PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
n7 n7 n7
n7 NURSE PRESCRIBERS 6TH EDITION WOO ROBINSON TEST
n7 n7 n7 n7 n7 n7
BANK
n7
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER n7 n7 n7 n7
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n7 n7 n7 n7 n7 n7 n7
CH 1. The Role of the Caregiver
n7 n7 n7 n7 n7 n7 n7
PractitionerMultiple selection
n7 n
7 n7
Identify the option that best completes the statement or answers the question.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 1. Nurse practitioner prescriptive authority is regulated by:
n7 n7 n7 n7 n7 n7 n7
1. The National Council of State Boards of Nursing
n7 n7 n7 n7 n7 n7 n7
2. The U.S. Medical drug Enforcement Administration
n7 n7 n7 n7 n7
3. The State Board of Nursing for each state
n7 n7 n7 n7 n7 n7 n7
4. The State Board of Pharmacy n7 n7 n7 n7
n7 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
(APRN) prescriberinclude:
n7 n7 n7
1. Caregivers know more about Pharmacology than other prescribers because
n7 n7 n7 n7 n7 n7 n7 n7
they take itboth in their basic nursing program and in their APRN program.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Caregivers care for the hospital client from a holistic approach and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
include the hospital client indecision making regarding their care.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. APRNs are less likely to prescribe narcotics and other controlled substances.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. APRNs are able to prescribe independently in all states, whereas a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physician’sassistant needs to have a physician supervising their practice.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 3. Clinical judgment in prescribing includes:
n7 n7 n7 n7 n7
1. Factoring in the cost to the hospital client of the medication prescribed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Always prescribing the newest medication available for the disease process
n7 n7 n7 n7 n7 n7 n7 n7 n7
3. Handing out medical drug samples to poor hospital clients
n7 n7 n7 n7 n7 n7 n7 n7
4. Prescribing all generic medications to cut costs n7 n7 n7 n7 n7 n7
n7 4. Criteria for choosing an effective medical drug for a disorder include:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Asking the hospital client what medical drug they think would work best for them
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Consulting nationally recognized guidelines for disease management
n7 n7 n7 n7 n7 n7
3. Prescribing medications that are available as samples before writing a prescription
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
n7 n7 n7 n7 n7 n7 n7
n7 5. Caregiver practitioner practice may thrive under health-care reform because of:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. The demonstrated ability of caregiver practitioners to control costs and improve
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital client outcomes
n7 n7 n7
2. The fact that caregiver practitioners will be able to practice independently
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. The fact that caregiver practitioners will have full reimbursement under
n7 n7 n7 n7 n7 n7 n7 n7 n7
health-carereform
n7 n7
4. The ability to shift accountability for Medicaid to the state level
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
,CH 1. The Role of the Caregiver
n7 n7 n7 n7 n7 n7 n7
PractitionerAnswer Section
n7 n
7 n7
MULTIPLE SELECTION n7
1. 3 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
2. 2 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
3. 1 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
4. 2 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
5. 1 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
CH 2. Review of Basic Principles of Pharmacology
n7 n7 n7 n7 n7 n7 n7 n7
Multiple selectionn7
Identify the option that best completes the statement or answers the question.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is critical toprescribing because:
n7 n7 n7 n7 n7
1. Distribution of medical drugs to target tissue may be affected. n7 n7 n7 n7 n7 n7 n7 n7 n7
2. The solubility of the medical drug will not match the site of absorption.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. There will be less free medical drug available to generate an effect.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Medical drugs bound to albumin are readily excreted by the kidneys.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 2. Medical drugs that have a significant first-pass effect:
n7 n7 n7 n7 n7 n7 n7 n7
1. Must be given by the enteral (oral) route only
n7 n7 n7 n7 n7 n7 n7 n7
2. Bypass the hepatic circulation n7 n7 n7
3. Are rapidly metabolized by the liver and may have little if any desired action
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Are converted by the liver to more active and fat-soluble forms
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 3. The route of excretion of a volatile medical drug will likely be the:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Kidneys
2. Lungs
, 3. Bile and feces n7 n7
4. Skin
n7 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
storagereservoir of the medical drug. Storage reservoirs:
n7 n7 n7 n7 n7 n7 n7 n7
1. Assure that the medical drug will reach its intended target tissue
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Are the reason for giving loading doses
n7 n7 n7 n7 n7 n7
3. Increase the length of time a medical drug is available and active
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Are most common in collagen tissues
n7 n7 n7 n7 n7
n7 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Propensity to go to the target receptor n7 n7 n7 n7 n7 n7
2. Biological half-life n7
3. Pharmacodynamics
4. Safety and side effects n7 n7 n7
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of theprescription. This is considered a loading dose. A loading dose:
n7 n7 7
n n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Rapidly achieves medical drug levels in the therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7
2. Requires four- to five-half-lives to attain n7 n7 n7 n7 n7
3. Is influenced by renal function
n7 n7 n7 n7
4. Is directly related to the medical drug circulating to the target tissues
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 7. The point in time on the medical drug concentration curve that indicates the first sign of a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
therapeutic effectis the:
n7 n7 n7 n7
1. Minimum adverse effect level n7 n7 n7
2. Peak of action n7 n7
3. Onset of action n7 n7
4. Therapeutic range n7
n7 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. When the medical drug has a wide therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7
2. When the medical drug will be administered for a short time only
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. When there is a high correlation between the dose and saturation of receptor sites
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. To determine if a medical drug is in the therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
concentration.
