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Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete Updated 2025 $32.49
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Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete Updated 2025

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Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Complete Test Bank F...

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  • January 29, 2025
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Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
By Michelle J. Willihnganz, Samuel L. Gurevitz, Bruce Clayton Chapter 01: Drug Definitions, Standards, and Information Sources
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
Complete
MULTIPLE CHOICE

1. Which name identifies a drug listed by the US Food and
Drug Administration (FDA)?
a. Brand
b. Nonproprietary
c. Official
d. Trademark
ANS: C
The official name is the name under which a drug is listed
by the FDA. The brand name, or trademark, is the name
given to a drug by its manufacturer. The nonproprietary, or
generic, name is provided by the United States Adopted
Names Council.

DIF: Cognitive Level: Knowledge REF: p. 9
OBJ: 1NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment TOP: Nursing Process Step: Assessment CON:
Patient Education

2. Which source contains information specific to nutritional supplements?
a. USP Dictionary of USAN & International Drug Names
b. Natural Medicines Comprehensive Database
c. United States Pharmacopoeia/National Formulary (USP NF)
d. Drug Interaction Facts
ANS: C
United States Pharmacopoeia/National Formulary contains information specific to nutritional
supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug
names, pronunciation guide, and possible future FDA approved drugs; it does not include
nutritional supplements. Natural Medicines Comprehensive Database contains
evidence-based information on herbal medicines and herbal combination products; it does not
include information specific to nutritional supplements. Drug Interaction Facts contains
comprehensive information on drug interaction facts; it does not include nutritional
supplements.

DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Nutrition | Patient Education

3. Which drug reference contains drug monographs that describe all drugs in a therapeutic class?
a. Drug Facts and Comparisons

,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 3 Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 4

b. Drug Interaction Facts c. Controlled Substances Act (1970)
c. Handbook on Injectable Drugs d. Kefauver Harris Drug Amendment (1962)
d. Martindale—The Complete Drug Reference
ANS: A
ANS: A The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the
Drug Facts and Comparisons contains drug monographs that describe all drugs in a safety of all drugs before marketing. Later amendments and acts helped tighten FDA control
therapeutic class. Monographs are formatted as tables to allow comparison of similar and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that
products, brand names, manufacturers, cost indices, and available dosage forms cannot be used safely without medical supervision and restricts their sale to prescription by a
Online version is available. licensed practitioner. The Controlled Substances Act addresses only controlled substances and
their categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity products before marketing them.
TOP: Nursing Process Step: Assessment CON: Safety | Patient Education | Clinical Judgment
DIF: Cognitive Level: Knowledge REF: p. 5 Table l.3
4. Which drug reference contains monographs about virtually every single-entity drug available OBJ: 5 NAT: NCLEX Client Needs Category: Physiological Integrity
in the United States and describes therapeutic uses of drugs, including approved and TOP: Nursing Process Step: Assessment
unapproved uses? CON: Safety | Patient Education | Evidence | Health Care Law
a. Martindale: The Complete Drug Reference
b. AHFS Drug Information 7. Which classification does meperidine (Demerol) fall under?
c. Drug Reference a. I
d. Drug Facts and Comparisons b. II
c. III
ANS: B d. IV
AHFS Drug Information contains monographs about virtually every single-entity drug
available in the United States and describes therapeutic uses of drugs, including approved and ANS: B
unapproved uses. Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to
severe psychological and physical dependence. Schedule I drugs have high potential for abuse
DIF: Cognitive Level: Knowledge REF: p. 4 Table 1.2 and no recognized medical use. Schedule III drugs have some potential for abuse. Use may
OBJ: 3 NAT: NCLEX Client Needs Category: Physiological Integrity lead to low to moderate physical dependence or high psychological dependence. Schedule IV
TOP: Nursing Process Step: Planning CON: Safety | Patient Education | Clinical Judgment drugs have low potential for abuse. Use may lead to limited physical or psychological
dependence.
5. Which online drug reference makes available to healthcare providers and the public a
standard, comprehensive, up-to-date look up and downloadable resource about medicines? DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 2
a. American Drug Index NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
b. American Hospital Formulary TOP: Nursing Process Step: Assessment CON: Patient Education | Addiction | Pain
c. DailyMed
d. Drug Reference 8. Which action would the FDA take to expedite drug development and approval for an outbreak
of smallpox?
ANS: C a. List smallpox as a health orphan disease.
DailyMed makes available to healthcare providers and the public a standard, comprehensive, b. Omit the preclinical research phase.
up-to-date look up and downloadable resource about medicines. The American Drug Index is c. Extend the clinical research phase.
not appropriate for patient use. The American Hospital Formulary is not appropriate for d. Fast track the investigational drug.
patient use. The drug reference is not appropriate for patient use.
ANS: D
DIF: Cognitive Level: Knowledge REF: p. 3 | p. 4 OBJ: 3 Once the Investigational New Drug Application has been approved, the drug can receive
NAT: NCLEX Client Needs Category: Physiological Integrity highest priority within the agency, which is called fast tracking. A smallpox outbreak would
TOP: Nursing Process Step: Implementation become a priority concern in the world. Orphan diseases are not researched in a priority
CON: Safety | Patient Education | Clinical Judgment manner. Preclinical research is not omitted. Extending any phase of the research would mean
a longer time to develop a vaccine. The FDA must ensure that all phases of the preclinical and
6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing? clinical research phase have been completed in a safe manner.
a. Federal Food, Drug, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952) DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 5

,Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 5 Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 6

NAT: NCLEX Client Needs Category: Safe, Effective Care Environment 12. Which medication ordered for a patient with a substance abuse history has the greatest risk for
TOP: Nursing Process Step: Assessment abuse?
CON: Health Care Law | Health Care Policy | Infection | Care Coordination a. Lomotil
b. Diazepam
9. Which statement is true about over-the-counter (OTC) drugs? c. Phenobarbital
a. They are not listed in the USP NF. d. Lortab
b. A prescription from a healthcare provider is needed.
c. They are sold without a prescription. ANS: D
d. They are known only by their brand names. Lortab is a Schedule III drug with a high potential for abuse but less so than drugs in
Schedules I and II. Lomotil is a Schedule V drug with a low potential for abuse compared
ANS: C with those in Schedule V. Diazepam is a Schedule IV drug with a low potential for abuse
OTC medications do not require a prescription. A variety of names, both generic and trade, compared with those in schedule III. Phenobarbital is a Schedule IV drug with a low potential
can be used for individual drugs sold OTC. OTC drugs are listed in the USP NF. Prescription for abuse compared with those in Schedule III.
drugs require an order by a health professional who is licensed to prescribe, such as a
physician, nurse practitioner, physician assistant, or dentist. DIF: Cognitive Level: Application REF: p. 5 Box 1.1 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrity
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 2 TOP: Nursing Process Step: Assessment CON: Addiction | Patient Education | Safety
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Planning CON: Patient Education 13. An older adult experiencing shortness of breath is brought to the hospital by her daughter.
While obtaining the medication history from the patient and her daughter, the nurse discovers
10. Which is the most authoritative reference for medications that are injected? that neither has a list of the patient‘s current medications or prescriptions. The patient has is a
a. Martindale: The Complete weekly pill dispenser that contains four different pills. The prescriptions are filled through the
b. Handbook on Injectable Drugs local pharmacy. Which resource would be appropriate to use in determining the medication
c. DailyMed names and doses?
d. Handbook of Nonprescription Drugs a. Martindale—The Complete Drug Reference
ANS: B b. Drugs and Facts Comparisons
The Handbook on Injectable Drugs is the most comprehensive reference available on the c. Senior citizens‘ center
topic of compatibility of injectable drugs. It is a collection of monographs for more than 300 d. Patient‘s home pharmacy
injectable drugs that are listed alphabetically by generic name. ANS: D
The patient‘s pharmacy would have an accurate account of all the medications the client is
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
currently taking. Martindale—The Complete Drug Reference has written information on
NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Clinical Judgment | Safety medications and would not be an appropriate resource. Drugs and Facts Comparisons contains
drug monographs that describe all drugs in a therapeutic class but would not help identify
11. Which statement is true about Lomotil? medications by photograph. The senior citizens‘ center is not likely to have specific patient
a. Abuse potential for this drug is low. medication information.
b. Psychological dependency is likely.
c. There is a high potential for abuse. DIF: Cognitive Level: Application REF: p. 2 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrity
d. This drug is not a controlled substance.
TOP: Nursing Process Step: Assessment
ANS: A CON: Care Coordination | Safety | Patient Education | Clinical Judgment
Lomotil, a Schedule V drug, has an abuse potential of limited physical or psychological
dependence liability compared with drugs in Schedule IV. Because abuse potential is low with MULTIPLE RESPONSE
a Schedule V drug, a prescription may not be required. Psychological dependency is not likely
with a Schedule V drug. Schedule V drugs are classified as controlled substances. 1. Which statement(s) will be included when planning patient teaching regarding drug names?
(Select all that apply.)
DIF: Cognitive Level: Knowledge REF: p. 5 Box 1.1 OBJ: 2 a. Most drug companies place their products on the market under generic names.
NAT: NCLEX Client Needs Category: Physiological Integrity b. The official name is the name under which the drug is listed by the US Food and
TOP: Nursing Process Step: Assessment CON: Clinical Judgment | Safety | Patient Education
Drug Administration (FDA).
c. Brand names are easier to pronounce, spell, and remember.
d. The first letter of the generic name is not capitalized.

, Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 7 Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition 8

e. The chemical name is most meaningful to the patient. NAT: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment CON: Clinical Judgment | Safety
ANS: B, C, D
The official name is the name under which the drug is listed by the FDA. Brand names are 2. The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes after
easier to pronounce, spell, and remember. The first letter of the generic name is not administration, the nurse finds the patient agitated and stating that ―everyone is out to get me.‖
capitalized. Most drug companies place their products on the market under brand names Which term is used for this unusual reaction?
instead of generic names. The chemical name is most meaningful to the chemist. a. Desired action
b. Adverse effect
DIF: Cognitive Level: Comprehension REF: p. 2 | p. 9 OBJ: 1 c. Idiosyncratic reaction
NAT: NCLEX Client Needs Category: Physiological Integrity
d. Allergic reaction
TOP: Nursing Process Step: Planning CON: Patient Education | Clinical Judgment | Safety
ANS: C
2. Which drug(s) would be considered to be in the category Schedule II? (Select all that apply.) Idiosyncratic reactions are unusual, abnormal reactions that occur when a drug is first
a. Marijuana administered. Patients typically exhibit an overresponsiveness to a medication related to
b. Percodan diminished metabolism. These reactions are believed to be related to genetic enzyme
c. Amphetamines deficiencies. Desired actions are expected responses to a medication. Adverse effects are
d. Fiorinal reactions that occur in another system of the body; they are usually predictable. Allergic
e. Flurazepam reactions appear after repeated medication dosages.
ANS: B, C
DIF: Cognitive Level: Knowledge REF: p. 18 OBJ: 4
Schedule II drugs have a high potential for abuse, they are currently accepted in the United
NAT: NCLEX Client Needs Category: Physiological Integrity
States, and use may lead to severe psychological or physical dependence. Percodan and TOP: Nursing Process Step: Evaluation
amphetamines are considered Schedule II drugs. Marijuana is a Schedule I drug. Fiorinal is a CON: Patient Education | Clinical Judgment | Caregiving | Safety | Sensory Perception
Schedule III drug. Flurazepam is a Schedule IV drug.
3. Which is the best description of when drug interactions occur?
DIF: Cognitive Level: Comprehension REF: p. 5 Box 1.1 OBJ: 2 a. On administration of toxic dosages of a drug
NAT: NCLEX Client Needs Category: Physiological Integrity b. On an increase in the pharmacodynamics of bound drugs
TOP: Nursing Process Step: Assessment CON: Addiction | Clinical Judgment | Patient Education
c. On the alteration of the effect of one drug by another drug
d. On increase of drug excretion
ANS: C
Chapter 02: Basic Principles of Drug Action and Drug Interactions Drug interactions may be characterized by an increase or decrease in the effectiveness of one
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition or both of the drugs. Toxicity of one drug may or may not affect the metabolism of another
one. Drug interactions may result from either increased or decreased pharmacodynamics.
Drug interactions may result from either increased or decreased excretion.
MULTIPLE CHOICE
DIF: Cognitive Level: Comprehension REF: p. 18 OBJ: 5
1. Which priority action should be implemented when hives are assessed on a patient started on a NAT: NCLEX Client Needs Category: Physiological Integrity
new medication? TOP: Nursing Process Step: Assessment CON: Safety | Patient Education | Clinical Judgment
a. Notify physician of allergic reaction.
b. Notify physician of idiosyncratic reaction. 4. Which term describes when two drugs compete for the same receptor site, resulting in
c. Notify physician of potential teratogenicity. increased activity of the first drug?
d. Notify physician of potential tolerance. a. Desired action
b. Synergistic effect
ANS: A c. Carcinogenicity
An allergic reaction is indicative of hypersensitivity and manifests with hives and/or urticaria, d. Displacement
which are easily identified. An idiosyncratic reaction occurs when something unusual or
abnormal happens when a drug is first administered. A teratogenic reaction refers to the ANS: D
occurrence of birth defects related to administration of the drug. Tolerance refers to the body‘s
requirement for increasing dosages to achieve the same effects that a lower dose once did.

DIF: Cognitive Level: Application REF: p. 17 OBJ: 4

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