Advanced Pharmacology - Modules 1-5.docx

ADVANCED PHARMACOLOGY - MODULES 1-5 EXAM
2024/2025 WITH 100% CORRECT ANSWERS




In every state, prescriptive authority for NPs includes the ability to write prescriptions:
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A. for controlled substances.
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B. for specified classifications of medications.
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C. without physician-mandated involvement.
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D. with full, independent prescriptive authority. - correct answer B. for specified classifications of medications.
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A primary care NP wishes to order a drug that will be effective immediately after administration of the drug.
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Which route should the NP choose?
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Rectal

Topical

Sublingual

Intramuscular - correct answer Sublingual r r r r




According to the Texas BON rules and regulations, a prescription must include: - correct answer (1) the patient's
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name and address;
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,(2) the name, strength, and quantity of the drug to be dispensed;
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(3) directions to the patient regarding taking of the drug and the dosage;
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(4) the intended use of the drug, if appropriate;
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(5) the name, address, and telephone number of the physician with whom the APRN has a prescriptive
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authority agreement r




(6) address and telephone number of the site at which the prescription drug order was issued;
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(7) the date of issuance;
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(8) the number of refills permitted;
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(9) the name, prescription authorization number, and original signature of the APRN who authorized the
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prescription drug order; and r r r




(10) the United States Drug Enforcement Administration numbers of the APRN and the delegating physician,
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if the prescription drug order is for a controlled substance.
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The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an electronic drug
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prescription system. The pharmacist will fill this prescription when: r r r r r r r r




the electronic prescription is received.
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the patient brings a written copy of the prescription.
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a copy of the written prescription is faxed to the pharmacy.
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the pharmacist accesses the patient's electronic record to verify. - correct answer the electronic prescription is
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received.



A patient receives an inhaled corticosteroid to treat asthma. The patient asks the nurse why the drug is given by
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this route instead of orally. The nurse should explain that the inhaled form:
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is absorbed less quickly.
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,has reduced bioavailability.
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has fewer systemic side effects.
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provides dosing that is easier to regulate. - correct answer has fewer systemic side effects.
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A primary care NP is prescribing a drug for a patient who does not take any other medications. The NP should
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realize that: r




CYP450 enzyme reactions will not interfere with this drug's metabolism.
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substrates such as alcohol cannot interfere with the drug when the patient is abstaining.
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food-drug interactions are limited to those where food enhances or inhibits drug absorption.
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a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal products is required. -
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correct answer a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal products is
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required.



The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic. The NP should tell the
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neighbor:



a prescription will be written one time only.
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she will ask a colleague to write the prescription.
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that it is illegal to write prescriptions for friends.
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that it is best if the neighbor sees a health care provider before obtaining a prescription. - correct answer that it
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is best if the neighbor sees a health care provider before obtaining a prescription.
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, Under Texas law, Advance Practice Registered Nurses (APRNs) must receive a prescribing number from the
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Texas Board of Nursing before applying for supervision and prescriptive delegation with the Texas Medical
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Board?



True or False - correct answer True
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A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-American woman. When
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selecting a drug and determining the correct dose, the NP should understand that the knowledge of how age,
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race, and gender may affect drug excretion is based on an understanding of:
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bioavailability.



pharmacokinetics.



pharmacodynamics.



anatomy and physiology. - correct answer pharmacokinetics.
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According to Texas law, "dangerous drugs" include which of the following pharmacologic agents?
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Experimental medications r




Prescription medications r




Controlled substances r




Herbal and alternative therapies - correct answer Prescription medications
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