PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
Chapterc1.cThecRolecofcthecNursecPractitionerc
MultiplecChoice
Identifycthecchoicecthatcbestccompletescthecstatementcorcanswerscthecquestion.
c cc 1.cNursecpractitionercprescriptivecauthorityciscregulatedc by:
1. ThecNationalcCouncilcofcStatecBoardscofcNursing
2. ThecU.S.cDrugcEnforcementcAdministration
3. ThecStatecBoardcofcNursingcforceachcstate
4. ThecStatecBoardcofcPharmacy
c
2.cThecbenefitsctocthecpatientcofchavingcancAdvancedcPracticecRegisteredcNursec(APRN)cprescr
cc
ibercinclude:
1. NursescknowcmorecaboutcPharmacologycthancothercprescriberscbecausectheyctakecitcb
othcinctheircbasiccnursingcprogramcandcinctheircAPRNcprogram.
2. Nursesccarecforcthecpatientcfromcacholisticcapproachcandcincludecthecpatientcin
decisioncmakingcregardingctheirccare.
3. APRNscareclessclikelyctocprescribecnarcoticscandcotherccontrolledcsubstances.
4. APRNscarecablectocprescribecindependentlycincallcstates,cwhereascacphysician’sca
ssistantcneedsctochavecacphysiciancsupervisingctheircpractice.
c cc 3.cClinicalcjudgmentcincprescribingc includes:
1. Factoringcinctheccostctocthecpatientcofcthecmedicationcprescribed
2. Alwayscprescribingcthecnewestcmedicationcavailablecforcthecdiseasecprocess
3. Handingcoutcdrugcsamplesctocpoorcpatients
4. Prescribingcallcgenericcmedicationsctoccutccosts
c cc 4.cCriteriacforcchoosingcanceffectivecdrugcforcacdisordercinclude:
1. Askingcthecpatientcwhatcdrugctheycthinkcwouldcworkcbestcforcthem
2. Consultingcnationallycrecognizedcguidelinescforcdiseasecmanagement
3. Prescribingcmedicationscthatcarecavailablecascsamplescbeforecwritingcacprescription
4. FollowingcU.S.cDrugcEnforcementcAdministrationcguidelinescforcprescribing
c cc 5.cNursecpractitionercpracticecmaycthrivecunderchealth-carecreformcbecausec of:
1. Thecdemonstratedcabilitycofcnursecpractitionersctoccontrolccostscandcimprovecpatientco
utcomes
2. Thecfactcthatcnursecpractitionerscwillcbecablectocpracticecindependently
3. Thecfactcthatcnursecpractitionerscwillchavecfullcreimbursementcunderchealth-
carecreform
4. ThecabilityctocshiftcaccountabilitycforcMedicaidctocthecstateclevel
,PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
, PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
Chapterc1.cThecRolecofcthecNursecPractitionerc
AnswercSection
MULTIPLEcCHOICE
1. ANS:ccc 3 PTS:c 1
2. ANS:ccc 2 PTS:c 1
3. ANS:ccc 1 PTS:c 1
4. ANS:ccc 2 PTS:c 1
5. ANS:ccc 1 PTS:c 1
Chapterc2.cReviewcofcBasiccPrinciplescofcPharmacologyc
MultiplecChoice
Identifycthecchoicecthatcbestccompletescthecstatementcorcanswerscthecquestion.
c
cc 1.cAcpatient’scnutritionalcintakecandclaboratorycresultscreflectchypoalbuminemia.cThiscisccritic
alctocprescribingcbecause:
1. Distributioncofcdrugsctoctargetctissuecmaycbecaffected.
2. Thecsolubilitycofcthecdrugcwillcnotcmatchcthecsitecofcabsorption.
3. Therecwillcbeclesscfreecdrugcavailablectocgeneratecanceffect.
4. Drugscboundctocalbumincarecreadilycexcretedcbyctheckidneys.
c cc 2.cDrugscthatchavecacsignificantcfirst-passc effect:
1. Mustcbecgivencbycthecenteralc(oral)crouteconly
2. Bypasscthechepaticccirculation
3. Arecrapidlycmetabolizedcbyctheclivercandcmaychaveclittlecifcanycdesiredcaction
4. Arecconvertedcbycthecliverctocmorecactivecandcfat-solublecforms
c cc 3.cThecroutecofcexcretioncofcacvolatilecdrugcwillclikelycbec the:
1. Kidneys
2. Lungs
3. Bilecandcfeces
4. Skin
c
4.cMedroxyprogesteronec(DepocProvera)ciscprescribedcintramuscularlyc(IM)ctoccreatecacsto
cc
ragecreservoircofcthecdrug.cStoragecreservoirs:
1. Assurecthatcthecdrugcwillcreachcitscintendedctargetctissue
2. Arecthecreasoncforcgivingcloadingcdoses
3. Increasectheclengthcofctimecacdrugciscavailablecandcactive
4. Arecmostccommoncinccollagenctissues
c cc 5.cThecNPcchoosesctocgiveccephalexinceveryc8chourscbasedconcknowledgecofcthecdrug’s:
1. Propensityctocgoctocthectargetcreceptor
2. Biologicalchalf-life
3. Pharmacodynamics
4. Safetycandcsideceffects
, PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
c
cc 6.cAzithromycin cdosingcrequirescthatcthecfirst cday’scdosagecbectwicecthosecofcthecotherc4cdayscofc
thecprescription.cThisciscconsideredcacloadingcdose.cAcloadingcdose:
1. Rapidlycachievescdrugclevelscincthectherapeuticcrange
2. Requirescfour-ctocfive-half-livesctocattain
3. Iscinfluencedcbycrenalcfunction
4. Iscdirectlycrelatedctocthecdrugccirculatingctocthectargetctissues
c
7.cThecpointcinctimeconcthecdrugcconcentrationccurvecthatcindicatescthecfirstcsigncofcactherapeuticceff
cc
ectciscthe:
1. Minimumcadverseceffectclevel
2. Peakcofcaction
PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
Chapterc1.cThecRolecofcthecNursecPractitionerc
MultiplecChoice
Identifycthecchoicecthatcbestccompletescthecstatementcorcanswerscthecquestion.
c cc 1.cNursecpractitionercprescriptivecauthorityciscregulatedc by:
1. ThecNationalcCouncilcofcStatecBoardscofcNursing
2. ThecU.S.cDrugcEnforcementcAdministration
3. ThecStatecBoardcofcNursingcforceachcstate
4. ThecStatecBoardcofcPharmacy
c
2.cThecbenefitsctocthecpatientcofchavingcancAdvancedcPracticecRegisteredcNursec(APRN)cprescr
cc
ibercinclude:
1. NursescknowcmorecaboutcPharmacologycthancothercprescriberscbecausectheyctakecitcb
othcinctheircbasiccnursingcprogramcandcinctheircAPRNcprogram.
2. Nursesccarecforcthecpatientcfromcacholisticcapproachcandcincludecthecpatientcin
decisioncmakingcregardingctheirccare.
3. APRNscareclessclikelyctocprescribecnarcoticscandcotherccontrolledcsubstances.
4. APRNscarecablectocprescribecindependentlycincallcstates,cwhereascacphysician’sca
ssistantcneedsctochavecacphysiciancsupervisingctheircpractice.
