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NSG 6005 ADV PHARM FINAL EXAM TEST BANK
QUESTIONS AND ANSWERS
Chapter 1. The Role Of The Nurse Practitioner
1. Nurse Practitioner Prescriptive Authority Is Regulated By:
1 The National Council Of State Boards Of Nursing
.
2 The U.S. Drug Enforcement Administration
.
3 TheStateBoardOfNursingForEachState
.
4 The State Board Of Pharmacy
.
2. 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 & In Their APRN Program.
2 Nurses Care For The Patient From A Holistic Approach & Include The Patient In Decision Making Regarding Their
. Care.
3 Aprns Are Less Likely To Prescribe Narcotics & 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.
3. Clinical Judgment In Prescribing Includes:
1 FactoringInTheCostToThePatientOfTheMedicationPrescribed
.
2 Always Prescribing The Newest Medication Available For The Disease Process
.
3 H&Ing Out Drug Samples To Poor Patients
.
4 Prescribing All Generic Medications To Cut Costs
.
4. Criteria For Choosing An Effective Drug For A Disorder Include:
1. Asking The Patient What Drug They Think Would Work Best For Them
2. ConsultingNationallyRecognizedGuidelinesForDiseaseManagement
3. Prescribing Medications That Are Available As Samples Before Writing A Prescription
4. Following U.S. Drug Enforcement Administration Guidelines For Prescribing
5. Nurse Practitioner Practice May Thrive Under Health-Care Reform Because Of:
1 TheDemonstratedAbilityOfNursePractitionersToControlCosts&ImprovePatientOutcomes
.
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
.
Chapter 2. Review Of Basic Principles Of Pharmacology
1. A Patient’s Nutritional Intake & Laboratory Results Reflect Hypoalbuminemia. This Is Critical To Prescribing Because:
1 DistributionOfDrugsToTargetTissueMayBeAffected.
.
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.
.
2. Drugs That Have A Significant First-Pass Effect:
1 Must Be Given By The Enteral (Oral) Route Only
.
2 Bypass The Hepatic Circulation
.
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2 ADV Pharm | Textbook | Studyguide
3 AreRapidlyMetabolizedByTheLiver&MayHaveLittleIfAnyDesiredAction
.
4 Are Converted By The Liver To More Active & Fat-Soluble Forms
.
3. The Route Of Excretion Of A Volatile Drug Will Likely Be The:
1 Kidneys
.
2 Lungs
.
3 Bile & Feces
.
4 Skin
.
4. 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 IncreaseTheLengthOfTimeADrugIsAvailable&Active
.
4 Are Most Common In Collagen Tissues
.
5. 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 BiologicalHalf-Life
.
3 Pharmacodynamics
.
4 Safety & Side Effects
.
6. 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 RapidlyAchievesDrugLevelsInTheTherapeuticRange
.
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
.
7. 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 OnsetOfAction
.
4 Therapeutic Range
.
8. Phenytoin Requires That A Trough Level Be Drawn. Peak & Trough Levels Are Done:
1 When The Drug Has A Wide Therapeutic Range
.
2 When The Drug Will Be Administered For A Short Time Only
.
3 When There Is A High Correlation Between The Dose & Saturation Of Receptor Sites
.
4 ToDetermineIfADrugIsInTheTherapeuticRange
.
9. A Laboratory Result Indicates That The Peak Level For A Drug Is Above The Minimum Toxic Concentration. This Means That The:
1 Concentration Will Produce Therapeutic Effects
.
2 ConcentrationWillProduceAnAdverseResponse
.
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3 Time Between Doses Must Be Shortened
.
4 Duration Of Action Of The Drug Is Too Long
.
10. Drugs That Are Receptor Agonists May Demonstrate What Property?
1 Irreversible Binding To The Drug Receptor Site
.
2 Upregulation With Chronic Use
.
3 DesensitizationOrDownregulationWithContinuousUse
.
4 Inverse Relationship Between Drug Concentration & Drug Action
.
11. Drugs That Are Receptor Antagonists, Such As Beta Blockers, May Cause:
1 Downregulation Of The Drug Receptor
.
2 AnExaggeratedResponseIfAbruptlyDiscontinued
.
3 Partial Blockade Of The Effects Of Agonist Drugs
.
4 An Exaggerated Response To Competitive Drug Agonists
.
12. Factors That Affect Gastric Drug Absorption Include:
1 Liver Enzyme Activity
.
