NURS 615 EXAM 1 STUDY GUIDE FULL
QUESTIONS WITH DETAILED ANSWERS
●● 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
substances.
D. APRNs are able to prescribe independently in all states, whereas a
physician's
Answer: B. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
●● 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
●● 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
prescribing
Answer: B. Consulting nationally recognized guidelines for disease
management
●● Nurse practitioner practice may thrive under health-care reform
because of:
A. The demonstrated ability of nurse practitioners to control costs and
improve 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 demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
,●● 1. A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. 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 affected.
●● 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
●● 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
, ●● 4. Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of the drug. Storage
reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and active
4. Are most common in collagen tissues
Answer: 3. Increase the length of time a drug is available and active
●● 5. The NP chooses to give cephalexin every 8 hours based on
knowledge of the drug's:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
4. Safety and side effects
Answer: 2. Biological half-life
●● 6. Azithromycin dosing requires that the first day's dosage be twice
those of the other 4 days of the prescription. This is considered a loading
dose. A loading dose:
1. Rapidly achieves drug levels in the therapeutic range
2. Requires four- to five-half-lives to attain
QUESTIONS WITH DETAILED ANSWERS
●● 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
substances.
D. APRNs are able to prescribe independently in all states, whereas a
physician's
Answer: B. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
●● 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
●● 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
prescribing
Answer: B. Consulting nationally recognized guidelines for disease
management
●● Nurse practitioner practice may thrive under health-care reform
because of:
A. The demonstrated ability of nurse practitioners to control costs and
improve 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 demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
,●● 1. A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. 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 affected.
●● 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
●● 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
, ●● 4. Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of the drug. Storage
reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and active
4. Are most common in collagen tissues
Answer: 3. Increase the length of time a drug is available and active
●● 5. The NP chooses to give cephalexin every 8 hours based on
knowledge of the drug's:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
4. Safety and side effects
Answer: 2. Biological half-life
●● 6. Azithromycin dosing requires that the first day's dosage be twice
those of the other 4 days of the prescription. This is considered a loading
dose. A loading dose:
1. Rapidly achieves drug levels in the therapeutic range
2. Requires four- to five-half-lives to attain
