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TEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZ UPDATED 2025
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TEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZTEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZTEST BANK FOR CLAYTON’S BASIC PHARMACOLOGY FOR NURSES 18TH EDITION BY WILLIHNGANZ

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  • January 29, 2025
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TEST BANK FOR
BY WILLIHNGANZ
CLAYTON’S BASIC
PHARMACOLOGY
FOR


NURSES 18TH
EDITION

,Chapter 1: Drug Definitions, Standards, and Information Sources First published in 1983, Drug Interaction Facts is the most comprehensive book available on
Test Bank drug interactions. In addition to monographs listing various aspects of drug interactions, this
information is reviewed and updated by an internationally renowned group of physicians and
pharmacists with clinical and scientific expertise.
MULTIPLE CHOICE
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
1. What is the name under which a drug is listed by the U.S. Food and Drug Administration TOP: Nursing Process Step: Assessment
(FDA)? MSC: NCLEX Client Needs Category: Physiological Integrity
a. Brand
b. Nonproprietary 4. The physician has written an order for a drug with which the nurse is unfamiliar. Which
c. Official section of the Physicians’ Desk Reference (PDR) is most helpful to get information about this
d. Trademark drug?
a. Manufacturer’s section
ANS: C b. Brand and Generic Name section
The official name is the name under which a drug is listed by the FDA. The brand name, or c. Product Category section
trademark, is the name given to a drug by its manufacturer. The nonproprietary, or generic, d. Product Information section
name is provided by the U.S. Adopted Names Council.
ANS: B
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 2 A physician’s order would include the brand and/or generic name of the drug. The alphabetic
TOP: Nursing Process Step: Assessment index in the PDR would make this section the most user friendly. Based on a physician’s
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment order, manufacturer’s information and classification information would not be known. The
Manufacturer’s section is a roster of manufacturers. The Product Category section lists
2. Which source contains information specific to nutritional supplements? products subdivided by therapeutic classes, such as analgesics, laxatives, oxytocics, and
a. USP Dictionary of USAN & International Drug Names antibiotics. The Product Information section contains reprints of the package inserts for the
b. Natural Medicines Comprehensive Database major products of manufacturers.
c. United States Pharmacopoeia/National Formulary (USP NF)
d. Drug Interaction Facts DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 4
TOP: Nursing Process Step: Planning
ANS: C MSC: NCLEX Client Needs Category: Physiological Integrity
United States Pharmacopoeia/National Formulary contains information specific to nutritional
supplements. USP Dictionary of USAN & International Drug Names is a compilation of drug 5. Which online drug reference makes available to health care providers and the public a
names, pronunciation guide, and possible future FDA approved drugs; it does not include standard, comprehensive, up to date look up and downloadable resource about medicines?
nutritional supplements. Natural Medicines Comprehensive Database contains evidence based a. American Drug Index
information on herbal medicines and herbal combination products; it does not include b. American Hospital Formulary
information specific to nutritional supplements. Drug Interaction Facts contains c. DailyMed
comprehensive information on drug interaction facts; it does not include nutritional d. Physicians’ Desk Reference (PDR)
supplements.
ANS: C
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 4 DailyMed makes available to health care providers and the public a standard, comprehensive,
TOP: Nursing Process Step: Assessment up to date look up and downloadable resource about medicines. The American Drug Index is
MSC: NCLEX Client Needs Category: Physiological Integrity not appropriate for patient use. The American Hospital Formulary is not appropriate for
patient use. The PDR is not appropriate for patient use.
3. What is the most comprehensive reference available to research a drug interaction?
a. Drug Facts and Comparisons DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 5
b. Drug Interaction Facts TOP: Nursing Process Step: Implementation
c. Handbook on Injectable Drugs MSC: NCLEX Client Needs Category: Physiological Integrity
d. Martindale—The Complete Drug Reference
6. Which legislation authorizes the FDA to determine the safety of a drug before its marketing?
ANS: B a. Federal Food, Drug, and Cosmetic Act (1938)
b. Durham Humphrey Amendment (1952)
c. Controlled Substances Act (1970)



