NGR6172 Exam 1 Test
bank questions with
100% correct answers
(latest update)
An APRN works in a urology clinic under the supervision of a physician
who does not restrict the types of medications the APRN is allowed to
prescribe. State law does not require the APRN to practice under physician
supervision. How would the APRN's prescriptive authority be described? -
answer Independent [prescriptive authority]
Which factors increase the need for APRNs to have full prescriptive
authority? - answer More patients will have access to health care
Which of the following is NOT a potential consequence of limiting
prescriptive authority for APRNs? - answer Direct impact on patient's
health literacy
Which statement about APRNs is accurate? - answer imited prescriptive
authority for APRNs can create barriers to quality, affordable, and
accessible patient care.
What is a consequence of limiting prescriptive authority for APRNs? -
answer It creates barriers to quality, affordable, and accessible patient
care
A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
- answer The APRN will have less prescriptive authority in the new
position
,Why should APRNs collaborate with pharmacists? - answer Pharmacists
can provide additional information on formulary, drug interactions, and
adequate medication dosing.
A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is
most appropriate? - answer Obtain a telephone order
A patient with chronic pain calls the provider's office to request a refill on
their oxycontin. Which action is most appropriate? - answer Schedule an
appointment with the patient
A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important? - answer Discontinue the medication
A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to
treat COPD? - answer Obtain a complete medication history
A patient with diabetes reports losing their job and an inability to
purchase required medications. Which action is most appropriate? -
answer Selecting a different pharmacy could decrease the cost of the
medication, as costs vary based on the location and the pharmacy
dispensing the medication
Which of the following is NOT required to be included on a hydrocodone
prescription for it to be filled? - answer The prescription must be typed
and cannot be handwritten
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first? - answer
Ask the patient about the number and frequency of tablets taken
,A patient is prescribed metronidazole for bacterial vaginosis. Which
patient history finding would be most concerning? - answer Drinks two
glasses of wine every night
A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that
the medication is always effective. Which action is most appropriate? -
answer Auscultating lung sounds and obtaining vital signs
A patient newly diagnosed with diabetes is to be discharged from the
hospital. Which action should be taken first during medication education?
- answer Asking the patient to demonstrate how to measure and
administer insulin
The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient? - answer Obtain pretreatment
laboratory work
Which combination of factors is most likely to inhibit a patient's adherence
to their medication regimen? - answer Lack of insurance coverage, a
complex medication regimen, and having three part-time jobs
A patient diagnosed with bipolar disorder is prescribed daily lithium.
Which action is most important to determine if the therapeutic level is
maintained? - answer Ensure periodic laboratory testing is completed
The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone
is effective because of which action? - answer Preventing activation of
opioid receptors through antagonist actions
A patient is taking drug X and receives a new prescription for drug Y,
which is listed as an inducing agent. The nurse caring for this patient
understands that this patient may require __ doses of drug _____. - answer
higher; X
, The nurse is preparing to administer penicillin G intramuscularly to a child.
The child's parents ask why the drug cannot be given in an oral liquid
form. What is the nurse's reply? - answer "This drug would be inactivated
by enzymes in the stomach"
Which statement about food and drug interactions is true? - answer
Some foods can inhibit CYP isoenzymes and alter drug metabolism
A nurse is teaching a patient about a drug that induces P-glycoprotein.
The nurse will explain that this drug may cause which effect on other
drugs? - answer Decreased elimination through the kidneys
A patient claims to get better effects with a tablet of Brand X of a drug
than with a tablet of Brand Y of the same drug. Both brands contain the
same amount of the active ingredient. What does the nurse know to be
most likely? - answer Tablets can differ in composition and can have
differing rates of disintegration and dissolution, which can alter the drug's
effects in the body
What does the affinity of a drug refer to? - answer The strength of the
attraction between a drug and its receptor
A patient receives a drug that has a narrow therapeutic range. The nurse
administering this medication will expect to do what? - answer Monitor
plasma drug levels
What occurs when a drug binds to a receptor in the body? - answer It
increases or decreases the activity of that receptor
A patient is receiving intravenous gentamicin. A serum drug test reveals
toxic levels. The dosing is correct, and this medication has been tolerated
by this patient in the past. Which could be a probable cause of the test
result? - answer The patient is taking another medication that binds to
serum albumin
bank questions with
100% correct answers
(latest update)
An APRN works in a urology clinic under the supervision of a physician
who does not restrict the types of medications the APRN is allowed to
prescribe. State law does not require the APRN to practice under physician
supervision. How would the APRN's prescriptive authority be described? -
answer Independent [prescriptive authority]
Which factors increase the need for APRNs to have full prescriptive
authority? - answer More patients will have access to health care
Which of the following is NOT a potential consequence of limiting
prescriptive authority for APRNs? - answer Direct impact on patient's
health literacy
Which statement about APRNs is accurate? - answer imited prescriptive
authority for APRNs can create barriers to quality, affordable, and
accessible patient care.
What is a consequence of limiting prescriptive authority for APRNs? -
answer It creates barriers to quality, affordable, and accessible patient
care
A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
- answer The APRN will have less prescriptive authority in the new
position
,Why should APRNs collaborate with pharmacists? - answer Pharmacists
can provide additional information on formulary, drug interactions, and
adequate medication dosing.
A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is
most appropriate? - answer Obtain a telephone order
A patient with chronic pain calls the provider's office to request a refill on
their oxycontin. Which action is most appropriate? - answer Schedule an
appointment with the patient
A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important? - answer Discontinue the medication
A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to
treat COPD? - answer Obtain a complete medication history
A patient with diabetes reports losing their job and an inability to
purchase required medications. Which action is most appropriate? -
answer Selecting a different pharmacy could decrease the cost of the
medication, as costs vary based on the location and the pharmacy
dispensing the medication
Which of the following is NOT required to be included on a hydrocodone
prescription for it to be filled? - answer The prescription must be typed
and cannot be handwritten
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first? - answer
Ask the patient about the number and frequency of tablets taken
,A patient is prescribed metronidazole for bacterial vaginosis. Which
patient history finding would be most concerning? - answer Drinks two
glasses of wine every night
A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that
the medication is always effective. Which action is most appropriate? -
answer Auscultating lung sounds and obtaining vital signs
A patient newly diagnosed with diabetes is to be discharged from the
hospital. Which action should be taken first during medication education?
- answer Asking the patient to demonstrate how to measure and
administer insulin
The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient? - answer Obtain pretreatment
laboratory work
Which combination of factors is most likely to inhibit a patient's adherence
to their medication regimen? - answer Lack of insurance coverage, a
complex medication regimen, and having three part-time jobs
A patient diagnosed with bipolar disorder is prescribed daily lithium.
Which action is most important to determine if the therapeutic level is
maintained? - answer Ensure periodic laboratory testing is completed
The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone
is effective because of which action? - answer Preventing activation of
opioid receptors through antagonist actions
A patient is taking drug X and receives a new prescription for drug Y,
which is listed as an inducing agent. The nurse caring for this patient
understands that this patient may require __ doses of drug _____. - answer
higher; X
, The nurse is preparing to administer penicillin G intramuscularly to a child.
The child's parents ask why the drug cannot be given in an oral liquid
form. What is the nurse's reply? - answer "This drug would be inactivated
by enzymes in the stomach"
Which statement about food and drug interactions is true? - answer
Some foods can inhibit CYP isoenzymes and alter drug metabolism
A nurse is teaching a patient about a drug that induces P-glycoprotein.
The nurse will explain that this drug may cause which effect on other
drugs? - answer Decreased elimination through the kidneys
A patient claims to get better effects with a tablet of Brand X of a drug
than with a tablet of Brand Y of the same drug. Both brands contain the
same amount of the active ingredient. What does the nurse know to be
most likely? - answer Tablets can differ in composition and can have
differing rates of disintegration and dissolution, which can alter the drug's
effects in the body
What does the affinity of a drug refer to? - answer The strength of the
attraction between a drug and its receptor
A patient receives a drug that has a narrow therapeutic range. The nurse
administering this medication will expect to do what? - answer Monitor
plasma drug levels
What occurs when a drug binds to a receptor in the body? - answer It
increases or decreases the activity of that receptor
A patient is receiving intravenous gentamicin. A serum drug test reveals
toxic levels. The dosing is correct, and this medication has been tolerated
by this patient in the past. Which could be a probable cause of the test
result? - answer The patient is taking another medication that binds to
serum albumin
