Pharmacology 3rd Edition By Richard D - Test Bank

Pharmacology 3rd Edition By Richard D – Test Bank

 

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Sample Questions Are Posted Below

 

Fulcher: Pharmacology, 3rd Edition

 

Chapter 05: Reading and Interpreting Medication Labels and Orders and Documenting Appropriately

 

Test Bank

 

MULTIPLE CHOICE

 

1. Which of the following is not true?

a.	The medication order should include the patient’s name and address.
b.	The medication order should include the medication name and dosage.
c.	The medication order should include the route by which the medication is given.
d.	The time and frequency of medication administration should be included in the medication order.
e.	Medication orders may be standing orders or standard protocol.

 

ANS:   A         REF:    73

 

2. Which of the following is not true?

a.	Verbal orders should be repeated to the physician to ensure correctness.
b.	If a verbal order is given for a drug that may be confused with another medication, the allied health professional should spell the medication back to the physician.
c.	The physician is solely responsible for the administration of an ordered medication, whether this is a verbal order, a prescription, or a written order in the office.
d.	The allied health professional should have a working knowledge of any medication that he or she administers.
e.	Many medications may either sound alike or be spelled alike, causing confusion when taking verbal orders.

 

ANS:   C         REF:    73

 

3. Which of the following is necessary when administering medications?

a.	correct dosage range
b.	possible adverse reactions
c.	patient education related to the medications
d.	a and b
e.	a, b, and c

 

ANS:   E          REF:    69

 

4. Which of the following is not true?

a.	Written orders are preferable to verbal orders.
b.	Verbal orders should always be repeated for accuracy.
c.	A verbal order may be documented at a later date, as long as the medication has been given when ordered.
d.	Legally speaking, any order not documented has not been given.

 

ANS:   C         REF:    73

 

5. Standard protocol is usually used for which of the following?

a.	specific procedures
b.	as preparation for diagnostic tests
c.	to give medications in the office
d.	a and b
e.	a, b, and c

 

ANS:   D         REF:    73

 

6. Prescriptions may be written and signed on

a.	single blank forms
b.	multiple blank forms
c.	computer generated forms
d.	office stationery
e.	all of the above

 

ANS:   E          REF:    75-76

 

7. Which of the following require a physician’s signature?

a.	Schedule II medications
b.	all written prescriptions leaving the physician’s office
c.	prescriptions written by agents of the physician, such as physician assistants, nurse practitioners, etc.
d.	a and b
e.	none of the above

 

ANS:   A         REF:    75-76

 

8. Interpret the following prescription.

amoxicillin 250 mg/5 cc viii Sig: i tid ac

a.	amoxicillin 250 mg/5 cc 6 ounces. Take one capsule three times a day with meals.
b.	amoxicillin 250 mg/5 cc 8 ounces. Take one dram three times a day after meals.
c.	amoxicillin 250 mg/5 cc 8 ounces. Take one dram twice a day before meals.
d.	amoxicillin 250 mg/5 cc 8 ounces. Take one dram twice a day after meals.
e.	amoxicillin 250 mg/5 cc 8 ounces. Take one dram three times a day before meals.

 

ANS:   E          REF:    74-75

 

9. Interpret the following prescription.

Digitoxin 0.25 mg Sig: tab i qd pc breakfast if pulse is above 60

a.	Digitoxin 0.25 mg. Take one tablet after breakfast daily if pulse is above 60.
b.	Digitoxin 0.25 mg. Take one tablet before breakfast and with other meals if pulse is above 60.
c.	Digitoxin 0.25 mg. Take one tablet with breakfast every other day if pulse is above 60.
d.	Digitoxin 0.25 mg. Take one capsule before breakfast every day.
e.	Digitoxin 0.25 mg. Take one capsule before breakfast every other day.

 

ANS:   A         REF:    74-75

 

10. Interpret the following order.

cyanocobalamin 1 mL SC stat and then q month

a.	cyanocobalamin one milliliter under tongue tomorrow and then twice a month
b.	cyanocobalamin one milliliter by injection subcutaneously now and then once a month
c.	cyanocobalamin one microliter subcutaneously standing then four times a month
d.	cyanocobalamin one quart by mouth while standing then once a month
e.	cyanocobalamin one milliliter starting now and then monthly

 

ANS:   B         REF:    74-75

 

11. Interpret the following order.

ibuprofen 600 mg qid pc and hs prn muscle spasms

a.	ibuprofen 600 mg by mouth four times a day for muscle spasms
b.	ibuprofen 600 mg by mouth four times a day after meals and at bedtime for muscle spasms
c.	ibuprofen 600 mg by mouth daily after a meal or at bedtime as needed for muscle spasms
d.	ibuprofen 600 mg by injection three times a day after a meal and at bedtime as needed for muscle spasms
e.	ibuprofen 600 mg by mouth four times a day with meals and at bedtime as needed for muscle spasms

 

ANS:   E          REF:    74-75

 

12. Interpret the following order.

Lasix 20 mg tab i qd @ 9A and again at 3P prn edema

a.	Lasix 20 mg one tablet at 9 in the morning and again at 3 in the afternoon
b.	Lasix 20 mg tablet daily at 9 in the morning and again in the afternoon if needed for swelling
c.	Lasix 20 mg one tablet each day at 9 in the morning and again at 3 in the afternoon if needed for edema
d.	Lasix 20 mg four tablets a day as needed for edema

 

ANS:   C         REF:    74-75

 

 

13. Interpret the following order.

meperidine 50 mg IM stat and repeat q4h prn pain

a.	meperidine 50 mg in the muscle now and every four hours as needed for pain
b.	meperidine 50 mg subcutaneously now and every four hours as needed for pain
c.	meperidine 50 mg in the vein now and every four hours as needed for pain
d.	meperidine 50 mg in the muscle now and four times a day as needed for pain
e.	meperidine 50 mg in the muscle now and four times a day

 

ANS:   A         REF:    74-75

 

14. Prescription blanks should be used for which of the following?

a.	writing prescriptions
b.	orders for lab tests
c.	ordering stock medications
d.	a and c
e.	all of the above

 

ANS:   A         REF:    77

 

15. When answering the phone for a prescription refill, which of the following information is not necessary to obtain from the patient?

a.	name of pharmacy to be called
b.	name of desired medication, its strength, and last time refilled
c.	how the patient is taking the medication
d.	phone number at which the patient can be reached if necessary
e.	what time the patient expects to pick the medication up from the pharmacy

 

ANS:   E          REF:    76

 

16. When documenting prescription refills, which of the following is not important?

a.	Refills are not documented because the medication refills are on the prescription.
b.	The physician is the only person who can approve a refill request.
c.	The physician is responsible for indicating the number of refills allowable.
d.	The physician, pharmacist, and allied health professional are health partners in ensuring the prescription needs of the patient.
e.	Any standing order or standard protocol should be very specific about when it should be used, to what degree, and written directions for specific situations.

 

ANS:   A         REF:    76

 

17. When documenting orders to the medical record, which of the following should be included?

a.	date and time of order
b.	medication strength
c.	amount of medication ordered
d.	directions for taking the medicine
e.	all of the above

 

ANS:   E          REF:    73

 

18. Which of the following documentation is correct for this medication order?

Dr. Jones wants Mrs. Benton to have Benadryl 50 milligram capsules number 50 to be taken every four hours as needed for itching.

a.	Benadryl 50 mg # 50 cap i qid for itching
b.	Benadryl 50 mg # 50 cap i qid prn itching
c.	Benadryl 50 mg # 50 capsule one q4h prn itching
d.	Benadryl 50 mg # 50 cap i qd prn itching
e.	Benadryl 50 mg # 50 cap i qfh prn itching

 

ANS:   C         REF:    73

 

19. Which of the following is the correct documentation for the medication order?

Flagyl five hundred milligram tablets; number fourteen; one tablet twice a day with meals for seven days

a.	Flagyl 500 mg # 14 tab i tid  meals ´ 7 days
b.	Flagyl 500 mg # 14 tab i bid  meals ´ 7 days
c.	Flagyl 500 mg # 14 tab i daily with breakfast ´ 7 days
d.	Flagyl 500 mg # 14 tab i qid  meals ´ 7 days

 

ANS:   B         REF:    73

 

20. Prescriptions of medications other than Schedule II controlled substances may be

a.	written
b.	electronically transferred
c.	verbally transferred by the medical office
d.	a and c
e.	all the above

 

ANS:   E          REF:    74-75

 

TRUE/FALSE

 

1. The allied health professional assists with prescription therapy by phoning prescription therapy and writing prescriptions for signature by the physician as appropriate by state statutes.

 

ANS:   T          REF:    74

 

2. The purpose of a prescription is to control the amount of medications and the way a patient takes the medication.

 

ANS:   T          REF:    74

 

3. The sole responsibility in prescription correctness lies in the physician’s hand.

 

ANS:   F          REF:    73

 

4. Medication orders are best given in writing.

 

ANS:   T          REF:    73

 

5. A standing order does not require a signature by the physician with each use.

 

ANS:   T          REF:    75

 

6. Prescriptions are given for medication administration at home, while medication orders are usually used in the clinical setting, such as hospitals or physicians offices.

 

ANS:   T          REF:    75

 

7. Abbreviations are shortcuts in prescription writing and should be used as often as possible, including the use of abbreviations that are locally used but are not necessarily standard abbreviations.

 

ANS:   F          REF:    75

 

8. Standing orders are assigned for use in many situations, and the allied health professional should easily know what the physician expects.

 

ANS:   T          REF:    75

 

9. Standard protocol should always be a signed group of orders.

 

ANS:   T          REF:    75

 

10. If the physician has either a standing order or standard protocol, there are no contraindications to their use.

 

ANS:   F          REF:    75

 

11. Copying a prescription before it leaves the clinical site is a safeguard for the physician, the pharmacist, and office personnel.

 

ANS:   T          REF:    69

 

 

 

12. If a multiple-line prescription blank is used, all lines should either contain a medication or have a line drawn through the blank line.

 

ANS:   T          REF:    74

 

13. The DEA number as well as the physician’s address and phone number should appear on all prescriptions.

 

ANS:   F          REF:    74

 

14. When phoning in a prescription, the allied health professional should ask the pharmacist to repeat the order.

 

ANS:   T          REF:    73

 

15. If an allied health professional is unsure of the medication ordered verbally by the physician, he or she should proceed to administer the medication so that the patient will not doubt his or her background in pharmacology.

 

ANS:   F          REF:    73

 

16. The physician must always be able to access patient records for review prior to ordering medications for a patient. The allied health professional should make sure access to records is available.

 

ANS:   T          REF:    73

 

17. Schedules II and III medications may be telephoned to the pharmacy.

 

ANS:   F          REF:    72

 

18. The allied health professional should tell the person calling for a prescription an approximate time that the prescription will be telephoned to the pharmacy.

 

ANS:   T          REF:    73

 

19. If a patient is using a mail-order prescription service, a second prescription may be needed to obtain a supply of the medication until the mail supply arrives if necessary.

 

ANS:   T          REF:    73

 

20. Verbal orders do not need documentation in the medical record.

 

ANS:   F          REF:    73

 

21. The protocol for calling a pharmacy with refills varies with each physician’s office and by state statutes.

 

ANS:   T          REF:    77

 

22. If the physician does not document the refills allowed, the allied health professional should assume the number of refills allowed and document this information for the physician prior to calling in the prescription.

 

ANS:   F          REF:    74

 

23. Prescription orders should be held to certain times of the day before calling the pharmacy, rather than calling in the prescription as soon as possible after it is obtained from the physician.

 

ANS:   F          REF:    74-76

 

24. If a request for a medication refill is denied, the pharmacist should be the person who tells the patient, since the patient will go to the pharmacy to pick up the prescription.

 

ANS:   F          REF:    77

 

25. Herbal medications and OTC drugs, as well as prescription medications, being taken by a patient should be documented in the patient medical record to ensure safety in medication administration.

 

ANS:   T          REF:    73

 

26. If a prescription is denied, the patient should be notified and given further follow-up instructions.

 

ANS:   T          REF:    76

 

27. OTC medications are relatively safe because they do not cause adverse reactions or interact with prescription medications.

 

ANS:   F          REF:    75

 

28. Allied health professionals should spend time with patients discussing OTC medications to lower the chance of danger from self-treatment.

 

ANS:   T          REF:    76

 

29. Prescription pads should be guarded at all times.

 

ANS:   T          REF:    76

 

30. The allied health professional should spend time with patients and other caregivers to ensure that medication needs are understood and to assist with patient compliance.

 

ANS:   T          REF:    73

 

31. Allied health professionals should assume that patients understand all drug information and, because of their busy schedules, do not need to allow time for questions from patients.

 

ANS:   F          REF:    76

 

32. The pharmacy has no responsibility in patient education for compliance.

 

ANS:   F          REF:    76

 

33. Drugstore hopping for prescriptions may be detrimental in patient care and medication compliance.

 

ANS:   T          REF:    74

 

34. The illiterate patient and the patient who does not speak the common language may have adverse or toxic reactions from prescription and OTC medications.