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, d. Kefauver Harris Drug Amendment (1962) MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
ANS: A 9. Which statement is true about over the counter (OTC) drugs?
The Federal Food, Drug, and Cosmetic Act of 1938 authorized the FDA to determine the a. They are not listed in the USP NF.
safety of all drugs before marketing. Later amendments and acts helped tighten FDA control b. A prescription from a health care provider is needed.
and ensure drug safety. The Durham Humphrey Amendment defines the kinds of drugs that c. They are sold without a prescription.
cannot be used safely without medical supervision and restricts their sale to prescription by a d. They are known only by their brand names.
licensed practitioner. The Controlled Substances Act addresses only controlled substances and
their categorization. The Kefauver Harris Drug Amendment ensures drug efficacy and greater ANS: C
drug safety. Drug manufacturers are required to prove to the FDA the effectiveness of their OTC medications do not require a prescription. A variety of names, both generic and trade,
products before marketing them. can be used for individual drugs sold OTC. OTC drugs are listed in the USP NF. Prescription
drugs require an order by a health professional who is licensed to prescribe, such as a
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 8 physician, nurse practitioner, physician assistant, or dentist.
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 2
TOP: Nursing Process Step: Planning
7. Meperidine (Demerol) is a narcotic with a high potential for physical and psychological MSC: NCLEX Client Needs Category: Physiological Integrity
dependency. Under which classification does this drug fall?
a. I 10. Which is the most authoritative reference for medications that are injected?
b. II a. Physician’s Desk Reference
c. III b. Handbook on Injectable Drugs
d. IV c. DailyMed
d. Handbook of Nonprescription Drugs
ANS: B
Meperidine (Demerol) is a Schedule II drug; it has a high potential for abuse and may lead to ANS: B
severe psychological and physical dependence. Schedule I drugs have high potential for abuse The Handbook on Injectable Drugs is the most comprehensive reference available on the
and no recognized medical use. Schedule III drugs have some potential for abuse. Use may topic of compatibility of injectable drugs. It is a collection of monographs for more than 300
lead to low to moderate physical dependence or high psychological dependence. Schedule IV injectable drugs that are listed alphabetically by generic name.
drugs have low potential for abuse. Use may lead to limited physical or psychological
dependence. DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 4
TOP: Nursing Process Step: Assessment
DIF: Cognitive Level: Comprehension REF: p. 4 | p. 5 OBJ: 7 MSC: NCLEX Client Needs Category: Physiological Integrity
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment 11. The nurse is administering Lomotil, a Schedule V drug. Which statement is true about this
drug’s classification?
8. What would the FDA do to expedite drug development and approval for an outbreak of a. Abuse potential for this drug is low.
smallpox, for which there is no known treatment? b. Psychological dependency is likely.
a. List smallpox as a health orphan disease. c. There is a high potential for abuse.
b. Omit the preclinical research phase. d. This drug is not a controlled substance.
c. Extend the clinical research phase.
ANS: A
d. Fast track the investigational drug.
Lomotil, a Schedule V drug, has an abuse potential of limited physical or psychological
ANS: D dependence liability compared with drugs in Schedule IV. Because abuse potential is low with
Once the Investigational New Drug Application has been approved, the drug can receive a Schedule V drug, a prescription may not be required. Psychological dependency is not likely
highest priority within the agency, which is called fast tracking. A smallpox outbreak would with a Schedule V drug. Schedule V drugs are classified as controlled substances.
become a priority concern in the world. Orphan diseases are not researched in a priority
manner. Preclinical research is not omitted. Extending any phase of the research would mean DIF: Cognitive Level: Knowledge REF: p. 5 OBJ: 7
TOP: Nursing Process Step: Assessment
a longer time to develop a vaccine. The FDA must ensure that all phases of the preclinical and
MSC: NCLEX Client Needs Category: Physiological Integrity
clinical research phase have been completed in a safe manner.
12. The nurse is transcribing new orders written for a patient with a substance abuse history.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: 8
TOP: Nursing Process Step: Assessment Choose the medication ordered that has the greatest risk for abuse.


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, a. Lomotil The Physicians’ Desk Reference, Section 4, has full color images of commonly dispensed
b. Diazepam tablets and capsules. The patient’s pharmacy would have an accurate account of all the
c. Phenobarbital medications the client is currently taking. Martindale—The Complete Drug Reference has
d. Lortab written information on medications and would not be an appropriate resource. The senior
citizens’ center is not likely to have specific patient medication information.
ANS: D
Lortab is a Schedule III drug with a high potential for abuse but less so than drugs in DIF: Cognitive Level: Application REF: p. 3 OBJ: 3 | 4
Schedules I and II. Lomotil is a Schedule V drug with a low potential for abuse compared TOP: Nursing Process Step: Assessment
with those in Schedule V. Diazepam is a Schedule IV drug with a low potential for abuse MSC: NCLEX Client Needs Category: Physiological Integrity
compared with those in schedule III. Phenobarbital is a Schedule IV drug with a low potential
for abuse compared with those in Schedule III. 15. The nurse planning patient teaching regarding drug names would include which statement(s)?
(Select all that apply.)
DIF: Cognitive Level: Application REF: pp. 4-5 OBJ: 7 a. Most drug companies place their products on the market under generic names.
TOP: Nursing Process Step: Assessment b. The official name is the name under which the drug is listed by the U.S. Food and
MSC: NCLEX Client Needs Category: Physiological Integrity Drug Administration (FDA).
c. Brand names are easier to pronounce, spell, and remember.
MULTIPLE RESPONSE d. The first letter of the generic name is not capitalized.
e. The chemical name is most meaningful to the patient.
13. The nurse is caring for a patient newly diagnosed with type 1 diabetes mellitus. Which
approach(es) to therapeutic methods would be considered in this patient’s treatment? (Select ANS: B, C, D
all that apply.) The official name is the name under which the drug is listed by the FDA. Brand names are
a. Therapeutic drugs easier to pronounce, spell, and remember. The first letter of the generic name is not
b. Concentrated carbohydrate diet capitalized. Most drug companies place their products on the market under brand names
c. Family centered care instead of generic names. The chemical name is most meaningful to the chemist.
d. Regular daily exercise and activity
DIF: Cognitive Level: Application REF: p. 1 OBJ: 2
e. Daily baths
TOP: Nursing Process Step: Planning
ANS: A, B, D MSC: NCLEX Client Needs Category: Physiological Integrity
Therapeutic methods include drug therapy, diet therapy, physiotherapy, and psychological
therapy. Therapeutic methods do not include family centered care or daily baths. 16. When categorizing, the nurse is aware that which drug(s) would be considered Schedule II?
(Select all that apply.)
DIF: Cognitive Level: Application REF: p. 1 OBJ: 1 a. Marijuana
TOP: Nursing Process Step: Planning b. Percodan
MSC: NCLEX Client Needs Category: Physiological Integrity c. Amphetamines
d. Fiorinal
14. An older adult experiencing shortness of breath is brought to the hospital by her daughter. e. Flurazepam
While obtaining the medication history from the patient and her daughter, the nurse discovers
ANS: B, C
that neither has a list of the patient’s current medications or prescriptions. All the patient has
is a weekly pill dispenser that contains four different pills. The prescriptions are filled through Schedule II drugs have a high potential for abuse, they are currently accepted in the United
the local pharmacy. Which resource(s) would be appropriate to use in determining the States, and use may lead to severe psychological or physical dependence. Percodan and
medication names and doses? (Select all that apply.) amphetamines are considered Schedule II drugs. Marijuana is a Schedule I drug. Fiorinal is a
a. Martindale—The Complete Drug Reference Schedule III drug. Flurazepam is a Schedule IV drug.
b. Physicians’ Desk Reference, Section 4
DIF: Cognitive Level: Analysis REF: pp. 4-5 OBJ: 7
c. Senior citizens’ center
TOP: Nursing Process Step: Assessment
d. Patient’s home pharmacy MSC: NCLEX Client Needs Category: Physiological Integrity
ANS: B, D




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