PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
Chaptert1.tThetRoletoftthetNursetPractitionert
MultipletChoice
Identifytthetchoicetthattbesttcompletestthetstatementtortanswerstthetquestion.
t tt 1.tNursetpractitionertprescriptivetauthoritytistregulatedt by:
1. ThetNationaltCounciltoftStatetBoardstoftNursing
2. ThetU.S.tDrugtEnforcementtAdministration
3. ThetStatetBoardtoftNursingtforteachtstate
4. ThetStatetBoardtoftPharmacy
t
2.tThetbenefitsttotthetpatienttofthavingtantAdvancedtPracticetRegisteredtNurset(APRN)tprescribe
tt
rtinclude:
1. NursestknowtmoretabouttPharmacologytthantothertprescriberstbecausettheyttaketittbot
htinttheirtbasictnursingtprogramtandtinttheirtAPRNtprogram.
2. Nursestcaretfortthetpatienttfromtatholistictapproachtandtincludetthetpatienttin
decisiontmakingtregardingttheirtcare.
3. APRNstaretlesstlikelyttotprescribetnarcoticstandtothertcontrolledtsubstances.
4. APRNstaretablettotprescribetindependentlytintalltstates,twhereastatphysician’stassi
stanttneedsttothavetatphysiciantsupervisingttheirtpractice.
t tt 3.tClinicaltjudgmenttintprescribingt includes:
1. Factoringtintthetcostttotthetpatienttoftthetmedicationtprescribed
2. Alwaystprescribingtthetnewesttmedicationtavailabletfortthetdiseasetprocess
3. Handingtouttdrugtsamplesttotpoortpatients
4. Prescribingtalltgenerictmedicationsttotcuttcosts
t tt 4.tCriteriatfortchoosingtanteffectivetdrugtfortatdisordert include:
1. Askingtthetpatienttwhattdrugttheytthinktwouldtworktbesttfortthem
2. Consultingtnationallytrecognizedtguidelinestfortdiseasetmanagement
3. Prescribingtmedicationstthattaretavailabletastsamplestbeforetwritingtatprescription
4. FollowingtU.S.tDrugtEnforcementtAdministrationtguidelinestfortprescribing
t tt 5.tNursetpractitionertpracticetmaytthrivetunderthealth-caretreformtbecauset of:
1. Thetdemonstratedtabilitytoftnursetpractitionersttotcontroltcoststandtimprovetpatienttout
comes
2. Thetfacttthattnursetpractitionerstwilltbetablettotpracticetindependently
3. Thetfacttthattnursetpractitionerstwillthavetfulltreimbursementtunderthealth-
caretreform
4. ThetabilityttotshifttaccountabilitytfortMedicaidttotthetstatetlevel
,PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
, PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
Chaptert1.tThetRoletoftthetNursetPractitionertA
nswertSection
MULTIPLEtCHOICE
1. ANS:ttt 3 PTS:t 1
2. ANS:ttt 2 PTS:t 1
3. ANS:ttt 1 PTS:t 1
4. ANS:ttt 2 PTS:t 1
5. ANS:ttt 1 PTS:t 1
Chaptert2.tReviewtoftBasictPrinciplestoftPharmacologyt
MultipletChoice
Identifytthetchoicetthattbesttcompletestthetstatementtortanswerstthetquestion.
t
tt 1.tAtpatient’stnutritionaltintaketandtlaboratorytresultstreflectthypoalbuminemia.tThististcriticaltt
otprescribingtbecause:
1. Distributiontoftdrugsttottargetttissuetmaytbetaffected.
2. Thetsolubilitytoftthetdrugtwilltnottmatchtthetsitetoftabsorption.
3. Theretwilltbetlesstfreetdrugtavailablettotgeneratetanteffect.
4. Drugstboundttotalbumintaretreadilytexcretedtbytthetkidneys.
t tt 2.tDrugstthatthavetatsignificanttfirst-passt effect:
1. Musttbetgiventbytthetenteralt(oral)troutetonly
2. Bypasstthethepatictcirculation
3. Aretrapidlytmetabolizedtbytthetlivertandtmaythavetlittletiftanytdesiredtaction
4. Aretconvertedtbytthetliverttotmoretactivetandtfat-solubletforms
t tt 3.tThetroutetoftexcretiontoftatvolatiletdrugtwilltlikelytbet the:
1. Kidneys
2. Lungs
3. Biletandtfeces
4. Skin
t
4.tMedroxyprogesteronet(DepotProvera)tistprescribedtintramuscularlyt(IM)ttotcreatetatstora
tt
getreservoirtoftthetdrug.tStoragetreservoirs:
1. Assuretthattthetdrugtwilltreachtitstintendedttargetttissue
2. Aretthetreasontfortgivingtloadingtdoses
3. Increasetthetlengthtofttimetatdrugtistavailabletandtactive
4. Aretmosttcommontintcollagenttissues
t tt 5.tThetNPtchoosesttotgivetcephalexinteveryt8thourstbasedtontknowledgetoftthetdrug’s:
1. Propensityttotgottotthettargettreceptor
2. Biologicalthalf-life
3. Pharmacodynamics
4. Safetytandtsideteffects
, PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
t
tt 6.tAzithromycintdosingtrequirestthattthetfirsttday’stdosagetbettwicetthosetoftthetothert4tdaystoftthet
prescription.tThististconsideredtatloadingtdose.tAtloadingtdose:
1. Rapidlytachievestdrugtlevelstintthettherapeutictrange
2. Requirestfour-ttotfive-half-livesttotattain
3. Istinfluencedtbytrenaltfunction
4. Istdirectlytrelatedttotthetdrugtcirculatingttotthettargetttissues
t tt 7.tThetpointtinttimetontthetdrugtconcentrationtcurvetthattindicatestthetfirsttsigntoftattherapeuticteffecttistthe:
1. Minimumtadverseteffecttlevel
2. Peaktoftaction
PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
Chaptert1.tThetRoletoftthetNursetPractitionert
MultipletChoice
Identifytthetchoicetthattbesttcompletestthetstatementtortanswerstthetquestion.
t tt 1.tNursetpractitionertprescriptivetauthoritytistregulatedt by:
1. ThetNationaltCounciltoftStatetBoardstoftNursing
2. ThetU.S.tDrugtEnforcementtAdministration
3. ThetStatetBoardtoftNursingtforteachtstate
4. ThetStatetBoardtoftPharmacy
t
2.tThetbenefitsttotthetpatienttofthavingtantAdvancedtPracticetRegisteredtNurset(APRN)tprescribe
tt
rtinclude:
1. NursestknowtmoretabouttPharmacologytthantothertprescriberstbecausettheyttaketittbot
htinttheirtbasictnursingtprogramtandtinttheirtAPRNtprogram.
2. Nursestcaretfortthetpatienttfromtatholistictapproachtandtincludetthetpatienttin
decisiontmakingtregardingttheirtcare.
3. APRNstaretlesstlikelyttotprescribetnarcoticstandtothertcontrolledtsubstances.
4. APRNstaretablettotprescribetindependentlytintalltstates,twhereastatphysician’stassi
stanttneedsttothavetatphysiciantsupervisingttheirtpractice.
t tt 3.tClinicaltjudgmenttintprescribingt includes:
1. Factoringtintthetcostttotthetpatienttoftthetmedicationtprescribed
2. Alwaystprescribingtthetnewesttmedicationtavailabletfortthetdiseasetprocess
3. Handingtouttdrugtsamplesttotpoortpatients
4. Prescribingtalltgenerictmedicationsttotcuttcosts
t tt 4.tCriteriatfortchoosingtanteffectivetdrugtfortatdisordert include:
1. Askingtthetpatienttwhattdrugttheytthinktwouldtworktbesttfortthem
2. Consultingtnationallytrecognizedtguidelinestfortdiseasetmanagement
3. Prescribingtmedicationstthattaretavailabletastsamplestbeforetwritingtatprescription
4. FollowingtU.S.tDrugtEnforcementtAdministrationtguidelinestfortprescribing
t tt 5.tNursetpractitionertpracticetmaytthrivetunderthealth-caretreformtbecauset of:
1. Thetdemonstratedtabilitytoftnursetpractitionersttotcontroltcoststandtimprovetpatienttout
comes
2. Thetfacttthattnursetpractitionerstwilltbetablettotpracticetindependently
3. Thetfacttthattnursetpractitionerstwillthavetfulltreimbursementtunderthealth-
caretreform
4. ThetabilityttotshifttaccountabilitytfortMedicaidttotthetstatetlevel
,PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
, PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
Chaptert1.tThetRoletoftthetNursetPractitionertA
nswertSection
MULTIPLEtCHOICE
1. ANS:ttt 3 PTS:t 1
2. ANS:ttt 2 PTS:t 1
3. ANS:ttt 1 PTS:t 1
4. ANS:ttt 2 PTS:t 1
5. ANS:ttt 1 PTS:t 1
Chaptert2.tReviewtoftBasictPrinciplestoftPharmacologyt
MultipletChoice
Identifytthetchoicetthattbesttcompletestthetstatementtortanswerstthetquestion.
t
tt 1.tAtpatient’stnutritionaltintaketandtlaboratorytresultstreflectthypoalbuminemia.tThististcriticaltt
otprescribingtbecause:
1. Distributiontoftdrugsttottargetttissuetmaytbetaffected.
2. Thetsolubilitytoftthetdrugtwilltnottmatchtthetsitetoftabsorption.
3. Theretwilltbetlesstfreetdrugtavailablettotgeneratetanteffect.
4. Drugstboundttotalbumintaretreadilytexcretedtbytthetkidneys.
t tt 2.tDrugstthatthavetatsignificanttfirst-passt effect:
1. Musttbetgiventbytthetenteralt(oral)troutetonly
2. Bypasstthethepatictcirculation
3. Aretrapidlytmetabolizedtbytthetlivertandtmaythavetlittletiftanytdesiredtaction
4. Aretconvertedtbytthetliverttotmoretactivetandtfat-solubletforms
t tt 3.tThetroutetoftexcretiontoftatvolatiletdrugtwilltlikelytbet the:
1. Kidneys
2. Lungs
3. Biletandtfeces
4. Skin
t
4.tMedroxyprogesteronet(DepotProvera)tistprescribedtintramuscularlyt(IM)ttotcreatetatstora
tt
getreservoirtoftthetdrug.tStoragetreservoirs:
1. Assuretthattthetdrugtwilltreachtitstintendedttargetttissue
2. Aretthetreasontfortgivingtloadingtdoses
3. Increasetthetlengthtofttimetatdrugtistavailabletandtactive
4. Aretmosttcommontintcollagenttissues
t tt 5.tThetNPtchoosesttotgivetcephalexinteveryt8thourstbasedtontknowledgetoftthetdrug’s:
1. Propensityttotgottotthettargettreceptor
2. Biologicalthalf-life
3. Pharmacodynamics
4. Safetytandtsideteffects
, PharmacotherapeuticstfortAdvancedtPracticetNursetPrescriberst5thtEditiontWootRobinsontTesttBank
t
tt 6.tAzithromycintdosingtrequirestthattthetfirsttday’stdosagetbettwicetthosetoftthetothert4tdaystoftthet
prescription.tThististconsideredtatloadingtdose.tAtloadingtdose:
1. Rapidlytachievestdrugtlevelstintthettherapeutictrange
2. Requirestfour-ttotfive-half-livesttotattain
3. Istinfluencedtbytrenaltfunction
4. Istdirectlytrelatedttotthetdrugtcirculatingttotthettargetttissues
t tt 7.tThetpointtinttimetontthetdrugtconcentrationtcurvetthattindicatestthetfirsttsigntoftattherapeuticteffecttistthe:
1. Minimumtadverseteffecttlevel
2. Peaktoftaction
