Lehne’s Pharmacotherapeutics for Advanced
Practice Nurses and Physician Assistants (2nd
Edition Rosenthal Test Bank)examination
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 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 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
drug Prescription Writing 7. How can 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
facility
that apply. 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 Drug c. Drinks two glasses of wine every
night Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which
patient history finding would be most
concerning?
Ch 3 Promoting Positive Outcomes of Drug c. Auscultating lung sounds and obtaining vital
signs 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 diagnosed b. The patient works three part-time jobs
with HIV is prescribed several medications c. The medication regimen includes six different pills
to treat the condition. Which factors could e. Medication regimen requires medication be taken at
regular impact the patient's adherence to the 4-hour intervals.
treatment regimen? Select all that apply.
, Ch 3 Promoting Positive Outcomes of Drug c. Ensure periodic laboratory testing is completed.
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, Pharmacodynamics, c. Preventing activation of opioid receptors
through and Drug Interactions 21. The nurse antagonist actions
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, Pharmacodynamics, d. Some foods can inhibit CYP isoenzymes and
alter drug and Drug Interactions 24. Which statement metabolism.
about food and drug interactions is true?
Ch 4 Pharmacokinetics, Pharmacodynamics, b. Decreased elimination through
the kidneys 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
differing and Drug Interactions 26. A patient claims to rates of disintegration and dissolution, which
can alter the get better effects with a tablet of Brand X of 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, Pharmacodynamics, b. Affinity refers to the strength of the attraction
between a and Drug Interactions 27. Two nurses are drug and its receptor.
discussing theories of drug-receptor c. Drugs with high affinity are strongly attracted to their
interaction. Which statements are true receptors.
regarding the affinity of a drug and its e. The affinity of a drug for its receptors is reflected in
its receptor? potency.
Practice Nurses and Physician Assistants (2nd
Edition Rosenthal Test Bank)examination
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 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 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
drug Prescription Writing 7. How can 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
facility
that apply. 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 Drug c. Drinks two glasses of wine every
night Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which
patient history finding would be most
concerning?
Ch 3 Promoting Positive Outcomes of Drug c. Auscultating lung sounds and obtaining vital
signs 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 diagnosed b. The patient works three part-time jobs
with HIV is prescribed several medications c. The medication regimen includes six different pills
to treat the condition. Which factors could e. Medication regimen requires medication be taken at
regular impact the patient's adherence to the 4-hour intervals.
treatment regimen? Select all that apply.
, Ch 3 Promoting Positive Outcomes of Drug c. Ensure periodic laboratory testing is completed.
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, Pharmacodynamics, c. Preventing activation of opioid receptors
through and Drug Interactions 21. The nurse antagonist actions
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, Pharmacodynamics, d. Some foods can inhibit CYP isoenzymes and
alter drug and Drug Interactions 24. Which statement metabolism.
about food and drug interactions is true?
Ch 4 Pharmacokinetics, Pharmacodynamics, b. Decreased elimination through
the kidneys 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
differing and Drug Interactions 26. A patient claims to rates of disintegration and dissolution, which
can alter the get better effects with a tablet of Brand X of 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, Pharmacodynamics, b. Affinity refers to the strength of the attraction
between a and Drug Interactions 27. Two nurses are drug and its receptor.
discussing theories of drug-receptor c. Drugs with high affinity are strongly attracted to their
interaction. Which statements are true receptors.
regarding the affinity of a drug and its e. The affinity of a drug for its receptors is reflected in
its receptor? potency.