c cc 3.cClinicalcjudgmentcincprescribingc includes:
1. Factoringcinctheccostctocthecpatientcofcthecmedicationcprescribed
2. Alwayscprescribingcthecnewestcmedicationcavailablecforcthecdiseasecprocess
3. Handingcoutcdrugcsamplesctocpoorcpatients
4. Prescribingcallcgenericcmedicationsctoccutccosts
c cc 4.cCriteriacforcchoosingcanceffectivecdrugcforcacdisordercinclude:
1. Askingcthecpatientcwhatcdrugctheycthinkcwouldcworkcbestcforcthem
2. Consultingcnationallycrecognizedcguidelinescforcdiseasecmanagement
3. Prescribingcmedicationscthatcarecavailablecascsamplescbeforecwritingcacprescription
4. FollowingcU.S.cDrugcEnforcementcAdministrationcguidelinescforcprescribing
c cc 5.cNursecpractitionercpracticecmaycthrivecunderchealth-carecreformcbecausec of:
1. Thecdemonstratedcabilitycofcnursecpractitionersctoccontrolccostscandcimprovecpatientco
utcomes
2. Thecfactcthatcnursecpractitionerscwillcbecablectocpracticecindependently
3. Thecfactcthatcnursecpractitionerscwillchavecfullcreimbursementcunderchealth-
carecreform
4. ThecabilityctocshiftcaccountabilitycforcMedicaidctocthecstateclevel
,PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
, PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
Chapterc1.cThecRolecofcthecNursecPractitionerc
AnswercSection
MULTIPLEcCHOICE
1. ANS:ccc 3 PTS:c 1
2. ANS:ccc 2 PTS:c 1
3. ANS:ccc 1 PTS:c 1
4. ANS:ccc 2 PTS:c 1
5. ANS:ccc 1 PTS:c 1
Chapterc2.cReviewcofcBasiccPrinciplescofcPharmacologyc
MultiplecChoice
Identifycthecchoicecthatcbestccompletescthecstatementcorcanswerscthecquestion.
c
cc 1.cAcpatient’scnutritionalcintakecandclaboratorycresultscreflectchypoalbuminemia.cThiscisccritic
alctocprescribingcbecause:
1. Distributioncofcdrugsctoctargetctissuecmaycbecaffected.
2. Thecsolubilitycofcthecdrugcwillcnotcmatchcthecsitecofcabsorption.
3. Therecwillcbeclesscfreecdrugcavailablectocgeneratecanceffect.
4. Drugscboundctocalbumincarecreadilycexcretedcbyctheckidneys.
c cc 2.cDrugscthatchavecacsignificantcfirst-passc effect:
1. Mustcbecgivencbycthecenteralc(oral)crouteconly
2. Bypasscthechepaticccirculation
3. Arecrapidlycmetabolizedcbyctheclivercandcmaychaveclittlecifcanycdesiredcaction
4. Arecconvertedcbycthecliverctocmorecactivecandcfat-solublecforms
c cc 3.cThecroutecofcexcretioncofcacvolatilecdrugcwillclikelycbec the:
1. Kidneys
2. Lungs
3. Bilecandcfeces
4. Skin
c
4.cMedroxyprogesteronec(DepocProvera)ciscprescribedcintramuscularlyc(IM)ctoccreatecacsto
cc
ragecreservoircofcthecdrug.cStoragecreservoirs:
1. Assurecthatcthecdrugcwillcreachcitscintendedctargetctissue
2. Arecthecreasoncforcgivingcloadingcdoses
3. Increasectheclengthcofctimecacdrugciscavailablecandcactive
4. Arecmostccommoncinccollagenctissues
c cc 5.cThecNPcchoosesctocgiveccephalexinceveryc8chourscbasedconcknowledgecofcthecdrug’s:
1. Propensityctocgoctocthectargetcreceptor
2. Biologicalchalf-life
3. Pharmacodynamics
4. Safetycandcsideceffects
, PharmacotherapeuticscforcAdvancedcPracticecNursecPrescribersc5thcEditioncWoocRobinsoncTestcBank
c
cc 6.cAzithromycin cdosingcrequirescthatcthecfirst cday’scdosagecbectwicecthosecofcthecotherc4cdayscofc
thecprescription.cThisciscconsideredcacloadingcdose.cAcloadingcdose:
1. Rapidlycachievescdrugclevelscincthectherapeuticcrange
2. Requirescfour-ctocfive-half-livesctocattain
3. Iscinfluencedcbycrenalcfunction
4. Iscdirectlycrelatedctocthecdrugccirculatingctocthectargetctissues
c
7.cThecpointcinctimeconcthecdrugcconcentrationccurvecthatcindicatescthecfirstcsigncofcactherapeuticceff
cc
ectciscthe:
1. Minimumcadverseceffectclevel
2. Peakcofcaction
