Nur 600: Exam 1 UPDATED ACTUAL QUESTIONS WITH
CORRECT ANSWERS
Question 1.
Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
ANSWER
C. The State Board of Nursing for each state
Question 2.
Physician Assistant (PA) prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing
D. The State Board of Medical Examiners
ANSWER
D. The State Board of Medical Examiners
Question 3.
Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process C. Handing out drug
samples to poor patients
D. Prescribing all generic medications to cut costs
ANSWER
A. Factoring in the cost to the patient of the medication prescribed
,Question 4.
Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a prescription
D. Following U.S. Drug Enforcement Administration (DEA) guidelines for prescribing
ANSWER
B. Consulting nationally recognized guidelines for disease management
Question 5.
Nurse practitioner practice may thrive under health-care reform due to:
A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under health-care reform
D. The ability to shift accountability for Medicaid to the state level
ANSWER
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
Question 6.
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing
because:
A. Distribution of drugs to target tissue may be affected
B. The solubility of the drug will not match the site of absorption
C. There will be less free drug available to generate an effect
D. Drugs bound to albumin are readily excreted by the kidney
ANSWER
A. Distribution of drugs to target tissue may be affected
Question 7.
Drugs that have a significant first-pass effect: A. Must be given by the enteral (oral) route only
B. Bypass the hepatic circulation
C. Are rapidly metabolized by the liver and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
ANSWER
C. Are rapidly metabolized by the liver and may have little if any desired action
,Question 8.
The route of excretion of a volatile drug will likely be: A. The kidneys
B. The lungs
C. The bile and feces
D. The skin
ANSWER
B. The lungs
Question 9.
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug.
Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
ANSWER
C. Increase the length of time a drug is available and active
Question 10.
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects
ANSWER
B. Biological half-life
Question 11.
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription.
This is considered a loading dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic
range B. Requires four to five half-lives to attain
C. Is influenced by renal function
D. Is directly related to the drug circulating to the target tissues
ANSWER
A. Rapidly achieves drug levels in the therapeutic range
, Question 12.
The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is
the: A. Minimum adverse effect level
B. Peak of action
C. Onset of action
D. Therapeutic range
ANSWER
C. Onset of action
Question 13.
Phenytoin requires a trough level be drawn. Peak and trough levels are done: A. When the drug has a
wide therapeutic range
B. When the drug will be administered for a short time only
C. When there is a high correlation between the dose and saturation of receptor sites
D. To determine if a drug is in the therapeutic range
ANSWER
D. To determine if a drug is in the therapeutic range
Question 14.
A laboratory result indicates the peak level for a
drug is above the minimum toxic concentration. This means that the:
A. Concentration will produce therapeutic effects
B. Concentration will produce an adverse response C. Time between doses must be shortened
D. Duration of action of the drug is too long
ANSWER
B. Concentration will produce an adverse response
Question 15.
Drugs that are receptor agonists may demonstrate what property?
A. Irreversible binding to the drug receptor site
B. Up-regulation with chronic use
C. Desensitization or down-regulation with continuous use
D. Inverse relationship between drug concentration and drug action
ANSWER
C. Desensitization or down-regulation with continuous use
CORRECT ANSWERS
Question 1.
Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
ANSWER
C. The State Board of Nursing for each state
Question 2.
Physician Assistant (PA) prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing
D. The State Board of Medical Examiners
ANSWER
D. The State Board of Medical Examiners
Question 3.
Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process C. Handing out drug
samples to poor patients
D. Prescribing all generic medications to cut costs
ANSWER
A. Factoring in the cost to the patient of the medication prescribed
,Question 4.
Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a prescription
D. Following U.S. Drug Enforcement Administration (DEA) guidelines for prescribing
ANSWER
B. Consulting nationally recognized guidelines for disease management
Question 5.
Nurse practitioner practice may thrive under health-care reform due to:
A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under health-care reform
D. The ability to shift accountability for Medicaid to the state level
ANSWER
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
Question 6.
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing
because:
A. Distribution of drugs to target tissue may be affected
B. The solubility of the drug will not match the site of absorption
C. There will be less free drug available to generate an effect
D. Drugs bound to albumin are readily excreted by the kidney
ANSWER
A. Distribution of drugs to target tissue may be affected
Question 7.
Drugs that have a significant first-pass effect: A. Must be given by the enteral (oral) route only
B. Bypass the hepatic circulation
C. Are rapidly metabolized by the liver and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
ANSWER
C. Are rapidly metabolized by the liver and may have little if any desired action
,Question 8.
The route of excretion of a volatile drug will likely be: A. The kidneys
B. The lungs
C. The bile and feces
D. The skin
ANSWER
B. The lungs
Question 9.
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug.
Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
ANSWER
C. Increase the length of time a drug is available and active
Question 10.
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects
ANSWER
B. Biological half-life
Question 11.
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription.
This is considered a loading dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic
range B. Requires four to five half-lives to attain
C. Is influenced by renal function
D. Is directly related to the drug circulating to the target tissues
ANSWER
A. Rapidly achieves drug levels in the therapeutic range
, Question 12.
The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is
the: A. Minimum adverse effect level
B. Peak of action
C. Onset of action
D. Therapeutic range
ANSWER
C. Onset of action
Question 13.
Phenytoin requires a trough level be drawn. Peak and trough levels are done: A. When the drug has a
wide therapeutic range
B. When the drug will be administered for a short time only
C. When there is a high correlation between the dose and saturation of receptor sites
D. To determine if a drug is in the therapeutic range
ANSWER
D. To determine if a drug is in the therapeutic range
Question 14.
A laboratory result indicates the peak level for a
drug is above the minimum toxic concentration. This means that the:
A. Concentration will produce therapeutic effects
B. Concentration will produce an adverse response C. Time between doses must be shortened
D. Duration of action of the drug is too long
ANSWER
B. Concentration will produce an adverse response
Question 15.
Drugs that are receptor agonists may demonstrate what property?
A. Irreversible binding to the drug receptor site
B. Up-regulation with chronic use
C. Desensitization or down-regulation with continuous use
D. Inverse relationship between drug concentration and drug action
ANSWER
C. Desensitization or down-regulation with continuous use
