Test Bank For Karch s Focus on Nursing Pharmacology 8th & 9th Edition by Rebecca Tucker All Chapters | Complete Guide 2023
Test Bank – Focus on Nursing Pharmacology (8th Edition by Karch) 1
Table of Contents
Table of Contents
1
Chapter 01 – Introduction to Drugs
Chapter 02 – Drugs and the Body
Chapter 03 – Toxic Effects of Drugs
Chapter 04 – The Nursing Process in Drug Therapy and Patient Safety
Chapter 05 – Dosage Calculations
Chapter 06 – Challenges to Effective Drug Therapy
Chapter 07 – Introduction to Cell Physiology
Chapter 08 – Antiinfective Agents
Chapter 09 – Antibiotics
Chapter 10 – Antiviral Agents
Chapter 11 – Antifungal Agents
Chapter 12 – Antiprotozoal Agents
Chapter 13 – Anthelmintic Agents
Chapter 14 – Antineoplastic Agents
Chapter 15 – Introduction to the Immune Response and Inflammation
Chapter 16 – Antiinflammatory, Antiarthritis, and Related Agents
Chapter 17 – Immune Modulators
Chapter 18 – Vaccines and Sera
Chapter 19 – Introduction to Nerves and the Nervous System
Chapter 20 – Anxiolytic and Hypnotic Agents
Chapter 21 – Antidepressant Agents
Chapter 22 – Psychotherapeutic Agents
Chapter 23 – Antiseizure Agents
Chapter 24 – Antiparkinsonism Agents
Chapter 25 – Muscle Relaxants
Chapter 26 – Narcotics, Narcotic Antagonists, and Antimigraine Agents
Chapter 27 – General and Local Anesthetic Agents
Chapter 28 – Neuromuscular Junction Blocking Agents
Chapter 29 – Introduction to the Autonomic Nervous System
Chapter 30 – Adrenergic Agonists
Chapter 31 – Adrenergic Antagonists
Chapter 32 – Cholinergic Agonists
Chapter 33 – Anticholinergic Agents
Chapter 34 – Introduction to the Endocrine System
Chapter 35 – Hypothalamic and Pituitary Agents
Chapter 36 – Adrenocortical Agents
Chapter 37 – Thyroid and Parathyroid Agents
Chapter 38 – Agents to Control Blood Glucose Levels
Chapter 39 – Introduction to the Reproductive System
Chapter 40 – Drugs Affecting the Female Reproductive System
Chapter 41 – Drugs Affecting the Male Reproductive System
Chapter 42 – Introduction to the Cardiovascular System
Chapter 43 – Drugs Affecting Blood Pressure
Chapter 44 – Agents for Treating Heart Failure
Chapter 45 – Antiarrhythmic Agents
Chapter 46 – Antianginal Agents
Chapter 47 – Lipid-Lowering Agents
Chapter 48 – Drugs Affecting Blood Coagulation
Chapter 49 – Drugs Used to Treat Anemias
Chapter 50 – Introduction to the Renal System
3
20
37
54
71
86
103
120
138
155
172
188
204
220
237
254
270
287
304
320
337
354
371
388
404
420
436
453
470
487
503
520
536
553
569
585
602
619
636
653
669
685
702
719
735
752
768
785
801
817
Test Bank – Focus on Nursing Pharmacology (8th Edition by Karch) 2
Chapter 51 – Diuretic Agents
Chapter 52 – Drugs Affecting the Urinary Tract and the Bladder
Chapter 53 – Introduction to the Respiratory System
Chapter 54 – Drugs Acting on the Upper Respiratory Tract
Chapter 55 – Drugs Acting on the Lower Respiratory Tract
Chapter 56 – Introduction to the Gastrointestinal System
Chapter 57 – Drugs Affecting Gastrointestinal Secretions
Chapter 58 – Drugs Affecting Gastrointestinal Motility
Chapter 59 – Antiemetic Agents
833
849
866
883
900
917
933
949
965
Test Bank – Focus on Nursing Pharmacology (8th Edition by Karch) 3
Chapter 01 – Introduction to Drugs
A nurse working in radiology administers iodine to a patient who is having a computed tomography(CT)
scan. The nurse working on the oncology unit administers chemotherapy to patients who have
cancer. At the Public Health Department, a nurse administers a measles-mumps-rubella (MMR)
vaccine to a 14-month-old child as a routine immunization. Which branch of pharmacology best
describes the actions of all three nurses?
Pharmacoeconomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
Ans: B
Feedback:
Pharmacology is the study of the biologic effects of chemicals. Nurses are involved with clinical
pharmacology or pharmacotherapeutics, which is a branch of pharmacology that deals with the uses of
drugs to treat, prevent, and diagnose disease. The radiology nurse is administering a drug to help
diagnose a disease. The oncology nurse is administering a drug to help treat a disease.
Pharmacoeconomics includes any costs involved in drug therapy. Pharmacodynamics involves how a
drug affects the body and pharmacokinetics is how the body acts on the body.
A physician has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as neededfor
pain in a motor vehicle accident victim. The nurse is aware this drug has a high abuse potential.
Under what category would morphine be classified?
Schedule I
Schedule II
Schedule III
Schedule IV
Ans: B
Feedback:
Narcotics with a high abuse potential are classified as Schedule II drugs because of severe dependence
Powered by https://learnexams.com/search/study?query=
Test Bank For Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Chapter 1-56 | Complete Guide Newest Version 2023
1
Chapter 1:Introduction to Drugs
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and
Parenteral Therapies
Cognitive Level: Analyze
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 3, Introduction
- A nurse working in radiology administers iodine to a client who is having a computed
tomography (CT) scan. The nurse working on the oncology unit administers
chemotherapy to clients who have cancer. At the Public Health Department, a nurse
administers a measles–mumps–rubella (MMR) vaccine to a 14-month-old child as a
routine immunization. Which branch of pharmacology best describes the actions of all
three nurses?
A) pharmacoeconomics
B) pharmacotherapeutics
C) pharmacodynamics
D) pharmacokinetics
Ans: B
Feedback: Pharmacology is the study of the biologic effects of chemicals. Nurses are
involved with clinical pharmacology or pharmacotherapeutics, which is a branch of
pharmacology that deals with the uses of drugs to treat, prevent, and diagnose disease.
The radiology nurse is administering a drug to help diagnose a disease. The oncology
nurse is administering a drug to help treat a disease. Pharmacoeconomics includes any
costs involved in drug therapy. Pharmacodynamics involves how a drug affects the body,
and pharmacokinetics is how the body acts on the body.
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 1 of 1431
2
Format: Multiple
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Understand
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 3
Page and Header: Legal Regulation of Drugs, 19, Box 1.2
- The care provider has prescribed intravenous hydromorphone, an opioid, for a client
using a client-controlled analgesia (PCA) pump. The nurse is aware that this drug has a
high abuse potential. Under what category would hydromorphone be classified?
A) schedule I
B) schedule II
C) schedule III
D) shedule IV
Ans: B
Feedback: Opioids with a high abuse potential are classified as schedule II drugs
because of severe dependence liability. Schedule I drugs have high abuse potential and
no accepted medical use. Schedule III drugs have a lesser abuse potential than schedule
II drugs and an accepted medical use. Schedule IV drugs have low abuse potential and
limited dependence liability.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 14, Drug Evaluation
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 2 of 1431
3
- When involved in phase III drug evaluation studies, what action should the nurse
perform?
A) Work with animals which are given experimental drugs.
B) Select appropriate clients to be involved in the drug study.
C) Monitor and observe clients closely for adverse effects.
D) Make decisions that will determine effectiveness of the drug.
Ans: C
Feedback: Phase III studies involve use of a drug in a larger sample of the population.
The purpose is to determine the treatment benefit and to monitor side effects that may
not have been apparent in the earlier studies. Phase I studies involve healthy human
volunteers who are usually paid for their participation. Nurses may observe for adverse
effects and toxicity. Nurses may be responsible for helping collect and analyze the
information to be shared with the Food and Drug Administration (FDA) but would not
conduct research independently because nurses do not prescribe medications. Use of
animals in drug testing is done in the preclinical trials. Select clients who are involved in
phase II studies have the disease the drug is intended to treat. These clients are
monitored closely for drug action and adverse effects.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analyze
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 22, Legal Regulation of Drugs - What concept is prioritized when a provider is considering the substitution of brand
name drug with a generic drug?
