nurs 6521n Advanced Pharmacology -
Midterm exam with complete solutions
2024/2025
Nurse practitioner prescriptive authority is regulated by:
a. The National Council of State Board of Nursing
b. The State Board of Nursing for each state
c. The U. S. Drug Enforcement Administration
d. The State Board of Pharmacy - ANSWER-b. The State Board of Nursing for
each state
Eight Information needed for the prescription - ANSWER-1. Date of prescribing;
2. Name of patient(s);
3. Prescriber's name;
4. Name, strength, and dosage of drug or device;
5. Number of refills, if applicable;
6. Quantity prescribed in weight, volume, or number of units;
7. An indication of whether generic substitution has been authorized by the
prescriber;
8. Any change or alteration made to the prescription dispensed on contact with
the prescriber must show a clear audit trail.
,Three additional required information for controlled substances - ANSWER-1.
Address of the prescriber and patient;
2. The prescriber's DEA number;
3 Controlled prescriptions shall also comply with all requirements of federal and
state controlled substance laws.
Who oversees the APRNs prescribing of controlled substances?
a. The pharmaceutical board of the state
b. The federal government (DEA)
c. The practice protocols of the hospital
d. Practice agreements - ANSWER-b. The federal government (DEA)
The US FDA regulates:
a. Prescribing of drugs by medical doctors and nurse practitioners
b. The official labeling for all prescription and over-the-counter drugs
c. Off-label recommendations for prescribing
d. Pharmaceutical educational offering - ANSWER-b. The official labeling for all
prescription and over-the-counter drugs
Medication agreements or "Pain Medication Contracts" are recommended to be
used:
a. Universally for all prescribing for chronic pain
b. For patients who have repeated requests for pain medication
c. When you suspect a patient is exhibiting drug-seeking behavior
d. For patients with pain associated with malignancy - ANSWER-a. Universally for
all prescribing for chronic pain
Anaphylactic shock is a:
a. Type I reaction, called immediate hypersensitivity reaction
,b. Type II reaction, called cytotoxic hypersensitivity reaction
c. Type III reaction, called immune complex hypersensitivity
d. Type IV reaction, called delayed hypersensitivity reaction - ANSWER-a. Type I
reaction, called immediate hypersensitivity reaction
The role of the nurse practitioner with regards to herbal medication is to:
a. Maintain competence in the prescribing of common herbal remedies.
b. Recommend common over-the-counter herbs to patients.
c. Educate patients and guide them to appropriate sources of care.
d. Encourage patients to not use herbal therapy due to the documented dangers.
- ANSWER-c. Educate patients and guide them to appropriate sources of care.
Prescribing for women during their childbearing years requires constant
awareness of the possibility of:
a. High risk for developmental disorders in their infants
b. Decreased risk for abuse during this time
c. Possible unknown pregnancy
d. Possibility of drug allergies - ANSWER-c. Possible unknown pregnancy
Dysmenorrhea is one of the most common gynecological complaints in young
women. The first-line of drug treatment for this disorder is:
a. Oral contraceptive pills
b. Caffeine
c. NSAIDs
d. Aspirin - ANSWER-c. NSAIDs
A medication review of an elderly person's medications involves:
, a. Asking the patient to bring a list of current prescription medications to the
visit.
b. Having the patient bring all their prescription, over-the-counter, and herbal
medications to the visit.
c. Asking what other providers are writing prescriptions for them.
d. All of the above. - ANSWER-d. All of the above.
ACE-Is are the drug of choice in treating HTN in diabetic patient because they:
a. improve insulin sensitivity
b. improve renal hemodynamics
c. reduce the production of angiotensin II
d. all of above - ANSWER-d. all of above
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the
NP that he does not have thyroid disease and wants to know why the test has
been ordered. Which is the correct response?
a. Amiodarone inhibits an enzyme that is important in making thyroid hormone
and can cause hypothyroidism.
b. Amiodarone damages the thyroid gland and can result in inflammation of that
gland, causing hyperthyroidism
c. Amiodarone is a broad spectrum drug with many adverse effects, Many
different tests need to be done before it is given.
d. Amiodarone can cause corneal deposits in up to 25% of patients. - ANSWER-a.
Amiodarone inhibits an enzyme that is important in making thyroid hormone and
can cause hypothyroidism.
