PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE
n1 n1 n1 n1
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n1 n1 n1 n1 n1 n1 n1
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER n1 n1 n1 n1
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n1 n1 n1 n1 n1 n1 n1
CH 1. The Role of the Caregiver
n1 n1 n1 n1 n1 n1 n1
PractitionerMultiple selection
n1 1n n1
Identify the option that best completes the statement or answers the question.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 1. Nurse practitioner prescriptive authority is regulated by:
n1 n1 n1 n1 n1 n1 n1
1. The National Council of State Boards of Nursing
n1 n1 n1 n1 n1 n1 n1
2. The U.S. Medical drug Enforcement Administration
n1 n1 n1 n1 n1
3. The State Board of Nursing for each state
n1 n1 n1 n1 n1 n1 n1
4. The State Board of Pharmacy n1 n1 n1 n1
n1 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
(APRN) prescriberinclude:
n1 n1 n1
1. Caregivers know more about Pharmacology than other prescribers because they n1 n1 n1 n1 n1 n1 n1 n1 n1
take itboth in their basic nursing program and in their APRN program.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Caregivers care for the hospital client from a holistic approach and include n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the hospital client indecision making regarding their care.
n1 n1 n1 n1 n1 n1 n1 n1 n1
3. APRNs are less likely to prescribe narcotics and other controlled substances.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. APRNs are able to prescribe independently in all states, whereas a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
physician’sassistant needs to have a physician supervising their practice.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 3. Clinical judgment in prescribing includes:
n1 n1 n1 n1 n1
1. Factoring in the cost to the hospital client of the medication prescribed n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Always prescribing the newest medication available for the disease process
n1 n1 n1 n1 n1 n1 n1 n1 n1
3. Handing out medical drug samples to poor hospital clients n1 n1 n1 n1 n1 n1 n1 n1
4. Prescribing all generic medications to cut costs n1 n1 n1 n1 n1 n1
n1 4. Criteria for choosing an effective medical drug for a disorder include:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Asking the hospital client what medical drug they think would work best for them
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Consulting nationally recognized guidelines for disease management n1 n1 n1 n1 n1 n1
3. Prescribing medications that are available as samples before writing a prescription n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Following U.S. Drug Enforcement Administration guidelines for prescribing n1 n1 n1 n1 n1 n1 n1
n1 5. Caregiver practitioner practice may thrive under health-care reform because of:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. The demonstrated ability of caregiver practitioners to control costs and improve
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client outcomes
n1 n1 n1
2. The fact that caregiver practitioners will be able to practice independently
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. The fact that caregiver practitioners will have full reimbursement under
n1 n1 n1 n1 n1 n1 n1 n1 n1
health-carereform n1 n1
4. The ability to shift accountability for Medicaid to the state level
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,CH 1. The Role of the Caregiver
n1 n1 n1 n1 n1 n1 n1
PractitionerAnswer Section
n1 1n n1
MULTIPLE SELECTION n1
1. 3 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
2. 2 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
3. 1 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
4. 2 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
5. 1 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
CH 2. Review of Basic Principles of Pharmacology
n1 n1 n1 n1 n1 n1 n1 n1
Multiple selection n1
Identify the option that best completes the statement or answers the question.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
critical toprescribing because:
n1 n1 n1 n1
1. Distribution of medical drugs to target tissue may be affected. n1 n1 n1 n1 n1 n1 n1 n1 n1
2. The solubility of the medical drug will not match the site of absorption.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. There will be less free medical drug available to generate an effect.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Medical drugs bound to albumin are readily excreted by the kidneys.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 2. Medical drugs that have a significant first-pass effect:
n1 n1 n1 n1 n1 n1 n1 n1
1. Must be given by the enteral (oral) route only
