical research results are always inconclusive.
5. The Food and Drug Administration (FDA) is responsible for extensive testing for safety before the
pharmaceutical company can begin the preclinical research stage of development.
Correct Answer: 1,3,4
Rationale 1: Most drugs do not proceed past the preclinical research stage of development because
they are found to be either too toxic or just ineffective.
Rationale 2: Client variability and potential drug-to-drug interactions are examined in Phase 3 of the
clinical investigation process after Food and Drug Administration (FDA) approval.
Rationale 3: The preclinical stage involves extensive testing on human, microbial cells, and animals
to determine drug action and to predict whether the drug will cause harm to humans.
Rationale 4: Because lab tests cannot accurately predict human response to a drug, these results
are always inconclusive.
Rationale 5: This extensive testing is done by the pharmaceutical company in the preclinical
research stage of drug development, not the FDA.
Global Rationale:
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-5
Question 26
Type: MCMA
1. Most drugs do not proceed past the preclinical stage because they are found to be too toxic or just
ineffective.
2. At the end of the preclinical research stage, client variability is determined and potential drug-to-
drug interactions are examined.
3. The preclinical stage of research involves extensive testing on animals in the laboratory to
determine if the drug will cause harm to humans.
4. Preclinical research results are always inconclusive.
5. The Food and Drug Administration (FDA) is responsible for extensive testing for safety before the
pharmaceutical company can begin the preclinical research stage of development.
Correct Answer: 1,3,4
Rationale 1: Most drugs do not proceed past the preclinical research stage of development because
they are found to be either too toxic or just ineffective.
Rationale 2: Client variability and potential drug-to-drug interactions are examined in Phase 3 of the
clinical investigation process after Food and Drug Administration (FDA) approval.
Rationale 3: The preclinical stage involves extensive testing on human, microbial cells, and animals
to determine drug action and to predict whether the drug will cause harm to humans.
Rationale 4: Because lab tests cannot accurately predict human response to a drug, these results
are always inconclusive.
Rationale 5: This extensive testing is done by the pharmaceutical company in the preclinical
research stage of drug development, not the FDA.
Global Rationale:
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-5
Question 26
Type: MCMA
Loading page 27...
A client says to the admitting nurse, “Why do you need to know the names of all the over-the-counter
supplements I take? They aren’t drugs.” Which of the nurse’s responses are appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “The admitting physician needs to know everything you are taking.”
2. “You’re right. I’m not sure why the admitting paperwork asks for this information. Would you mind
listing them anyway?”
3. “The law requires us to keep a list of over-the-counter drugs and supplements that you are
taking.”
4. “It is true that supplements are not considered drugs; however, some of these products can cause
adverse effects with prescribed drugs.”
5. “We need to know if you are having an allergic reaction to one of them.”
Correct Answer: 1,4
Rationale 1: The health care providers involved in this client’s care will need to know everything she
is taking—both prescription and over-the-counter (OTC).
Rationale 2: While it is true that supplements are not considered drugs, there is a specific reason
why the health care team needs to know this information, which is the reason for the requested list
on the paperwork. The nurse’s answer did not address the client’s question appropriately.
Rationale 3: No law requires hospitals to keep records of OTC drugs and supplements that clients
take. This information is needed, however, for other reasons.
Rationale 4: Supplements are not subject to the same regulatory process as drugs, and some of
these products can cause adverse effects and interact with medications.
Rationale 5: It is possible that this client could be having an allergic reaction, but there is not enough
information to determine this, and this is not the main reason why the health care team needs to
know what OTC medications she is taking.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-8
supplements I take? They aren’t drugs.” Which of the nurse’s responses are appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “The admitting physician needs to know everything you are taking.”
2. “You’re right. I’m not sure why the admitting paperwork asks for this information. Would you mind
listing them anyway?”
3. “The law requires us to keep a list of over-the-counter drugs and supplements that you are
taking.”
4. “It is true that supplements are not considered drugs; however, some of these products can cause
adverse effects with prescribed drugs.”
5. “We need to know if you are having an allergic reaction to one of them.”
Correct Answer: 1,4
Rationale 1: The health care providers involved in this client’s care will need to know everything she
is taking—both prescription and over-the-counter (OTC).
Rationale 2: While it is true that supplements are not considered drugs, there is a specific reason
why the health care team needs to know this information, which is the reason for the requested list
on the paperwork. The nurse’s answer did not address the client’s question appropriately.
Rationale 3: No law requires hospitals to keep records of OTC drugs and supplements that clients
take. This information is needed, however, for other reasons.
