Nurs 615 exam 1 questions with correct answers

Nurs 615 exam 1 questions with correct
answers
Nurse ||practitioner ||prescriptive ||authority ||is ||regulated ||by:



1. ||The ||National ||Council ||of ||State ||Boards ||of ||Nursing

2. ||The ||U.S. ||Drug ||Enforcement ||Administration

3. ||The ||State ||Board ||of ||Nursing ||for ||each ||state

4. ||The ||State ||Board ||of ||Pharmacy ||- ||CORRECT ||ANSWER✔✔-3. ||The ||State ||Board ||of ||Nursing ||
for ||each ||state



The ||benefits ||to ||the ||patient ||of ||having ||an ||Advanced ||Practice ||Registered ||Nurse ||(APRN) ||
prescriber ||include:



1. ||Nurses ||know ||more ||about ||Pharmacology ||than ||other ||prescribers ||because ||they ||take ||it ||
both ||in ||their ||basic ||nursing ||program ||and ||in ||their ||APRN ||program.

2. ||Nurses ||care ||for ||the ||patient ||from ||a ||holistic ||approach ||and ||include ||the ||patient ||in ||
decision ||making ||regarding ||their ||care.

3. ||APRNs ||are ||less ||likely ||to ||prescribe ||narcotics ||and ||other ||controlled ||substances.

4. ||APRNs ||are ||able ||to ||prescribe ||independently ||in ||all ||states, ||whereas ||a ||physician's ||
assistant ||needs ||to ||have ||a ||physician ||supervising ||their ||practice. ||- ||CORRECT ||ANSWER✔✔-2.
||Nurses ||care ||for ||the ||patient ||from ||a ||holistic ||approach ||and ||include ||the ||patient ||in ||decision


||making ||regarding ||their ||care.




Clinical ||judgment ||in ||prescribing ||includes:



1. ||Factoring ||in ||the ||cost ||to ||the ||patient ||of ||the ||medication ||prescribed

2. ||Always ||prescribing ||the ||newest ||medication ||available ||for ||the ||disease ||process

,3. ||Handing ||out ||drug ||samples ||to ||poor ||patients

4. ||Prescribing ||all ||generic ||medications ||to ||cut ||costs ||- ||CORRECT ||ANSWER✔✔-1. ||Factoring ||in
||the ||cost ||to ||the ||patient ||of ||the ||medication ||prescribed




Criteria ||for ||choosing ||an ||effective ||drug ||for ||a ||disorder ||include:



1. ||Asking ||the ||patient ||what ||drug ||they ||think ||would ||work ||best ||for ||them

2. ||Consulting ||nationally ||recognized ||guidelines ||for ||disease ||management

3. ||Prescribing ||medications ||that ||are ||available ||as ||samples ||before ||writing ||a ||prescription

4. ||Following ||U.S. ||Drug ||Enforcement ||Administration ||guidelines ||for ||prescribing ||- ||CORRECT ||
ANSWER✔✔-2. ||Consulting ||nationally ||recognized ||guidelines ||for ||disease ||management



Nurse ||practitioner ||practice ||may ||thrive ||under ||health-care ||reform ||because ||of:



1. ||The ||demonstrated ||ability ||of ||nurse ||practitioners ||to ||control ||costs ||and ||improve ||patient ||
outcomes

2. ||The ||fact ||that ||nurse ||practitioners ||will ||be ||able ||to ||practice ||independently

3. ||The ||fact ||that ||nurse ||practitioners ||will ||have ||full ||reimbursement ||under ||health-care ||
reform

4. ||The ||ability ||to ||shift ||accountability ||for ||Medicaid ||to ||the ||state ||level ||- ||CORRECT ||
ANSWER✔✔-1. ||The ||demonstrated ||ability ||of ||nurse ||practitioners ||to ||control ||costs ||and ||
improve ||patient ||outcomes



A ||patient's ||nutritional ||intake ||and ||laboratory ||results ||reflect ||hypoalbuminemia. ||This

is ||critical ||to ||prescribing ||because:



1. ||Distribution ||of ||drugs ||to ||target ||tissue ||may ||be ||affected.