A) bioequivalency
B) critical concentration
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 3 of 1431
4
C) distribution
D) half-life
Ans: A
Feedback: The goal is that the generic medication is bioequivalent (has the same effect
on the body) to the brand name medication. Binders used in a generic drug may not be
the same as those used in the brand name drug. Therefore, the way the body breaks
down and uses the drug may differ, which may eliminate a generic drug substitution.
Critical concentration is the amount of a drug that is needed to cause a therapeutic
effect and should not differ between generic and brand name medications. Distribution is
the phase of pharmacokinetics, which involves the movement of a drug to the body’s
tissues and is the same in generic and brand name drugs. A drug’s half-life is the time it
takes for the amount of drug to decrease to half the peak level, which should not change
when substituting a generic medication.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Page and Header: 23, Legal Regulation of Drugs
- A nurse is assessing the client’s home medication use. After listening to the client list
current medications, the nurse asks what priority question?
A) “Do you take any generic medications?”
B) “Are any of these medications orphan drugs?”
C) “Are these medications safe to take during pregnancy?”
D) “Do you take any over-the-counter medications?”
Ans: D
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 4 of 1431
5
Feedback: It is important for the nurse to specifically question use of over-the-counter
medications because clients may not consider them important. The client is unlikely to
know the meaning of “orphan drugs” unless they are a healthcare provider. Safety
during pregnancy, use of a generic medication, or classification of orphan drugs are
things the client would be unable to answer but could be found in reference books if the
nurse wishes to research them.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 2
Page and Header: 5, Introduction
- What goal should a nurse set when beginning a course on pharmacology for nurses?
A) At the completion of the course, the nurse will know everything necessary for safe
and effective medication administration.
B) At the completion of the course, the nurse will know current pharmacologic therapy
and will not require ongoing education for 5 years.
C) At the completion of the course, the nurse will know general drug information
because the nurse can consult a drug guide for specific drug information.
D) At the completion of the course, the nurse will understand each drug action that is
associated with each classification of medication.
Ans: C
Feedback: After completing a pharmacology course, nurses will have general drug
information needed for safe and effective medication administration but will need to
consult a drug guide for specific drug information before administering any medication.
Pharmacology is constantly changing, with new drugs entering the market and new uses
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 5 of 1431
6
for existing drugs identified. Continuing education in pharmacology is essential to safe
practice. Nurses tend to become familiar with the medications they administer most
often, but there will always be a need to research new drugs and also those the nurse is
not familiar with because no nurse knows all medications.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 2
Page and Header: 19, Safety During Pregnancy, Box 1.1
- A nurse is instructing a pregnant client concerning the potential risk to their fetus
from a pregnancy category D drug. What should the nurse inform the client?
A) “Adequate studies in pregnant clients have demonstrated there is no risk to the
fetus.”
B) “Animal studies have not demonstrated a risk to the fetus, but there have been no
adequate studies in pregnant clients.”
C) “Animal studies have shown an adverse effect on the fetus, but there are no adequate
studies in pregnant clients.”
D) “There is evidence of human fetal risk, but the potential benefits from use of the drug
may be acceptable despite potential risks.”
Ans: D
Feedback: Category A indicates that adequate studies in pregnant clients have not
demonstrated a risk to the fetus in the first trimester or in later trimesters. Category B
indicates that animal studies have not demonstrated a risk to the fetus. However, there
have not been adequate studies in pregnant clients to demonstrate risk to a fetus during
the first trimester of pregnancy and no evidence of risk in later trimesters. Category C
indicates that animal studies have shown an adverse effect on the fetus, but no
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 6 of 1431
7
adequate studies in humans. Category D reveals evidence of human fetal risk, but the
potential benefits from the use of the drugs in pregnant clients may outweigh potential
risks.
