Chamberlain University-Illinois NR 507
Lehne’s Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants (2nd Edition Rosenthal
Test Bank)
C
Terms in this set (916)
b. Independent
Ch 1 Prescriptive Authority 2. Which factors a.More patients will have access to health care.
increase the need for APRNs to have
full prescriptive authority?
Ch 1 Prescriptive Authority 3. Which factors a.Inaccessibility of patient care
could be attributed to limited prescriptive b. Higher health care costs
authority for APRNs? Select all that
apply.
Ch 1 Prescriptive Authority 4. Which a.Clinical education includes prescription of medications and
aspects support the APRN's provision for disease processes.
full prescriptive authority? Select all that c. National examinations provide validation of the APRN's
apply ability to provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 5. Which aspects a. Clinical education includes prescription of medications and
support the APRN's provision for full disease processes.
prescriptive authority? Select all that apply. c. National examinations provide validation of the APRN's
ability to provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
,Ch 1 Prescriptive Authority 6. A family nurse a. The APRN will have less prescriptive authority in the new
practitioner practicing in Maine is hired at a position.
practice across state lines in Virginia. Which
aspect of practice may change for the
APRN?
Ch 2 Rational Drug Selection and b. Pharmacists have additional information on
Prescription Writing 7. How can drug interactions.
collaboration with a pharmacist improve c. The pharmacist can suggest adequate medication dosing.
positive outcomes for patients? Select all d. Pharmacists have firsthand knowledge of the
that apply. facility formulary.
Ch 2 Rational Drug Selection and a.Obtain a telephone order.
Prescription Writing 8. A patient presents
with delirium tremens requiring Ativan
administration. The provider of care is not in
the facility. Which action by the nurse is
most appropriate?
Ch 2 Rational Drug Selection and b. Schedule an appointment with the patient.
Prescription Writing 9. A patient with
chronic pain calls the provider's office to
request a refill on their oxycontin. Which
action is most appropriate?
Ch 2 Rational Drug Selection and b. Discontinue the medication.
Prescription Writing 10. A patient
prescribed amoxicillin for streptococcal
pharyngitis reports new onset of a flat,
itchy red rash on the chest and neck.
Which action is most important?
Ch 2 Rational Drug Selection and b. Obtain a complete medication history.
Prescription Writing 11. A patient taking three
medications for hypertension is
diagnosed with COPD. Which action
should be taken prior to prescribing
medications to treat COPD?
Ch 2 Rational Drug Selection and c. Contact a different pharmacy.
Prescription Writing 12. A patient with
diabetes reports losing their job and
an inability to purchase required
medications. Which action is most
appropriate?
Ch 2 Rational Drug Selection and a.DEA number missing from prescription
Prescription Writing 13. A patient recently b. Prescription sent via electronic messenger
prescribed hydrocodone calls to report d. Prescriber license number not included
they are unable to fill the prescription.
Which factors could contribute to the
inability to fill the prescription? Select all
that apply.
,Ch 3 Promoting Positive Outcomes of Drug a. Ask the patient about the number and frequency of tablets
Therapy 14. A patient reports that a taken.
medication prescribed for recurrent
migraine headaches is not working. Which
action should be taken first?
Ch 3 Promoting Positive Outcomes of c. Drinks two glasses of wine every night
Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which
patient history finding would be most
concerning?
Ch 3 Promoting Positive Outcomes of c. Auscultating lung sounds and obtaining vital signs
Drug Therapy 16. A patient is using a
metered-dose inhaler containing
albuterol for asthma. The medication
label instructs the patient to administer
"two puffs every 4 hours as needed for
coughing or wheezing." The patient reports
feeling jittery sometimes when taking the
medication, and she doesn't feel that the
medication is always effective. Which
action is most appropriate?
Ch 3 Promoting Positive Outcomes of Drug a. Asking the patient to demonstrate how to measure and
Therapy 17. A patient newly diagnosed with administer insulin
diabetes is to be discharged from the
hospital. Which action should be taken first
during medication education?
Ch 3 Promoting Positive Outcomes of Drug a.Obtain pretreatment laboratory work.
Therapy 18. The drug manual states that
older adult patients are at increased risk for
hepatic side effects. Which action is
most important when prescribing this
medication to an 80-year-old patient?
Ch 3 Promoting Positive Outcomes of Drug a.The patient is uninsured
Therapy 19. A patient recently b.The patient works three part-time jobs
diagnosed with HIV is prescribed several c.The medication regimen includes six different pills
medications to treat the condition. Which e. Medication regimen requires medication be taken at
factors could impact the patient's regular 4-hour intervals.
adherence to the treatment regimen?
Select all that apply.
Ch 3 Promoting Positive Outcomes of c. Ensure periodic laboratory testing is completed.
