Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Multiple Choice
Identi𝑓y the choice that best completes the statement or answers the question.
1. 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
2. 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.
3. 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
4. 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
5. 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
,Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescriber
Answer Section
MULTIPLE CHOICE
1. ANS: 3 PTS: 1
2. ANS: 2 PTS: 1
3. ANS: 1 PTS: 1
4. ANS: 2 PTS: 1
5. ANS: 1 PTS: 1
,Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Chapter 2. Review o𝑓 the Basic Principles o𝑓 Pharmacology
Multiple Choice
Identi𝑓y the choice that best completes the statement or answers the question.
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.
2. 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
3. The route o𝑓 excretion o𝑓 a volatile drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and 𝑓eces
4. Skin
4. 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
5. 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
6. 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
, Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
3. Is in𝑓luenced by renal 𝑓unction
4. Is directly related to the drug circulating to the target tissues
7. The point in time on the drug concentration curve that indicates the 𝑓irst sign o𝑓 a therapeutic
e𝑓𝑓ect is the:
1. Minimum adverse e𝑓𝑓ect level
2. Peak o𝑓 action
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Multiple Choice
Identi𝑓y the choice that best completes the statement or answers the question.
1. 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
2. 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.
3. 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
4. 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
5. 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
,Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescriber
Answer Section
MULTIPLE CHOICE
1. ANS: 3 PTS: 1
2. ANS: 2 PTS: 1
3. ANS: 1 PTS: 1
4. ANS: 2 PTS: 1
5. ANS: 1 PTS: 1
,Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
Chapter 2. Review o𝑓 the Basic Principles o𝑓 Pharmacology
Multiple Choice
Identi𝑓y the choice that best completes the statement or answers the question.
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.
2. 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
3. The route o𝑓 excretion o𝑓 a volatile drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and 𝑓eces
4. Skin
4. 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
5. 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
6. 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
, Pharmacotherapeutics 𝑓or Advanced Practice Nurse Prescribers, 5th edition Woo
Robinson Test Bank
Chapter 1. The Role o𝑓 the Nurse Practitioner as Prescribed.
3. Is in𝑓luenced by renal 𝑓unction
4. Is directly related to the drug circulating to the target tissues
7. The point in time on the drug concentration curve that indicates the 𝑓irst sign o𝑓 a therapeutic
e𝑓𝑓ect is the:
1. Minimum adverse e𝑓𝑓ect level
2. Peak o𝑓 action
