Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
I
PharmacotherapeuticsqforqAdvancedqPracticeqNurseqPrescribersq5thqEditionqWooqRobinsonqTestqBank
Chapter
1. The Role of the Nurse Practitioner
Multiple Choice
dentify77the77choice77that77best77completes77the77statement77orqanswers77theqquestion.
77 1.77Nurse77practitioner77prescriptive77authority77is77regulated7 7 by:
1. The77National77Council77of77State77Boards77of77Nursing
2. The77U.S.77Drug77Enforcement77Administration
3. The77State77Board77of77Nursing77for77each77state
4. The77State77Board77of77Pharmacy
2.77The77benefits77to77the77patient77of77having77an77Advanced77Practice77Registered77Nurse77(APRN)77pr
77
escriber77include:
1. Nurses77know77more77about77Pharmacology77than77other77prescribers77because77they77t
ake77it77both77in77their77basic77nursing77program77and77in77their77APRN77program.
2. Nurses77care77for77the77patient77from77a77holistic77approach77and77include77the77patient77in
, Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
decision77makingqregarding77their77care.
3. APRNs77are77less77likely77to77prescribe77narcotics77and77other77controlled77substances.
4. APRNs77are77able77to77prescribe77independently77in77all77states,77whereas77a77physi
cian’s77assistant77needs77to77haveqa77physician77supervising77their77practice.
77 3.77Clinical77judgment77in77prescribing7 7 includes:
1. Factoring77in77the77cost77to77the77patient77of77the77medication77prescribed
2. Always77prescribing77the77newest77medication77available77for77the77disease77process
3. Handing77out77drug77samples77to77poor77patients
4. Prescribing77all77generic77medications77to77cut77costs
77 4.77Criteria77for77choosing77an77effective77drug77for77a77disorder7 7 include:
1. Asking77the77patient77what77drugqthey77thinkqwould77work77best77forqthem
2. Consulting77nationally77recognized77guidelines77for77disease77management
3. Prescribing77medications77that77are77available77as77samples77before77writing77a77prescription
4. Following77U.S.77Drug77Enforcement77Administration77guidelines77for77prescribing
77 5.77Nurse77practitioner77practice77may77thrive77under77health-care77reform77because7 7 of:
1. The77demonstrated77ability77of77nurse77practitioners77to77control77costs77and77improveqp
atient77outcomes
2. The77fact77that77nurse77practitioners77will77be77able77to77practice77independently
3. The77fact77that77nurse77practitioners77will77have77full77reimbursement77under77h
ealth-77care77reform
4. The77ability77to77shift77accountability77for77Medicaid77to77the77state77level
,Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
, Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
Chapter771.77The77Role77of77the77Nurse77Practition
er77Answer77Section
MULTIPLE77CHOICE
1.77ANS: 3 PTS: 1
2.77ANS: 2 PTS: 1
3.77ANS: 1 PTS: 1
4.77ANS: 2 PTS: 1
5.77ANS: 1 PTS: 1
Chapter772.77Review77of77Basic77Principles77of77Pharmacology77M
ul77tiple77Choice
Identify77the77choice77that77best77completes77the77statement77or77answers77the77question.
1.77A77patient’s77nutritional77intake77and77laboratory77results77reflect77hypoalbuminemia.77This77is77cri
77
tical77to77prescribing77because:
1. Distribution77of77drugs77to77target77tissue77may77be77affected.
2. The77solubility77of77the77drug77will77not77match77the77site77of77absorption.
3. There77will77be77less77free77drug77available77to77generate77an77effect.
4. Drugs77bound77to77albumin77are77readily77excreted77by77the77kidneys.
77 2.77Drugs77that77have77a77significant77first-pass7 7 effect:
1. Must77beqgiven77by77the77enteral77(oral)77route77only
2. Bypass77the77hepatic77circulation
3. Are77rapidly77metabolized77by77the77liver77and77may77have77little77if77any77desired77action
4. Are77converted77by77the77liver77to77more77active77and77fat-solubleqforms
77 3.77The77route77of77excretion77of77a77volatile77drug77will77likely77be7 7 the:
1. Kidneys
2. Lungs
3. Bile77andqfeces
4. Skin
4.77Medroxyprogesterone77(Depo77Provera)77is77prescribed77intramuscularly77(IM)77to77create77a77s
77
torage77reservoir77of77the77drug.77Storage77reservoirs:
1. Assure77that77the77drug77will77reach77its77intended77target77tissue
2. Are77the77reason77for77giving77loadingqdoses
3. Increase77the77length77of77time77a77drugqis77available77and77active
4. Are77most77common77in77collagen77tissues
77 5.77The77NP77chooses77to77give77cephalexin77every77877hours77based77on77knowledge77of77the7 7 drug’s:
1. Propensity77to77go77to77the77target77receptor
2. Biological77half-life
3. Pharmacodynamics
4. Safety77and77side77effects
n77 Test77 Ba
I
PharmacotherapeuticsqforqAdvancedqPracticeqNurseqPrescribersq5thqEditionqWooqRobinsonqTestqBank
Chapter
1. The Role of the Nurse Practitioner
Multiple Choice
dentify77the77choice77that77best77completes77the77statement77orqanswers77theqquestion.
