Advanced Pharmacology Test Bank - 2025 Comprehensive Study Guide for NP, PharmD & Clinical Students

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ADVANCED PHARMACOLOGY TEST BANK ALL CHAP
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TERS QUESTIONS AND ANSWERS WITH RATIONALES
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Chapterg01:gPrescriptivegAuthoritygandgRolegImplementation:gTraditiongvs.gChange
gTestgBank



MULTIPLEgCHOICE

1. Whichgofgthegfollowingghasginfluencedgangemphasisgongprimarygcaregeducationgingmedic
algschools?
a. ChangesgingMedicaregreimbursementgmet
hodsgrecommendedging1992
b. Competitiongfromgnonphysiciansgdesiringg
togmeetgprimarygcaregshortages
c. Thegneedgforgmonopolisticgcontrolgingtheg
marketplacegofgprimarygoutpatientgcare
d. Thegrecognitiongthatgnonphysiciansghavegv
ariablegsuccessgprovidinggprimarygcare
ANS:g A
ThegPhysiciangPaymentgReviewgCommissionging1992gdirectlygincreasedgfinancialgreimb
ursementgtogcliniciansgwhogprovidegprimarygcare.gCoupledgwithgagshortagegofgprimarygca
regproviders,gthisgincentivegledgmedicalgschoolsgtogplaceggreatergemphasisgongpreparinggp
rimarygcaregphysicians.gCompetitiongfromgnonphysiciansgincreasedgcoincidentallygasgpro
fessionalsgfromgothergdisciplinesgsteppedgupgtogmeetgthegneeds.
Nonphysiciansghaveghadgincreasinggsuccessgatgprovidinggprimarygcaregandghavegbeengsho
wngtogbegsafegandgeffective.

DIF: CognitivegLevel:gRememberingg(Knowledge) REF:g 2

2. Whichgofgthegfollowinggstatementsgisgtruegaboutgthegprescribinggpracticesgofgphysicians?
a. Oldergphysiciansgtendgtogprescribegmorega
ppropriategmedicationsgthangyounger
physicians.
b. Antibioticgmedicationsgremaingingthegtopgf
ivegclassificationsgofgmedicationsgprescrib
ed.
c. Mostgphysiciansgrelygongag“therapeuticgar
mamentarium”gthatgconsistsgofglessgthang1
00gdruggpreparationsgpergphysician.
d. Thegdominantgformgofgdrugginformationgu
sedgbygprimarygcaregphysiciansgcontinuesg
togbegthatgprovidedgbygpharmaceutical
companies.

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ANS:g D
Evengthoughgmostgphysiciansgclaimgtogplaceglittlegweightgongdruggadvertisements,
pharmaceuticalgrepresentatives,gandgpatientgpreferencegandgstategthatgtheygrelygongacade
micgsourcesgforgdrugginformation,gagstudygshowedgthatgcommercialgrathergthangscientificg
sourcesgofgdrugginformationgdominatedgtheirgdrugginformationgmaterials.gYoungergphysic
iansgtendgtogprescribegfewergandgmoregappropriategdrugs.gAntibioticsghavegdroppedgoutgof
gthegtopgfivegclassificationsgofgdrugsgprescribed.gMostgphysiciansghavegagtherapeuticgarm
amentariumgofgaboutg144gdrugs.

DIF: CognitivegLevel:gRememberingg(Knowledge) REF:g 3

3. Asgprimarygcaregnursegpractitionersg(NPs)gcontinuegtogdevelopgtheirgrolegasgprescribersg
ofgmedications,gitgwillgbegimportantgto:
a. attaingthegsameglevelgofgexpertisega
sgphysiciansgwhogcurrentlygprescri
begmedications.
b. learngfromgthegexperiencesgofgphysiciansg
andgdevelopgexpertisegbasedgongevidence-
gbasedgpractice.

c. maintaingcollaborativegandgsupervisorialgr
elationshipsgwithgphysiciansgwhogwillgove
rseegprescribinggpractices.
d. developgrelationshipsgwithgpharmaceutical
representativesgtoglearngaboutgnewgmedic
ationsgasgtheygaregdeveloped.
ANS:g B
Asgnonphysiciansgdevelopgthegrolesgassociatedgwithgprescriptivegauthority,gitgwillgbegimp
ortantgtoglearngfromgthegpastgexperiencesgofgphysiciansgandgtogdevelopgprescribinggpracti
cesgbasedgongevidence-
basedgmedicine.gItgisghopedgthatgallgprescribers,gincludinggphysiciansgandgnursegpractitio
ners,gwillgstrivegtogdogbettergthangingthegpast.gNPsgshouldgworkgtowardgprescriptivegautho
ritygandgforgpracticegthatgisgnotgsupervisedgbyganothergprofessional.gPharmaceuticalgrepre
sentativesgprovideginformationgthatgcarriesgsomegbias.gAcademicgsourcesgaregbetter.