n7
This means that the: n7 n7 n7
1. Concentration will produce therapeutic effects n7 n7 n7 n7
2. Concentration will produce an adverse response n7 n7 n7 n7 n7
3. Time between doses must be shortened n7 n7 n7 n7 n7
4. Duration of action of the medical drug is too long n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 n7 n7 10. Medical drugs that are receptor agonists may demonstrate what property?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Irreversible binding to the medical drug receptor site n7 n7 n7 n7 n7 n7 n7
2. Upregulation with chronic use n7 n7 n7
3. Desensitization or downregulation with continuous use n7 n7 n7 n7 n7
4. Inverse relationship between medical drug concentration and medical drug action
n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 n7 n7 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Downregulation of the medical drug receptor n7 n7 n7 n7 n7
2. An exaggerated response if abruptly discontinued
n7 n7 n7 n7 n7
n7 n7 n7
n7 NURSE PRESCRIBERS 6TH EDITION WOO ROBINSON TEST
n7 n7 n7 n7 n7 n7
BANK
n7
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER n7 n7 n7 n7
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
n7 n7 n7 n7 n7 n7 n7
CH 1. The Role of the Caregiver
n7 n7 n7 n7 n7 n7 n7
PractitionerMultiple selection
n7 n
7 n7
Identify the option that best completes the statement or answers the question.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 1. Nurse practitioner prescriptive authority is regulated by:
n7 n7 n7 n7 n7 n7 n7
1. The National Council of State Boards of Nursing
n7 n7 n7 n7 n7 n7 n7
2. The U.S. Medical drug Enforcement Administration
n7 n7 n7 n7 n7
3. The State Board of Nursing for each state
n7 n7 n7 n7 n7 n7 n7
4. The State Board of Pharmacy n7 n7 n7 n7
n7 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
(APRN) prescriberinclude:
n7 n7 n7
1. Caregivers know more about Pharmacology than other prescribers because
n7 n7 n7 n7 n7 n7 n7 n7
they take itboth in their basic nursing program and in their APRN program.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Caregivers care for the hospital client from a holistic approach and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
include the hospital client indecision making regarding their care.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. APRNs are less likely to prescribe narcotics and other controlled substances.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. APRNs are able to prescribe independently in all states, whereas a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physician’sassistant needs to have a physician supervising their practice.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 3. Clinical judgment in prescribing includes:
n7 n7 n7 n7 n7
1. Factoring in the cost to the hospital client of the medication prescribed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Always prescribing the newest medication available for the disease process
n7 n7 n7 n7 n7 n7 n7 n7 n7
3. Handing out medical drug samples to poor hospital clients
n7 n7 n7 n7 n7 n7 n7 n7
4. Prescribing all generic medications to cut costs n7 n7 n7 n7 n7 n7
n7 4. Criteria for choosing an effective medical drug for a disorder include:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Asking the hospital client what medical drug they think would work best for them
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Consulting nationally recognized guidelines for disease management
n7 n7 n7 n7 n7 n7
3. Prescribing medications that are available as samples before writing a prescription
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
n7 n7 n7 n7 n7 n7 n7
n7 5. Caregiver practitioner practice may thrive under health-care reform because of:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. The demonstrated ability of caregiver practitioners to control costs and improve
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital client outcomes
n7 n7 n7
2. The fact that caregiver practitioners will be able to practice independently
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. The fact that caregiver practitioners will have full reimbursement under
n7 n7 n7 n7 n7 n7 n7 n7 n7
health-carereform
n7 n7
4. The ability to shift accountability for Medicaid to the state level
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
,CH 1. The Role of the Caregiver
n7 n7 n7 n7 n7 n7 n7
PractitionerAnswer Section
n7 n
7 n7
MULTIPLE SELECTION n7
1. 3 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
2. 2 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
