Deck 2: Drug Classes and Schedules

Question 1

The presence of muscle tremors following drug cessation would most accurately be associated with which of the following?
1)Adverse effect
2)Psychological dependence
3)Therapeutic effect
4)Physical dependence

Answer 1

4

Question 2

The nurse is providing medication education to a client with hypertension.The nurse teaches the client that the physician ordered a diuretic to decrease the amount of fluid in his body.Which statement best describes the nurse's instruction?
1)The nurse provided appropriate medication education.
2)The nurse explained the drug's mechanism of action.
3)The nurse taught the client about a prototype drug.
4)The nurse explained the consequences of not using the drug.

Answer 2

2

Question 3

During pharmacology class,the student nurse asks the nursing instructor how students will ever learn about the individual antibiotic drugs since there are so many.What is the best response by the nursing instructor?
1)"You will learn a little trick called mnemonics."
2)"You will learn how to do a flow chart to enhance memory."
3)"You will learn how to categorize the individual drugs."
4)"You will learn a representative drug from each class."

Answer 3

4

Question 4

The client is receiving a very expensive medication.The client asks the nurse why the medicine is so expensive.What is the best response by the nurse?
1)"It is expensive,but your insurance covers it and you have a low co-pay."
2)"Drug companies are allowed to advertise medications and this adds to the cost."
3)"Drug companies must recoup the cost of developing and producing the drug."
4)"I think the drug companies should be more accountable for lowering costs."

Question 5

The nurse provides medication education to a client with terminal cancer.The physician has ordered morphine (MS Contin),a Schedule II drug,for the client.The nurse determines that learning has occurred when the client makes which statement?
1)"I need to call the office for a refill before my medication runs out."
2)"This drug is addictive so I should only take it when my pain becomes severe."
3)"Maybe my doctor could change me to a Schedule IV drug."
4)"I need to see my doctor before my prescription runs out so I can get a refill."

Question 6

Which drug has the highest dependency potential?
1)Acetaminophen
2)Codeine
3)Heroin
4)Diazepam

Question 7

The client is receiving a brand name drug and wants to change to the generic form because it is cheaper.What is the best outcome for this client?
1)Client will state two ways a brand name drug differs from a generic name drug.
2)Client will take the brand name drug after speaking with the physician.
3)Client will ask the nurse why brand name drugs are better than generic drugs.
4)Client will state two ways to obtain the medication at a reduced cost.

Question 8

The mother of an adolescent receiving methylphenidate (Concerta)for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription.What is the best response by the nurse?
1)"Just drop by and I will get a prescription for you without seeing your son."
2)"We can't do that;maybe you can find another doctor's office that will do it."
3)"The law does not allow us to give you refills on this medication."
4)"The medication can be addictive so your son needs a monthly medical evaluation."

Question 9

The nurse is teaching a medication class for parents of children with attention-deficit hyperactivity disorder 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 response(s)? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"The use of these medications is restricted so that the pharmacies can track the rate of drug abuse in our city."
2)"The use of these medications is restricted because the physician needs to evaluate our child more often."
3)"The use of these medications is restricted because they have the potential for abuse."
4)"The use of these medications is restricted so that the drug companies can make a bigger profit."
5)"The use of these medications is restricted because this is the current law."

Question 10

Advil,Motrin,and Nuprin are examples of
1)chemical names.
2)combination names.
3)trade names.
4)generic names.

Question 11

Which type of classification system is being used when drugs are grouped together because they help treat a particular disease or condition?
1)Therapeutic
2)Mechanism of action
3)Chemical
4)Pharmacological

Question 12

The physician orders a brand name drug for the client.The hospital formulary substitutes the generic equivalent of the brand name drug,and the nurse administers the generic drug.Which statement(s)best represents the nurse's action? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The nurse should have contacted the physician prior to administering the drug.
2)The nurse should have called the pharmacist to see if the drugs were bioequivalent.
3)The nurse used good judgment in administering the drug.
4)The nurse was correct;hospital policies allow for this.

Question 13

During the admission assessment,the client tells the nurse "Sure I smoke a little weed (marijuana)to manage my stress.Doesn't everyone?" What is the best assessment for the nurse to ask?
1)"What other ways do you think you might use to help you to manage your stress?"
2)"That is a Schedule I drug;aren't you afraid of going to jail for a long time?"
3)"Do you really believe that everyone smokes marijuana to manage stress?"
4)"How often do you smoke marijuana,and how much each time?"

Question 14

The physician has prescribed a brand name drug for the client.The client tells the nurse that the medication is too expensive.What is the best plan by the nurse?
1)Help the client receive free medicine through a "patient assistance" program.
2)Ask the physician if a cheaper brand name drug may be substituted.
3)Ask the physician if a generic drug may be substituted.
4)Maintain the client on samples of the brand name drug from the physician's office.

