Advanced Pharmacology - Modules 1-5.
In every state, prescriptive authority for NPs includes the ability to write prescriptions:
A. for controlled substances.
B. for specified classifications of medications.
C. without physician-mandated involvement.
D. with full, independent prescriptive authority. - ANSWER-B. for specified
classifications of medications.
A primary care NP wishes to order a drug that will be effective immediately after
administration of the drug. Which route should the NP choose?
Rectal
Topical
Sublingual
Intramuscular - ANSWER-Sublingual
According to the Texas BON rules and regulations, a prescription must include: -
ANSWER-(1) the patient's name and address;
(2) the name, strength, and quantity of the drug to be dispensed;
(3) directions to the patient regarding taking of the drug and the dosage;
(4) the intended use of the drug, if appropriate;
(5) the name, address, and telephone number of the physician with whom the APRN
has a prescriptive
authority agreement
(6) address and telephone number of the site at which the prescription drug order was
issued;
(7) the date of issuance;
(8) the number of refills permitted;
(9) the name, prescription authorization number, and original signature of the APRN
who authorized the
prescription drug order; and
(10) the United States Drug Enforcement Administration numbers of the APRN and the
delegating physician,
if the prescription drug order is for a controlled substance.
The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an
electronic drug prescription system. The pharmacist will fill this prescription when:
the electronic prescription is received.
the patient brings a written copy of the prescription.
a copy of the written prescription is faxed to the pharmacy.
,the pharmacist accesses the patient's electronic record to verify. - ANSWER-the
electronic prescription is received.
A patient receives an inhaled corticosteroid to treat asthma. The patient asks the nurse
why the drug is given by this route instead of orally. The nurse should explain that the
inhaled form:
is absorbed less quickly.
has reduced bioavailability.
has fewer systemic side effects.
provides dosing that is easier to regulate. - ANSWER-has fewer systemic side effects.
A primary care NP is prescribing a drug for a patient who does not take any other
medications. The NP should realize that:
CYP450 enzyme reactions will not interfere with this drug's metabolism.
substrates such as alcohol cannot interfere with the drug when the patient is abstaining.
food-drug interactions are limited to those where food enhances or inhibits drug
absorption.
a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal
products is required. - ANSWER-a thorough history of diet, alcohol use, smoking, and
over-the-counter and herbal products is required.
The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic.
The NP should tell the neighbor:
a prescription will be written one time only.
she will ask a colleague to write the prescription.
that it is illegal to write prescriptions for friends.
that it is best if the neighbor sees a health care provider before obtaining a prescription.
- ANSWER-that it is best if the neighbor sees a health care provider before obtaining a
prescription.
Under Texas law, Advance Practice Registered Nurses (APRNs) must receive a
prescribing number from the Texas Board of Nursing before applying for supervision
and prescriptive delegation with the Texas Medical Board?
, True or False - ANSWER-True
A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-
American woman. When selecting a drug and determining the correct dose, the NP
should understand that the knowledge of how age, race, and gender may affect drug
excretion is based on an understanding of:
bioavailability.
pharmacokinetics.
pharmacodynamics.
anatomy and physiology. - ANSWER-pharmacokinetics.
According to Texas law, "dangerous drugs" include which of the following
pharmacologic agents?
Experimental medications
Prescription medications
Controlled substances
Herbal and alternative therapies - ANSWER-Prescription medications
The family nurse practitioner sees a 6-month-old infant for a routine physical
examination and notes that the infant has a runny nose and a cough. The parents report
a 2-day history of a temperature of 99° F to 100° F and two to three loose stools per
day. Other family members have similar symptoms. The infant has had two sets of
immunizations at 2 and 4 months of age. The FNP should:
administer the 6-month immunizations at this visit today.
schedule an appointment in 2 weeks for 6-month immunizations.
administer DTaP, Hib, IPV, hepatitis B, and PCV13 today and RV in 2 weeks.
withhold all immunizations until the infant's temperature returns to normal and the cough
is gone. - ANSWER-administer the 6-month immunizations at this visit today.
Minor upper respiratory infection or gastroenteritis, with or without fever, is not an
indication for withholding a scheduled vaccine dose.
