Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r rr 1.rNurserpractitionerrprescriptiverauthorityrisrregulatedr by:
1. TherNationalrCouncilrofrStaterBoardsrofrNursing
2. TherU.S.rDrugrEnforcementrAdministration
3. TherStaterBoardrofrNursingrforreachrstate
4. TherStaterBoardrofrPharmacy
r
2.rTherbenefitsrtortherpatientrofrhavingranrAdvancedrPracticerRegisteredrNurser(APRN)rpresc
rr
riberrinclude:
1. NursesrknowrmoreraboutrPharmacologyrthanrotherrprescribersrbecausertheyrtakeritrbot
hrinrtheirrbasicrnursingrprogramrandr inrtheirrAPRNrprogram.
2. Nursesrcarerforrtherpatientrfromrarholisticrapproachrandrincludertherpatientrinrdec
isionrmakingrregardingrtheirrcare.
3. APRNsrarerlessrlikelyrtorprescribernarcoticsrandrotherrcontrolledrsubstances.
4. APRNsrarerablertorprescriberindependentlyrinrallrstates,rwhereasrarphysician’srass
istantrneedsrtorhaverarphysicianrsupervisingrtheirrpractice.
r rr 3.rClinicalrjudgmentrinrprescribingr includes:
1. Factoringrinrthercostrtortherpatientrofrthermedicationrprescribed
2. Alwaysrprescribingrthernewestrmedicationravailablerforrtherdiseaserprocess
3. Handingroutrdrugrsamplesrtorpoorrpatients
4. Prescribingrallrgenericrmedicationsrtorcutrcosts
r rr 4.rCriteriarforrchoosingranreffectiverdrugrforrardisorderr include:
1. Askingrtherpatientrwhatrdrugrtheyrthinkrwouldrworkrbestrforrthem
2. Consultingrnationallyrrecognizedrguidelinesrforrdiseasermanagement
3. Prescribingrmedicationsrthatrareravailablerasrsamplesrbeforerwritingrarprescription
4. FollowingrU.S.rDrugrEnforcementrAdministrationrguidelinesrforrprescribing
r rr 5.rNurserpractitionerrpracticermayrthriverunderrhealth-carerreformrbecauser of:
1. Therdemonstratedrabilityrofrnurserpractitionersrtorcontrolrcostsrandrimproverpatientrout
comes
2. Therfactrthatrnurserpractitionersrwillrberablertorpracticerindependently
3. Therfactrthatrnurserpractitionersrwillrhaverfullrreimbursementrunderrhealth-
rcarerreform
4. TherabilityrtorshiftraccountabilityrforrMedicaidrtortherstaterlevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
Chapterr1.rTherRolerofrtherNurserPractitionerrasrPrescriberr
AnswerrSection
MULTIPLErCHOICE
1. ANS:rrr 3 PTS:r 1
2. ANS:rrr 2 PTS:r 1
3. ANS:rrr 1 PTS:r 1
4. ANS:rrr 2 PTS:r 1
5. ANS:rrr 1 PTS:r 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
Chapterr2.rReviewrofrtherBasicrPrinciplesrofrPharmacologyr
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r
1.rArpatient’srnutritionalrintakerandrlaboratoryrresultsrreflectrhypoalbuminemia.rThisrisrcriti
rr
calrtorprescribingrbecause:
1. Distributionrofrdrugsrtortargetrtissuermayrberaffected.
2. Thersolubilityrofrtherdrugrwillrnotrmatchrthersiterofrabsorption.
3. Thererwillrberlessrfreerdrugravailablertorgenerateranreffect.
4. Drugsrboundrtoralbuminrarerreadilyrexcretedrbyrtherkidneys.
r rr 2.rDrugsrthatrhaverarsignificantrfirst-passr effect:
1. Mustrbergivenrbyrtherenteralr(oral)rrouteronly
2. Bypassrtherhepaticrcirculation
3. Arerrapidlyrmetabolizedrbyrtherliverrandrmayrhaverlittlerifranyrdesiredraction
4. Arerconvertedrbyrtherliverrtormoreractiverandrfat-solublerforms
r rr 3.rTherrouterofr excretionrofrarvolatilerdrugrwillrlikelyrber the:
1. Kidneys
2. Lungs
3. Bilerandrfeces
4. Skin
r
rr 4.rMedroxyprogesteroner(DeporProvera)risrprescribedrintramuscularlyr(IM)rtor createrarst
oragerreservoirrofrtherdrug.rStoragerreservoirs:
1. Assurerthatrtherdrugrwillrreachritsrintendedrtargetrtissue
2. Arertherreasonrforrgivingrloadingrdoses
3. Increasertherlengthrofrtimerardrugrisravailablerandractive
4. Arermostrcommonrinrcollagenrtissues
r rr 5.rTherNPrchoosesrtorgivercephalexinreveryr8rhoursrbasedronrknowledgerofrther drug’s:
1. Propensityrtorgortorthertargetrreceptor
2. Biologicalrhalf-life
3. Pharmacodynamics
4. Safetyrandrsidereffects
r
rr 6.rAzithromycinrdosingrrequiresrthatrtherfirstrday’srdosagerbertwicerthoserofrtherotherr4rdaysrof
therprescription.rThisrisrconsideredrarloadingrdose.rArloadingrdose:
r
1. Rapidlyrachievesrdrugrlevelsrinrthertherapeuticrrange
2. Requiresrfour-rtorfive-half-livesrtorattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
3. Isrinfluencedrbyrrenalrfunction
4. Isrdirectlyrrelatedrtortherdrugrcirculatingrtorthertargetr tissues
r rr 7.rTherpointrinrtimeronrtherdrugrconcentrationrcurverthatrindicatesrtherfirstrsignrofrartherapeuticreffectrisrthe:
1. Minimumradversereffectrlevel
2. Peakrofraction
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r rr 1.rNurserpractitionerrprescriptiverauthorityrisrregulatedr by:
1. TherNationalrCouncilrofrStaterBoardsrofrNursing
2. TherU.S.rDrugrEnforcementrAdministration
3. TherStaterBoardrofrNursingrforreachrstate
4. TherStaterBoardrofrPharmacy
r
2.rTherbenefitsrtortherpatientrofrhavingranrAdvancedrPracticerRegisteredrNurser(APRN)rpresc
rr
riberrinclude:
1. NursesrknowrmoreraboutrPharmacologyrthanrotherrprescribersrbecausertheyrtakeritrbot
hrinrtheirrbasicrnursingrprogramrandr inrtheirrAPRNrprogram.