Question 15

An overwhelmed nursing student asks the instructor whether there are any tips that will make learning pharmacology easier.The instructor gives an example of the anticoagulant heparin.The instructor indicates that knowing heparin and comparing other drugs to it will facilitate learning the many anticoagulants.Which approach is the instructor using?
1)Mechanism of action approach
2)Generic name approach
3)Trade name approach
4)Prototype drug approach

Question 16

While discussing antihypertensives,the instructor states that a particular agent causes a reduction in blood pressure by blocking receptor sites.The instructor is describing which of the following?
1)Drug-drug interaction
2)Adverse effects
3)Indication
4)Mechanism of action

Question 17

The nursing instructor teaches the student nurses about the pharmacological classification of drugs.The instructor evaluates that learning has occurred when the students make which response?
1)"An anti-anginal treats angina."
2)"A calcium channel blocker blocks heart calcium channels."
3)"An antihypertensive lowers blood pressure."
4)"An anticoagulant influences blood clotting."

Question 18

The physician ordered a brand name drug for the client,paroxetine (Paxil).After taking this medication for a year,the client tells the nurse that it is no longer working.What is the best assessment of the nurse at this time?
1)"This sounds like your medication needs changing."
2)"Let's look for interactions with other medications you are taking."
3)"Are you taking Paxil or paroxetine?"
4)"It is time for us to do the Beck Depression assessment again."

Question 19

The client says to the nurse,"My doctor said my drug is a controlled substance;am I considered an addict?" What is the best response by the nurse?
1)"Are you concerned about becoming an addict? We can discuss this in more detail it you would like to."
2)"You are not an addict;the Drug Enforcement Administration (DEA)restricts the use of drugs with a high potential for abuse."
3)"Why do you ask about becoming an addict? Not many of our clients have asked this question."
4)"You are not an addict,but the Drug Enforcement Administration (DEA)will monitor you for this."

Question 20

The client is receiving methadone (Dolophine),a Schedule II drug.The client says to the nurse,"A pharmacist told me his pharmacy must register with the Drug Enforcement Administration (DEA)to give me this drug;will DEA agents be snooping around my house?" What is the best response by the nurse?
1)"It is probably unlikely that Drug Enforcement Administration (DEA)agents will be bothering you."
2)"No,the Drug Enforcement Administration (DEA)restricts drugs that have a high potential for abuse."
3)"No.I think our system should be more like Europe;they have fewer controlled drugs."
4)"That's an interesting question.Are you worried about the Drug Enforcement Administration (DEA)?"

Question 21

A client tells the nurse that the health care provider has prescribed a new medication that ìhas just come on the market.î The nurse has not heard of this particular medication but is able to give the client important information based on its prototype drug because of which principles? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Knowing the prototype drug allows the nurse to predict the mechanism of action of the new medication.
2)The information regarding the prototype drug can be extended to any drug in the same class.
3)The prototype drug is the drug to which all drugs in a class are compared.
4)Knowing the prototype drug's therapeutic or pharmacologic classification can reveal important information about other drugs in the same class.
5)This is a new drug on the market.It may not have a prototype drug yet and its properties cannot be predicted.

Question 22

Chemical names are assigned for each drug.What are the major reasons that nursing usually does not use the chemical name of the drugs? Credit will be given only if all correct choices and no incorrect choices are selected.
1)They are usually not brief or easy to remember.
2)They are often difficult to pronounce.
3)There is no standard for assigning names.
4)They do not explain the nature of the drug.
5)There is only one chemical name for each drug.

Question 23

A client who is admitted to the intensive care unit for monitoring notices the arthritis medication does not look like the one used at home and asks the nurse why.What is the nurseís best response? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"This is a different brand from the one you use at home,but it will give you the same pain relief."
2)"Your health care provider feels we can safely substitute this drug for the drug you use at home."
3)"This generic drug is the one we have on formulary in the pharmacy.It has the same ingredients as the one you use at home."
4)"This is what we have in the pharmacy.Go ahead and take it for now and let me know if it doesn't relieve the pain."
5)"The medications in the hospital often do not look like the ones you get from the pharmacy."

Question 24

A client is admitted to the emergency department with high blood pressure.The health care provider orders a diuretic and tells the client this medication will lower the blood pressure by decreasing intravascular fluid volume.What does this description address? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The drug's mechanism of action
2)The drug's pharmacologic classification
3)How the drug produces its effects in the body
4)The drug's therapeutic classification
5)What condition is being treated by the drug

Question 25

A client who received a refill for a medication returns to the pharmacy and says,ìThis medication is wrong! It doesnít look anything like my usual prescription.î Which response by the pharmacist would be most appropriate? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Your usual prescription drug is too expensive,so I substituted it with a generic one."
2)"There is no difference between this drug and the one you usually get."
3)"Our state allows me to substitute a generic drug when the prescription calls for a brand-name drug."
4)"Don't worry.Can you see that the generic ingredients are exactly the same?"
5)"This medication is a generic form of your other medication.That is why it looks different.But it has the same ingredients and should work the same way."

Question 26

A physician may telephone in an order for which of the following?
1)Morphine
2)Marijuana
3)Cocaine
4)Codeine

Question 27

A prototype drug is a single drug in a class and can be compared with all other medications in the class.The benefit of studying the prototype drug is that the nurse would be able to predict characteristics of other drugs in the same class,including Credit will be given only if all correct choices and no incorrect choices are selected.
1)which drugs have the most favorable safety profile.
2)their therapeutic indications.
3)their actions and adverse effects.
4)their specific clinical use.
5)contraindications specific to any drug in that group.