NGR6172 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision. How would the APRN's
prescriptive authority be described?
Answer:
Independent [prescriptive authority]
Question:
Which factors increase the need for APRNs to have full prescriptive authority?
Answer:
More patients will have access to health care
Question:
Which of the following is NOT a potential consequence of limiting prescriptive
authority for APRNs?
Answer:
Direct impact on patient's health literacy
Question:
Which statement about APRNs is accurate?
Answer:
imited prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care.
Question:
What is a consequence of limiting prescriptive authority for APRNs?
Answer:
It creates barriers to quality, affordable, and accessible patient care
Question:
A family nurse practitioner practicing in Maine is hired at a practice across state lines
in Virginia. Which aspect of practice may change for the APRN?
Answer:
The APRN will have less prescriptive authority in the new position
Question:
Why should APRNs collaborate with pharmacists?
Answer:
Pharmacists can provide additional information on formulary, drug interactions, and
adequate medication dosing.
,Question:
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?
Answer:
Obtain a telephone order
Question:
A patient with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?
Answer:
Schedule an appointment with the patient
Question:
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?
Answer:
Discontinue the medication
Question:
A patient taking three medications for hypertension is diagnosed with COPD. Which
action should be taken prior to prescribing medications to treat COPD?
Answer:
Obtain a complete medication history
Question:
A patient with diabetes reports losing their job and an inability to purchase required
medications. Which action is most appropriate?
Answer:
Selecting a different pharmacy could decrease the cost of the medication, as costs vary
based on the location and the pharmacy dispensing the medication
Question:
Which of the following is NOT required to be included on a hydrocodone prescription
for it to be filled?
Answer:
The prescription must be typed and cannot be handwritten
Question:
A patient reports that a medication prescribed for recurrent migraine headaches is not
working. Which action should be taken first?
Answer:
Ask the patient about the number and frequency of tablets taken
,Question:
A patient is prescribed metronidazole for bacterial
vaginosis. Which patient history finding would be most concerning?
Answer:
Drinks two glasses of wine every night
Question:
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?
Answer:
Auscultating lung sounds and obtaining vital signs
Question:
A patient newly diagnosed with diabetes is to be discharged from the hospital. Which
action should be taken first during medication education?
Answer:
Asking the patient to demonstrate how to measure and administer insulin
Question:
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?
Answer:
Obtain pretreatment laboratory work
Question:
Which combination of factors is most likely to inhibit a patient's adherence to their
medication regimen?
Answer:
Lack of insurance coverage, a complex medication regimen, and having three part-time
jobs
Question:
A patient diagnosed with bipolar disorder is prescribed daily lithium. Which action is
most important to determine if the therapeutic level is maintained?
Answer:
Ensure periodic laboratory testing is completed
Question:
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?
Answer:
Preventing activation of opioid receptors through antagonist actions
, Question:
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 _____.
Answer:
higher; X
Question:
The nurse is 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?
Answer:
"This drug would be inactivated by enzymes in the stomach"
Question:
Which statement about food and drug interactions is true?
Answer:
Some foods can inhibit CYP isoenzymes and alter drug metabolism
Question:
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?
Answer:
Decreased elimination through the kidneys
Question:
A patient claims to get better effects with a tablet of Brand X of 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?
Answer:
Tablets can differ in composition and can have differing rates of disintegration and
dissolution, which can alter the drug's effects in the body
Question:
What does the affinity of a drug refer to?
Answer:
The strength of the attraction between a drug and its receptor
Question:
A patient receives a drug that has a narrow therapeutic
range. The nurse administering this medication will expect to do what?
Answer:
Monitor plasma drug levels
CORRECT ANSWERS
Question:
An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not
require the APRN to practice under physician supervision. How would the APRN's
prescriptive authority be described?
Answer:
Independent [prescriptive authority]
Question:
Which factors increase the need for APRNs to have full prescriptive authority?
Answer:
More patients will have access to health care
Question:
Which of the following is NOT a potential consequence of limiting prescriptive
authority for APRNs?
Answer:
Direct impact on patient's health literacy
Question:
Which statement about APRNs is accurate?
Answer:
imited prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care.
Question:
What is a consequence of limiting prescriptive authority for APRNs?
Answer:
It creates barriers to quality, affordable, and accessible patient care
Question:
A family nurse practitioner practicing in Maine is hired at a practice across state lines
in Virginia. Which aspect of practice may change for the APRN?
Answer:
The APRN will have less prescriptive authority in the new position
Question:
Why should APRNs collaborate with pharmacists?
Answer:
Pharmacists can provide additional information on formulary, drug interactions, and
adequate medication dosing.
,Question:
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?
Answer:
Obtain a telephone order
Question:
A patient with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?
Answer:
Schedule an appointment with the patient
Question:
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?
Answer:
Discontinue the medication
Question:
A patient taking three medications for hypertension is diagnosed with COPD. Which
action should be taken prior to prescribing medications to treat COPD?
Answer:
Obtain a complete medication history
Question:
A patient with diabetes reports losing their job and an inability to purchase required
medications. Which action is most appropriate?
Answer:
Selecting a different pharmacy could decrease the cost of the medication, as costs vary
based on the location and the pharmacy dispensing the medication
Question:
Which of the following is NOT required to be included on a hydrocodone prescription
for it to be filled?
Answer:
The prescription must be typed and cannot be handwritten
Question:
A patient reports that a medication prescribed for recurrent migraine headaches is not
working. Which action should be taken first?
Answer:
Ask the patient about the number and frequency of tablets taken
,Question:
A patient is prescribed metronidazole for bacterial
vaginosis. Which patient history finding would be most concerning?
Answer:
Drinks two glasses of wine every night
Question:
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?
Answer:
Auscultating lung sounds and obtaining vital signs
Question:
A patient newly diagnosed with diabetes is to be discharged from the hospital. Which
action should be taken first during medication education?
Answer:
Asking the patient to demonstrate how to measure and administer insulin
Question:
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?
Answer:
Obtain pretreatment laboratory work
Question:
Which combination of factors is most likely to inhibit a patient's adherence to their
medication regimen?
Answer:
Lack of insurance coverage, a complex medication regimen, and having three part-time
jobs
Question:
A patient diagnosed with bipolar disorder is prescribed daily lithium. Which action is
most important to determine if the therapeutic level is maintained?
Answer:
Ensure periodic laboratory testing is completed
Question:
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?
Answer:
Preventing activation of opioid receptors through antagonist actions
, Question:
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 _____.
Answer:
higher; X
Question:
The nurse is 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?
Answer:
"This drug would be inactivated by enzymes in the stomach"
Question:
Which statement about food and drug interactions is true?
Answer:
Some foods can inhibit CYP isoenzymes and alter drug metabolism
Question:
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?
Answer:
Decreased elimination through the kidneys
Question:
A patient claims to get better effects with a tablet of Brand X of 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?
Answer:
Tablets can differ in composition and can have differing rates of disintegration and
dissolution, which can alter the drug's effects in the body
Question:
What does the affinity of a drug refer to?
Answer:
The strength of the attraction between a drug and its receptor
Question:
A patient receives a drug that has a narrow therapeutic
range. The nurse administering this medication will expect to do what?
Answer:
Monitor plasma drug levels
