Pharmacotherapy Principles and Practice 4th Edition By Dipiro – Test Bank

Complete Test Bank With Answers

Sample Questions Posted Below

CHAPTER 1. Introduction

1. What is the name under which a drug is listed by the U.S. Food and Drug Administration (FDA)?
2. a. Brand
3. Nonproprietary c. Official
4. Trademark
5. Which source contains information specific to nutritional supplements? a. USP Dictionary of USAN & International Drug Names
6. Natural Medicines Comprehensive Database
7. c. United States Pharmacopoeia/National Formulary (USP NF)
8. Drug Interaction Facts
9. What is the most comprehensive reference available to research a drug interaction? a. Drug Facts and Comparisons
10. Drug Interaction Facts
11. c. Handbook on Injectable Drugs
12. MartindaleThe Complete Drug Reference
13. The physician has written an order for a drug with which the nurse is unfamiliar. Which section of thePhysicians Desk Reference (PDR) is most helpful to get information about this drug?
14. a. Manufacturers section
15. Brand and Generic Name section c. Product Category section
16. Product Information section
17. Which online drug reference makes available to health care providers and the public a standard, comprehensive, up to date look up and downloadable resource about medicines?
18. a. American Drug Index
19. American Hospital Formulary c. DailyMed
20. Physicians Desk Reference (PDR)
21. Which legislation authorizes the FDA to determine the safety of a drug before its marketing? a. Federal Food, Drug, and Cosmetic Act (1938)
22. Durham Humphrey Amendment (1952)

.

1. c. Controlled Substances Act (1970)
2. Kefauver Harris Drug Amendment (1962)

7. Meperidine (Demerol) is a narcotic with a high potential for physical and psychological dependency. Under which classification does this drug fall?
8. a. I II c.      III
9. IV
10. What would the FDA do to expedite drug development and approval for an outbreak of smallpox, for which there is no known treatment?
11. a. List smallpox as a health orphan disease. b. Omit the preclinical research phase.
12. c. Extend the clinical research phase.
13. Fast track the investigational drug.
14. Which statement is true about over the counter (OTC) drugs? a. They are not listed in the USP NF.
15. A prescription from a health care provider is needed. c. They are sold without a prescription.
16. They are known only by their brand names.
17. Which is the most authoritative reference for medications that are injected? a. Physicians Desk Reference
18. Handbook on Injectable Drugs c. DailyMed
19. Handbook of Nonprescription Drugs
20. The nurse is administering Lomotil, a Schedule V drug. Which statement is true about this drugs classification?
21. a. Abuse potential for this drug is lo b. Psychological dependency is likely. c.        There is a high potential for abuse.
22. This drug is not a controlled substance.
23. The nurse is transcribing new orders written for a patient with a substance abuse history. Choose the medication ordered that has the greatest risk for abuse.
24. a. Lomotil Diazepam
25. c. Phenobarbital

.

1. Lortab
2. The nurse is caring for a patient newly diagnosed with type 1 diabetes mellitus. Which

approach(es) to therapeutic methods would be considered in this patients treatment? (Select all that apply.)

1. a. Therapeutic drugs
2. Concentrated carbohydrate diet c. Family centered care
3. Regular daily exercise and activity e. Daily baths

14. An older adult experiencing shortness of breath is brought to the hospital by her daughter. While obtaining the medication history from the patient and her daughter, the nurse discovers that neither has a list of the patients current medications or prescriptions. All the patient has is a weekly pill dispenser that contains four different pills. The prescriptions are filled through the local pharmacy. Which resource(s) would be appropriate to use in determining the medication names and doses? (Select all that apply.)
15. a. MartindaleThe Complete Drug Reference Physicians Desk Reference, Section 4
16. c. Senior citizens center
17. Patients home pharmacy
18. The nurse planning patient teaching regarding drug names would include which statement(s)? (Select all that apply.)
19. a. Most drug companies place their products on the market under generic names.

The official name is the name under which the drug is listed by the U.S. Food and Drug b.         Administration (FDA).