77 1.77Nurse77practitioner77prescriptive77authority77is77regulated7 7 by:
1. The77National77Council77of77State77Boards77of77Nursing
2. The77U.S.77Drug77Enforcement77Administration
3. The77State77Board77of77Nursing77for77each77state
4. The77State77Board77of77Pharmacy
2.77The77benefits77to77the77patient77of77having77an77Advanced77Practice77Registered77Nurse77(APRN)77pr
77
escriber77include:
1. Nurses77know77more77about77Pharmacology77than77other77prescribers77because77they77t
ake77it77both77in77their77basic77nursing77program77and77in77their77APRN77program.
2. Nurses77care77for77the77patient77from77a77holistic77approach77and77include77the77patient77in
, Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
decision77makingqregarding77their77care.
3. APRNs77are77less77likely77to77prescribe77narcotics77and77other77controlled77substances.
4. APRNs77are77able77to77prescribe77independently77in77all77states,77whereas77a77physi
cian’s77assistant77needs77to77haveqa77physician77supervising77their77practice.
77 3.77Clinical77judgment77in77prescribing7 7 includes:
1. Factoring77in77the77cost77to77the77patient77of77the77medication77prescribed
2. Always77prescribing77the77newest77medication77available77for77the77disease77process
3. Handing77out77drug77samples77to77poor77patients
4. Prescribing77all77generic77medications77to77cut77costs
77 4.77Criteria77for77choosing77an77effective77drug77for77a77disorder7 7 include:
1. Asking77the77patient77what77drugqthey77thinkqwould77work77best77forqthem
2. Consulting77nationally77recognized77guidelines77for77disease77management
3. Prescribing77medications77that77are77available77as77samples77before77writing77a77prescription
4. Following77U.S.77Drug77Enforcement77Administration77guidelines77for77prescribing
77 5.77Nurse77practitioner77practice77may77thrive77under77health-care77reform77because7 7 of:
1. The77demonstrated77ability77of77nurse77practitioners77to77control77costs77and77improveqp
atient77outcomes
2. The77fact77that77nurse77practitioners77will77be77able77to77practice77independently
3. The77fact77that77nurse77practitioners77will77have77full77reimbursement77under77h
ealth-77care77reform
4. The77ability77to77shift77accountability77for77Medicaid77to77the77state77level
,Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
, Pharmacotherapeutics77 for77 Advanced77 Practice77Nurse77 Prescribers77 5th77 Edition77 WooqRobinso
n77 Test77 Ba
Chapter771.77The77Role77of77the77Nurse77Practition
er77Answer77Section
MULTIPLE77CHOICE
1.77ANS: 3 PTS: 1
2.77ANS: 2 PTS: 1
3.77ANS: 1 PTS: 1
4.77ANS: 2 PTS: 1
5.77ANS: 1 PTS: 1
Chapter772.77Review77of77Basic77Principles77of77Pharmacology77M
ul77tiple77Choice
Identify77the77choice77that77best77completes77the77statement77or77answers77the77question.
1.77A77patient’s77nutritional77intake77and77laboratory77results77reflect77hypoalbuminemia.77This77is77cri
77
tical77to77prescribing77because:
1. Distribution77of77drugs77to77target77tissue77may77be77affected.
2. The77solubility77of77the77drug77will77not77match77the77site77of77absorption.
3. There77will77be77less77free77drug77available77to77generate77an77effect.
4. Drugs77bound77to77albumin77are77readily77excreted77by77the77kidneys.
77 2.77Drugs77that77have77a77significant77first-pass7 7 effect:
1. Must77beqgiven77by77the77enteral77(oral)77route77only
2. Bypass77the77hepatic77circulation
3. Are77rapidly77metabolized77by77the77liver77and77may77have77little77if77any77desired77action
4. Are77converted77by77the77liver77to77more77active77and77fat-solubleqforms
77 3.77The77route77of77excretion77of77a77volatile77drug77will77likely77be7 7 the:
1. Kidneys
2. Lungs
3. Bile77andqfeces
4. Skin
4.77Medroxyprogesterone77(Depo77Provera)77is77prescribed77intramuscularly77(IM)77to77create77a77s
77
torage77reservoir77of77the77drug.77Storage77reservoirs:
1. Assure77that77the77drug77will77reach77its77intended77target77tissue
2. Are77the77reason77for77giving77loadingqdoses
3. Increase77the77length77of77time77a77drugqis77available77and77active
4. Are77most77common77in77collagen77tissues
77 5.77The77NP77chooses77to77give77cephalexin77every77877hours77based77on77knowledge77of77the7 7 drug’s:
1. Propensity77to77go77to77the77target77receptor
2. Biological77half-life
3. Pharmacodynamics
4. Safety77and77side77effects