2 Protein-Binding Properties Of The Drug Molecule
.
3 LipidSolubilityOfTheDrug
.
4 Ability To Chew & Swallow
.
13. Drugs Administered Via IV:
1 Need To Be Lipid Soluble In Order To Be Easily Absorbed
.
2 BeginDistributionIntoTheBodyImmediately
.
3 Are Easily Absorbed If They Are Nonionized
.
4 May Use Pinocytosis To Be Absorbed
.
14. When A Medication Is Added To A Regimen For A Synergistic Effect, The Combined Effect Of The Drugs Is:
1 The Sum Of The Effects Of Each Drug Individually
.
2 GreaterThanTheSumOfTheEffectsOfEachDrugIndividually
.
3 Less Than The Effect Of Each Drug Individually
.
4 Not Predictable, As It Varies With Each Individual
.
15. Which Of The Following Statements About Bioavailability Is True?
1 Bioavailability Issues Are Especially Important For Drugs With Narrow Therapeutic Ranges Or Sustained-Release
. Mechanisms.
2 All Brands Of A Drug Have The Same Bioavailability.
.
3 Drugs That Are Administered More Than Once A Day Have Greater Bioavailability Than Drugs Given Once Daily.
.
4 Combining An Active Drug With An Inert Substance Does Not Affect Bioavailability.
.
16. Which Of The Following Statements About The Major Distribution Barriers (Blood-Brain Or Fetal-Placental) Is True?
1 Water Soluble & Ionized Drugs Cross These Barriers Rapidly.
.
2 TheBlood-BrainBarrierSlowsTheEntryOfManyDrugsInto&FromBrainCells.
.
3 The Fetal-Placental Barrier Protects The Fetus From Drugs Taken By The Mother.
.
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4 Lipid-Soluble Drugs Do Not Pass These Barriers & Are Safe For Pregnant Women.
.
17. Drugs Are Metabolized Mainly By The Liver Via Phase I Or Phase II Reactions. The Purpose Of Both Of These Types Of Reactions Is To:
1 Inactivate Prodrugs Before They Can Be Activated By Target Tissues
.
2 Change The Drugs So They Can Cross Plasma Membranes
.
3 ChangeDrugMoleculesToAFormThatAnExcretoryOrganCanExcrete
.
4 Make These Drugs More Ionized & Polar To Facilitate Excretion
.
18. Once They Have Been Metabolized By The Liver, The Metabolites May Be:
1. More Active Than The Parent Drug
2. Less Active Than The Parent Drug
3. Totally “Deactivated” So They Are Excreted Without Any Effect
4. AllOfTheAbove
19. All Drugs Continue To Act In The Body Until They Are Changed Or Excreted. The Ability Of The Body To Excrete Drugs Via The Renal
System Would Be Increased By:
1 Reduced Circulation & Perfusion Of The Kidney
.
2 Chronic Renal Disease
.
3 Competition For A Transport Site By Another Drug
.
4 UnbindingANonvolatileDrugFromPlasmaProteins
.
20. Steady State Is:
1. The Point On The Drug Concentration Curve When Absorption Exceeds Excretion
2. WhenTheAmountOfDrugInTheBodyRemainsConstant
3. When The Amount Of Drug In The Body Stays Below The Minimum Toxic Concentration
4. All Of The Above
21. Two Different Pain Medications Are Given Together For Pain Relief. The Drug —Drug Interaction Is:
1 Synergistic
.
2 Antagonistic
.
3 Potentiative
.
4 Additive
.
22. Actions Taken To Reduce Drug—Drug Interaction Problems Include All Of The Following EXCEPT:
1 Reducing The Dosage Of One Of The Drugs
.
2 Scheduling Their Administration At Different Times
.
3 PrescribingAThirdDrugToCounteractTheAdverseReactionOfTheCombination
.
4 Reducing The Dosage Of Both Drugs
.
23. Phase I Oxidative-Reductive Processes Of Drug Metabolism Require Certain Nutritional Elements. Which Of The Following Would
Reduce Or Inhibit This Process?
1. Protein Malnutrition
2. Iron-Deficiency Anemia
3. Both 1 & 2
4. Neither1Nor2
24. The Time Required For The Amount Of Drug In The Body To Decrease By 50% Is Called:
1 Steady State
.
2 Half-Life
.
3 Phase II Metabolism
.
4 Reduced Bioavailability Time
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NSG 6005 ADV PHARM FINAL EXAM TEST BANK
QUESTIONS AND ANSWERS
Chapter 1. The Role Of The Nurse Practitioner
1. Nurse Practitioner Prescriptive Authority Is Regulated By:
1 The National Council Of State Boards Of Nursing
.
2 The U.S. Drug Enforcement Administration
.
3 TheStateBoardOfNursingForEachState
.
4 The State Board Of Pharmacy
.
2. 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 & In Their APRN Program.
2 Nurses Care For The Patient From A Holistic Approach & Include The Patient In Decision Making Regarding Their
. Care.
3 Aprns Are Less Likely To Prescribe Narcotics & 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.
3. Clinical Judgment In Prescribing Includes:
1 FactoringInTheCostToThePatientOfTheMedicationPrescribed
.
2 Always Prescribing The Newest Medication Available For The Disease Process
.
3 H&Ing Out Drug Samples To Poor Patients
.
4 Prescribing All Generic Medications To Cut Costs
.
4. Criteria For Choosing An Effective Drug For A Disorder Include:
1. Asking The Patient What Drug They Think Would Work Best For Them
2. ConsultingNationallyRecognizedGuidelinesForDiseaseManagement
3. Prescribing Medications That Are Available As Samples Before Writing A Prescription
4. Following U.S. Drug Enforcement Administration Guidelines For Prescribing
5. Nurse Practitioner Practice May Thrive Under Health-Care Reform Because Of:
1 TheDemonstratedAbilityOfNursePractitionersToControlCosts&ImprovePatientOutcomes
.
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
.
Chapter 2. Review Of Basic Principles Of Pharmacology
1. A Patient’s Nutritional Intake & Laboratory Results Reflect Hypoalbuminemia. This Is Critical To Prescribing Because:
1 DistributionOfDrugsToTargetTissueMayBeAffected.
.
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.
.
2. Drugs That Have A Significant First-Pass Effect:
1 Must Be Given By The Enteral (Oral) Route Only
.
2 Bypass The Hepatic Circulation
.
, Stuvia.co.uk - The Marketplace for Revision Notes & Study Guides
2 ADV Pharm | Textbook | Studyguide
3 AreRapidlyMetabolizedByTheLiver&MayHaveLittleIfAnyDesiredAction
.
4 Are Converted By The Liver To More Active & Fat-Soluble Forms
.
3. The Route Of Excretion Of A Volatile Drug Will Likely Be The:
1 Kidneys
.
2 Lungs
.
3 Bile & Feces
.
4 Skin
.
4. 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 IncreaseTheLengthOfTimeADrugIsAvailable&Active
.
4 Are Most Common In Collagen Tissues
.
5. 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 BiologicalHalf-Life
.
3 Pharmacodynamics
.
4 Safety & Side Effects
.
6. 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 RapidlyAchievesDrugLevelsInTheTherapeuticRange
.
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
.
7. 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 OnsetOfAction
.
4 Therapeutic Range
.
8. Phenytoin Requires That A Trough Level Be Drawn. Peak & Trough Levels Are Done:
1 When The Drug Has A Wide Therapeutic Range
.
2 When The Drug Will Be Administered For A Short Time Only
.
3 When There Is A High Correlation Between The Dose & Saturation Of Receptor Sites
.
4 ToDetermineIfADrugIsInTheTherapeuticRange
.
9. A Laboratory Result Indicates That The Peak Level For A Drug Is Above The Minimum Toxic Concentration. This Means That The:
1 Concentration Will Produce Therapeutic Effects
.
2 ConcentrationWillProduceAnAdverseResponse
.
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3 Time Between Doses Must Be Shortened
.
4 Duration Of Action Of The Drug Is Too Long
.
10. Drugs That Are Receptor Agonists May Demonstrate What Property?
1 Irreversible Binding To The Drug Receptor Site
.
2 Upregulation With Chronic Use
.
3 DesensitizationOrDownregulationWithContinuousUse
.
4 Inverse Relationship Between Drug Concentration & Drug Action
.
11. Drugs That Are Receptor Antagonists, Such As Beta Blockers, May Cause:
1 Downregulation Of The Drug Receptor
.
2 AnExaggeratedResponseIfAbruptlyDiscontinued
.
3 Partial Blockade Of The Effects Of Agonist Drugs
.
4 An Exaggerated Response To Competitive Drug Agonists
.
12. Factors That Affect Gastric Drug Absorption Include:
1 Liver Enzyme Activity
.
