NU 641 Exam 1 Practice Questions
|\ |\ |\ |\ |\ |\
with correct answers |\ |\
Ch 1 Prescriptive Authority 2. Which factors increase the need for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
APRNs to have full prescriptive authority? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔a. More patients will have access to health care.
|\ |\ |\ |\ |\ |\ |\ |\
Ch 1 Prescriptive Authority 3. Which factors could be attributed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to limited prescriptive authority for APRNs? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Inaccessibility of patient care
|\ |\ |\ |\ |\ |\ |\ |\
b. Higher health care costs
|\ |\ |\ |\
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provision for full prescriptive authority? Select all that apply -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Clinical education includes prescription
|\ |\ |\ |\ |\ |\
of medications and disease processes.
|\ |\ |\ |\ |\
c. National examinations provide validation of the APRN's ability
|\ |\ |\ |\ |\ |\ |\ |\ |\
to provide safe care.
|\ |\ |\ |\
d. Licensure ensures compliance with health care and safety
|\ |\ |\ |\ |\ |\ |\ |\ |\
standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provision for full prescriptive authority? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Clinical education includes prescription
|\ |\ |\ |\ |\ |\
of medications and disease processes.
|\ |\ |\ |\ |\ |\
c. National examinations provide validation of the APRN's ability
|\ |\ |\ |\ |\ |\ |\ |\ |\
to provide safe care.
|\ |\ |\ |\
,d. Licensure ensures compliance with health care and safety
|\ |\ |\ |\ |\ |\ |\ |\ |\
standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner
|\ |\ |\ |\ |\ |\ |\ |\ |\
practicing in Maine is hired at a practice across state lines in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Virginia. Which aspect of practice may change for the APRN? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. The APRN will have less prescriptive
|\ |\ |\ |\ |\ |\ |\ |\ |\
authority in the new position. |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 7. How can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
collaboration with a pharmacist improve positive outcomes for |\ |\ |\ |\ |\ |\ |\ |\
patients? Select all that apply. - CORRECT ANSWERS ✔✔b.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Pharmacists have additional information on drug interactions. |\ |\ |\ |\ |\ |\
c. The pharmacist can suggest adequate medication dosing.
|\ |\ |\ |\ |\ |\ |\ |\
d. Pharmacists have firsthand knowledge of the facility formulary.
|\ |\ |\ |\ |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
presents with delirium tremens requiring Ativan administration.
|\ |\ |\ |\ |\ |\ |\ |\
The provider of care is not in the facility. Which action by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse is most appropriate? - CORRECT ANSWERS ✔✔a. Obtain a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
telephone order. |\
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with chronic pain calls the provider's office to request a refill on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their oxycontin. Which action is most appropriate? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔b. Schedule an appointment with the patient.
|\ |\ |\ |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 10. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient prescribed amoxicillin for streptococcal pharyngitis
|\ |\ |\ |\ |\ |\
,reports new onset of a flat, itchy red rash on the chest and neck.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which action is most important? - CORRECT ANSWERS ✔✔b.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Discontinue the medication. |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 11. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient taking three medications for hypertension is diagnosed
|\ |\ |\ |\ |\ |\ |\ |\
with COPD. Which action should be taken prior to prescribing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications to treat COPD? - CORRECT ANSWERS ✔✔b. Obtain a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complete medication history. |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 12. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with diabetes reports losing their job and an inability to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
purchase required medications. Which action is most
|\ |\ |\ |\ |\ |\ |\
appropriate? - CORRECT ANSWERS ✔✔c. Contact a different |\ |\ |\ |\ |\ |\ |\ |\
pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient recently prescribed hydrocodone calls to report they are
|\ |\ |\ |\ |\ |\ |\ |\ |\
unable to fill the prescription. Which factors could contribute to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the inability to fill the prescription? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. DEA number missing from prescription
|\ |\ |\ |\ |\ |\ |\ |\
b. Prescription sent via electronic messenger
|\ |\ |\ |\ |\ |\
d. Prescriber license number not included
|\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reports that a medication prescribed for recurrent migraine
|\ |\ |\ |\ |\ |\ |\ |\
headaches is not working. Which action should be taken first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Ask the patient about the number and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
frequency of tablets taken. |\ |\ |\
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is prescribed metronidazole for bacterial vaginosis. Which patient
|\ |\ |\ |\ |\ |\ |\
history finding would be most concerning? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔c. Drinks two glasses of wine every night
|\ |\ |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is using a metered-dose inhaler containing albuterol for asthma.
|\ |\ |\ |\ |\ |\ |\ |\ |\
The medication label instructs the patient to administer "two
|\ |\ |\ |\ |\ |\ |\ |\ |\
puffs every 4 hours as needed for coughing or wheezing." The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient reports feeling jittery sometimes when taking the
|\ |\ |\ |\ |\ |\ |\ |\
medication, and she doesn't feel that the medication is always |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effective. Which action is most appropriate? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔c. Auscultating lung sounds and obtaining vital
|\ |\ |\ |\ |\ |\ |\ |\
signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newly diagnosed with diabetes is to be discharged from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital. Which action should be taken first during medication
|\ |\ |\ |\ |\ |\ |\ |\ |\
education? - CORRECT ANSWERS ✔✔a. Asking the patient to |\ |\ |\ |\ |\ |\ |\ |\ |\
demonstrate how to measure and administer insulin |\ |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
manual states that older adult patients are at increased risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hepatic side effects. Which action is most important when
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescribing this medication to an 80-year-old patient? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Obtain pretreatment laboratory work. |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recently diagnosed with HIV is prescribed several medications to
|\ |\ |\ |\ |\ |\ |\ |\ |\
treat the condition. Which factors could impact the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
with correct answers |\ |\
Ch 1 Prescriptive Authority 2. Which factors increase the need for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
APRNs to have full prescriptive authority? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔a. More patients will have access to health care.