Drug Therapy 20. A patient diagnosed
with bipolar disorder is prescribed daily
lithium. Which action is most important to
determine if the therapeutic level is
maintained?
, Ch 4 Pharmacokinetics, c. Preventing activation of opioid receptors through
Pharmacodynamics, and Drug Interactions antagonist actions
21. The nurse administers naloxone
[Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse
understands that the naloxone is
effective because of which action?
Ch 4 Pharmacokinetics, Pharmacodynamics, c. higher; X
and Drug Interactions 22. A patient is taking
drug X and receives a new prescription
for drug Y, which is listed as an inducing
agent. The nurse caring for this patient
understands that this patient may require
doses of drug
Ch 4 Pharmacokinetics, Pharmacodynamics, d. "This drug would be inactivated by enzymes in the
and Drug Interactions 23. The nurse is stomach."
preparing to administer penicillin G
intramuscularly to a child. The child's parents
ask why the drug cannot be given in an oral
liquid form. What is the nurse's reply?
Ch 4 Pharmacokinetics, d. Some foods can inhibit CYP isoenzymes and alter drug
Pharmacodynamics, and Drug Interactions metabolism.
24. Which statement about food and drug
interactions is true?
Ch 4 Pharmacokinetics, b. Decreased elimination through the kidneys
Pharmacodynamics, and Drug Interactions
25. A nurse is teaching a patient about a
drug that induces P-glycoprotein. The
nurse will explain that this drug may
cause which effect on other drugs?
Ch 4 Pharmacokinetics, Pharmacodynamics, c. Tablets can differ in composition and can have
and Drug Interactions 26. A patient claims to differing rates of disintegration and dissolution, which
get better effects with a tablet of Brand X of can alter the drug's effects in the body.
a drug than with a tablet of Brand Y of
the same drug. Both brands contain the
same amount of the active ingredient. What
does the nurse know to be most likely?
Ch 4 Pharmacokinetics, b. Affinity refers to the strength of the attraction between a
Pharmacodynamics, and Drug Interactions drug and its receptor.
27. Two nurses are discussing theories c. Drugs with high affinity are strongly attracted to their
of drug-receptor interaction. Which receptors.
statements are true regarding the e. The affinity of a drug for its receptors is reflected in its
affinity of a drug and its receptor? potency.
Ch 4 Pharmacokinetics, c. Monitor plasma drug levels.
Pharmacodynamics, and Drug Interactions
28. A patient receives a drug that has a
narrow therapeutic range. The nurse
administering this medication will expect
to do what?
Lehne’s Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants (2nd Edition Rosenthal
Test Bank)
C
Terms in this set (916)
b. Independent
Ch 1 Prescriptive Authority 2. Which factors a.More patients will have access to health care.
increase the need for APRNs to have
full prescriptive authority?
Ch 1 Prescriptive Authority 3. Which factors a.Inaccessibility of patient care
could be attributed to limited prescriptive b. Higher health care costs
authority for APRNs? Select all that
apply.
Ch 1 Prescriptive Authority 4. Which a.Clinical education includes prescription of medications and
aspects support the APRN's provision for disease processes.
full prescriptive authority? Select all that c. National examinations provide validation of the APRN's
apply ability to provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 5. Which aspects a. Clinical education includes prescription of medications and
support the APRN's provision for full disease processes.
prescriptive authority? Select all that apply. c. National examinations provide validation of the APRN's
ability to provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
,Ch 1 Prescriptive Authority 6. A family nurse a. The APRN will have less prescriptive authority in the new
practitioner practicing in Maine is hired at a position.
practice across state lines in Virginia. Which
aspect of practice may change for the
APRN?
Ch 2 Rational Drug Selection and b. Pharmacists have additional information on
Prescription Writing 7. How can drug interactions.
collaboration with a pharmacist improve c. The pharmacist can suggest adequate medication dosing.
positive outcomes for patients? Select all d. Pharmacists have firsthand knowledge of the
that apply. facility formulary.
Ch 2 Rational Drug Selection and a.Obtain a telephone order.
Prescription Writing 8. A patient presents
with delirium tremens requiring Ativan
administration. The provider of care is not in
the facility. Which action by the nurse is
most appropriate?
Ch 2 Rational Drug Selection and b. Schedule an appointment with the patient.
Prescription Writing 9. A patient with
chronic pain calls the provider's office to
request a refill on their oxycontin. Which
action is most appropriate?
Ch 2 Rational Drug Selection and b. Discontinue the medication.
Prescription Writing 10. A patient
prescribed amoxicillin for streptococcal
pharyngitis reports new onset of a flat,
itchy red rash on the chest and neck.
Which action is most important?
Ch 2 Rational Drug Selection and b. Obtain a complete medication history.
Prescription Writing 11. A patient taking three
medications for hypertension is
diagnosed with COPD. Which action
should be taken prior to prescribing
medications to treat COPD?
