WGU D116 UNIT 2 OA REVIEW 100%
ACCURATE
Which factor increases the need for APRNs to have full prescriptive authority? -
ANSWERMore patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described? - ANSWERIndependent
A patient taking three medications for hypertension is diagnosed with chronic
obstructive pulmonary disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? -
ANSWERObtain a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - ANSWERSchedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe
those medications
Schedule 1 illegal down to schedule 5
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 does not feel that the medication is always effective.
Which action is most appropriate? - ANSWERAuscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine
sulfate.
The naloxone is effective because of which action? - ANSWERPreventing activation of
opioid receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
, The nurse is preparing to administer penicillin G intramuscularly to a child. The child's
parents ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply? - ANSWER"This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug
atropine. It is used for bronchodilation.
Why would a medicinal chemist want to alter this prototype? - ANSWERTo allow for
higher doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic
absorption
Of the four drugs listed, which drug would you expect to have a unique side effect
profile and unique mechanism of action from the others? - ANSWERLosartan
Which is an angiotensin receptor blocker and bradykinin cough is not present. Meds
end in -sartan
Angiotension converting enzyme inhibitors (ACE Inhibitors) increase bradykinin which
produces S/E of cough. Meds end in -pril
Sildenafil is a prototype of phosphodiesterase type 5 inhibitors (PDE5 inhibitors) that
Pfizer launched as Viagra.
Which drug is also a PDE5 inhibitor? - ANSWERTadalafil
Ends in -afil
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? - ANSWERThe APRN will
have less prescriptive authority in the new position
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? -
ANSWERDiscontinue the med
pt is experiencing an allergic response
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning? - ANSWERDrinks 2 glasses of wine every night
Consumption of alcohol is contraindicated with flagyl
A patient newly diagnosed with diabetes is to be discharged from the hospital. Which
action best supports the patient's learning? - ANSWERAsking the pt to demonstrate
how to measure and administer insulin
ACCURATE
Which factor increases the need for APRNs to have full prescriptive authority? -
ANSWERMore patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described? - ANSWERIndependent
A patient taking three medications for hypertension is diagnosed with chronic
obstructive pulmonary disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? -
ANSWERObtain a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - ANSWERSchedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe
those medications
Schedule 1 illegal down to schedule 5
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 does not feel that the medication is always effective.
Which action is most appropriate? - ANSWERAuscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine
sulfate.
The naloxone is effective because of which action? - ANSWERPreventing activation of
opioid receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
, The nurse is preparing to administer penicillin G intramuscularly to a child. The child's
parents ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply? - ANSWER"This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug
atropine. It is used for bronchodilation.
Why would a medicinal chemist want to alter this prototype? - ANSWERTo allow for
higher doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic
absorption
Of the four drugs listed, which drug would you expect to have a unique side effect
profile and unique mechanism of action from the others? - ANSWERLosartan
Which is an angiotensin receptor blocker and bradykinin cough is not present. Meds
end in -sartan
Angiotension converting enzyme inhibitors (ACE Inhibitors) increase bradykinin which
produces S/E of cough. Meds end in -pril
Sildenafil is a prototype of phosphodiesterase type 5 inhibitors (PDE5 inhibitors) that
Pfizer launched as Viagra.
Which drug is also a PDE5 inhibitor? - ANSWERTadalafil
Ends in -afil
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? - ANSWERThe APRN will
have less prescriptive authority in the new position
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? -
ANSWERDiscontinue the med
pt is experiencing an allergic response
A patient is prescribed metronidazole for bacterial vaginosis. Which patient history
finding would be most concerning? - ANSWERDrinks 2 glasses of wine every night
Consumption of alcohol is contraindicated with flagyl
A patient newly diagnosed with diabetes is to be discharged from the hospital. Which
action best supports the patient's learning? - ANSWERAsking the pt to demonstrate
how to measure and administer insulin