DIF: CognitivegLevel:gApplyingg(Application) REF:g 4

Chapterg02:gHistoricalgReviewgofgPrescriptivegAuthority:gThegRolegofgNursesg(NPs,g
CNMs,gCRNAs,gandgCNSs)gandgPhysiciangAssistants
TestgBank

MULTIPLEgCHOICE

1. AgprimarygcaregNPgwillgbegingpracticinggingagstategingwhichgtheggovernorghasgoptedgoutg
ofgthegfederalgfacilitygreimbursementgrequirement.gThegNPgshouldgbegawaregthatgthisgdef
inesghowgNPsgmaygwritegprescriptions:

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a. withoutgphysiciangsupervisiongingprivategp
ractice.
b. asgCRNAsgwithoutgphysiciangsupervisiong
ingaghospitalgsetting.
c. inganygsituationgbutgwillgnotgbegreimburse
dgforgthisgbyggovernmentginsurers.
d. onlygwithgphysiciangsupervisiongingbothgpr
ivategpracticegandgaghospitalgsetting.
ANS:g B
Ing2001,gthegCentersgforgMedicaregandgMedicaidgServicesgchangedgthegfederalgphysiciang
supervisiongrulegforgCRNAsgtogallowgstateggovernorsgtogoptgout,gallowinggCRNAsgtogwrit
egprescriptionsgandgdispensegdrugsgwithoutgphysiciangsupervision.

DIF: CognitivegLevel:gUnderstandingg(Comprehension) REF:g 9

2. CRNAsgingmostgstates:
a. mustghavegagDruggEnforcementgAdminist
rationg(DEA)gnumbergtogpractice.
b. mustghavegprescriptivegauthoritygtogpractic
e.
c. ordergandgadministergcontrolledgsubstancesg
butgdognotghavegfullgprescriptivegauthority.
d. administergmedications,gincluding
gcontrolledgsubstances,gundergdirec
tgphysiciangsupervision.
ANS:g C
OnlygfivegstatesggrantgindependentgprescriptivegauthoritygtogCRNAs.gCRNAsgdognotgreq
uiregprescriptivegauthoritygbecausegtheygdispensegagdruggimmediatelygtogagpatientgandgdog
notgprescribe.gWithoutgprescriptivegauthority,gtheygdognotgneedgagDEAgnumber.

DIF: CognitivegLevel:gUnderstandingg(Comprehension) REF:g 9

3. AgCNM:
a. maygtreatgonlygwomen.
b. hasgprescriptivegauthoritygingallg50gstates.
c. maygadministergonlygdrugsgusedgduringgla
borgandgdelivery.
d. maygpracticegonlygingbirthinggcentersgandg
homegbirthgsettings.
ANS:g B

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CNMsghavegprescriptivegauthoritygingallg50gstates.gTheygmaygtreatgpartnersgofgwomengf
orgsexuallygtransmittedgdiseases.gTheyghavegfullgprescriptivegauthoritygandgaregnotglimite
dgtogdrugsgusedgduringgchildbirth.gTheygpracticegingmanygothergtypesgofgsettings.

DIF:g g CognitivegLevel:gRememberingg(Knowledge) REF:g 9

4. Ingeverygstate,gprescriptivegauthoritygforgNPsgincludesgthegabilitygtogwritegprescriptions:
a. forgcontrolledgsubstances.
b. forgspecifiedgclassificationsgofgmedicatio
ns.
c. withoutgphysician-mandatedginvolvement.
d. withgfull,gindependentgprescriptivegauthori
ty.
ANS:g B
AllgstatesgnowghavegsomegdegreegofgprescriptivegauthorityggrantedgtogNPs,gbutgnotgallgsta
tesgallowgauthoritygtogprescribegcontrolledgsubstances.gManygstatesgstillgrequiregsomegdeg
reegofgphysicianginvolvementgwithgcertaingtypesgofgdrugs.

DIF:g g CognitivegLevel:gUnderstandingg(Comprehension) REF:g 12

5. ThegcurrentgtrendgtowardgtransitioninggNPgprogramsgtogthegdoctoralglevelgwillgmeangthat:
a. NPsglicensedgingonegstategmaygpracticeging
othergstates.
b. fullgprescriptivegauthoritygwillgbeggranted
gtogallgNPsgwithgdoctoralgdegrees.

c. NPsgwillgbegbettergpreparedgtogmeetgemer
gingghealthgcaregneedsgofgpatients.
d. requirementsgforgphysiciangsupervisiongofg
NPsgwillgbegremovedgingallgstates.
ANS:g C
ThegAmericangAssociationgofgCollegesgofgNursingghasgrecommendedgtransitioningggrad
uateglevelgNPgprogramsgtogthegdoctoralglevelgasgagresponsegtogchangesginghealthgcaregdeli
verygandgemergingghealthgcaregneeds.gNPsgwithgdoctoralgdegreesgwillgnotgnecessarilygha
vegfullgprescriptivegauthoritygorgbegfreedgfromgrequirementsgaboutgphysiciang supervision
gbecausegthosegaregsubjectgtogindividualgstateglaws.gNPsgwillgstillgbegrequiredgtogmeetglice
nsuregrequirementsgofgeachgstate.

DIF: CognitivegLevel:gUnderstandingg(Comprehension) REF:g 12

6. Angimportantgdifferencegbetweengphysiciangassistantsg(PAs)gandgNPsgisgPAs:
a. alwaysgworkgundergphysiciangsupervision.
b. aregnotgrequiredgtogfollowgdruggtreatment