3. 1 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
4. 2 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
5. 1 PTS: 1
ACCU
n7
RATE
ANSW
n7
ER:
CH 2. Review of Basic Principles of Pharmacology
n7 n7 n7 n7 n7 n7 n7 n7
Multiple selectionn7
Identify the option that best completes the statement or answers the question.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is critical toprescribing because:
n7 n7 n7 n7 n7
1. Distribution of medical drugs to target tissue may be affected. n7 n7 n7 n7 n7 n7 n7 n7 n7
2. The solubility of the medical drug will not match the site of absorption.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. There will be less free medical drug available to generate an effect.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Medical drugs bound to albumin are readily excreted by the kidneys.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 2. Medical drugs that have a significant first-pass effect:
n7 n7 n7 n7 n7 n7 n7 n7
1. Must be given by the enteral (oral) route only
n7 n7 n7 n7 n7 n7 n7 n7
2. Bypass the hepatic circulation n7 n7 n7
3. Are rapidly metabolized by the liver and may have little if any desired action
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Are converted by the liver to more active and fat-soluble forms
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 3. The route of excretion of a volatile medical drug will likely be the:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Kidneys
2. Lungs
, 3. Bile and feces n7 n7
4. Skin
n7 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
storagereservoir of the medical drug. Storage reservoirs:
n7 n7 n7 n7 n7 n7 n7 n7
1. Assure that the medical drug will reach its intended target tissue
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. Are the reason for giving loading doses
n7 n7 n7 n7 n7 n7
3. Increase the length of time a medical drug is available and active
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. Are most common in collagen tissues
n7 n7 n7 n7 n7
n7 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Propensity to go to the target receptor n7 n7 n7 n7 n7 n7
2. Biological half-life n7
3. Pharmacodynamics
4. Safety and side effects n7 n7 n7
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of theprescription. This is considered a loading dose. A loading dose:
n7 n7 7
n n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Rapidly achieves medical drug levels in the therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7
2. Requires four- to five-half-lives to attain n7 n7 n7 n7 n7
3. Is influenced by renal function
n7 n7 n7 n7
4. Is directly related to the medical drug circulating to the target tissues
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 7. The point in time on the medical drug concentration curve that indicates the first sign of a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
therapeutic effectis the:
n7 n7 n7 n7
1. Minimum adverse effect level n7 n7 n7
2. Peak of action n7 n7
3. Onset of action n7 n7
4. Therapeutic range n7
n7 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. When the medical drug has a wide therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7
2. When the medical drug will be administered for a short time only
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. When there is a high correlation between the dose and saturation of receptor sites
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. To determine if a medical drug is in the therapeutic range
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
concentration.
n7
This means that the: n7 n7 n7
1. Concentration will produce therapeutic effects n7 n7 n7 n7
2. Concentration will produce an adverse response n7 n7 n7 n7 n7
3. Time between doses must be shortened n7 n7 n7 n7 n7
4. Duration of action of the medical drug is too long n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 n7 n7 10. Medical drugs that are receptor agonists may demonstrate what property?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Irreversible binding to the medical drug receptor site n7 n7 n7 n7 n7 n7 n7
2. Upregulation with chronic use n7 n7 n7
3. Desensitization or downregulation with continuous use n7 n7 n7 n7 n7
4. Inverse relationship between medical drug concentration and medical drug action
n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 n7 n7 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Downregulation of the medical drug receptor n7 n7 n7 n7 n7
2. An exaggerated response if abruptly discontinued
n7 n7 n7 n7 n7