Ch 2 Rational Drug Selection and c. Contact a different pharmacy.
Prescription Writing 12. A patient with
diabetes reports losing their job and
an inability to purchase required
medications. Which action is most
appropriate?
Ch 2 Rational Drug Selection and a.DEA number missing from prescription
Prescription Writing 13. A patient recently b. Prescription sent via electronic messenger
prescribed hydrocodone calls to report d. Prescriber license number not included
they are unable to fill the prescription.
Which factors could contribute to the
inability to fill the prescription? Select all
that apply.
,Ch 3 Promoting Positive Outcomes of Drug a. Ask the patient about the number and frequency of tablets
Therapy 14. A patient reports that a taken.
medication prescribed for recurrent
migraine headaches is not working. Which
action should be taken first?
Ch 3 Promoting Positive Outcomes of c. Drinks two glasses of wine every night
Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which
patient history finding would be most
concerning?
Ch 3 Promoting Positive Outcomes of c. Auscultating lung sounds and obtaining vital signs
Drug Therapy 16. A patient is using a
metered-dose inhaler containing
albuterol for asthma. The medication
label instructs the patient to administer
"two puffs every 4 hours as needed for
coughing or wheezing." The patient reports
feeling jittery sometimes when taking the
medication, and she doesn't feel that the
medication is always effective. Which
action is most appropriate?
Ch 3 Promoting Positive Outcomes of Drug a. Asking the patient to demonstrate how to measure and
Therapy 17. A patient newly diagnosed with administer insulin
diabetes is to be discharged from the
hospital. Which action should be taken first
during medication education?
Ch 3 Promoting Positive Outcomes of Drug a.Obtain pretreatment laboratory work.
Therapy 18. The drug manual states that
older adult patients are at increased risk for
hepatic side effects. Which action is
most important when prescribing this
medication to an 80-year-old patient?
Ch 3 Promoting Positive Outcomes of Drug a.The patient is uninsured
Therapy 19. A patient recently b.The patient works three part-time jobs
diagnosed with HIV is prescribed several c.The medication regimen includes six different pills
medications to treat the condition. Which e. Medication regimen requires medication be taken at
factors could impact the patient's regular 4-hour intervals.
adherence to the treatment regimen?
Select all that apply.
Ch 3 Promoting Positive Outcomes of c. Ensure periodic laboratory testing is completed.
Drug Therapy 20. A patient diagnosed
with bipolar disorder is prescribed daily
lithium. Which action is most important to
determine if the therapeutic level is
maintained?
, Ch 4 Pharmacokinetics, c. Preventing activation of opioid receptors through
Pharmacodynamics, and Drug Interactions antagonist actions
21. The nurse administers naloxone
[Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse
understands that the naloxone is
effective because of which action?
Ch 4 Pharmacokinetics, Pharmacodynamics, c. higher; X
and Drug Interactions 22. A patient is taking
drug X and receives a new prescription
for drug Y, which is listed as an inducing
agent. The nurse caring for this patient
understands that this patient may require
doses of drug
Ch 4 Pharmacokinetics, Pharmacodynamics, d. "This drug would be inactivated by enzymes in the
and Drug Interactions 23. The nurse is stomach."
preparing to administer penicillin G
intramuscularly to a child. The child's parents
ask why the drug cannot be given in an oral
liquid form. What is the nurse's reply?
Ch 4 Pharmacokinetics, d. Some foods can inhibit CYP isoenzymes and alter drug
Pharmacodynamics, and Drug Interactions metabolism.
24. Which statement about food and drug
interactions is true?
Ch 4 Pharmacokinetics, b. Decreased elimination through the kidneys
Pharmacodynamics, and Drug Interactions
25. A nurse is teaching a patient about a
drug that induces P-glycoprotein. The
nurse will explain that this drug may
cause which effect on other drugs?
Ch 4 Pharmacokinetics, Pharmacodynamics, c. Tablets can differ in composition and can have
and Drug Interactions 26. A patient claims to differing rates of disintegration and dissolution, which
get better effects with a tablet of Brand X of can alter the drug's effects in the body.
a drug than with a tablet of Brand Y of
the same drug. Both brands contain the
same amount of the active ingredient. What
does the nurse know to be most likely?
Ch 4 Pharmacokinetics, b. Affinity refers to the strength of the attraction between a
Pharmacodynamics, and Drug Interactions drug and its receptor.
27. Two nurses are discussing theories c. Drugs with high affinity are strongly attracted to their
of drug-receptor interaction. Which receptors.
statements are true regarding the e. The affinity of a drug for its receptors is reflected in its
affinity of a drug and its receptor? potency.
Ch 4 Pharmacokinetics, c. Monitor plasma drug levels.
Pharmacodynamics, and Drug Interactions
28. A patient receives a drug that has a
narrow therapeutic range. The nurse
administering this medication will expect
to do what?
