TEST BANK
n
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern1.nThenRolenofnthenNursenPractitionernasnPrescriberMultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1.nNursenpractitionernprescriptivenauthoritynisnregulatedn by:
1. ThenNationalnCouncilnofnStatenBoardsnofnNursing
2. ThenU.S.nDrugnEnforcementnAdministration
3. ThenStatenBoardnofnNursingnforneachnstate
4. ThenStatenBoardnofnPharmacy
2.nThenbenefitsntonthenpatientnofnhavingnannAdvancednPracticenRegisterednNursen(APRN)nprescri
berninclude:
1. NursesnknownmorenaboutnPharmacologynthannothernprescribersnbecausentheyntake
nitnbothninntheirnbasicnnursingnprogramnandninntheirnAPRNnprogram.
2. Nursesncarenfornthenpatientnfromnanholisticnapproachnandnincludenthenpatient
ninndecisionnmakingnregardingntheirncare.
3. APRNsnarenlessnlikelyntonprescribennarcoticsnandnotherncontrollednsubstances.
4. APRNsnarenablentonprescribenindependentlyninnallnstates,nwhereasnanphysicia
n’snassistantnneedsntonhavenanphysiciannsupervisingntheirnpractice.
3.nClinicalnjudgmentninnprescribingnincludes:
1. Factoringninnthencostntonthenpatientnofnthenmedicationnprescribed
2. Alwaysnprescribingnthennewestnmedicationnavailablenfornthendiseasenprocess
3. Handingnoutndrugnsamplesntonpoornpatients
4. Prescribingnallngenericnmedicationsntoncutncosts
4.nCriterianfornchoosingnanneffectivendrugnfornandisordern include:
1. Askingnthenpatientnwhatndrugntheynthinknwouldnworknbestnfornthem
2. Consultingnnationallynrecognizednguidelinesnforndiseasenmanagement
3. Prescribingnmedicationsnthatnarenavailablenasnsamplesnbeforenwritingnanprescription
4. FollowingnU.S.nDrugnEnforcementnAdministrationnguidelinesnfornprescribing
5.nNursenpractitionernpracticenmaynthrivenundernhealth-carenreformnbecausenof:
1. Thendemonstratednabilitynofnnursenpractitionersntoncontrolncostsnandnimprovenpatie
ntnoutcomes
2. Thenfactnthatnnursenpractitionersnwillnbenablentonpracticenindependently
3. Thenfactnthatnnursenpractitionersnwillnhavenfullnreimbursementnundernhealt
h-ncarenreform
4. ThenabilityntonshiftnaccountabilitynfornMedicaidntonthenstatenlevel
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern1.nThenRolenofnthenNursenPractitionernasnPrescribe
rnAnswernSection
MULTIPLEnCHOICE
1. ANS:n n 3 PTS:n 1
2. ANS:n n 2 PTS:n 1
3. ANS:n n 1 PTS:n 1
4. ANS:n n 2 PTS:n 1
5. ANS:n n 1 PTS:n 1
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern2.nReviewnofnthenBasicnPrinciplesnofnPharmacology
nMultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1.nAnpatient’snnutritionalnintakenandnlaboratorynresultsnreflectnhypoalbuminemia.nThisnisncritical
ntonprescribingnbecause:
1. Distributionnofndrugsntontargetntissuenmaynbenaffected.
2. Thensolubilitynofnthendrugnwillnnotnmatchnthensitenofnabsorption.
3. Therenwillnbenlessnfreendrugnavailablentongeneratenanneffect.
4. Drugsnboundntonalbuminnarenreadilynexcretednbynthenkidneys.
2.nDrugsnthatnhavenansignificantnfirst-passn effect:
1. Mustnbengivennbynthenenteraln(oral)nroutenonly
2. Bypassnthenhepaticncirculation
3. Arenrapidlynmetabolizednbynthenlivernandnmaynhavenlittlenifnanyndesirednaction
4. Arenconvertednbynthenliverntonmorenactivenandnfat-solublenforms
n3.nThenroutenofn excretionnofnanvolatilendrugnwillnlikelynben the:
1. Kidneys
2. Lungs
3. Bilenandnfeces
4. Skin
4.nMedroxyprogesteronen(DeponProvera)nisnprescribednintramuscularlyn(IM)ntoncreatenanstora
genreservoirnofnthendrug.nStoragenreservoirs:
1. Assurenthatnthendrugnwillnreachnitsnintendedntargetntissue
2. Arenthenreasonnforngivingnloadingndoses
3. Increasenthenlengthnofntimenandrugnisnavailablenandnactive
4. Arenmostncommonninncollagenntissues
5.nThenNPnchoosesntongivencephalexinneveryn8nhoursnbasednonnknowledgenofnthen drug’s:
1. Propensityntongontonthentargetnreceptor
2. Biologicalnhalf-life
3. Pharmacodynamics
4. Safetynandnsideneffects
6.nAzithromycinndosingnrequiresnthatnthenfirstnday’sndosagenbentwicenthosenofnthenothern4ndaysnof
nthenprescription.nThisnisnconsiderednanloadingndose.nAnloadingndose:
1. Rapidlynachievesndrugnlevelsninnthentherapeuticnrange
2. Requiresnfour-ntonfive-half-livesntonattain
3. Isninfluencednbynrenalnfunction
4. Isndirectlynrelatedntonthendrugncirculatingntonthentargetntissues
7.nThenpointninntimenonnthendrugnconcentrationncurventhatnindicatesnthenfirstnsignnofnantherapeuticnef
fectnisnthe:
1. Minimumnadverseneffectnlevel
2. Peaknofnaction
n
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern1.nThenRolenofnthenNursenPractitionernasnPrescriberMultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1.nNursenpractitionernprescriptivenauthoritynisnregulatedn by:
1. ThenNationalnCouncilnofnStatenBoardsnofnNursing
2. ThenU.S.nDrugnEnforcementnAdministration
3. ThenStatenBoardnofnNursingnforneachnstate
4. ThenStatenBoardnofnPharmacy
2.nThenbenefitsntonthenpatientnofnhavingnannAdvancednPracticenRegisterednNursen(APRN)nprescri
berninclude:
1. NursesnknownmorenaboutnPharmacologynthannothernprescribersnbecausentheyntake
nitnbothninntheirnbasicnnursingnprogramnandninntheirnAPRNnprogram.
