Question 1

Scheduled drugs are classified by their potential for abuse.Which classification has the highest potential for abuse?

Accepted Answer

Schedule I drugs are classified as having a high potential for abuse and no accepted medical use in the United States, making them the category with the highest potential for abuse.

Question 2

Which medication would have the greatest risk to a fetus if given to a pregnant client?

Accepted Answer

Warfarin (Coumadin) is known to cross the placenta and can cause fetal bleeding, spontaneous abortion, and teratogenic effects, making it highly risky during pregnancy.

Question 3

A pregnant woman with a life-threatening condition must take medication that can cause harm to her fetus.What is the pregnancy category that this medication most likely represents?

Accepted Answer

Pregnancy category D is assigned to medications that have shown positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk (e.g., if the drug is needed in a life-threatening situation or for a serious disease for which safer drugs cannot be used or are ineffective).

Question 4

A client asks the nurse why the healthcare provider often refers to medications by the generic name instead of by the brand name.What is the best response by the nurse?

Accepted Answer

There is only one generic name for each medication, which simplifies communication and ensures clarity, as a single medication can have multiple brand names depending on the manufacturer.

Question 5

What is the appropriate schedule for a drug with limited or no therapeutic use?

Accepted Answer

Schedule I drugs are classified as substances with a high potential for abuse, no currently accepted medical use in treatment in the United States, and a lack of accepted safety for use under medical supervision.

Question 6

Which drug names are examples of trade names? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Trade names, also known as brand names, are the commercial names given to drugs by their manufacturers. "Benadryl" and "Motrin" are examples of trade names for the drugs diphenhydramine and ibuprofen, respectively. "Calcium channel blocker" and "Loop diuretic" are classifications of drugs, not trade names, and "Acetaminophen" is the generic name for a drug also known by the trade name Tylenol.

Question 7

The nurse is preparing to administer a drug that is labeled "used for minor skin irritations." Based on the label,how is this drug classified?

Accepted Answer

The drug is classified by its therapeutic use, as it is intended to treat a specific condition, which in this case is minor skin irritations.

Question 8

A student nurse asks what the difference between a therapeutic class and a pharmacologic class is.What is the best response by the nurse educator?

Accepted Answer

Pharmacologic classification refers to the mechanism of action of the drug, or how the drug works at the molecular or tissue level. Therapeutic classification, on the other hand, is based on the drug's clinical use or the condition it is used to treat.

Question 9

Why are generic names preferred over chemical or trade names when prescribing a medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

- A) Chemical names can be complex and hard to memorize, making generic names more practical for everyday use.- B) Generic names provide a standard reference to a drug's active ingredients, ensuring clarity and consistency.- C) A single drug can be sold under various trade names, but it will have only one generic name, simplifying identification and prescribing.

Question 10

Which drug schedule does a medication belong to if it has a moderate abuse potential and physical dependence?

Accepted Answer

Schedule III drugs are classified as having a moderate to low potential for physical and psychological dependence.

Question 11

Which of the following would be categorized as Schedule II drugs? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of Which of the following would be categorized...

Question 12

The nurse is teaching a client about prescribed medications.One of the medications is a controlled substance and the client asks the nurse to explain what that means.What is the best response by the nurse?

Accepted Answer

A controlled substance is indeed regulated under the Controlled Substances Act, which imposes restrictions on how these medications can be ordered, prescribed, and refilled due to their potential for abuse and dependence.

Question 13

Which medication would have the least risk to a fetus if given to a pregnant client?

Accepted Answer

Ferrous fumarate (Ferranol) is an iron supplement, which is generally considered safe during pregnancy to treat or prevent iron deficiency anemia.

Question 14

Scheduled drugs are classified by their potential for abuse.Which classification has the lowest potential for abuse?

Accepted Answer

Schedule V drugs have the lowest potential for abuse compared to the other schedules. They are considered to have a lower risk of dependency and are often used for medicinal purposes.

Question 15

A nurse is talking to a client about their medications.The client tells the nurse that one of the medications on the list is on a negative formulary list and asks what this means.What is the best response by the nurse?

Accepted Answer

A negative formulary list includes medications for which generic substitutions are not considered equivalent to the brand-name (trade name) product. Therefore, medications on this list must be dispensed as the specific trade name version, not a generic alternative.

Question 16

A nurse is discussing generic and trade drugs with a client.The client wants to know why it takes so long for trade drugs to become available in the generic form,which are generally less expensive.What is the nurse's best response?

Accepted Answer

Sole ownership of a drug, typically protected by patents, allows the original pharmaceutical company to recoup the significant investment involved in drug development, including research, testing, and marketing. Once the patent expires, other companies can produce generic versions, which are usually less expensive.

Question 17

A pregnant client asks the nurse to explain what a teratogen is.What is the best response by the nurse to educate this client?

Accepted Answer

A teratogen is any substance that can cause harm to a developing fetus or embryo. This includes a wide range of substances such as certain medications, chemicals, infectious agents, and even some environmental factors. Controlled substances, nonnarcotic pain relievers, and medications for bacterial infections are not inherently teratogenic unless they specifically have properties or effects that can cause developmental harm to a fetus.

Quiz 2: Drug Classes, Schedules, and Categories