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,pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
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Chapter 1. The Role of the Nurse
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Practitioner Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy gg gg gg gg
2. The benefits to the patient of having an Advanced Practice Registered
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Nurse (APRN) prescriberinclude:
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1. Nurses know more about Pharmacology than other prescribers because they take it both in
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their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to
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have a physician supervising their practice.
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3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed gg gg gg gg gg cc cc gg gg gg
2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients gg gg gg cc cc gg
4. Prescribing all generic medications to cut costs gg gg cc gg gg gg
4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management gg gg gg gg cc cc
3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing
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5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve
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patient outcomes
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2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care reform
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4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse Practitioner Answer
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Section
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MULTIPLE CHOICE gg
1. ANS: 3 PTS: 1 2. ANS: 2
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PTS: 1 3. ANS: 1 PTS: gg gg gg gg
1 4. ANS: 2 PTS: 1
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5. ANS: 1 PTS: 1
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, Chapter 2. Review of Basic Principles of Pharmacology
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Multiple Choice gg
Identify the choice that best completes the statement or answers the question.
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1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
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prescribing because:
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1. Distribution of drugs to target tissue may be affected. gg gg gg gg gg cc cc cc
2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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2. Drugs that gg gg have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation
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3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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3. The route gg gg of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces cc gg
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of
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the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue gg gg gg gg cc gg gg cc cc
2. Are the reason for giving loading doses cc gg gg gg cc gg
3. Increase the length of time a drug is available and active gg gg gg gg gg gg gg gg gg gg
4. Are most common in collagen tissues cc cc gg gg gg
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor cc cc cc cc cc cc
2. Biological half-life gg
3. Pharmacodynamics
4. Safety and side effects gg gg gg
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4
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days of the prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range gg gg gg gg gg gg gg
2. Requires four- to five-half-lives to attain gg gg gg gg gg
3. Is influenced by renal function gg gg gg gg
4. Is directly related to the drug circulating to the target tissues
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