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Bank
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Chapter 1. The Role of the Nurse
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PractitionerMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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nns 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy nns nns nns nns
nns 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
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prescriberinclude:
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1. Nurses know more about Pharmacology than other prescribers because they
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take itboth in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the
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patient indecision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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nns 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed
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2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients nns nns nns nns nns nns
4. Prescribing all generic medications to cut costs nns nns nns nns nns nns
nns 4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management nns nns nns nns nns nns
3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing
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nns 5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve
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patientoutcomes nns ns
2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under
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health-carereform nns ns
4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse
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PractitionerAnswer Section
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MULTIPLE CHOICEnns
1. ANS: nns nns n n s 3 PTS: n n s 1
2. ANS: nns nns n n s 2 PTS: n n s 1
3. ANS: nns nns n n s 1 PTS: n n s 1
4. ANS: nns nns n n s 2 PTS: n n s 1
5. ANS: nns nns n n s 1 PTS: n n s 1
, Chapter 2. Review of Basic Principles of
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nns PharmacologyMultiple Choice sn nns
Identify the choice that best completes the statement or answers the question.
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nns 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
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prescribing because: nns
1. Distribution of drugs to target tissue may be affected. nns nns nns nns nns nns nns nns
2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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nns 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation nns nns nns
3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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nns 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces nns nns
4. Skin
nns 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
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storagereservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active
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4. Are most common in collagen tissues nns nns nns nns nns
nns 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor nns nns nns nns nns nns
2. Biological half-life nns
3. Pharmacodynamics
4. Safety and side effects nns nns nns