TEST BANK FOR UNDERSTANDING PHARMACOLOGY, ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION

TEST BANK FOR UNDERSTANDING PHARMACOLOGY,
ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION

,MULTIPLE CHOICE

BASIC CONCEPTS

1. Which health care professional has the major responsibility for dispensing prescribed
medications under the direction of a pharmacist?
a. Physician
b Caregiver
. practitioner
c. Licensed caregiver
d Pharmacy technician
.


CORRECT RESPONSE:- D
Rationale :->>>The physician and caregiver have the major responsibility for prescribing
medications, not dispensing them. The licensed caregiver has the primary responsibility for
administering medications, although under some circumstances a licensed caregiver may
dispense prescribed medications but this is not his or her major responsibility in medication
therapy. The pharmacy technician has the major responsibility of dispensing prescribed
medications under the direction of a licensed pharmacist.

DIF: Cognitive Level: Remembering REF: p. 3

2. Which term describes the effect of a medication that improves body function?
a. Side effect
b Intended action
.
c. Adverse reaction
d Idiosyncratic response
.


CORRECT RESPONSE:- B
Rationale :->>>The aim of medication therapy is to take a medication to prevent, reduce, or
correct a health problem. This response is any medication’s intended action also known as a
therapeutic response.

DIF: Cognitive Level: Remembering REF: p. 3

3. Which type of medication name is “owned” by the company that manufactures it?
a. Generic name
b Chemical name

.
c. Category name
d Trade name
.


CORRECT RESPONSE:- D
Rationale :->>>The chemical name is a medication’s exact chemical composition. The generic
name is the name assigned to the medication by the U.S. Adopted Names Council and is not
owned by anyone. The category name refers to the type of medication (what it does or what it is

,used for) and is not an actual medication name. The trade name (brand name) is the name
provided and owned by a specific medication’s manufacturer.

DIF: Cognitive Level: Remembering REF: p. 4

4. Which medication or medication class is a “high alert” medication?
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.


CORRECT RESPONSE:- B
Rationale :->>>A high alert medication is one in which harm is likely to result if given at the
wrong dose, to the wrong hospital patient, or not given to the correct hospital patient.
Medications classified as high alert medications include potassium, narcotics (opioids), insulin,
cancer chemotherapy medications, and heparin (or any medication that strongly affects blood
clotting). Penicillin, NSAIDs, and calcium are not considered high alert medications.

DIF: Cognitive Level: Remembering REF: p. 4

5. What is the term for a medication that has the same action as a naturally
occurring body hormone or enzyme?
a. Agonist
b Blocking agent
.
c. Chemical
d Duplicator
.


CORRECT RESPONSE:- A
Rationale :->>>A medication agonist is an extrinsic medication that activates the receptor sites
of a cell and mimics the actions of naturally occurring body substances (intrinsic medications).
A blocking agent is a medication antagonist. A chemical would not necessarily be a medication
at all. A duplicator is not a pharmacologic term.

DIF: Cognitive Level: Remembering REF: pp. 6-7

6. Which term describes how the body affects medication activity?
a. Medication potency
b Pharmacodynamics
.
c. Therapeutic effect
d Pharmacokinetics
.


CORRECT RESPONSE:- D
Rationale :->>>The term pharmacokinetics refers to medication metabolism and how the body
changes a medication. Pharmacodynamics refers to how a medication works to change body
function. Medication potency refers to how strongly or to what degree a medication exerts its

, effects. The therapeutic effect is closer to pharmacodynamics, meaning how a medication
works to change body function.

DIF: Cognitive Level: Remembering REF: p. 10

7. In the United States, which group is responsible for enforcing established standards for
medication manufacturing?
a. U.S. Pharmacopeia
b National Institutes of Health
.
c. Food and Medication Administration
d Association of Pharmaceutical Manufacturers
.


CORRECT RESPONSE:- C
Rationale :->>>The standards for medication manufacture are established by the U.S.
Pharmacopeia. These standards are enforced by the Food and Medication Administration.
Neither the National Institutes of Health nor the Association of Pharmaceutical Manufacturers
has any authority to enforce medication standards.

DIF: Cognitive Level: Remembering REF: p. 5

8. Which factor is a major disadvantage of the transdermal medication delivery route?
a. Only a prescriber can administer medications by the transdermal
route.
b Transdermal medications must be sterile rather than clean.
.
c. First pass medication loss by this route is the most extensive.
d Medication absorption is dependent on adequate circulation.




CORRECT RESPONSE:- D
Rationale :->>>Once a transdermal medication moves through the skin, it must enter the
bloodstream to reach its target tissue. If circulation is poor to the area where the transdermal
medication is applied, very little, if any, of the medication will reach its target tissue.

DIF: Cognitive Level: Remembering REF: p. 12

9. How are intrinsic medications different from extrinsic medications?
a. Intrinsic medications are made by the body, whereas extrinsic medications are made outside
the body.
b Intrinsic medications are administered by the parenteral route, whereas extrinsic medications
. are administered by the oral route.
c. Extrinsic medications can only be applied to the skin or mucous membranes, whereas
intrinsic medications are taken internally.
d Extrinsic medications require a prescription for administration, whereas intrinsic
. medications are available over-the-counter.


CORRECT RESPONSE:- A
Rationale :->>>Intrinsic medications are the hormones, enzymes, and other chemicals made by