Question 1

Which of the following agencies exercises control over the inspecting and licensing of the manufacturers of established biologic products?&#10;A) The Federal Drug Administration&#10;B) The Public Health Service&#10;C) The Health,Education,and Welfare Department&#10;D) The Drug Enforcement Administration&#10;

Accepted Answer

The Public Health Service, specifically through the Food and Drug Administration (FDA), is responsible for the regulation and licensing of biologic products.

Question 2

The nurse concludes that product liability exists for a medication when&#10;A) the manufacturer did not provide literature regarding medication effects.&#10;B) the medication complies with all manufacturing regulations.&#10;C) a defect arose after the product left the manufacturer.&#10;D) no harm was done to the individual.&#10;

Accepted Answer

Product liability exists when the manufacturer fails to provide necessary information regarding the effects of a medication, which could lead to harm or misuse.

Question 3

The nurse understands that the rights of clients participating in medical research are protected by which of the following?&#10;A) Patient Code of Ethics&#10;B) ANA Nurse Practice Acts&#10;C) Nuremberg Code&#10;D) Patient Code of Rights&#10;

Accepted Answer

The Nuremberg Code is a set of ethical guidelines for research involving human subjects that was established following the atrocities committed by Nazi physicians during World War II. It outlines the rights of individuals who participate in research, including informed consent and the ability to withdraw at any time. The Patient Code of Ethics, ANA Nurse Practice Acts, and Patient Code of Rights are all important documents in healthcare, but they do not specifically address the protection of research participants.

Question 4

Which of the following statements best describes U.S.drug legislation?&#10;A) The 1938 update of the Food and Drug Act provided safety testing of drugs and protected the public from the mislabeling of drugs.&#10;B) The Durham-Humphrey Act of 1952 recognized only prescription and scheduled drugs.&#10;C) The Kefauver-Harris Act established regulations regarding refills of legend prescription drugs.&#10;D) The Controlled Substance Act of 1970 was designed to form review panels to reclassify certain nonprescription drugs as scheduled narcotics.&#10;

Accepted Answer

The 1938 update of the Food, Drug, and Cosmetic Act required drugs to be proven safe before marketing, addressing issues of safety testing and mislabeling, significantly impacting public health and safety regulations for pharmaceuticals.

Question 5

Which of the following is part of a nurse's role in drug research?&#10;A) Administering drug dosages without due consideration&#10;B) Developing new investigational drug applications&#10;C) Obtaining new drug approval releases&#10;D) Adhering to new investigational drug protocols&#10;

Accepted Answer

Part of a nurse's role in drug research is to adhere to new investigational drug protocols. Administering drug dosages without due consideration is not part of the nurse's role and can be dangerous for the patient. Developing new investigational drug applications is typically the responsibility of pharmaceutical companies or research institutions, not individual nurses. Obtaining new drug approval releases is typically done by the FDA or other regulatory agencies, not nurses.

Question 6

The nurse is about to administer a prescribed medication to a client.Which characteristic of the drug alerts the nurse that it may be defective?&#10;A) The tablets are brightly colored&#10;B) The tablets are scored in the middle&#10;C) Unusual discoloration is present on the tablets&#10;D) The tablets are in a sealed package&#10;

Accepted Answer

Unusual discoloration on the tablets may indicate that the medication is defective or contaminated. It is important for the nurse to always check the medication for any signs of irregularities before administering it to the client.

Question 7

Mr.R.is extremely anxious in anticipation of his surgery.You decide to give the preoperative medication at 07:30 instead of waiting for the operating room to call for the client.This nursing action would violate which of the "six rights" for safe medication administration?

A) Double-checking the order before administration
B) Administering a medication prepared by another nurse
C) Administering a medication at a time not specified by the physician
D) Reading the vial label of the medication three times before administering

Accepted Answer

Administering a medication at a time not specified by the physician violates the "right time" for safe medication administration. However, in this situation, administering the medication early may be necessary to address the client's anxiety and prevent further complications. It is important for the nurse to document the reason for administering the medication early and obtain verbal or written orders from the physician if possible.

Question 8

Before administering a scheduled narcotic such as meperidine (Demerol),the nurse should take which of the following actions?&#10;A) Automatically cancel the order 24 hours after its administration&#10;B) Document the removal of the controlled substance from the storage area&#10;C) Count the doses of Demerol on hand if the client does not need the dose urgently&#10;D) Consult a resource book for information about controlled substances&#10;

Accepted Answer

Before administering a scheduled narcotic, the nurse should document the removal of the controlled substance from the storage area to maintain accurate records of the administration and prevent diversion. Choice A is incorrect because canceling the order without authorization is not within the nurse's scope of practice. Choice C is incorrect because counting the doses is only necessary when restocking the controlled substance. Choice D is not the best choice as the nurse should already have knowledge of the medication's classification and administration guidelines.

Question 9

The Controlled Substances Act classifies by potential for use and abuse.Which of the following lists a drug that is correctly matched with its appropriate schedule classification?&#10;A) Heroin: schedule V&#10;B) Terpin hydrate: schedule V&#10;C) Codeine: schedule III&#10;D) Diazepam: schedule II&#10;

Accepted Answer

Terpin hydrate is classified as a schedule V substance, which includes drugs with a lower potential for abuse relative to substances listed in schedule IV.

Question 10

For which of the following would the nurse assume responsibility when caring for a client during phase II of client investigational drug research?&#10;A) Closely monitoring for drug purity and strength&#10;B) Watching the client for drug effects and adverse effects&#10;C) Providing the client a partial list of contraindications&#10;D) Administering a placebo if the original drug is ineffective&#10;

Accepted Answer

During phase II of investigational drug research, the nurse is responsible for monitoring the client for drug effects and adverse effects. Phase II involves testing the drug on a larger group of participants to further evaluate its safety and effectiveness. The nurse would not be responsible for monitoring drug purity and strength (this would be the responsibility of the research team), providing a partial list of contraindications (this would be the responsibility of the prescribing healthcare provider), or administering a placebo if the original drug is ineffective (this would not be ethical during a phase II study).

Question 11

A nurse has the right to refuse to administer a drug to a client in which of the following circumstances?&#10;A) A consulting physician has ordered the drug&#10;B) The drug order is verbally taken by another registered nurse&#10;C) An order for a schedule II drug is 24 hours old&#10;D) The drug has different names depending on the specific manufacturer&#10;

Accepted Answer

The answer of A nurse has the right to refuse...

Question 12

Which of the following is a characteristic of a schedule I drug?&#10;A) Accepted medical use&#10;B) Limited physical/psychological dependency&#10;C) Low abuse potential&#10;D) Use for research and analysis only&#10;

Accepted Answer

The answer of Which of the following is a characteristic...

Question 13

Which law was passed to protect the public from adulterated or mislabeled drugs?&#10;A) The Kefauver-Harris Amendment&#10;B) The Durham-Humphrey Amendment&#10;C) The Pure Food and Drug Act&#10;D) The National Formulary&#10;

Accepted Answer

The answer of Which law was passed to protect the...

Deck 2: Legal and Ethical Aspects of Medication Administration