To reduce mortality, all patients with angina, regardless of class, should be on:
a. ASA 81 to 325 mg/day
b. Nitroglycerin sublingually for chest pain
Midterm exam with complete solutions
2024/2025
Nurse practitioner prescriptive authority is regulated by:
a. The National Council of State Board of Nursing
b. The State Board of Nursing for each state
c. The U. S. Drug Enforcement Administration
d. The State Board of Pharmacy - ANSWER-b. The State Board of Nursing for
each state
Eight Information needed for the prescription - ANSWER-1. Date of prescribing;
2. Name of patient(s);
3. Prescriber's name;
4. Name, strength, and dosage of drug or device;
5. Number of refills, if applicable;
6. Quantity prescribed in weight, volume, or number of units;
7. An indication of whether generic substitution has been authorized by the
prescriber;
8. Any change or alteration made to the prescription dispensed on contact with
the prescriber must show a clear audit trail.
,Three additional required information for controlled substances - ANSWER-1.
Address of the prescriber and patient;
2. The prescriber's DEA number;
3 Controlled prescriptions shall also comply with all requirements of federal and
state controlled substance laws.
Who oversees the APRNs prescribing of controlled substances?
a. The pharmaceutical board of the state
b. The federal government (DEA)
c. The practice protocols of the hospital
d. Practice agreements - ANSWER-b. The federal government (DEA)
The US FDA regulates:
a. Prescribing of drugs by medical doctors and nurse practitioners
b. The official labeling for all prescription and over-the-counter drugs
c. Off-label recommendations for prescribing
d. Pharmaceutical educational offering - ANSWER-b. The official labeling for all
prescription and over-the-counter drugs
Medication agreements or "Pain Medication Contracts" are recommended to be
used:
a. Universally for all prescribing for chronic pain
b. For patients who have repeated requests for pain medication
c. When you suspect a patient is exhibiting drug-seeking behavior
d. For patients with pain associated with malignancy - ANSWER-a. Universally for
all prescribing for chronic pain
Anaphylactic shock is a:
a. Type I reaction, called immediate hypersensitivity reaction
,b. Type II reaction, called cytotoxic hypersensitivity reaction
c. Type III reaction, called immune complex hypersensitivity
d. Type IV reaction, called delayed hypersensitivity reaction - ANSWER-a. Type I
reaction, called immediate hypersensitivity reaction
The role of the nurse practitioner with regards to herbal medication is to:
a. Maintain competence in the prescribing of common herbal remedies.
b. Recommend common over-the-counter herbs to patients.
c. Educate patients and guide them to appropriate sources of care.
d. Encourage patients to not use herbal therapy due to the documented dangers.
- ANSWER-c. Educate patients and guide them to appropriate sources of care.
Prescribing for women during their childbearing years requires constant
awareness of the possibility of:
a. High risk for developmental disorders in their infants
b. Decreased risk for abuse during this time
c. Possible unknown pregnancy
d. Possibility of drug allergies - ANSWER-c. Possible unknown pregnancy
Dysmenorrhea is one of the most common gynecological complaints in young
women. The first-line of drug treatment for this disorder is:
a. Oral contraceptive pills
b. Caffeine
c. NSAIDs
d. Aspirin - ANSWER-c. NSAIDs
A medication review of an elderly person's medications involves:
, a. Asking the patient to bring a list of current prescription medications to the
visit.
b. Having the patient bring all their prescription, over-the-counter, and herbal
medications to the visit.
c. Asking what other providers are writing prescriptions for them.
d. All of the above. - ANSWER-d. All of the above.
ACE-Is are the drug of choice in treating HTN in diabetic patient because they:
a. improve insulin sensitivity
b. improve renal hemodynamics
c. reduce the production of angiotensin II
d. all of above - ANSWER-d. all of above
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the
NP that he does not have thyroid disease and wants to know why the test has
been ordered. Which is the correct response?
a. Amiodarone inhibits an enzyme that is important in making thyroid hormone
and can cause hypothyroidism.
b. Amiodarone damages the thyroid gland and can result in inflammation of that
gland, causing hyperthyroidism
c. Amiodarone is a broad spectrum drug with many adverse effects, Many
different tests need to be done before it is given.
d. Amiodarone can cause corneal deposits in up to 25% of patients. - ANSWER-a.
Amiodarone inhibits an enzyme that is important in making thyroid hormone and
can cause hypothyroidism.
To reduce mortality, all patients with angina, regardless of class, should be on:
a. ASA 81 to 325 mg/day
b. Nitroglycerin sublingually for chest pain