Rationale 4: Supplements are not subject to the same regulatory process as drugs, and some of
these products can cause adverse effects and interact with medications.
Rationale 5: It is possible that this client could be having an allergic reaction, but there is not enough
information to determine this, and this is not the main reason why the health care team needs to
know what OTC medications she is taking.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 2-8
Loading page 28...
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Copyright 2014 by Pearson Education, Inc.
Chapter 2
Question 1
Type: MCSA
The nursing instructor teaches the student nurses about the pharmacological classification of drugs.
The instructor evaluates that learning has occurred when the students make which response?
1. “An anti-anginal treats angina.”
2. “A calcium channel blocker blocks heart calcium channels.”
3. “An antihypertensive lowers blood pressure.”
4. “An anticoagulant influences blood clotting.”
Correct Answer: 2
Rationale 1: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 2: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 3: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 4: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
Copyright 2014 by Pearson Education, Inc.
Chapter 2
Question 1
Type: MCSA
The nursing instructor teaches the student nurses about the pharmacological classification of drugs.
The instructor evaluates that learning has occurred when the students make which response?
1. “An anti-anginal treats angina.”
2. “A calcium channel blocker blocks heart calcium channels.”
3. “An antihypertensive lowers blood pressure.”
4. “An anticoagulant influences blood clotting.”
Correct Answer: 2
Rationale 1: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 2: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 3: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Rationale 4: The pharmacological classification addresses a drug’s mechanism of action, or how a
drug produces its effect in the body. To say that a drug influences blood clotting addresses the
therapeutic usefulness of the drug, not the pharmacological classification. To say that a drug treats
angina addresses the therapeutic usefulness of the drug, not the pharmacological classification. To
Loading page 29...
say that a drug lowers blood pressure addresses the therapeutic usefulness of the drug, not the
pharmacological classification.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-1
Question 2
Type: MCSA
The nurse is providing medication education to a client with hypertension. The nurse teaches the
client that the physician ordered a diuretic to decrease the amount of fluid in his body. Which
statement best describes the nurse’s instruction?
1. The nurse provided appropriate medication education.
2. The nurse explained the drug’s mechanism of action.
3. The nurse taught the client about a prototype drug.
4. The nurse explained the consequences of not using the drug.
Correct Answer: 2
Rationale 1: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 2: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 3: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 4: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Global Rationale:
pharmacological classification.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-1
Question 2
Type: MCSA
The nurse is providing medication education to a client with hypertension. The nurse teaches the
client that the physician ordered a diuretic to decrease the amount of fluid in his body. Which
statement best describes the nurse’s instruction?
1. The nurse provided appropriate medication education.
2. The nurse explained the drug’s mechanism of action.
3. The nurse taught the client about a prototype drug.
4. The nurse explained the consequences of not using the drug.
Correct Answer: 2
Rationale 1: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 2: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 3: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Rationale 4: A drug’s mechanism of action explains how a drug produces its effect in the body. The
nurse did not explain the consequences of not using the drug. The nurse is not teaching the client
about a prototype drug. The education was most likely appropriate, but this response is too vague.
Global Rationale:
Loading page 30...
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-3
Question 3
Type: MCSA
During pharmacology class, the student nurse asks the nursing instructor how students will ever
learn about the individual antibiotic drugs since there are so many. What is the best response by the
nursing instructor?
1. “You will learn a little trick called mnemonics.”
2. “You will learn how to do a flow chart to enhance memory.”
3. “You will learn how to categorize the individual drugs.”
4. “You will learn a representative drug from each class.”
Correct Answer: 4
Rationale 1: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 2: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 3: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 4: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Global Rationale:
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2-3
Question 3
Type: MCSA
During pharmacology class, the student nurse asks the nursing instructor how students will ever
learn about the individual antibiotic drugs since there are so many. What is the best response by the
nursing instructor?
1. “You will learn a little trick called mnemonics.”
2. “You will learn how to do a flow chart to enhance memory.”
3. “You will learn how to categorize the individual drugs.”
4. “You will learn a representative drug from each class.”
Correct Answer: 4
Rationale 1: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 2: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 3: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Rationale 4: A prototype, or representative, drug is the well-understood drug model from which
other drugs in a pharmacological class are compared. Categorizing individual drugs is not the best
way to learn about drugs. Using mnemonics is not the best way to learn about drugs. Flow charts
are not the best way to learn about drugs.
Global Rationale:
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Subject
Pharmacology