Nursing Process: Nursing Intervention and Patient Teaching, Exams of Nursing

Various aspects of the nursing process, including nursing interventions and patient teaching related to medication administration and nutrition. It discusses the importance of patient education, medication safety, and the nurse's role in ensuring effective and safe medication management. The document delves into topics such as the nursing process, nclex competencies, cognitive levels, vitamin supplementation, medication absorption, and medication administration principles. It provides insights into the legal and regulatory frameworks governing medication administration by nurses, as well as the specific considerations for pediatric medication use. The document emphasizes the nurse's responsibility in educating patients, monitoring for potential side effects, and collaborating with healthcare providers to ensure optimal patient outcomes.

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Pharmacology Patient-Centered Nursing Process Approach, 10th
Edition Vitamin And Mineral Replacement Exam Questions And
Answers
1. A patient asks the nurse about whether it is necessary to take vitamin supplements. The
patient is a 26-year-old female who is contemplating pregnancy. The nurse will
recommend which supplement?
a. Calcium and vitamin D
b. Folic acid (folate)
c. Iron
d. Vitamin C
ANS: B
Folic acid deficiency during the first trimester of pregnancy can affect the development of
the central nervous system (CNS) of the fetus, so women of childbearing age are encouraged
to take folic acid. Other supplements are not necessary with a well-balanced diet unless a
deficiency is noted.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
2. A patient reports wanting to take vitamin A to prevent blindness. Which response by the nurse
is correct?
a. “Vitamin A can be taken at any dose without serious adverse effects.”
b. “Vitamin A has no effects on vision.”
c. “Vitamin A is difficult to obtain through dietary intake alone.”
d. “If too much vitamin A is taken toxicity can occur.”
ANS: D
Vitamin A is stored in the liver for up to 2 years, and toxicity can occur. The effects of
toxicity can be severe. Vitamin A is essential for the maintenance of eye function. Vitamin A
can be obtained through the diet.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
3. A young woman tells the nurse that she has a strong family history of osteoporosis and
that she has been taking calcium supplements. Which vitamin will the nurse recommend as
an adjunct to calcium supplementation?
a. Vitamin A
b. Vitamin D
c. Vitamin E
d. Vitamin K
ANS: B
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Pharmacology Patient-Centered Nursing Process Approach, 10th

Edition Vitamin And Mineral Replacement Exam Questions And

Answers

  1. A patient asks the nurse about whether it is necessary to take vitamin supplements. The patient is a 26-year-old female who is contemplating pregnancy. The nurse will recommend which supplement? a. (^) Calcium and vitamin D b. (^) Folic acid (folate) c. (^) Iron d. (^) Vitamin C ANS: B Folic acid deficiency during the first trimester of pregnancy can affect the development of the central nervous system (CNS) of the fetus, so women of childbearing age are encouraged to take folic acid. Other supplements are not necessary with a well-balanced diet unless a deficiency is noted. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
  2. A patient reports wanting to take vitamin A to prevent blindness. Which response by the nurse is correct? a. (^) “Vitamin A can be taken at any dose without serious adverse effects.” b. (^) “Vitamin A has no effects on vision.” c. (^) “Vitamin A is difficult to obtain through dietary intake alone.” d. (^) “If too much vitamin A is taken toxicity can occur.” ANS: D Vitamin A is stored in the liver for up to 2 years, and toxicity can occur. The effects of toxicity can be severe. Vitamin A is essential for the maintenance of eye function. Vitamin A can be obtained through the diet. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
  3. A young woman tells the nurse that she has a strong family history of osteoporosis and that she has been taking calcium supplements. Which vitamin will the nurse recommend as an adjunct to calcium supplementation? a. (^) Vitamin A b. (^) Vitamin D c. (^) Vitamin E d. (^) Vitamin K ANS: B

Vitamin D is needed for calcium absorption from the intestines and plays a major role in regulating calcium and phosphorus metabolism. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

