TESTBANK
m
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th m m m m m m
edition Woo Robinson Test Bank m m m m m
Chapter 1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
m m m m m m m m m m
Identify the choice that best completes the statement or answers the question.
m m m m m m m m m m m
1. Nurse practitioner prescriptive authority is regulated by:
m m m m m m m
1. The National Council of State Boards of Nursing
m m m m m m m
2. The U.S. Drug Enforcement Administration
m m m m
3. The State Board of Nursing for each state
m m m m m m m
4. The State Board of Pharmacy
m m m m
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
m m m m m m m m m m m m m m
include:
m
1. Nurses know more about Pharmacology than other prescribers because they take it
m m m m m m m m m m m
both in their basic nursing program and in their APRN program.
m m m m m m m m m m m
2. Nurses care for the patient from a holistic approach and include the patient in
m m m m m m m m m m m m m
decision making regarding their care.
m m m m m
3. APRNs are less likely to prescribe narcotics and other controlled substances.
m m m m m m m m m m
4. APRNs are able to prescribe independently in all states, whereas a physician’s
m m m m m m m m m m m
assistant needs to have a physician supervising their practice.
m m m m m m m m m
3. Clinical judgment in prescribing includes:
m m m m m
1. Factoring in the cost to the patient of the medication prescribed
m m m m m m m m m m
2. Always prescribing the newest medication available for the disease process
m m m m m m m m m
3. Handing out drug samples to poor patients m m m m m m
4. Prescribing all generic medications to cut costs m m m m m m
4. Criteria for choosing an effective drug for a disorder include:
m m m m m m m m m m
1. Asking the patient what drug they think would work best for them
m m m m m m m m m m m
2. Consulting nationally recognized guidelines for disease management m m m m m m
3. Prescribing medications that are available as samples before writing a prescription
m m m m m m m m m m
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
m m m m m m m
5. Nurse practitioner practice may thrive under health-care reform because of:
m m m m m m m m m m
1. The demonstrated ability of nurse practitioners to control costs and improve patient
m m m m m m m m m m m
outcomes m
2. The fact that nurse practitioners will be able to practice independently
m m m m m m m m m m
3. The fact that nurse practitioners will have full reimbursement under health-
m m m m m m m m m m
care reform m m
4. The ability to shift accountability for Medicaid to the state level
m m m m m m m m m m
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
m m m m m m
edition Woo Robinson Test Bank
m m m m m
Chapter 1. The Role of the Nurse Practitioner as Prescriber
m m m m m m m m m
Answer Section
m m
MULTIPLE CHOICE m
1. ANS: m m 3 PTS: m 1
2. ANS: m m 2 PTS: m 1
3. ANS: m m 1 PTS: m 1
4. ANS: m m 2 PTS: m 1
5. ANS: m m 1 PTS: m 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th m m m m m m
edition Woo Robinson Test Bank m m m m m
Chapter 2. Review of the Basic Principles of Pharmacology
m m m m m m m m
Multiple Choice
m m
Identify the choice that best completes the statement or answers the question.
m m m m m m m m m m m
1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
m m m m m m m m m m m m m
prescribing because:
m m
1. Distribution of drugs to target tissue may be affected. m m m m m m m m
2. The solubility of the drug will not match the site of absorption.
m m m m m m m m m m m
3. There will be less free drug available to generate an effect.
m m m m m m m m m m
4. Drugs bound to albumin are readily excreted by the kidneys.
m m m m m m m m m
2. Drugs that have a significant first-pass effect:
m m m m m m m
1. Must be given by the enteral (oral) route only
m m m m m m m m
2. Bypass the hepatic circulation m m m
3. Are rapidly metabolized by the liver and may have little if any desired action
m m m m m m m m m m m m m
4. Are converted by the liver to more active and fat-soluble forms
m m m m m m m m m m
3. The route of excretion of a volatile drug will likely be the:
m m m m m m m m m m m m m
1. Kidneys
2. Lungs
3. Bile and feces m m
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
m m m m m m m m m m m
reservoir of the drug. Storage reservoirs:
m m m m m m
1. Assure that the drug will reach its intended target tissue
m m m m m m m m m
2. Are the reason for giving loading doses
m m m m m m
3. Increase the length of time a drug is available and active m m m m m m m m m m
4. Are most common in collagen tissues
m m m m m
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
m m m m m m m m m m m m m m m
1. Propensity to go to the target receptor m m m m m m
2. Biological half-life m
3. Pharmacodynamics
4. Safety and side effects m m m
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
m m m m m m m m m m m m m m m m m m
prescription. This is considered a loading dose. A loading dose:
m m m m m m m m m m
1. Rapidly achieves drug levels in the therapeutic range m m m m m m m
2. Requires four- to five-half-lives to attain m m m m m
3. Is influenced by renal function
m m m m
4. Is directly related to the drug circulating to the target tissues
m m m m m m m m m m
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is
m m m m m m m m m m m m m m m m m m m
the: m
1. Minimum adverse effect level m m m
2. Peak of action m m
m
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th m m m m m m
edition Woo Robinson Test Bank m m m m m
Chapter 1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
m m m m m m m m m m
Identify the choice that best completes the statement or answers the question.
m m m m m m m m m m m
1. Nurse practitioner prescriptive authority is regulated by:
m m m m m m m
1. The National Council of State Boards of Nursing
m m m m m m m
2. The U.S. Drug Enforcement Administration
m m m m
3. The State Board of Nursing for each state
m m m m m m m
4. The State Board of Pharmacy
m m m m
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
m m m m m m m m m m m m m m
include:
m
1. Nurses know more about Pharmacology than other prescribers because they take it
m m m m m m m m m m m
both in their basic nursing program and in their APRN program.
m m m m m m m m m m m
2. Nurses care for the patient from a holistic approach and include the patient in
m m m m m m m m m m m m m
decision making regarding their care.
m m m m m
3. APRNs are less likely to prescribe narcotics and other controlled substances.
m m m m m m m m m m
4. APRNs are able to prescribe independently in all states, whereas a physician’s
m m m m m m m m m m m
assistant needs to have a physician supervising their practice.
m m m m m m m m m
3. Clinical judgment in prescribing includes:
m m m m m
1. Factoring in the cost to the patient of the medication prescribed
m m m m m m m m m m
2. Always prescribing the newest medication available for the disease process
m m m m m m m m m
3. Handing out drug samples to poor patients m m m m m m
4. Prescribing all generic medications to cut costs m m m m m m
4. Criteria for choosing an effective drug for a disorder include:
m m m m m m m m m m
1. Asking the patient what drug they think would work best for them
m m m m m m m m m m m
2. Consulting nationally recognized guidelines for disease management m m m m m m
3. Prescribing medications that are available as samples before writing a prescription
m m m m m m m m m m
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
m m m m m m m
5. Nurse practitioner practice may thrive under health-care reform because of:
m m m m m m m m m m
1. The demonstrated ability of nurse practitioners to control costs and improve patient
m m m m m m m m m m m
outcomes m
2. The fact that nurse practitioners will be able to practice independently
m m m m m m m m m m
3. The fact that nurse practitioners will have full reimbursement under health-
m m m m m m m m m m
care reform m m
4. The ability to shift accountability for Medicaid to the state level
m m m m m m m m m m
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
m m m m m m
edition Woo Robinson Test Bank
m m m m m
Chapter 1. The Role of the Nurse Practitioner as Prescriber
m m m m m m m m m
Answer Section
m m
MULTIPLE CHOICE m
1. ANS: m m 3 PTS: m 1
2. ANS: m m 2 PTS: m 1
3. ANS: m m 1 PTS: m 1
4. ANS: m m 2 PTS: m 1
5. ANS: m m 1 PTS: m 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th m m m m m m
edition Woo Robinson Test Bank m m m m m
Chapter 2. Review of the Basic Principles of Pharmacology
m m m m m m m m
Multiple Choice
m m
Identify the choice that best completes the statement or answers the question.
m m m m m m m m m m m
1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
m m m m m m m m m m m m m
prescribing because:
m m
1. Distribution of drugs to target tissue may be affected. m m m m m m m m
2. The solubility of the drug will not match the site of absorption.
m m m m m m m m m m m
3. There will be less free drug available to generate an effect.
m m m m m m m m m m
4. Drugs bound to albumin are readily excreted by the kidneys.
m m m m m m m m m
2. Drugs that have a significant first-pass effect:
m m m m m m m
1. Must be given by the enteral (oral) route only
m m m m m m m m
2. Bypass the hepatic circulation m m m
3. Are rapidly metabolized by the liver and may have little if any desired action
m m m m m m m m m m m m m
4. Are converted by the liver to more active and fat-soluble forms
m m m m m m m m m m
3. The route of excretion of a volatile drug will likely be the:
m m m m m m m m m m m m m
1. Kidneys
2. Lungs
3. Bile and feces m m
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
m m m m m m m m m m m
reservoir of the drug. Storage reservoirs:
m m m m m m
1. Assure that the drug will reach its intended target tissue
m m m m m m m m m
2. Are the reason for giving loading doses
m m m m m m
3. Increase the length of time a drug is available and active m m m m m m m m m m
4. Are most common in collagen tissues
m m m m m
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
m m m m m m m m m m m m m m m
1. Propensity to go to the target receptor m m m m m m
2. Biological half-life m
3. Pharmacodynamics
4. Safety and side effects m m m
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
m m m m m m m m m m m m m m m m m m
prescription. This is considered a loading dose. A loading dose:
m m m m m m m m m m
1. Rapidly achieves drug levels in the therapeutic range m m m m m m m
2. Requires four- to five-half-lives to attain m m m m m
3. Is influenced by renal function
m m m m
4. Is directly related to the drug circulating to the target tissues
m m m m m m m m m m
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is
m m m m m m m m m m m m m m m m m m m
the: m
1. Minimum adverse effect level m m m
2. Peak of action m m