DIF: Cognitive Level: Applying (Application)
REF: 757
In every state, prescriptive authority for NPs includes the ability to write prescriptions:
A. for controlled substances.
B. for specified classifications of medications.
C. without physician-mandated involvement.
D. with full, independent prescriptive authority. - ANSWER-B. for specified
classifications of medications.
A primary care NP wishes to order a drug that will be effective immediately after
administration of the drug. Which route should the NP choose?
Rectal
Topical
Sublingual
Intramuscular - ANSWER-Sublingual
According to the Texas BON rules and regulations, a prescription must include: -
ANSWER-(1) the patient's name and address;
(2) the name, strength, and quantity of the drug to be dispensed;
(3) directions to the patient regarding taking of the drug and the dosage;
(4) the intended use of the drug, if appropriate;
(5) the name, address, and telephone number of the physician with whom the APRN
has a prescriptive
authority agreement
(6) address and telephone number of the site at which the prescription drug order was
issued;
(7) the date of issuance;
(8) the number of refills permitted;
(9) the name, prescription authorization number, and original signature of the APRN
who authorized the
prescription drug order; and
(10) the United States Drug Enforcement Administration numbers of the APRN and the
delegating physician,
if the prescription drug order is for a controlled substance.
The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an
electronic drug prescription system. The pharmacist will fill this prescription when:
the electronic prescription is received.
the patient brings a written copy of the prescription.
a copy of the written prescription is faxed to the pharmacy.
,the pharmacist accesses the patient's electronic record to verify. - ANSWER-the
electronic prescription is received.
A patient receives an inhaled corticosteroid to treat asthma. The patient asks the nurse
why the drug is given by this route instead of orally. The nurse should explain that the
inhaled form:
is absorbed less quickly.
has reduced bioavailability.
has fewer systemic side effects.
provides dosing that is easier to regulate. - ANSWER-has fewer systemic side effects.
A primary care NP is prescribing a drug for a patient who does not take any other
medications. The NP should realize that:
CYP450 enzyme reactions will not interfere with this drug's metabolism.
substrates such as alcohol cannot interfere with the drug when the patient is abstaining.
food-drug interactions are limited to those where food enhances or inhibits drug
absorption.
a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal
products is required. - ANSWER-a thorough history of diet, alcohol use, smoking, and
over-the-counter and herbal products is required.
The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic.
The NP should tell the neighbor:
a prescription will be written one time only.
she will ask a colleague to write the prescription.
that it is illegal to write prescriptions for friends.
that it is best if the neighbor sees a health care provider before obtaining a prescription.
- ANSWER-that it is best if the neighbor sees a health care provider before obtaining a
prescription.
Under Texas law, Advance Practice Registered Nurses (APRNs) must receive a
prescribing number from the Texas Board of Nursing before applying for supervision
and prescriptive delegation with the Texas Medical Board?
, True or False - ANSWER-True
A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-
American woman. When selecting a drug and determining the correct dose, the NP
should understand that the knowledge of how age, race, and gender may affect drug
excretion is based on an understanding of:
bioavailability.
pharmacokinetics.
pharmacodynamics.
anatomy and physiology. - ANSWER-pharmacokinetics.
According to Texas law, "dangerous drugs" include which of the following
pharmacologic agents?
Experimental medications
Prescription medications
Controlled substances
Herbal and alternative therapies - ANSWER-Prescription medications
The family nurse practitioner sees a 6-month-old infant for a routine physical
examination and notes that the infant has a runny nose and a cough. The parents report
a 2-day history of a temperature of 99° F to 100° F and two to three loose stools per
day. Other family members have similar symptoms. The infant has had two sets of
immunizations at 2 and 4 months of age. The FNP should:
administer the 6-month immunizations at this visit today.
schedule an appointment in 2 weeks for 6-month immunizations.
administer DTaP, Hib, IPV, hepatitis B, and PCV13 today and RV in 2 weeks.
withhold all immunizations until the infant's temperature returns to normal and the cough
is gone. - ANSWER-administer the 6-month immunizations at this visit today.
Minor upper respiratory infection or gastroenteritis, with or without fever, is not an
indication for withholding a scheduled vaccine dose.
DIF: Cognitive Level: Applying (Application)
REF: 757
