Chapter 01: Drug Development and Ethical Considerations

MULTIPLE CHOICE

1. The nurse is preparing to administer a schedule II injectable drug and is drawing up half of

the contents of a Single-use vial. Which nursing action is correct?

a. Ask another nurse to observe and cosign wasting the remaining drug from the vial.

b. Keep the remaining amount in the patient’s drawer to give at the next dose.

c. Record the amount unused in the patient’s medication record.

d. Dispose of the vial with the remaining drug into a locked collection box.

ANS: A

Schedule II drugs are controlled substances, and all must be accounted for. When wasting a

portion of a drug, another nurse should observe and cosign that a drug was wasted.

DIF: COGNITIVE LEVEL: Applying (Application)

TOP: NURSING PROCESS: Nursing Intervention

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

2. A patient is prescribed a medication and asks the nurse if the drug is available in a generic

form. The nurse understands that a generic medication will have a name that

a. is a registered trademark.

b. is always capitalized.

c. describes the drugs chemical structure.

d. is non-proprietary.

ANS: D

The generic name is the official, non-proprietary name for a drug. The brand name is the

trademark name and is always capitalized. The chemical name describes the chemical structure

of the drug.

DIF: COGNITIVE LEVEL: Understanding (Comprehension)

TOP: NURSING PROCESS: N/A

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

3. A patient receives a prescription on which the provider has noted that a generic 

medicationmay be given.The patient asks the nurse what this means. What will the nurse tell 

the patientabout generic drugs?

a. They contain the same inert ingredients as brand-name drugs.

b. They have chemical structures that are identical to 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 brandname 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

4. The nurse reviews information about a drug and notes the initials USP after the drugs official

name. The nurse understands that this designation indicates the drug

a. is a controlled substance.

Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition,

2017)

PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK

b. is approved by the U.S. Food and Drug Administration (FDA).

c. is available in generic form.

d. meets 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

5. The nurse is preparing to give a medication to a child. The child’s parent asks whether the

drug is safe for children. How will the nurse respond to the parent?

a. Drugs are tested on adults and safe doses for children are based on weights compared to

adult weights.

b. Drugs are deemed safe for children over time when repeated use proves effectiveness and

safety.

c. Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric

use.

d. Drugs 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

6. 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 states 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

7. The nurse administers a drug and miscalculates the dose by placing the decimal place one

space to the right, resulting in a 10-fold overdose and the death of the patient. What offense

does this represent?

a. Malfeasance

b. Malpractice

c. Misfeasance

d. Nonfeasance

ANS: C

Misfeasance is negligence in giving either the wrong drug or the wrong dose, resulting in the

death of the patient.

Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition,

2017)

PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK

DIF: COGNITIVE LEVEL: Understanding (Comprehension)

TOP: NURSING PROCESS: N/A

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

8. The nurse is busy and neglects to give a drug to a patient resulting in the patient’s death.

What offense does this represent?

a. Malfeasance

b. Malpractice

c. Misfeasance

d. Nonfeasance

ANS: D

Nonfeasance is omitting a drug dose, resulting in the patient’s death.

DIF: COGNITIVE LEVEL: Understanding (Comprehension)

TOP: NURSING PROCESS: N/A

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

9. 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

10. 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

11. 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.