  1. A patient who spends most of the time indoors has been taking large doses of vitamin D and is curious about signs of vitamin D toxicity. The nurse will tell this patient to report which sign that may indicate vitamin D toxicity? a. (^) Blurred vision b. (^) Darkening of the skin c. (^) Nausea and vomiting d. (^) Palpitations ANS: C Anorexia, nausea, and vomiting are early signs of vitamin D toxicity. DIF: Cognitive Level: Remembering (Knowledge) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
  2. Which fat-soluble vitamin can increase the risk of bleeding and would warrant close monitoring of prothrombin time in a patient also taking warfarin (Coumadin)? a. (^) Vitamin A b. (^) Vitamin D c. (^) Vitamin E d. (^) Vitamin K ANS: C Vitamin E may prolong the prothrombin time, so patients taking warfarin should have their PT monitored closely. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
  3. A child is brought to the emergency department after ingesting a grandparent's warfarin (Coumadin) tablets. The nurse will anticipate administering which form of vitamin K? a. (^) K1 (phytonadione) b. (^) K2 (menaquinone) c. (^) K3 (menadione) d. (^) K4 (menadiol) ANS: A For oral anticoagulant overdose, vitamin K1 is the only vitamin K form available for therapeutic use and is most effective in preventing hemorrhage. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

a. (^) Contact the provider to discuss possible thromboembolism. b. (^) Discuss decreasing the patient's dose of nicotinic acid with the provider. c. (^) Reassure the patient that these effects will decrease over time. d. (^) Suggest that the patient take niacin with a full glass of cool water. ANS: B Large doses of niacin can cause gastrointestinal irritation and vasodilation, resulting in a flushing sensation. Decreasing the dose can alleviate these symptoms. They do not indicate development of thromboembolism. Taking niacin with a full glass of water does not alleviate these symptoms. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

  1. A patient reports having taken a large dose of ascorbic acid (vitamin C) and is experiencing diarrhea and gastrointestinal upset. The nurse will prepare to take which action? a. (^) Administer activated charcoal. b. (^) Administer sodium bicarbonate. c. (^) Perform gastric lavage. d. (^) Provide symptomatic care. ANS: D The patient is experiencing uncomfortable side effects of excess vitamin C intake, but they are not life threatening, so no antidotes or treatment are indicated. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  2. A patient reports taking large doses of vitamin C to prevent upper respiratory infections. The nurse will perform which action? a. (^) Monitor the patient for hyperglycemia. b. (^) Notify the provider and discuss a gradual taper of vitamin C. c. (^) Request an order for a CBC to assess the patient's hemoglobin. d. (^) Tell the patient that studies have confirmed this use of vitamin C. ANS: B Patients who take large doses of vitamin C should be tapered down gradually to avoid vitamin deficiency. Vitamin C can produce a false positive urine glucose test but does not affect blood glucose. It does not affect hemoglobin. Studies have not demonstrated the effectiveness of vitamin C in preventing or treating colds. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  3. The nurse is teaching a patient who has a folic acid deficiency about treatment for this disorder. Which statement by the patient indicates understanding of the teaching? a. (^) “Food sources of folic acid are better absorbed than synthetic folic acid products.” b. (^) “I should take large doses of folic acid to compensate for the deficiency.” c. (^) “Most folic acid I take is stored in the liver.”

d. (^) “Symptoms of folic acid deficiency often do not appear for months.” ANS: D Symptoms of folic acid deficiency usually are not noted until 2 to 4 months after folic acid storage is depleted. Synthetic folate is more stable and has greater bioavailability when compared with dietary folate. Large doses are not recommended. One-third of folic acid is stored in the liver with the rest stored in tissues. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

  1. A patient is diagnosed with anemia and asks the nurse why the provider has ordered vitamin B12. Which answer by the nurse is correct? a. (^) “Vitamin B12 is given to improve your overall energy level.” b. (^) “Vitamin B12 is necessary for the development of red blood cells.” c. (^) “Vitamin B12 prevents excess iron loss.” d. (^) “Vitamin B12 will help you absorb iron more efficiently.” ANS: B Vitamin B12 is essential for DNA synthesis and aids in the conversion of folic acid to its active form and is also needed for the development of red blood cells. It does not directly improve energy level and does not affect iron loss or iron absorption. 15.15. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Intervention/Teaching MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies The nurse is teaching a patient who has iron-deficiency anemia about iron supplementation. Which statement by the patient indicates understanding of the teaching? a. (^) “I may improve iron absorption by taking this with vitamin C.” b. (^) “I should take iron tablets with an antacid to reduce gastrointestinal upset.” c. (^) “Nausea and vomiting are minor side effects and will decrease over time.” d. (^) “Taking iron with food will help to increase the amount absorbed.” ANS: A Vitamin C or orange juice, which is high in vitamin C, increases the absorption of iron in the stomach. Antacids interfere with iron absorption. Nausea and vomiting should be reported since they are signs of toxicity. Food slows absorption but is sometimes recommended to reduce gastrointestinal upset. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  2. A female patient has a history of heavy menstrual periods and has received treatment in the past for iron deficiency anemia. She would like to take ferrous sulfate prophylactically to avoid future programs. Which of the following is the recommended dose of ferrous sulfate for prophylactic use? a. (^600) mg BID. b. (^400) mcg/day. c. (^) 300-324 mg/day.