n1 n1 n1 n1 n1 n1 n1 n1
2. Bypass the hepatic circulation n1 n1 n1
3. Are rapidly metabolized by the liver and may have little if any desired action
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Are converted by the liver to more active and fat-soluble forms
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 3. The route of excretion of a volatile medical drug will likely be the:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Kidneys
2. Lungs
, 3. Bile and feces n1 n1
4. Skin
n1 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
storagereservoir of the medical drug. Storage reservoirs:
n1 n1 n1 n1 n1 n1 n1 n1
1. Assure that the medical drug will reach its intended target tissue
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Are the reason for giving loading doses
n1 n1 n1 n1 n1 n1
3. Increase the length of time a medical drug is available and active n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Are most common in collagen tissues n1 n1 n1 n1 n1
n1 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Propensity to go to the target receptor n1 n1 n1 n1 n1 n1
2. Biological half-life n1
3. Pharmacodynamics
4. Safety and side effects n1 n1 n1
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
theprescription. This is considered a loading dose. A loading dose:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Rapidly achieves medical drug levels in the therapeutic range n1 n1 n1 n1 n1 n1 n1 n1
2. Requires four- to five-half-lives to attain n1 n1 n1 n1 n1
3. Is influenced by renal function
n1 n1 n1 n1
4. Is directly related to the medical drug circulating to the target tissues
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 7. The point in time on the medical drug concentration curve that indicates the first sign of a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
therapeutic effectis the:
n1 n1 n1 n1
1. Minimum adverse effect level n1 n1 n1
2. Peak of action n1 n1
3. Onset of action n1 n1
4. Therapeutic range n1
n1 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. When the medical drug has a wide therapeutic range n1 n1 n1 n1 n1 n1 n1 n1
2. When the medical drug will be administered for a short time only
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. When there is a high correlation between the dose and saturation of receptor sites
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. To determine if a medical drug is in the therapeutic range
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
concentration.
n1
This means that the: n1 n1 n1
1. Concentration will produce therapeutic effects n1 n1 n1 n1
2. Concentration will produce an adverse response n1 n1 n1 n1 n1
3. Time between doses must be shortened n1 n1 n1 n1 n1
4. Duration of action of the medical drug is too long n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 10. Medical drugs that are receptor agonists may demonstrate what property?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Irreversible binding to the medical drug receptor site n1 n1 n1 n1 n1 n1 n1
2. Upregulation with chronic use n1 n1 n1
3. Desensitization or downregulation with continuous use n1 n1 n1 n1 n1
4. Inverse relationship between medical drug concentration and medical drug action
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Downregulation of the medical drug receptor n1 n1 n1 n1 n1
2. An exaggerated response if abruptly discontinued
n1 n1 n1 n1 n1
n1 n1 n1 n1
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n1 n1 n1 n1 n1 n1 n1
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER n1 n1 n1 n1
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n1 n1 n1 n1 n1 n1 n1
CH 1. The Role of the Caregiver
n1 n1 n1 n1 n1 n1 n1
PractitionerMultiple selection
n1 1n n1
Identify the option that best completes the statement or answers the question.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 1. Nurse practitioner prescriptive authority is regulated by:
n1 n1 n1 n1 n1 n1 n1
1. The National Council of State Boards of Nursing
n1 n1 n1 n1 n1 n1 n1
2. The U.S. Medical drug Enforcement Administration
n1 n1 n1 n1 n1
3. The State Board of Nursing for each state
n1 n1 n1 n1 n1 n1 n1
4. The State Board of Pharmacy n1 n1 n1 n1
n1 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
(APRN) prescriberinclude:
n1 n1 n1
1. Caregivers know more about Pharmacology than other prescribers because they n1 n1 n1 n1 n1 n1 n1 n1 n1
take itboth in their basic nursing program and in their APRN program.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Caregivers care for the hospital client from a holistic approach and include n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the hospital client indecision making regarding their care.
n1 n1 n1 n1 n1 n1 n1 n1 n1
3. APRNs are less likely to prescribe narcotics and other controlled substances.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. APRNs are able to prescribe independently in all states, whereas a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
physician’sassistant needs to have a physician supervising their practice.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 3. Clinical judgment in prescribing includes:
n1 n1 n1 n1 n1
1. Factoring in the cost to the hospital client of the medication prescribed n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Always prescribing the newest medication available for the disease process
n1 n1 n1 n1 n1 n1 n1 n1 n1
3. Handing out medical drug samples to poor hospital clients n1 n1 n1 n1 n1 n1 n1 n1
4. Prescribing all generic medications to cut costs n1 n1 n1 n1 n1 n1
n1 4. Criteria for choosing an effective medical drug for a disorder include:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Asking the hospital client what medical drug they think would work best for them
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Consulting nationally recognized guidelines for disease management n1 n1 n1 n1 n1 n1
3. Prescribing medications that are available as samples before writing a prescription n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Following U.S. Drug Enforcement Administration guidelines for prescribing n1 n1 n1 n1 n1 n1 n1
n1 5. Caregiver practitioner practice may thrive under health-care reform because of:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. The demonstrated ability of caregiver practitioners to control costs and improve
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client outcomes
n1 n1 n1
2. The fact that caregiver practitioners will be able to practice independently
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. The fact that caregiver practitioners will have full reimbursement under
n1 n1 n1 n1 n1 n1 n1 n1 n1
health-carereform n1 n1
4. The ability to shift accountability for Medicaid to the state level
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,CH 1. The Role of the Caregiver
n1 n1 n1 n1 n1 n1 n1
PractitionerAnswer Section
n1 1n n1
MULTIPLE SELECTION n1
1. 3 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
2. 2 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
3. 1 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
4. 2 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
5. 1 PTS: 1
ACCUR
n1
ATE
ANSW
n1
ER:
CH 2. Review of Basic Principles of Pharmacology
n1 n1 n1 n1 n1 n1 n1 n1
Multiple selection n1
Identify the option that best completes the statement or answers the question.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
critical toprescribing because:
n1 n1 n1 n1
1. Distribution of medical drugs to target tissue may be affected. n1 n1 n1 n1 n1 n1 n1 n1 n1
2. The solubility of the medical drug will not match the site of absorption.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. There will be less free medical drug available to generate an effect.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Medical drugs bound to albumin are readily excreted by the kidneys.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 2. Medical drugs that have a significant first-pass effect:
n1 n1 n1 n1 n1 n1 n1 n1
1. Must be given by the enteral (oral) route only
n1 n1 n1 n1 n1 n1 n1 n1
2. Bypass the hepatic circulation n1 n1 n1
3. Are rapidly metabolized by the liver and may have little if any desired action
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Are converted by the liver to more active and fat-soluble forms
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 3. The route of excretion of a volatile medical drug will likely be the:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Kidneys
2. Lungs
, 3. Bile and feces n1 n1
4. Skin
n1 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
storagereservoir of the medical drug. Storage reservoirs:
n1 n1 n1 n1 n1 n1 n1 n1
1. Assure that the medical drug will reach its intended target tissue
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Are the reason for giving loading doses
n1 n1 n1 n1 n1 n1
3. Increase the length of time a medical drug is available and active n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Are most common in collagen tissues n1 n1 n1 n1 n1
n1 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Propensity to go to the target receptor n1 n1 n1 n1 n1 n1
2. Biological half-life n1
3. Pharmacodynamics
4. Safety and side effects n1 n1 n1
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
theprescription. This is considered a loading dose. A loading dose:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Rapidly achieves medical drug levels in the therapeutic range n1 n1 n1 n1 n1 n1 n1 n1
2. Requires four- to five-half-lives to attain n1 n1 n1 n1 n1
3. Is influenced by renal function
n1 n1 n1 n1
4. Is directly related to the medical drug circulating to the target tissues
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 7. The point in time on the medical drug concentration curve that indicates the first sign of a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
therapeutic effectis the:
n1 n1 n1 n1
1. Minimum adverse effect level n1 n1 n1
2. Peak of action n1 n1
3. Onset of action n1 n1
4. Therapeutic range n1
n1 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. When the medical drug has a wide therapeutic range n1 n1 n1 n1 n1 n1 n1 n1
2. When the medical drug will be administered for a short time only
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. When there is a high correlation between the dose and saturation of receptor sites
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. To determine if a medical drug is in the therapeutic range
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
concentration.
n1
This means that the: n1 n1 n1
1. Concentration will produce therapeutic effects n1 n1 n1 n1
2. Concentration will produce an adverse response n1 n1 n1 n1 n1
3. Time between doses must be shortened n1 n1 n1 n1 n1
4. Duration of action of the medical drug is too long n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 10. Medical drugs that are receptor agonists may demonstrate what property?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Irreversible binding to the medical drug receptor site n1 n1 n1 n1 n1 n1 n1
2. Upregulation with chronic use n1 n1 n1
3. Desensitization or downregulation with continuous use n1 n1 n1 n1 n1
4. Inverse relationship between medical drug concentration and medical drug action
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Downregulation of the medical drug receptor n1 n1 n1 n1 n1
2. An exaggerated response if abruptly discontinued
n1 n1 n1 n1 n1