Format: Multiple Selection
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analyze
Difficulty: Difficult
Integrated Process: Teaching/Learning
Objective: 4
Page and Header: 23, Legal Regulation of Drugs
- Discharge planning for clients leaving the hospital should include instructions on the
use of over-the-counter (OTC) drugs. Which comments by the client should prompt the
nurse to provide additional health education? Select all that apply.
A) “OTC drugs are safe and do not cause adverse effects if taken properly.”
B) “OTC drugs have been around for years and have not been tested by the Food and
Drug Administration (FDA).”
C) “OTC drugs are different from any drugs available by prescription and cost less.”
D) “OTC drugs could cause serious harm if not taken according to directions.”
E) “OTC drugs can often be used as a cost-effective substitute for prescribed drugs.”
Ans: A, B, C, E
Feedback: It is important to follow package directions because OTCs are medications
that can cause serious harm if not taken properly. OTCs are drugs that have been
determined to be safe when taken as directed; however, all drugs can produce adverse
effects even when taken properly. They may have originally been prescription drugs that
were tested by the FDA or they may have been grandfathered in when the FDA laws
changed. OTC education should always be included as a part of the hospital discharge
instructions. Client should not view OTC drugs as being substitutes for prescribed drugs.
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 7 of 1431
8
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 4
Page and Header: 6, Introduction
- A nurse is unfamiliar with a drug that a client in the community has recently been
prescribed. What information source should the nurse consult?
A) Drug Facts and Comparisons
B) a nurse’s drug guide
C) the website www.drugs.com
D) the Physicians’ Drug Reference (PDR)
Ans: B
Feedback: A nurse’s drug guide provides nursing implications and client teaching points
that are most useful to nurses in addition to need-to-know drug information in a very
user-friendly organizational style. Lippincott’s Pocket Drug Guide for Nurses has drug
monographs organized alphabetically and includes nursing implications and client
teaching points. Numerous other drug handbooks are also on the market and readily
available for nurses to use. Although other drug reference books such as Drug Facts and
Comparisons and PDR can all provide essential drug information, they will not contain
nursing implications and teaching points and can be more difficult to use than nurse’s
drug guides. A reputable drug guide is a better source than a consumer website.
Format: Multiple Selection
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Understand
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 8 of 1431
9
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 1
Page and Header: 5, Introduction
- A nursing student is preparing to begin a pharmacology course. The student should
anticipate what areas of study? Select all that apply.
A) chemical pharmacology
B) molecular pharmacology
C) impact of drugs on the body
D) the body’s response to a drug
E) unexpected drug effects
Ans: C, D, E
Feedback: Nurses study pharmacology from a pharmacotherapeutic level, which
includes the effect of drugs on the body, the body’s response to drugs, and both
expected and unexpected drug effects. Chemical and molecular pharmacology are not
included in nursing pharmacology courses.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 1
Page and Header: 5, Introduction - The nurse is caring for an older adult who needs to know that drugs, even when
taken correctly, can produce negative or unexpected effects. The nurse should address
what topic during health education?
A) teratogenic effects
B) toxic effects
C) adverse effects
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 9 of 1431
10
D) paradoxical effects
Ans: C
Feedback: Negative or unexpected effects are known as adverse or side effects.
Teratogenic effects are adverse effects on the fetus and not a likely concern for an older
adult. Toxic effects occur when medication is taken in larger than recommended dosages
caused by an increase in serum drug levels. Paradoxical effects are drug effects that are
the opposite of what is intended.
Format: Multiple Choice
Chapter: 1
Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Apply
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 5, Introduction
- The nurse has just administered a client’s medication. What action should the nurse
perform next?
A) Assess for drug effects.
B) Perform a comprehensive health assessment.
C) Educate the client about the purpose of the drug.
D) Assess for preexisting conditions.
Ans: A
Feedback: After the medication is administered, the nurse assesses the client for drug
effects, both therapeutic and adverse. The nurse would assess the client for allergies and
preexisting conditions before administering a medication. Assessing for drug effects does
not normally necessitate a comprehensive health assessment.
Karch’s Focus on Nursing Pharmacology 9th Edition by Rebecca Tucker Test Bank
Page 10 of 1431
Powered by https://learnexams.com/search/study?query=