1. c. Brand names are easier to pronounce, spell, and remembe d. The first letter of the generic name is not capitalized.
2. e. The chemical name is most meaningful to the patient.
3. When categorizing, the nurse is aware that which drug(s) would be considered Schedule II? (Select all that apply.)
4. a. Marijuana b. Percodan
5. c. Amphetamines d. Fiorinal
6. e. Flurazepam

Answers 1. C

2. CCHAPTER 2. GERIATRICS

1. The following is an accurate description of the aging population: A. The number of older adults will reach 17 million in 2030
2. The ratio of women to men will no longer exist
3. The surviving baby boomers will be more racially diverse than previous elders D. The surviving baby boomers will have less financial resources than previous elders
4. E. The minority elder populations are projected to decrease in 2020
5. Education and health literacy in the older Americans can be described as: A. In 2007, 62% of Hispanic elders had high school degrees
6. Nearly 20% of people 75 years and older have low health literacy C. In 2007, 62% of black elders had high school degrees
7. D. Nearly 40% of people 75 years and older have low health literacy E. None of the above
8. Following are common chronic conditions older Americans have: A. Diabetes, hypertension, cancer
9. Hypertension, Alzheimer disease, Parkinson disease C. Asthma, stroke, hypothyroidism
10. D. Chronic lower respiratory diseases, Alzheimer disease, stroke E. Cancer, heart disease, Parkinson disease
11. The most important pharmacokinetic change that occurs with aging is: A. Reduced renal function
12. Delayed gastric emptying C. Increased conjugation
13. D. Phase II hepatic metabolism E. Deconditioning
14. All of the following are incorporated into the Cockcroft–Gault equation except: A. Age
15. Gender
16. Serum albumin D. Serum creatinine E. Weight
17. Because of pharmacodynamic changes, older adults have increased sensitivity to: A. Acetaminophen
18. Metformin C. Aspirin
19. D. Morphine
20. E. Cyanocobalamin
21. Polypharmacy use in older adults does not result in: A. Increased adherence
22. Increased drug–drug interaction C. Increased complex regimen
23. D. Increased hospitalization E. Increased health care cost
24. According to the 2012 Beers criteria, the following drug should be avoided in older adults:A. Diazepam B. Warfarin C. Aspirin

1. D. Pravastatin E. Mirtazapine
2. The following statement about pain in older adults is true: A. Older adults do not feel as much pain as younger adults.
3. Older adults experience less addiction when using opioids for nerve pain. C. Pain is not a quality indicator in long-term care facilities because it is not an objective measure.
4. D. Pain is frequently undertreated and underreported in elders.
5. E. Elders are more comfortable with opioid use because they are closer to end of life. 10. The predictors of adverse drug reactions include the following except:
6. A. More than four medications
7. Longer than 14 days of hospital stay
8. More than four active medical problems D. Smoking history
9. E. History of alcohol use
10. Medication nonadherence among older adults is influenced by: A. More than two prescribers
11. Four or more medication changes in past 12 months C. History of more than two surgeries
12. D. Having no caregiver help
13. E. More than two chronic conditions for at least 10 years 12. Anticoagulation therapy in older adults:
14. A. has proven benefit in atrial fibrillation
15. should be withheld due to bleeding side effects C. should be withheld due to fall risks
16. D. is more beneficial in the very sick
17. E. is less beneficial in the community-dwelling ambulatory patient 13. Geriatric assessment:
18. A. should only be performed by a board-certified geriatrician B. is an interprofessional collaborative process
19. routinely includes a formal driving evaluation by occupational therapy
20. D. includes history taking from the patient alone without family for maximum privacy
21. E. is usually done at the hospital during an acute admission 14. Quality indicators:
22. A. monitor costs related to pressure ulcer formation in long-term care facilities B. are used to measure the environmental quality of outpatient geriatric clinics C. do not include subjective complaints such as pain
23. D. focus on physical health issues and do not include mental health issues
24. E. are used by facility administrators and government overseers to identify problem areas
25. The following statement about pharmacotherapy in older adults is false: A. Renal function needs to be monitored for patients on digoxin.

.

1. Beers criteria indicate inappropriate medications.
2. Benzodiazepines may cause significant adverse effects. D. Albumin needs to be monitored for patients on phenytoin.
3. E. Drug monitoring is often unnecessary due to multimorbidity. Answers