|\ |\ |\ |\ |\ |\ |\ |\
Ch 1 Prescriptive Authority 3. Which factors could be attributed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to limited prescriptive authority for APRNs? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Inaccessibility of patient care
|\ |\ |\ |\ |\ |\ |\ |\
b. Higher health care costs
|\ |\ |\ |\
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provision for full prescriptive authority? Select all that apply -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Clinical education includes prescription
|\ |\ |\ |\ |\ |\
of medications and disease processes.
|\ |\ |\ |\ |\
c. National examinations provide validation of the APRN's ability
|\ |\ |\ |\ |\ |\ |\ |\ |\
to provide safe care.
|\ |\ |\ |\
d. Licensure ensures compliance with health care and safety
|\ |\ |\ |\ |\ |\ |\ |\ |\
standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provision for full prescriptive authority? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Clinical education includes prescription
|\ |\ |\ |\ |\ |\
of medications and disease processes.
|\ |\ |\ |\ |\ |\
c. National examinations provide validation of the APRN's ability
|\ |\ |\ |\ |\ |\ |\ |\ |\
to provide safe care.
|\ |\ |\ |\
,d. Licensure ensures compliance with health care and safety
|\ |\ |\ |\ |\ |\ |\ |\ |\
standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner
|\ |\ |\ |\ |\ |\ |\ |\ |\
practicing in Maine is hired at a practice across state lines in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Virginia. Which aspect of practice may change for the APRN? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. The APRN will have less prescriptive
|\ |\ |\ |\ |\ |\ |\ |\ |\
authority in the new position. |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 7. How can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
collaboration with a pharmacist improve positive outcomes for |\ |\ |\ |\ |\ |\ |\ |\
patients? Select all that apply. - CORRECT ANSWERS ✔✔b.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Pharmacists have additional information on drug interactions. |\ |\ |\ |\ |\ |\
c. The pharmacist can suggest adequate medication dosing.
|\ |\ |\ |\ |\ |\ |\ |\
d. Pharmacists have firsthand knowledge of the facility formulary.
|\ |\ |\ |\ |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
presents with delirium tremens requiring Ativan administration.
|\ |\ |\ |\ |\ |\ |\ |\
The provider of care is not in the facility. Which action by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse is most appropriate? - CORRECT ANSWERS ✔✔a. Obtain a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
telephone order. |\
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with chronic pain calls the provider's office to request a refill on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their oxycontin. Which action is most appropriate? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔b. Schedule an appointment with the patient.
|\ |\ |\ |\ |\ |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 10. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient prescribed amoxicillin for streptococcal pharyngitis
|\ |\ |\ |\ |\ |\
,reports new onset of a flat, itchy red rash on the chest and neck.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which action is most important? - CORRECT ANSWERS ✔✔b.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Discontinue the medication. |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 11. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient taking three medications for hypertension is diagnosed
|\ |\ |\ |\ |\ |\ |\ |\
with COPD. Which action should be taken prior to prescribing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications to treat COPD? - CORRECT ANSWERS ✔✔b. Obtain a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complete medication history. |\ |\
Ch 2 Rational Drug Selection and Prescription Writing 12. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with diabetes reports losing their job and an inability to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
purchase required medications. Which action is most
|\ |\ |\ |\ |\ |\ |\
appropriate? - CORRECT ANSWERS ✔✔c. Contact a different |\ |\ |\ |\ |\ |\ |\ |\
pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient recently prescribed hydrocodone calls to report they are
|\ |\ |\ |\ |\ |\ |\ |\ |\
unable to fill the prescription. Which factors could contribute to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the inability to fill the prescription? Select all that apply. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. DEA number missing from prescription
|\ |\ |\ |\ |\ |\ |\ |\
b. Prescription sent via electronic messenger
|\ |\ |\ |\ |\ |\
d. Prescriber license number not included
|\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reports that a medication prescribed for recurrent migraine
|\ |\ |\ |\ |\ |\ |\ |\
headaches is not working. Which action should be taken first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Ask the patient about the number and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
frequency of tablets taken. |\ |\ |\
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is prescribed metronidazole for bacterial vaginosis. Which patient
|\ |\ |\ |\ |\ |\ |\
history finding would be most concerning? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔c. Drinks two glasses of wine every night
|\ |\ |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is using a metered-dose inhaler containing albuterol for asthma.
|\ |\ |\ |\ |\ |\ |\ |\ |\
The medication label instructs the patient to administer "two
|\ |\ |\ |\ |\ |\ |\ |\ |\
puffs every 4 hours as needed for coughing or wheezing." The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient reports feeling jittery sometimes when taking the
|\ |\ |\ |\ |\ |\ |\ |\
medication, and she doesn't feel that the medication is always |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effective. Which action is most appropriate? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔c. Auscultating lung sounds and obtaining vital
|\ |\ |\ |\ |\ |\ |\ |\
signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newly diagnosed with diabetes is to be discharged from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital. Which action should be taken first during medication
|\ |\ |\ |\ |\ |\ |\ |\ |\
education? - CORRECT ANSWERS ✔✔a. Asking the patient to |\ |\ |\ |\ |\ |\ |\ |\ |\
demonstrate how to measure and administer insulin |\ |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
manual states that older adult patients are at increased risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hepatic side effects. Which action is most important when
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescribing this medication to an 80-year-old patient? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Obtain pretreatment laboratory work. |\ |\ |\ |\ |\
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recently diagnosed with HIV is prescribed several medications to
|\ |\ |\ |\ |\ |\ |\ |\ |\
treat the condition. Which factors could impact the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
