NR 508 Week 1 2026 Questions and
Answers (100% Correct Answers)
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Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy Ans: 3. The State Board of
Nursing for each state
The benefits to the patient of having an APRN prescriber
include:
1. Nurses know more about Pharmacology than other
prescribers because they take it both in their basic nursing
program and in their APRN program
2. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care
3. APRNs are less likely to prescribe narcotics and other
controlled substances
4. APRNs are able to prescribe independently in all states,
whereas a PA needs to have a physician supervising their
practice. Ans: 2. Nurse care for the patient from a holistic
approach and include the patient in decision making regarding
their care
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Clinical judgement in prescribing includes:
1. Factoring in the cost to the patient of the medication
prescribed.
2. Always prescribing the newest medication available for the
disease process
3. Handing out drug samples to poor patients
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4. Prescribing all generic medications to cut cost Ans: 1.
Factoring in the cost to the patient of the medication
prescribed
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Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for
them.
2. Consulting nationally recognized guidelines for disease
management
3. Prescribing medications that are available as samples before
writing a prescription
4. Following U.S. DEA guidelines for prescribing. Ans: 2.
Consulting nationally recognized guidelines for disease
management
Nurse practitioner care may thrive under health-care reform
because of:
1. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes.
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2. The fact that nurse practitioners will be able to practice
independently
3. The fact that nurse practitioners will have full
reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state
level Ans: The demonstrated ability of nurse practitioners to
control costs and improve patient outcomes.
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A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This is critical to prescribing because:
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1. Distribution of the drugs to the target tissue may be
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affected
2. The solubility of the drug will not match the site of
absorption
3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys
Ans: 1. Distribution of drugs to target tissue may be affected.
Drugs that have a significant first pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have
little if any desired action
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4. Are converted by the liver to more active and fat-soluble
forms Ans: 3. Are rapidly metabolized by the liver and may
have little if any desired action
The route of excretion of a volatile drug will likely be the:
1. Kidneys
2. Lungs
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3. Bile and feces
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4. Skin Ans: 2 lungs
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Depo Provera is prescribed intramuscularly to create a storage
reservoir of the drug. Storage reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and active
4. Are most common in collagen tissues Ans: 3. Increase the
length of time a drug is available and active
The NP chooses to give cephalexin every 8 hours based on
knowledge of the drug's:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics