PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSE
PRESCRIBERS, 5TH EDITION WOO
ROBINSON TEST BANK
Chapter 1. The Role of the Nurse Practitioner as
Prescriber
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
healthcare reform
4. The ability to shift accountability for Medicaid to the state level
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
, 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
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
ADVANCED PRACTICE NURSE
PRESCRIBERS, 5TH EDITION WOO
ROBINSON TEST BANK
Chapter 1. The Role of the Nurse Practitioner as
Prescriber
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
healthcare reform
4. The ability to shift accountability for Medicaid to the state level
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
, 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
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