2. ||The ||solubility ||of ||the ||drug ||will ||not ||match ||the ||site ||of ||absorption.

,3. ||There ||will ||be ||less ||free ||drug ||available ||to ||generate ||an ||effect.

4. ||Drugs ||bound ||to ||albumin ||are ||readily ||excreted ||by ||the ||kidneys. ||- ||CORRECT ||ANSWER✔✔-
1. ||Distribution ||of ||drugs ||to ||target ||tissue ||may ||be ||affected.



Drugs ||that ||have ||a ||significant ||first-pass ||effect:



1. ||Must ||be ||given ||by ||the ||enteral ||(oral) ||route ||only

2. ||Bypass ||the ||hepatic ||circulation

3. ||Are ||rapidly ||metabolized ||by ||the ||liver ||and ||may ||have ||little ||if ||any ||desired ||action

4. ||Are ||converted ||by ||the ||liver ||to ||more ||active ||and ||fat-soluble ||forms ||- ||CORRECT ||
ANSWER✔✔-3. ||Are ||rapidly ||metabolized ||by ||the ||liver ||and ||may ||have ||little ||if ||any ||desired ||
action



The ||route ||of ||excretion ||of ||a ||volatile ||drug ||will ||likely ||be ||the:



1. ||Kidneys

2. ||Lungs

3. ||Bile ||and ||feces

4. ||Skin ||- ||CORRECT ||ANSWER✔✔-2. ||Lungs



Medroxyprogesterone ||(Depo ||Provera) ||is ||prescribed ||intramuscularly ||(IM) ||to ||create ||a ||
storage ||reservoir ||of ||the ||drug. ||Storage ||reservoirs:



1. ||Assure ||that ||the ||drug ||will ||reach ||its ||intended ||target ||tissue

2. ||Are ||the ||reason ||for ||giving ||loading ||doses

3. ||Increase ||the ||length ||of ||time ||a ||drug ||is ||available ||and ||active

4. ||Are ||most ||common ||in ||collagen ||tissues ||- ||CORRECT ||ANSWER✔✔-3. ||Increase ||the ||length ||
of ||time ||a ||drug ||is ||available ||and ||active

, The ||NP ||chooses ||to ||give ||cephalexin ||every ||8 ||hours ||based ||on ||knowledge ||of ||the ||drug's:



1. ||Propensity ||to ||go ||to ||the ||target ||receptor

2. ||Biological ||half-life

3. ||Pharmacodynamics

4. ||Safety ||and ||side ||effects ||- ||CORRECT ||ANSWER✔✔-2. ||Biological ||half-life



Azithromycin ||dosing ||requires ||that ||the ||first ||day's ||dosage ||be ||twice ||those ||of ||the ||other

4 ||days ||of ||the ||prescription. ||This ||is ||considered ||a ||loading ||dose. ||A ||loading ||dose:



1. ||Rapidly ||achieves ||drug ||levels ||in ||the ||therapeutic ||range

2. ||Requires ||four- ||to ||five-half-lives ||to ||attain

3. ||Is ||influenced ||by ||renal ||function

4. ||Is ||directly ||related ||to ||the ||drug ||circulating ||to ||the ||target ||tissues ||- ||CORRECT ||
ANSWER✔✔-1. ||Rapidly ||achieves ||drug ||levels ||in ||the ||therapeutic ||range



The ||point ||in ||time ||on ||the ||drug ||concentration ||curve ||that ||indicates ||the ||first ||sign ||of ||a ||
therapeutic ||effect ||is ||the:



1. ||Minimum ||adverse ||effect ||level

2. ||Peak ||of ||action

3. ||Onset ||of ||action

4. ||Therapeutic ||range ||- ||CORRECT ||ANSWER✔✔-3. ||Onset ||of ||action



Phenytoin ||requires ||that ||a ||trough ||level ||be ||drawn. ||Peak ||and ||trough ||levels ||are ||done: