Nurs 615 Pharm Exam Open Book Updated With
Complete Solution
When Prescribing Montelukast (Singulair) For Asthma, Patients Or Parents Of Patients Should Be
Instructed:
1. Montelukast Twice A Day Is Started When There Is An Asthma Exacerbation.
2. Patients May Experience Weight Gain On Montelukast.
3. Aggression, Anxiety, Depression, And/Or Suicidal Thoughts May Occur When Taking
Montelukast.
4. Lethargy And Hypersomnia May Occur When Taking Montelukast.
Correct Answer: 3.
Nurse Practitioner Prescriptive Authority Is Regulated By:
1. The National Council Of State Boards Of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board Of Nursing For Each State
4. The State Board Of Pharmacy
Correct Answer: 3.
The Benefits To The Patient Of Having An Advanced Practice Registered Nurse (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 Physician's Assistant
Needs To Have A Physician Supervising Their Practice.
Correct Answer: 2.
Clinical Judgment 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
4. Prescribing All Generic Medications To Cut Costs
Correct Answer: 1.
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. Drug Enforcement Administration Guidelines For Prescribing
Correct Answer: 2.
Nurse Practitioner Practice May Thrive Under Health-Care Reform Because Of:
1. The Demonstrated Ability Of Nurse Practitioners To Control Costs And Improve Patient
Outcomes
,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
Correct Answer: 1.
A Patient's Nutritional Intake And Laboratory Results Reflect Hypoalbuminemia. This
Is Critical To Prescribing Because:
1. Distribution Of Drugs To Target Tissue May Be 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.
Correct Answer: 1.
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
4. Are Converted By The Liver To More Active And Fat-Soluble Forms
Correct Answer: 3.
The Route Of Excretion Of A Volatile Drug Will Likely Be The:
1. Kidneys
2. Lungs
3. Bile And Feces
, 4. Skin
Correct Answer: 2.
Medroxyprogesterone (Depo Provera) Is Prescribed Intramuscularly (Im) 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
Correct Answer: 3.
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
4. Safety And Side Effects
Correct Answer: 2.
Azithromycin Dosing Requires That The First Day's Dosage Be Twice Those Of The Other
4 Days Of The Prescription. This Is Considered A Loading Dose. A Loading Dose:
1. Rapidly Achieves Drug Levels In The Therapeutic Range
2. Requires Four- To Five-Half-Lives To Attain
3. Is Influenced By Renal Function
4. Is Directly Related To The Drug Circulating To The Target Tissues
Correct Answer: 1.
Complete Solution
When Prescribing Montelukast (Singulair) For Asthma, Patients Or Parents Of Patients Should Be
Instructed:
1. Montelukast Twice A Day Is Started When There Is An Asthma Exacerbation.
2. Patients May Experience Weight Gain On Montelukast.
3. Aggression, Anxiety, Depression, And/Or Suicidal Thoughts May Occur When Taking
Montelukast.
4. Lethargy And Hypersomnia May Occur When Taking Montelukast.
Correct Answer: 3.
Nurse Practitioner Prescriptive Authority Is Regulated By:
1. The National Council Of State Boards Of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board Of Nursing For Each State
4. The State Board Of Pharmacy
Correct Answer: 3.
The Benefits To The Patient Of Having An Advanced Practice Registered Nurse (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 Physician's Assistant
Needs To Have A Physician Supervising Their Practice.
Correct Answer: 2.
Clinical Judgment 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
4. Prescribing All Generic Medications To Cut Costs
Correct Answer: 1.
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. Drug Enforcement Administration Guidelines For Prescribing
Correct Answer: 2.
Nurse Practitioner Practice May Thrive Under Health-Care Reform Because Of:
1. The Demonstrated Ability Of Nurse Practitioners To Control Costs And Improve Patient
Outcomes
,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
Correct Answer: 1.
A Patient's Nutritional Intake And Laboratory Results Reflect Hypoalbuminemia. This
Is Critical To Prescribing Because:
1. Distribution Of Drugs To Target Tissue May Be 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.
Correct Answer: 1.
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
4. Are Converted By The Liver To More Active And Fat-Soluble Forms
Correct Answer: 3.
The Route Of Excretion Of A Volatile Drug Will Likely Be The:
1. Kidneys
2. Lungs
3. Bile And Feces
, 4. Skin
Correct Answer: 2.
Medroxyprogesterone (Depo Provera) Is Prescribed Intramuscularly (Im) 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
Correct Answer: 3.
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
4. Safety And Side Effects
Correct Answer: 2.
Azithromycin Dosing Requires That The First Day's Dosage Be Twice Those Of The Other
4 Days Of The Prescription. This Is Considered A Loading Dose. A Loading Dose:
1. Rapidly Achieves Drug Levels In The Therapeutic Range
2. Requires Four- To Five-Half-Lives To Attain
3. Is Influenced By Renal Function
4. Is Directly Related To The Drug Circulating To The Target Tissues
Correct Answer: 1.