2 Protein-Binding Properties Of The Drug Molecule
.
3 LipidSolubilityOfTheDrug
.
4 Ability To Chew & Swallow
.
13. Drugs Administered Via IV:
1 Need To Be Lipid Soluble In Order To Be Easily Absorbed
.
2 BeginDistributionIntoTheBodyImmediately
.
3 Are Easily Absorbed If They Are Nonionized
.
4 May Use Pinocytosis To Be Absorbed
.
14. When A Medication Is Added To A Regimen For A Synergistic Effect, The Combined Effect Of The Drugs Is:
1 The Sum Of The Effects Of Each Drug Individually
.
2 GreaterThanTheSumOfTheEffectsOfEachDrugIndividually
.
3 Less Than The Effect Of Each Drug Individually
.
4 Not Predictable, As It Varies With Each Individual
.
15. Which Of The Following Statements About Bioavailability Is True?
1 Bioavailability Issues Are Especially Important For Drugs With Narrow Therapeutic Ranges Or Sustained-Release
. Mechanisms.
2 All Brands Of A Drug Have The Same Bioavailability.
.
3 Drugs That Are Administered More Than Once A Day Have Greater Bioavailability Than Drugs Given Once Daily.
.
4 Combining An Active Drug With An Inert Substance Does Not Affect Bioavailability.
.
16. Which Of The Following Statements About The Major Distribution Barriers (Blood-Brain Or Fetal-Placental) Is True?
1 Water Soluble & Ionized Drugs Cross These Barriers Rapidly.
.
2 TheBlood-BrainBarrierSlowsTheEntryOfManyDrugsInto&FromBrainCells.
.
3 The Fetal-Placental Barrier Protects The Fetus From Drugs Taken By The Mother.
.
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4 Lipid-Soluble Drugs Do Not Pass These Barriers & Are Safe For Pregnant Women.
.
17. Drugs Are Metabolized Mainly By The Liver Via Phase I Or Phase II Reactions. The Purpose Of Both Of These Types Of Reactions Is To:
1 Inactivate Prodrugs Before They Can Be Activated By Target Tissues
.
2 Change The Drugs So They Can Cross Plasma Membranes
.
3 ChangeDrugMoleculesToAFormThatAnExcretoryOrganCanExcrete
.
4 Make These Drugs More Ionized & Polar To Facilitate Excretion
.
18. Once They Have Been Metabolized By The Liver, The Metabolites May Be:
1. More Active Than The Parent Drug
2. Less Active Than The Parent Drug
3. Totally “Deactivated” So They Are Excreted Without Any Effect
4. AllOfTheAbove
19. All Drugs Continue To Act In The Body Until They Are Changed Or Excreted. The Ability Of The Body To Excrete Drugs Via The Renal
System Would Be Increased By:
1 Reduced Circulation & Perfusion Of The Kidney
.
2 Chronic Renal Disease
.
3 Competition For A Transport Site By Another Drug
.
4 UnbindingANonvolatileDrugFromPlasmaProteins
.
20. Steady State Is:
1. The Point On The Drug Concentration Curve When Absorption Exceeds Excretion
2. WhenTheAmountOfDrugInTheBodyRemainsConstant
3. When The Amount Of Drug In The Body Stays Below The Minimum Toxic Concentration
4. All Of The Above
21. Two Different Pain Medications Are Given Together For Pain Relief. The Drug —Drug Interaction Is:
1 Synergistic
.
2 Antagonistic
.
3 Potentiative
.
4 Additive
.
22. Actions Taken To Reduce Drug—Drug Interaction Problems Include All Of The Following EXCEPT:
1 Reducing The Dosage Of One Of The Drugs
.
2 Scheduling Their Administration At Different Times
.
3 PrescribingAThirdDrugToCounteractTheAdverseReactionOfTheCombination
.
4 Reducing The Dosage Of Both Drugs
.
23. Phase I Oxidative-Reductive Processes Of Drug Metabolism Require Certain Nutritional Elements. Which Of The Following Would
Reduce Or Inhibit This Process?
1. Protein Malnutrition
2. Iron-Deficiency Anemia
3. Both 1 & 2
4. Neither1Nor2
24. The Time Required For The Amount Of Drug In The Body To Decrease By 50% Is Called:
1 Steady State
.
2 Half-Life
.
3 Phase II Metabolism
.
4 Reduced Bioavailability Time
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