Exam (elaborations)
NURS 3100 EXAM 1 – QUESTIONS & ANSWERS
NURS 3100 EXAM 1 – QUESTIONS & ANSWERS
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NURS 3100 EXAM 1 – QUESTIONS & ANSWERSA nurse is reviewing key events in the history of pharmacology with a student
nurse. Which student comment indicates an understanding? ✔️Ans - Early
researchers used themselves as test subjects
A student nurse asks a nursing instructor why anatomy and physiology as
well as microbiology when the student only wants to learn about
pharmacology. What is the best response by the instructor? ✔️Ans - "An
understanding of those subjects is essential to understand pharmacology."
A nurse is teaching a group of nurses about the differences between
pharmacology and therapeutics. The nurse determines that learning has
occurred when which statements are made? ✔️Ans - Pharmacology is the
study of medicines."
"Therapeutics relates to drug use to treat suffering."
"Pharmacology is the study of drugs to prevent disease."
A nurse administers a vaccine to a client. What is the nurse's best
understanding as it relates to the manufacture of a vaccine? ✔️Ans - The
vaccine is naturally produced in animal cells or microorganisms.
An older client is admitted with gastrointestinal bleeding. The client says to
the nurse, "I don't understand this. All I did was take ibuprofen (Advil) for my
arthritis." What is the nurse's best response? ✔️Ans - Teach the client about
the side effects of ibuprofen (Advil).
A nurse teaches a student nurse about the pharmacological classification of
drugs. The nurse evaluates that learning has occurred when the student
makes which response? ✔️Ans - "A calcium channel blocker blocks heart
calcium channels."
A nurse is providing medication education to a client with hypertension. The
nurse teaches the client that the health care provider ordered a diuretic to
decrease the amount of fluid in the client's body. Which statement best
describes the nurse's instruction? ✔️Ans - The nurse explained the drug's
mechanism of action.
,A client has been taking paroxetine (Paxil) for a year and tells a nurse is it no
longer working. What is the best response by the nurse? ✔️Ans - Are you
taking name brand Paxil or the generic version paroxetine?"
A 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 of the below statement? ✔️Ans - "After reading all the
directions on the label, I will call the healthcare provider's office if they are
not clear."
A nurse is preparing to teach pharmacology concepts to a group of students.
The nurse should include which of the following? ✔️Ans - Biosimilar drugs
don't require the same clinical testing as the comparable biologic drug.
Pharmacotherapy ✔️Ans - the application of drugs for the purpose of
treating diseases and alleviating human suffering
A client is receiving a brand name drug and wants to change to the generic
form because it is less expensive. What is the best outcome for this client?
✔️Ans - State two ways a brand name drug differs from a generic name drug.
A healthcare provider orders Lasix (furosemide) for a client. The hospital
formulary substitutes the generic equivalent of the brand name drug, and the
nurse administers the generic drug. Which of the statement(s) best
represent(s) the nurse's action? ✔️Ans - The nurse used good judgment in
administering the drug.
The nurse was correct; hospital policies allow for this.
Therapeutic classification ✔️Ans - based on the drug's usefulness in treating
a particular disease
Mechanism of action ✔️Ans - how a drug produces its physiological effect in
the body
Chemical classification ✔️Ans - relates to a substance's physical and
chemical properties
Pharmacological classification ✔️Ans - addresses a drug's mechanism of
action
,A client says to a 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? ✔️Ans - "The healthcare provider needs to know
everything you are taking."
"It is true that supplements are not considered drugs; however, some of these
products can cause adverse effects with prescribed drugs."
prototype drug ✔️Ans - has the same therapeutic indications, adverse
effects, and mechanism of action
HOWEVER, duration of action is not consistent across all
A client with advanced heart disease says, "I read about a new drug that was
just released. Do you think my doctor could get it for me?" What should the
nurse include in discussion with the client? ✔️Ans - "Decisions on using
drugs are based on many different variables."
We certainly can talk to your physician about the drug."
A nurse is employed by the Food and Drug Administration (FDA) and is
involved in clinical investigation. The nurse's primary role in this phase of the
FDA review and approval is to perform tests on which of the following? ✔️Ans
- Human clients
clinical investigation ✔️Ans - testing on healthy volunteers, and later on
selected clients with a particular disease
preclinical investigation ✔️Ans - tests on human cells cultured in lab and
animals
postmarketing surveillance ✔️Ans - tests on the population at large
A client asks a nurse how many Americans take at least one prescription drug
per year. What is the nurse's best response? ✔️Ans - 50%
A nurse is teaching a medication class for parents of children with attention-
deficit hyperactivity disorder (ADHD) who are receiving stimulant
medications. The nurse has reviewed reasons why the medications are
restricted. The nurse determines that learning has occurred when the parents
, make which responses? ✔️Ans - The use of these medications is restricted
because they have the potential for abuse."
"The use of these medications is restricted because this is the current law."
During the admission assessment, a client tells a nurse "Sure I smoke a little
weed (marijuana) to manage my stress. Doesn't everyone?" What is the
nurse's best response? ✔️Ans - "How often do you smoke marijuana, and
how much each time?"
A parent of an adolescent receiving methylphenidate (Concerta) for ADHD
asks why she needs a new prescription each month. What is the best response
by the nurse? ✔️Ans - The law does not allow us to give you refills on this
medication."
schedule 2 drugs cannot be refilled without being written and signed by the
healthcare provider
A client who is terminally ill reports hearing about a drug that is in preclinical
investigation. The client asks the nurse if the drug will be available to the
public soon. What should the nurse consider when formulating an answer to
this question? ✔️Ans - The average length of preclinical investigation is 18
months.
A nurse provides medication education to a client with terminal cancer. The
physician has ordered morphine, a Schedule II drug, for the client. The nurse
determines that learning has occurred when the client makes which
statement? ✔️Ans - "I need to see my doctor before my prescription runs out
so I can get a refill."
While reading a medication package insert, a nurse notes the information
contained within the "black box." What is the significance of this information
to the nurse? ✔️Ans - The drug can cause "special problems.
It identifies extreme adverse drug reactions.
A 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? ✔️Ans - Attend meetings to finalize the brand
name for the drug.
Check on the results of animal testing.
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