Test_Bank_for_Pharmacotherapeutics__for_Nurse_Practitioner

Multiple Choice Identify th choice that best completes th statement or answers th question. _ 1. Nurse practitioner prescriptive authority is regulated by: A. Th National Council of State Boards of Nursing B. Th U.S. Drug Enforcement Administration C. Th State Board of Nursing for each state D. Th State Board of Pharmacy _ 2. Physician Assistant (PA) prescriptive authority is regulated by: A. Th National Council of State Boards of Nursing B. Th U.S. Drug Enforcement Administration C. Th State Board of Nursing D. Th State Board of Medical Examiners _ 3. Clinical judgment in prescribing includes: A. Factoring in th cost to th patient of th medication prescribed B. Always prescribing th newest medication available for th disease process C. Handing out drug samples to poor patients D. Prescribing all generic medications to cut costs _ 4. Criteria for choosing an effective drug for a disorder include: A. Asking th patient what drug thy think would work best for thm 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 _ 5. Nurse practitioner practice may thrive under health-care reform due to: A. Th demonstrated ability of nurse practitioners to control costs and improve patient outcomes B. Th fact that nurse practitioners will be able to practice independently C. Th fact that nurse practitioners will have full reimbursement under health-care reform D. Th ability to shift accountability for Medicaid to th state level Chapter 1: Th Role of th Nurse Practitioner as Prescriber Answer Section MULTIPLE CHOICE 1. ANS: C PTS: 1 2. ANS: D PTS: 1 3. ANS: A PTS: 1 4. ANS: B PTS: 1 5. ANS: A PTS: 1 Chapter 2: Review of Basic Principles of Pharmacology Multiple Choice Identify th choice that best completes th statement or answers th question. _ 1. A patient’s nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing because: A. Distribution of drugs to target tissue may be affected B. Th solubility of th drug will not match th site of absorption C. Thre will be less free drug available to generate an effect D. Drugs bound to albumin are readily excreted by th kidney _ 2. Drugs that have a significant first-pass effect: A. Must be given by th enteral (oral) route only B. Bypass th hepatic circulation C. Are rapidly metabolized by th liver and may have little if any desired action D. Are converted by th liver to more active and fat-soluble forms _ 3. Th route of excretion of a volatile drug will likely be: A. Th kidneys B. Th lungs C. Th bile and feces D. Th skin _ 4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of th drug. Storage reservoirs: A. Assure that th drug will reach its intended target tissue B. Are th reason for giving loading doses C. Increase th length of time a drug is available and active D. Are most common in collagen tissues _ 5. Th NP chooses to give cephalexin every 8 hours based on knowledge of th drug’s: A. Propensity to go to th target receptor B. Biological half-life C. Pharmacodynamics D. Safety and side effects _ 6. Azithromycin dosing requires th first day’s dose be twice those of th othr 4 days of th prescription. This is considered a loading dose. A loading dose: A. Rapidly achieves drug levels in th thrapeutic range B. Requires four to five half-lives to attain .........................................................................CONTINUED