NR 508 WEEK 4 MIDTERM EXAM VERSION 2
FINAL PAPER 2026 QUESTIONS WITH
SOLUTIONS
◉ The benefits to the patient of having an APRN prescriber include:
1. Nurses know more about Pharmacology than other prescribers
because they take it both in their basic nursing program and in their
APRN program
2. Nurses care for the patient from a holistic approach and include
the patient in decision 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
PA needs to have a physician supervising their practice.. Answer: 2.
Nurse care for the patient from a holistic approach and include the
patient in decision making regarding their care
◉ Clinical judgement in prescribing includes:
1. Factoring in the cost to the patient of the medication prescribed.
,2. Always prescribing the newest medication available for the
disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut cost. Answer: 1.
Factoring in the cost to the patient of the medication prescribed
◉ Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what 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. DEA guidelines for prescribing.. Answer: 2.
Consulting nationally recognized guidelines for disease management
,◉ Nurse practitioner care may thrive under health-care reform
because of:
1. The demonstrated ability of nurse practitioners to control costs
and improve patient outcomes.
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.
Answer: The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes.
◉ A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This is critical to prescribing because:
1. Distribution of the drugs to the target tissue may be affected
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.
Answer: 1. Distribution of drugs to target tissue may be affected.
◉ 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.
Answer: 3. Are rapidly metabolized by the liver and may have little if
any desired action
◉ The route of excretion of a volatile drug will likely be the:
1. Kidneys
2. Lungs
FINAL PAPER 2026 QUESTIONS WITH
SOLUTIONS
◉ The benefits to the patient of having an APRN prescriber include:
1. Nurses know more about Pharmacology than other prescribers
because they take it both in their basic nursing program and in their
APRN program
2. Nurses care for the patient from a holistic approach and include
the patient in decision 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
PA needs to have a physician supervising their practice.. Answer: 2.
Nurse care for the patient from a holistic approach and include the
patient in decision making regarding their care
◉ Clinical judgement in prescribing includes:
1. Factoring in the cost to the patient of the medication prescribed.
,2. Always prescribing the newest medication available for the
disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut cost. Answer: 1.
Factoring in the cost to the patient of the medication prescribed
◉ Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what 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. DEA guidelines for prescribing.. Answer: 2.
Consulting nationally recognized guidelines for disease management
,◉ Nurse practitioner care may thrive under health-care reform
because of:
1. The demonstrated ability of nurse practitioners to control costs
and improve patient outcomes.
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.
Answer: The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes.
◉ A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This is critical to prescribing because:
1. Distribution of the drugs to the target tissue may be affected
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.
Answer: 1. Distribution of drugs to target tissue may be affected.
◉ 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.
Answer: 3. Are rapidly metabolized by the liver and may have little if
any desired action
◉ The route of excretion of a volatile drug will likely be the:
1. Kidneys
2. Lungs