 

ANS:   T          REF:    76

 

35. The patient must be told when medications should be taken.

 

ANS:   T          REF:    73

 

36. Prescription pads are good note pads.

 

ANS:   F          REF:    76

 

37. A patient should be taught to read the label of all medications before taking them and should never assume that the medication is correct without reading the label.

 

ANS:   T          REF:    71-72

 

38. The prescription is a legal document.

 

ANS:   T          REF:    71-72

 

39. Some medications have side effects that make using machinery dangerous.

 

ANS:   T          REF:    77

 

40. The labeling on OTC medications is the same as for legend drugs.

 

ANS:   F          REF:    69

 

41. To save money, using expired medications is permissible when inability to purchase new medications is present.

 

ANS:   F          REF:    69

 

42. Only standard abbreviations should be used when writing a prescription.

 

ANS:   T          REF:    77

 

43. The abbreviation NDC means “No drug consultation” is needed.

 

ANS:   F          REF:    77

 

44. Any instructions given to the patient should be included in the medical record.

 

ANS:   T          REF:    72

 

45. A medication label contains information about the drug’s strength, form, and trade/generic name.

 

ANS:   T          REF:    74-75

 

46. The original standing order should have a physician’s signature on record and should be used under specific conditions for specific procedures.

 

ANS:   T          REF:    77

 

47. If the physician has a certain time of day for phoning prescriptions to pharmacies, this information should be indicated to the patient.

 

ANS:   T          REF:    69

 

48. If sound-alike or look-alike medications are given using oral transmission, the allied health professional should ask the person receiving the order to spell the medication name.

 

ANS:   T          REF:    73

 

 

 

49. Forgery of prescriptions is a difficult task so leaving prescription pads in the examination room is not a problem.

 

ANS:   F          REF:    69

 

50. A means of logging phone calls for prescription refills or new prescriptions should be kept near the phone to assist in providing information for the physician and for meeting patient needs.

 

ANS:   T          REF:    71-72

 

51. When obtaining information for new prescriptions, asking about any new allergies since the last visit will not be helpful to the physician and will assist in decreasing adverse reactions to medications.

 

ANS:   F          REF:    71

 

52. When a patient calls for a refill, asking how the therapy has either been helpful or aggravating will assist the physician in making a decision about the prescription.

 

ANS:   T          REF:    73

 

53. Medication labels include generic names and trade names as applicable.

 

ANS:   T          REF:    71

 

54. The generic name is the official name.

 

ANS:   T          REF:    73

 

55. Trademark (™) indicates that the trade name has been accepted by the FDA.

 

ANS:   T          REF:    72

 

56. The use of ® indicates that the trade name has been registered and belongs only to the one manufacturer.

 

ANS:   T          REF:    73

 

57. The expiration date only gives a date by which the medications must be dispensed; this date does not indicate the date that the medication must be discarded.

 

ANS:   F          REF:    76

 

 

58. Lot numbers are found on medication labels so that if the product is recalled, the patient can be notified and the medication removed from the point of sale.

 

ANS:   T          REF:    73

 

59. The NDC code indicates the drug and the manufacturer only.

 

ANS:   F          REF:    77

 

60. The Federal Trade Commission is responsible for the information found on OTC medication labels.

 

ANS:   T          REF:    77

 

MATCHING

 

Match the following terms with their descriptions below.

a.	dispense
b.	prescribe
c.	administer
d.	medication order
e.	standing orders

 

 

1. To write an order for the patient to take at home

 

2. To give a medication

 

3. A request for a procedure that is routine for certain medical treatments under certain conditions

 

4. Tells the health care worker which drugs to administer to the patient

 

5. Filling prescriptions to the physician’s order

 

1. ANS: B         REF:    77

 

2. ANS: C         REF:    76

 

3. ANS: E          REF:    69

 

4. ANS: D         REF:    69

 

5. ANS: A         REF:    69

 

 

Match the following terms with their descriptions below.

a.	superscription
b.	signa
c.	inscription
d.	subscription
e.	physician’s signature

 

 

6. Gives the directions for taking the medication

 

7. Specifies the name and the strength of the medication

 

8. The line that makes the prescription a legal document

 

9. Gives pharmacists the directions for filling an order

 

10. Uses, meaning “take thou”

 

6. ANS: B         REF:    69

 

7. ANS: C         REF:    71

 

8. ANS: E          REF:    71

 

9. ANS: D         REF:    71

 

10. ANS: A         REF:    72