TEST BANK FOR PHARMACOTHERAPEUTICS
FOR ADVANCED PRACTICE NURSE
PRESCRIBERS, 5TH EDITION WOO ROBINSON:
ISBN-10; 0803669267 / ISBN-13; 978-
0803669260 LATEST EDITION/ COMPLETE
SOLUTIONS FOR ALL CHAPTERS / GRADED A+
# TEST BANK FOR PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS, 5TH
EDITION WOO ROBINSON
## Chapter 1: Nurse Practitioner Prescriptive Authority
**1. Nurse practitioner prescriptive authority is regulated by:**
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
**ANS: 3** — Nurse practitioner prescriptive authority is regulated by the State Board of Nursing for
each state.
---
**2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
include:**
,1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic
nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach and include the patient in decision making
regarding their care.
3. APRNs are less likely to prescribe narcotics and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to have
a physician supervising their practice.
**ANS: 2** — Nurses care for the patient from a holistic approach and include the patient in decision
making regarding their care.
---
**3. Clinical judgment in prescribing includes:**
1. Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
**ANS: 1** — Factoring in the cost to the patient of the medication prescribed is an important part of
clinical judgment in prescribing.
---
**4. Criteria for choosing an effective drug for a disorder include:**
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
,3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
**ANS: 2** — Consulting nationally recognized guidelines for disease management is a key criterion for
choosing an effective drug.
---
**5. Nurse practitioner practice may thrive under health-care reform because of:**
1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state level
**ANS: 1** — The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes is a key factor.
---
## Chapter 2: Review of Basic Principles of Pharmacology
**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.
, **ANS: 1** — Distribution of drugs to target tissue may be affected. Albumin is a major carrier protein
for many drugs; hypoalbuminemia means less binding and altered distribution.
---
**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
**ANS: 3** — Are rapidly metabolized by the liver and may have little if any desired action. First-pass
effect means the drug is metabolized by the liver before reaching systemic circulation.
---
**3. The route of excretion of a volatile drug will likely be the:**
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
**ANS: 2** — Lungs. Volatile drugs are excreted through the lungs.
---
**4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:**
FOR ADVANCED PRACTICE NURSE
PRESCRIBERS, 5TH EDITION WOO ROBINSON:
ISBN-10; 0803669267 / ISBN-13; 978-
0803669260 LATEST EDITION/ COMPLETE
SOLUTIONS FOR ALL CHAPTERS / GRADED A+
# TEST BANK FOR PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS, 5TH
EDITION WOO ROBINSON
## Chapter 1: Nurse Practitioner Prescriptive Authority
**1. Nurse practitioner prescriptive authority is regulated by:**
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
**ANS: 3** — Nurse practitioner prescriptive authority is regulated by the State Board of Nursing for
each state.
---
**2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
include:**
,1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic
nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach and include the patient in decision making
regarding their care.
3. APRNs are less likely to prescribe narcotics and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to have
a physician supervising their practice.
**ANS: 2** — Nurses care for the patient from a holistic approach and include the patient in decision
making regarding their care.
---
**3. Clinical judgment in prescribing includes:**
1. Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
**ANS: 1** — Factoring in the cost to the patient of the medication prescribed is an important part of
clinical judgment in prescribing.
---
**4. Criteria for choosing an effective drug for a disorder include:**
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
,3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
**ANS: 2** — Consulting nationally recognized guidelines for disease management is a key criterion for
choosing an effective drug.
---
**5. Nurse practitioner practice may thrive under health-care reform because of:**
1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state level
**ANS: 1** — The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes is a key factor.
---
## Chapter 2: Review of Basic Principles of Pharmacology
**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.
, **ANS: 1** — Distribution of drugs to target tissue may be affected. Albumin is a major carrier protein
for many drugs; hypoalbuminemia means less binding and altered distribution.
---
**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
**ANS: 3** — Are rapidly metabolized by the liver and may have little if any desired action. First-pass
effect means the drug is metabolized by the liver before reaching systemic circulation.
---
**3. The route of excretion of a volatile drug will likely be the:**
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
**ANS: 2** — Lungs. Volatile drugs are excreted through the lungs.
---
**4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:**