2. Nursesncarenfornthenpatientnfromnanholisticnapproachnandnincludenthenpatient
ninndecisionnmakingnregardingntheirncare.
3. APRNsnarenlessnlikelyntonprescribennarcoticsnandnotherncontrollednsubstances.
4. APRNsnarenablentonprescribenindependentlyninnallnstates,nwhereasnanphysicia
n’snassistantnneedsntonhavenanphysiciannsupervisingntheirnpractice.
3.nClinicalnjudgmentninnprescribingnincludes:
1. Factoringninnthencostntonthenpatientnofnthenmedicationnprescribed
2. Alwaysnprescribingnthennewestnmedicationnavailablenfornthendiseasenprocess
3. Handingnoutndrugnsamplesntonpoornpatients
4. Prescribingnallngenericnmedicationsntoncutncosts
4.nCriterianfornchoosingnanneffectivendrugnfornandisordern include:
1. Askingnthenpatientnwhatndrugntheynthinknwouldnworknbestnfornthem
2. Consultingnnationallynrecognizednguidelinesnforndiseasenmanagement
3. Prescribingnmedicationsnthatnarenavailablenasnsamplesnbeforenwritingnanprescription
4. FollowingnU.S.nDrugnEnforcementnAdministrationnguidelinesnfornprescribing
5.nNursenpractitionernpracticenmaynthrivenundernhealth-carenreformnbecausenof:
1. Thendemonstratednabilitynofnnursenpractitionersntoncontrolncostsnandnimprovenpatie
ntnoutcomes
2. Thenfactnthatnnursenpractitionersnwillnbenablentonpracticenindependently
3. Thenfactnthatnnursenpractitionersnwillnhavenfullnreimbursementnundernhealt
h-ncarenreform
4. ThenabilityntonshiftnaccountabilitynfornMedicaidntonthenstatenlevel
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern1.nThenRolenofnthenNursenPractitionernasnPrescribe
rnAnswernSection
MULTIPLEnCHOICE
1. ANS:n n 3 PTS:n 1
2. ANS:n n 2 PTS:n 1
3. ANS:n n 1 PTS:n 1
4. ANS:n n 2 PTS:n 1
5. ANS:n n 1 PTS:n 1
, PharmacotherapeuticsnfornAdvancednPracticenNursenPrescribers,n4th
neditionnWoonRobinsonnTestnBank
Chaptern2.nReviewnofnthenBasicnPrinciplesnofnPharmacology
nMultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1.nAnpatient’snnutritionalnintakenandnlaboratorynresultsnreflectnhypoalbuminemia.nThisnisncritical
ntonprescribingnbecause:
1. Distributionnofndrugsntontargetntissuenmaynbenaffected.
2. Thensolubilitynofnthendrugnwillnnotnmatchnthensitenofnabsorption.
3. Therenwillnbenlessnfreendrugnavailablentongeneratenanneffect.
4. Drugsnboundntonalbuminnarenreadilynexcretednbynthenkidneys.
2.nDrugsnthatnhavenansignificantnfirst-passn effect:
1. Mustnbengivennbynthenenteraln(oral)nroutenonly
2. Bypassnthenhepaticncirculation
3. Arenrapidlynmetabolizednbynthenlivernandnmaynhavenlittlenifnanyndesirednaction
4. Arenconvertednbynthenliverntonmorenactivenandnfat-solublenforms
n3.nThenroutenofn excretionnofnanvolatilendrugnwillnlikelynben the:
1. Kidneys
2. Lungs
3. Bilenandnfeces
4. Skin
4.nMedroxyprogesteronen(DeponProvera)nisnprescribednintramuscularlyn(IM)ntoncreatenanstora
genreservoirnofnthendrug.nStoragenreservoirs:
1. Assurenthatnthendrugnwillnreachnitsnintendedntargetntissue
2. Arenthenreasonnforngivingnloadingndoses
3. Increasenthenlengthnofntimenandrugnisnavailablenandnactive
4. Arenmostncommonninncollagenntissues
5.nThenNPnchoosesntongivencephalexinneveryn8nhoursnbasednonnknowledgenofnthen drug’s:
1. Propensityntongontonthentargetnreceptor
2. Biologicalnhalf-life
3. Pharmacodynamics
4. Safetynandnsideneffects
6.nAzithromycinndosingnrequiresnthatnthenfirstnday’sndosagenbentwicenthosenofnthenothern4ndaysnof
nthenprescription.nThisnisnconsiderednanloadingndose.nAnloadingndose:
1. Rapidlynachievesndrugnlevelsninnthentherapeuticnrange
2. Requiresnfour-ntonfive-half-livesntonattain
3. Isninfluencednbynrenalnfunction
4. Isndirectlynrelatedntonthendrugncirculatingntonthentargetntissues
7.nThenpointninntimenonnthendrugnconcentrationncurventhatnindicatesnthenfirstnsignnofnantherapeuticnef
fectnisnthe:
1. Minimumnadverseneffectnlevel
2. Peaknofnaction
