Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 6th Edition by Woo & Robinson – Complete Test Bank

PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
NURSE PRESCRIBERS 6TH EDITION WOO ROBINSON TEST
BANK

, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK

CH 1. The Role of the Caregiver Practitioner

Multiple selection
Identify the option that best completes the statement or answers the question.


1. Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Medical drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy

2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
(APRN) prescriberinclude:
1. Caregivers know more about Pharmacology than other prescribers because they
take itboth in their basic nursing program and in their APRN program.
2. Caregivers care for the hospital client from a holistic approach and include
the hospital client indecision making regarding their care.
3. APRNs are less likely to prescribe narcotics and 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. Factoring in the cost to the hospital client of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out medical drug samples to poor hospital clients
4. Prescribing all generic medications to cut costs
4. Criteria for choosing an effective medical drug for a disorder include:
1. Asking the hospital client what medical drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing

5. Caregiver practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of caregiver practitioners to control costs and improve
hospital client outcomes
2. The fact that caregiver practitioners will be able to practice independently
3. The fact that caregiver practitioners will have full reimbursement under health-
carereform
4. The ability to shift accountability for Medicaid to the state level

,CH 1. The Role of the Caregiver Practitioner
Answer Section

MULTIPLE SELECTION

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CH 2. Review of Basic Principles of Pharmacology

Multiple selection
Identify the option that best completes the statement or answers the question.


1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
critical toprescribing because:
1. Distribution of medical drugs to target tissue may be affected.
2. The solubility of the medical drug will not match the site of absorption.
3. There will be less free medical drug available to generate an effect.
4. Medical drugs bound to albumin are readily excreted by the kidneys.

2. Medical drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little if any desired action
4. Are converted by the liver to more active and fat-soluble forms
3. The route of excretion of a volatile medical drug will likely be the:
1. Kidneys
2. Lungs

, 3. Bile and feces
4. Skin

4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the medical drug. Storage reservoirs:
1. Assure that the medical drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a medical drug is available and active
4. Are most common in collagen tissues
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
4. Safety and 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. Rapidly achieves medical drug levels in the therapeutic range
2. Requires four- to five-half-lives to attain
3. Is influenced by renal function
4. Is directly related to the medical drug circulating to the target tissues

7. The point in time on the medical drug concentration curve that indicates the first sign of a
therapeutic effectis the:
1. Minimum adverse effect level
2. Peak of action
3. Onset of action
4. Therapeutic range

8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
1. When the medical drug has a wide therapeutic range
2. When the medical drug will be administered for a short time only
3. When there is a high correlation between the dose and saturation of receptor sites
4. To determine if a medical drug is in the therapeutic range

9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
concentration.
This means that the:
1. Concentration will produce therapeutic effects
2. Concentration will produce an adverse response
3. Time between doses must be shortened
4. Duration of action of the medical drug is too long

10. Medical drugs that are receptor agonists may demonstrate what property?
1. Irreversible binding to the medical drug receptor site
2. Upregulation with chronic use
3. Desensitization or downregulation with continuous use
4. Inverse relationship between medical drug concentration and medical drug action

11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
1. Downregulation of the medical drug receptor
2. An exaggerated response if abruptly discontinued