U N I V E R S I T Y O F A L A B A M A AT B I R M I N G H A M · S C H O O L O F N U R S I N G
NUR 600 Exam 1
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Advanced Pharmacology — Pharmacokinetics,
Pharmacodynamics, ADRs
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NUR 600 · UAB Page 1
,NUR 600 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Advanced Pharmacology — Pharmacokinetics,
Pharmacodynamics, ADRs
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
Correct Answer: C — NP prescriptive authority is regulated by the State Board of Nursing
for each state.
A — The NCSBN is a national organization but does not regulate prescriptive authority.
B — The DEA regulates controlled substances but not overall prescriptive authority.
D — The State Board of Pharmacy regulates pharmacies, not prescriptive authority.
,2 Physician Assistant (PA) 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
D The State Board of Medical Examiners
Correct Answer: D — PA prescriptive authority is regulated by the State Board of Medical
Examiners.
A — The NCSBN regulates nursing, not PAs.
B — The DEA regulates controlled substances.
C — The State Board of Nursing regulates nursing, not PAs.
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
Correct Answer: A — Clinical judgment in prescribing includes factoring in the cost to the
patient of the medication prescribed.
B — Newest medications are not always the best choice.
C — Giving samples is not the primary clinical judgment factor.
D — Generics are preferred but not always appropriate.
, 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 (DEA) guidelines for prescribing
Correct Answer: B — Nationally recognized guidelines for disease management are the
best criteria for choosing an effective drug.
A — Patients are not experts in pharmacotherapy.
C — Samples should not drive prescribing decisions.
D — DEA guidelines address controlled substances, not overall drug selection.
5 Nurse practitioner practice may thrive under health-care reform due to:
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
Correct Answer: A — NPs thrive due to their demonstrated ability to control costs and
improve patient outcomes.
B — Independence is not the primary reason.
C — Full reimbursement is not guaranteed.
D — This is not the primary reason.
NUR 600 Exam 1
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Advanced Pharmacology — Pharmacokinetics,
Pharmacodynamics, ADRs
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NUR 600 · UAB Page 1
,NUR 600 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Advanced Pharmacology — Pharmacokinetics,
Pharmacodynamics, ADRs
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
Correct Answer: C — NP prescriptive authority is regulated by the State Board of Nursing
for each state.
A — The NCSBN is a national organization but does not regulate prescriptive authority.
B — The DEA regulates controlled substances but not overall prescriptive authority.
D — The State Board of Pharmacy regulates pharmacies, not prescriptive authority.
,2 Physician Assistant (PA) 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
D The State Board of Medical Examiners
Correct Answer: D — PA prescriptive authority is regulated by the State Board of Medical
Examiners.
A — The NCSBN regulates nursing, not PAs.
B — The DEA regulates controlled substances.
C — The State Board of Nursing regulates nursing, not PAs.
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
Correct Answer: A — Clinical judgment in prescribing includes factoring in the cost to the
patient of the medication prescribed.
B — Newest medications are not always the best choice.
C — Giving samples is not the primary clinical judgment factor.
D — Generics are preferred but not always appropriate.
, 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 (DEA) guidelines for prescribing
Correct Answer: B — Nationally recognized guidelines for disease management are the
best criteria for choosing an effective drug.
A — Patients are not experts in pharmacotherapy.
C — Samples should not drive prescribing decisions.
D — DEA guidelines address controlled substances, not overall drug selection.
5 Nurse practitioner practice may thrive under health-care reform due to:
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
Correct Answer: A — NPs thrive due to their demonstrated ability to control costs and
improve patient outcomes.
B — Independence is not the primary reason.
C — Full reimbursement is not guaranteed.
D — This is not the primary reason.
