EDMUNDS PHARMACOLOGY FOR THE
PRIMARY CARE PROVIDER UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● Which of the following statements is true about the prescribing
practices of physicians?
Answer: The dominant form of drug information used by primary care
physicians continues to be that provided by pharmaceutical companies
●● As primary care nurse practitioners (NPs) continue to develop their
role as prescribers of medications, it will be important to:
Answer: learn from the experiences of physicians and develop expertise
based on evidence-based practice.
●● A primary care NP will begin practicing in a state in which the
governor has opted out of the federal facility reimbursement
requirement. The NP should be aware that this defines how NPs may
write prescriptions:
Answer: as CRNAs without physician supervision in a hospital setting.
●● CRNAs in most states:
Answer: order and administer controlled substances but do not have full
prescriptive authority.
,●● A CNM:
Answer: has prescriptive authority in all 50 states.
●● In every state, prescriptive authority for NPs includes the ability to
write prescriptions:
Answer: for specified classifications of medications.
●● The current trend toward transitioning NP programs to the doctoral
level will mean that:
Answer: NPs will be better prepared to meet emerging health care needs
of patients.
●● An important difference between physician assistants (PAs) and NPs
is PAs:
Answer: always work under physician supervision.
●● To increase the likelihood of successful pharmacotherapy, when
teaching a patient about using a medication, the primary care nurse
practitioner (NP) should:
Answer: encourage the patient to participate in the choice of the
medication.
,●● A patient has recurrent symptoms and tells the primary care NP that
she can't remember to take her medication all the time. The NP should:
Answer: ask her about her lifestyle, her schedule, and her understanding
of her condition.
●● A primary care NP prepares to teach a patient about the management
of a chronic condition. The patient says, "I don't want to know all of
that. Just tell me what to take and when." The NP should initially:
Answer: give the patient basic written instructions about medications,
follow up visits, and symptoms.
●● A parent brings a child who has moderate-persistent asthma to the
clinic and tells the primary care NP that none of the child's medications
are working. The parent says, "Everybody tells me something different. I
don't know what to do." The NP suspects that the parent is not
administering the medications appropriately. The NP should initially:
Answer: perform a careful history of the child's symptoms and the
medications that are given.
●● A primary care NP sees a 5-year-old child who is morbidly obese.
The child has an elevated hemoglobin A1c and increased lipid levels.
Both of the child's parents are overweight but not obese, and they tell the
NP that they see nothing wrong with their child. They both state that it is
difficult to refuse their child's requests for soda or ice cream. The NP
should:
, Answer: initiate a dialogue with the parents about the implications of the
child's laboratory values.
●● A patient bursts into tears when the primary care NP diagnoses
diabetes. The NP should:
Answer: ask the patient about past experiences with anyone who has this
diagnosis.
●● A primary care NP writes a prescription for an off-label use for a
drug. To help ensure compliance, the NP should:
Answer: include information about the off-label use on the E-script
●● The primary care nurse practitioner (NP) writes a prescription for an
antibiotic using an electronic drug prescription system. The pharmacist
will fill this prescription when:
Answer: the electronic prescription is received.
●● When prescribing a medication for a chronic condition, the primary
care NP should tell the patient:
Answer: about the frequency of clinic visits necessary for the number of
refills authorized.
●● The neighbor of a primary care NP asks the NP to write a
prescription for an antibiotic. The NP should tell the neighbor:
PRIMARY CARE PROVIDER UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● Which of the following statements is true about the prescribing
practices of physicians?
Answer: The dominant form of drug information used by primary care
physicians continues to be that provided by pharmaceutical companies
●● As primary care nurse practitioners (NPs) continue to develop their
role as prescribers of medications, it will be important to:
Answer: learn from the experiences of physicians and develop expertise
based on evidence-based practice.
●● A primary care NP will begin practicing in a state in which the
governor has opted out of the federal facility reimbursement
requirement. The NP should be aware that this defines how NPs may
write prescriptions:
Answer: as CRNAs without physician supervision in a hospital setting.
●● CRNAs in most states:
Answer: order and administer controlled substances but do not have full
prescriptive authority.
,●● A CNM:
Answer: has prescriptive authority in all 50 states.
●● In every state, prescriptive authority for NPs includes the ability to
write prescriptions:
Answer: for specified classifications of medications.
●● The current trend toward transitioning NP programs to the doctoral
level will mean that:
Answer: NPs will be better prepared to meet emerging health care needs
of patients.
●● An important difference between physician assistants (PAs) and NPs
is PAs:
Answer: always work under physician supervision.
●● To increase the likelihood of successful pharmacotherapy, when
teaching a patient about using a medication, the primary care nurse
practitioner (NP) should:
Answer: encourage the patient to participate in the choice of the
medication.
,●● A patient has recurrent symptoms and tells the primary care NP that
she can't remember to take her medication all the time. The NP should:
Answer: ask her about her lifestyle, her schedule, and her understanding
of her condition.
●● A primary care NP prepares to teach a patient about the management
of a chronic condition. The patient says, "I don't want to know all of
that. Just tell me what to take and when." The NP should initially:
Answer: give the patient basic written instructions about medications,
follow up visits, and symptoms.
●● A parent brings a child who has moderate-persistent asthma to the
clinic and tells the primary care NP that none of the child's medications
are working. The parent says, "Everybody tells me something different. I
don't know what to do." The NP suspects that the parent is not
administering the medications appropriately. The NP should initially:
Answer: perform a careful history of the child's symptoms and the
medications that are given.
●● A primary care NP sees a 5-year-old child who is morbidly obese.
The child has an elevated hemoglobin A1c and increased lipid levels.
Both of the child's parents are overweight but not obese, and they tell the
NP that they see nothing wrong with their child. They both state that it is
difficult to refuse their child's requests for soda or ice cream. The NP
should:
, Answer: initiate a dialogue with the parents about the implications of the
child's laboratory values.
●● A patient bursts into tears when the primary care NP diagnoses
diabetes. The NP should:
Answer: ask the patient about past experiences with anyone who has this
diagnosis.
●● A primary care NP writes a prescription for an off-label use for a
drug. To help ensure compliance, the NP should:
Answer: include information about the off-label use on the E-script
●● The primary care nurse practitioner (NP) writes a prescription for an
antibiotic using an electronic drug prescription system. The pharmacist
will fill this prescription when:
Answer: the electronic prescription is received.
●● When prescribing a medication for a chronic condition, the primary
care NP should tell the patient:
Answer: about the frequency of clinic visits necessary for the number of
refills authorized.
●● The neighbor of a primary care NP asks the NP to write a
prescription for an antibiotic. The NP should tell the neighbor:
