NURS 615 PHARM EXAM BANK
Questions and Guide Answers
100% Verified Graded A+
1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
Answer: C. The State Board of Nursing for each state
2. The benefits to the patient of having an Advanced Practice Registered Nurse
(APRN) prescriber include:
A. Nurses know more about Pharmacology than other prescribers because
they take it both in their basic nursing program and in their APRN program.
B. Nurses care for the patient from a holistic approach and include the patient
,in decision making regarding their care.
C. APRNs are less likely to prescribe narcotics and other controlled sub-
stances.
D. APRNs are able to prescribe independently in all states, whereas a physi-
cian's
Answer: B. Nurses care for the patient from a holistic approach and include the patient in decision making
regarding their care.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process
C. Handing out drug samples to poor patients
D. Prescribing all generic medications to cut costs
Answer: A. Factoring in the cost to the patient of the medication prescribed
4. Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a
,prescription
D. Following U.S. Drug Enforcement Administration guidelines for prescrib-
ing
Answer: B. Consulting nationally recognized guidelines for disease management
5. Nurse practitioner practice may thrive under health-care reform because
of:
A. The demonstrated ability of nurse practitioners to control costs and im-
prove patient outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under
health-care reform
D. The ability to shift accountability for Medicaid to the state level
Answer: A. The demon- strated ability of nurse practitioners to control costs and improve patient
outcomes
6. 1. A patient's nutritional intake and laboratory results reflect hypoalbumine-
mia. This is critical to prescribing because:
1. Distribution of drugs to 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 attected.
7. 2. 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
8. 3. The route of excretion of a volatile drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
Answer: 2. Lungs
Questions and Guide Answers
100% Verified Graded A+
1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
Answer: C. The State Board of Nursing for each state
2. The benefits to the patient of having an Advanced Practice Registered Nurse
(APRN) prescriber include:
A. Nurses know more about Pharmacology than other prescribers because
they take it both in their basic nursing program and in their APRN program.
B. Nurses care for the patient from a holistic approach and include the patient
,in decision making regarding their care.
C. APRNs are less likely to prescribe narcotics and other controlled sub-
stances.
D. APRNs are able to prescribe independently in all states, whereas a physi-
cian's
Answer: B. Nurses care for the patient from a holistic approach and include the patient in decision making
regarding their care.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process
C. Handing out drug samples to poor patients
D. Prescribing all generic medications to cut costs
Answer: A. Factoring in the cost to the patient of the medication prescribed
4. Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a
,prescription
D. Following U.S. Drug Enforcement Administration guidelines for prescrib-
ing
Answer: B. Consulting nationally recognized guidelines for disease management
5. Nurse practitioner practice may thrive under health-care reform because
of:
A. The demonstrated ability of nurse practitioners to control costs and im-
prove patient outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under
health-care reform
D. The ability to shift accountability for Medicaid to the state level
Answer: A. The demon- strated ability of nurse practitioners to control costs and improve patient
outcomes
6. 1. A patient's nutritional intake and laboratory results reflect hypoalbumine-
mia. This is critical to prescribing because:
1. Distribution of drugs to 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 attected.
7. 2. 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
8. 3. The route of excretion of a volatile drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
Answer: 2. Lungs