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

  1. A patient who will begin taking an antibiotic reports taking several vitamin supplements every day. Which vitamin or mineral will the nurse counsel the patient about during antibiotic therapy? a. (^) Selenium b. (^) Vitamin A c. (^) Vitamin C d. (^) Zinc ANS: D Zinc can interfere with antibiotic absorption and should be taken at least 2 hours after taking the antibiotic. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

Chapter 01: The Nursing Process and Patient-Centered Care

Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition

MULTIPLE CHOICE

  1. The nursing process is a five-step decision-making approach that includes all of the following steps, EXCEPT: a. (^) Assessment b. (^) Patient problem c. (^) Planning d. (^) Right Drug ANS: D The nursing process is a five-step decision-making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
  2. The nurse is using data collected to set goals or expected outcomes and interventions that address the patient's problems. Which step of the nursing process is the nurse applying? a. (^) Assessment b. (^) Patient problem c. (^) Planning d. (^) Evaluation ANS: C During the planning phase, the nurse uses the data collected to set goals or expected outcomes and interventions which address the patient's problems. The data was collected during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whether the goals and objectives set during the planning phase were met. DIF: Cognitive Level: Understanding

(Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care

  1. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the nurse that they can't keep track of everything that has to be done to care for their child. The nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in which step of the nursing process? a. (^) Assessment b. (^) Planning c. (^) Implementation d. (^) Evaluation ANS: C

MSC: NCLEX: Management of Care

  1. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss the patient's situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process? a. (^) Assessment b. (^) Evaluation c. (^) Implementation d. (^) Planning ANS: D Planning involves goal setting, which, for this patient, means being able to perform self-care activities without dyspnea and hypoxia. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
  2. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this process? a. (^) The nurse will demonstrate the correct use of a metered-dose inhaler to the patient. b. (^) The nurse will teach the patient how to administer medication with a metered-dose inhaler. c. (^) The patient will know how to self-administer the medication using the metered-dose inhaler. d. (^) The patient will independently administer the medication using the metered-dose inhaler at the end of the session. ANS: D Goals must be patient-centered and clearly state the outcome with a reasonable deadline and should identify components for evaluation. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
  3. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air at the time of discharge from the hospital.” What is wrong with this goal? a. (^) It cannot be evaluated. b. (^) It is not measurable. c. (^) It is not patient-centered. d. (^) It is not realistic. ANS: D This goal is not realistic because the patient is not usually on room air and should not be expected to attain that goal by discharge from this hospitalization. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
  1. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which patient problem documented by the nurse is appropriate for this patient? a. (^) Deficient knowledge related to drug side effects b. (^) Ineffective health maintenance related to age c. (^) Readiness for enhanced knowledge related to medication side effects d. (^) Risk for injury related to side effects of the medication ANS: D This patient has an increased risk for injury because of drug side effects, so this is an appropriate patient problem to direct the type of care and follow-up the patient will receive. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Diagnosis MSC: NCLEX: Management of Care
  2. An older patient must learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing this task. Which action will the nurse perform next? a. (^) Ask the patient to keep trying until the skill is learned. b. (^) Provide written instructions with illustrations showing each step of the skill. c. (^) Schedule multiple sessions and practice each step separately. d. (^) Teach the procedure to family members who can administer the medication for the patient. ANS: C Nurses should be sensitive to patient's level of frustration when teaching skills. In this case, breaking the steps down into individual will help with this patient's frustration level. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
  3. A school-age child will begin taking a medication to be administered at 5 mL three times daily. The child's parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot to bring the medication home from school, resulting in missed evening doses. What will the nurse recommend? a. (^) Asking the provider if the medication may be taken before school, after school, and at bedtime b. (^) Putting a note on the child's locker to encourage the child to take responsibility for medication administration c. (^) Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the correct amount is given daily d. (^) Taking the noon dose to school every day and giving it to the school nurse to administer ANS: C For busy families with school-age children, it may be necessary to adjust the medication schedule to one that fits their schedule. The nurse should ask the provider if a revised schedule is possible. In this case, the most effective revised schedule would involve not taking the medication while at school. Putting a note on the locker is not likely to be effective. It is not correct to adjust the dose.

