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ICS FOR ADVANCED PRACTICE-
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A PRACTICAL APPROACH 5TH EDITION A
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Chapter 01: Issues for the Practitioner in Drug Therapy MULTIPLE
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CHOICE
1. Nurse practitioner prescriptive authority is regulated by:
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A. The National Council of State Boards of Nursing
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B. The U.S. Drug Enforcement Administration
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C. The State Board of Nursing for each state
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D. The State Board of Pharmacy
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ANSWER_ C b POINTS: 1 b
2. Physician Assistant (PA) prescriptive authority is regulated by:
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A. The National Council of State Boards of Nursing
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B. The U.S. Drug Enforcement Administration
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C. The State Board of Nursing
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D. The State Board of Medical Examiners
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ANSWER_ D b POINTS: 1 b
3. Clinical judgment in prescribing includes:
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A. Factoring in the cost to the patient of the medication prescribed
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B. Always prescribing the newest medication available for the disease process
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C. Handing out drug samples to poor patients
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D. Prescribing all generic medications to cut costs
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ANSWER_ A b POINTS: 1 b
4. Criteria for choosing an effective drug for a disorder include:
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A. Asking the patient what drug they think would work best for them
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B. Consulting nationally recognized guidelines for disease management
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C. Prescribing medications that are available as samples before writing a p
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rescription
D. Following U.S. Drug Enforcement Administration (DEA) guidelines for
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prescribing
ANSWER_ B b POINTS: 1 b
5. Nurse practitioner practice may thrive under health-care reform due to:
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A. The demonstrated ability of nurse practitioners to control costs and improve p
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atient outcomes
b
B. The fact that nurse practitioners will be able to practice independently
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C. The fact that nurse practitioners will have full reimbursement under health-
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care reform
b b
D. The ability to shift accountability for Medicaid to the state level
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ANSWER_ A b POINTS: 1 b
Chapter 02: Pharmacokinetic Basis of Therapeutics and Pharmacodynamic MULTI
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PLE CHOICE
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1. A patient's nutritional intake and lab work reflects hypoalbuminemia. This is c
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ritical to prescribing because:
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A. Distribution of drugs to target tissue may be affected
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B. The solubility of the drug will not match the site of absorption
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C. There will be less free drug available to generate an effect
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D. Drugs bound to albumin are readily excreted by the kidney
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ANSWER_ A b POINTS: 1 b
2. Drugs that have a significant first-pass effect:
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A. Must be given by the enteral (oral) route only
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B. Bypass the hepatic circulation
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C. Are rapidly metabolized by the liver and may have little if any desired action
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D. Are converted by the liver to more active and fat-soluble forms
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ANSWER_ C b POINTS: 1 b
3. The route of excretion of a volatile drug will likely be:
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A. The kidneys
b
B. The lungs
b
C. The bile and feces
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D. The skin
b
ANSWER_ B b POINTS: 1 b
4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage r b b b b b b b b b b
eservoir of the drug. Storage reservoirs:
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A. Assure that the drug will reach its intended target tissue
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B. Are the reason for giving loading doses
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C. Increase the length of time a drug is available and active
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D. Are most common in collagen tissues
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ANSWER_ C b POINTS: 1 b