Patient-assist programs may be helpful, but many are dependent on the patient's income, so the nurse should determine that first. It is unlikely that the pharmacy would offer a cost reduction. The patient has demonstrated an inability to navigate the system by simply not taking the medication, so only providing a phone number to the patient is not likely to be effective. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Assessment/Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

Chapter 02: Drug Development and Ethical Considerations

  1. The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months. All subjects will be given gift certificates for participating. One subject says, “Well, I guess if the drug doesn't work, I'll just have to put up with the symptoms for 6 months.” What will the nurse tell the subject? a. (^) “Participation for the duration of the study is required.” b. (^) “Participation may end at any time without penalty.” c. (^) “Withdrawal from the study may end at any time, but the gift certificate will not be given.” d. (^) “You can request placement in the treatment group.” ANS: B All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to withdraw from a study at any time without penalty. Patients generally are not allowed to choose participation in either the treatment or the control group. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care
  2. The nurse is assisting with a clinical drug trial in which the side effects of two effective drugs are being compared. A patient who would benefit from either drug has elected to withdraw from the study, and the nurse assists with the paperwork to facilitate this. This is an example of a. (^) autonomy. b. (^) beneficence. c. (^) justice.

d. (^) veracity. ANS: A All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to withdraw from a study at any time without penalty even if the health care provider disagrees with that choice. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care

  1. During a clinical drug trial for a new medication, researchers note a previously unknown serious adverse effect occurring in more than 50% of subjects. The study is discontinued. Which ethical principle is being exercised? a. (^) Beneficence b. (^) Justice c. (^) Respect for persons d. (^) Veracity

If a nurse suspects that a patient is being coerced to participate in the study, the nurse should report this to the principal investigator. When a patient verbalizes participation based on a financial reward, there is a potential element of coercion. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care

  1. Which is the characteristic of preclinical in vivo testing? a. (^) A comparison of experimental and control data in animals b. (^) A study conducted in a test tube in a laboratory c. (^) A study that determines the effects of the placebo in human participants d. (^) A study to assess the seriousness of the disease to be treated ANS: A Preclinical in vivo testing is performed in animals or other living organisms. In vitro studies occur in test tubes. Safe therapeutic dose studies are part of clinical research. Prior to clinical trials, an assessment is made of the disease and its seriousness. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
  2. Many drugs marketed in the 1980s may not be effective in a majority of the population. The nurse understands that this is because these drugs: a. (^) did not pass through the appropriate phases of clinical trials. b. (^) did not require human subject protections and are invalid. c. (^) were not tested in women, minorities, or children. d. (^) were tested on healthy subject only drug research was historically performed only with Caucasian males, causing uncertainty as to the validity of the research results in the broader population. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
  3. The nurse is assisting with data collection in a study of drug effects in as mall group of healthy subjects. The nurse assists with blood and urine collection to determine serum drug levels and the presence of metabolites in urine. Which phase of drug development does this represent? a. (^) Phase I b. (^) Phase II c. (^) Phase III d. (^) Phase IV ANS: A Phase I drug trials are performed to assess safety and to identify the pharmacokinetics, such as metabolism and elimination, of drugs in healthy subjects. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
  1. The nurse is enrolling subjects for a clinical drug trial in which subjects will be randomly assigned to either a treatment or a placebo group. The pills in both groups will be in identical packaging with identical appearance. The group that receives the intervention is the: a. (^) control group. b. (^) experimental group. c. (^) dependent group. d. (^) independent group. ANS: B The experimental group in a drug trial is the group that receives the drug being tested. The control group may receive no drug, a different drug, a placebo, or the same drug with a different dose, route, or frequency of administration. Dependent and independent are not terms to describe groups in a study; they denote the variables. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
  2. Respect for Persons is a core ethical principle of human subjects research. Which of the following best describes this principle? a. (^) Duty to protect research subjects from harm. b. (^) Fair selection of research subjects. c. (^) Right to self-determination d. (^) Patients are independent and capable of making decisions in their own best interests. ANS: D Respect for persons is based on the notion that patients should be treated as independent persons who are capable of making decision in their own best interests. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
  3. A clinical drug trial is concluding a study of pharmacokinetics and safety of a drug in healthy individuals. The nurse will assist enrollment of participants into the next phase of the study and will include which subjects? a. (^) Healthy subjects b. (^) Healthy and ill subjects c. (^) Subjects with the disease the drug will treat d. (^) Subjects with other diseases ANS: C After Phase I studies demonstrating drug safety and pharmacokinetics have been completed, the drug is tested on subjects who have the disease the drug will treat. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care
  4. Before marketing a new drug that has been approved for use based on clinical effectiveness and safety, the manufacturer wishes to study the potential new uses for the drug. This is an example of which phase of study? a. (^) Phase I

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

  1. A patient receives a prescription on which the provider has noted that a generic medication may be given. The patient asks the nurse what this means. What will the nurse tell the patient about generic drugs? a. (^) They contain the same inert ingredients as brand-name drugs. b. (^) They have chemical structures that are different from proprietary drugs. c. (^) They tend to be less expensive than brand-name drugs. d. (^) They undergo extensive testing before they are marketed. ANS: C Generic drugs are approved by the FDA if they are proved to be bioequivalent to the brand-name drug. They tend to be less expensive because manufacturers of these drugs do not have to do the extensive testing required of brand-name drugs before marketing. They are not identical to brand-name drugs and often have different inert ingredients. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Management of Client Care
  2. The nurse reviews information about a drug and notes the initials “United States Pharmacopeia (USP)” after the drug's official name. The nurse understands that this designation indicates the drug: a. (^) is a controlled substance. b. (^) is approved by the FDA. c. (^) is available in generic form. d. (^) meets USP quality and safety standards. ANS: D The “USP” designation is given to drugs that have met high standards for therapeutic use, patient safety, quality, purity, strength, packaging safety, and dosage form by the United States Pharmacopoeia National Formulary. The FDA classifies controlled substances with Roman numerals from I to V. The USP designation does not indicate FDA approval. The USP designation does not indicate generic availability. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  3. The nurse is preparing to give a medication to a child. The medication is approved for use in children. The child's parent asks whether the drug is safe for children. How will the nurse respond to the parent? a. (^) “Drugs approved for use in children are tested on adults and safe doses for children are based on weights compared to adult weights.” b. (^) “Drugs approved for use in children are deemed safe for children over time when repeated use proves effectiveness and safety.” c. (^) “Drugs approved for use in children are tested for both efficacy and safety in children in order to be marketed for pediatric use.” d. (^) “Drugs approved for use in children are tested on children in post-marketing studies and on a limited basis.” ANS: C

The Pediatric Research Equity Act requires drug manufacturers to test drugs on children. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

  1. Which law(s) govern all drug administration by nurses? a. (^) Drug Regulation and Reform Act b. (^) FDA Amendments Act c. (^) Nurse Practice Acts d. (^) The Controlled Substances Act ANS: C Each state's Nurse Practice Act identifies how nurses administer medications. The other acts govern how drugs are marketed and tested. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  2. A patient is taking methadone as part of a heroin withdrawal program. The nurse understands that, in this instance, methadone is classified as which drug schedule? a. (^) C-I b. (^) C-II c. (^) C-III d. (^) C-V ANS: B Methadone is a category II drug with a high potential for drug abuse. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  3. The nurse is preparing to administer a combination drug containing acetaminophen and codeine. The nurse knows that this drug is classified as which drug schedule? a. (^) C-II b. (^) C-III c. (^) C-IV d. (^) C-V ANS: B Codeine is normally a category II drug, except when it is part of a combination product such as with acetaminophen, making it a category III drug. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
  4. Which are responsibilities of the FDA? ( Select all that apply. ) a. (^) To ensure a drug has accurate labeling. b. (^) To ensure a drug is affordable. c. (^) To ensure a drug is effective.