2. Nursesrcarerforrtherpatientrfromrarholisticrapproachrandrincludertherpatientrinrdec
isionrmakingrregardingrtheirrcare.
3. APRNsrarerlessrlikelyrtorprescribernarcoticsrandrotherrcontrolledrsubstances.
4. APRNsrarerablertorprescriberindependentlyrinrallrstates,rwhereasrarphysician’srass
istantrneedsrtorhaverarphysicianrsupervisingrtheirrpractice.
r rr 3.rClinicalrjudgmentrinrprescribingr includes:
1. Factoringrinrthercostrtortherpatientrofrthermedicationrprescribed
2. Alwaysrprescribingrthernewestrmedicationravailablerforrtherdiseaserprocess
3. Handingroutrdrugrsamplesrtorpoorrpatients
4. Prescribingrallrgenericrmedicationsrtorcutrcosts
r rr 4.rCriteriarforrchoosingranreffectiverdrugrforrardisorderr include:
1. Askingrtherpatientrwhatrdrugrtheyrthinkrwouldrworkrbestrforrthem
2. Consultingrnationallyrrecognizedrguidelinesrforrdiseasermanagement
3. Prescribingrmedicationsrthatrareravailablerasrsamplesrbeforerwritingrarprescription
4. FollowingrU.S.rDrugrEnforcementrAdministrationrguidelinesrforrprescribing
r rr 5.rNurserpractitionerrpracticermayrthriverunderrhealth-carerreformrbecauser of:
1. Therdemonstratedrabilityrofrnurserpractitionersrtorcontrolrcostsrandrimproverpatientrout
comes
2. Therfactrthatrnurserpractitionersrwillrberablertorpracticerindependently
3. Therfactrthatrnurserpractitionersrwillrhaverfullrreimbursementrunderrhealth-
rcarerreform
4. TherabilityrtorshiftraccountabilityrforrMedicaidrtortherstaterlevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
Chapterr1.rTherRolerofrtherNurserPractitionerrasrPrescriberr
AnswerrSection
MULTIPLErCHOICE
1. ANS:rrr 3 PTS:r 1
2. ANS:rrr 2 PTS:r 1
3. ANS:rrr 1 PTS:r 1
4. ANS:rrr 2 PTS:r 1
5. ANS:rrr 1 PTS:r 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank
r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
Chapterr2.rReviewrofrtherBasicrPrinciplesrofrPharmacologyr
MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r
1.rArpatient’srnutritionalrintakerandrlaboratoryrresultsrreflectrhypoalbuminemia.rThisrisrcriti
rr
calrtorprescribingrbecause:
1. Distributionrofrdrugsrtortargetrtissuermayrberaffected.
2. Thersolubilityrofrtherdrugrwillrnotrmatchrthersiterofrabsorption.
3. Thererwillrberlessrfreerdrugravailablertorgenerateranreffect.
4. Drugsrboundrtoralbuminrarerreadilyrexcretedrbyrtherkidneys.
r rr 2.rDrugsrthatrhaverarsignificantrfirst-passr effect:
1. Mustrbergivenrbyrtherenteralr(oral)rrouteronly
2. Bypassrtherhepaticrcirculation
3. Arerrapidlyrmetabolizedrbyrtherliverrandrmayrhaverlittlerifranyrdesiredraction
4. Arerconvertedrbyrtherliverrtormoreractiverandrfat-solublerforms
r rr 3.rTherrouterofr excretionrofrarvolatilerdrugrwillrlikelyrber the:
1. Kidneys
2. Lungs
3. Bilerandrfeces
4. Skin
r
rr 4.rMedroxyprogesteroner(DeporProvera)risrprescribedrintramuscularlyr(IM)rtor createrarst
oragerreservoirrofrtherdrug.rStoragerreservoirs:
1. Assurerthatrtherdrugrwillrreachritsrintendedrtargetrtissue
2. Arertherreasonrforrgivingrloadingrdoses
3. Increasertherlengthrofrtimerardrugrisravailablerandractive
4. Arermostrcommonrinrcollagenrtissues
r rr 5.rTherNPrchoosesrtorgivercephalexinreveryr8rhoursrbasedronrknowledgerofrther drug’s:
1. Propensityrtorgortorthertargetrreceptor
2. Biologicalrhalf-life
3. Pharmacodynamics
4. Safetyrandrsidereffects
r
rr 6.rAzithromycinrdosingrrequiresrthatrtherfirstrday’srdosagerbertwicerthoserofrtherotherr4rdaysrof
therprescription.rThisrisrconsideredrarloadingrdose.rArloadingrdose:
r
1. Rapidlyrachievesrdrugrlevelsrinrthertherapeuticrrange
2. Requiresrfour-rtorfive-half-livesrtorattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
r r r r r r r r r
binson Test Bank r r
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
r r r r r r r r r
3. Isrinfluencedrbyrrenalrfunction
4. Isrdirectlyrrelatedrtortherdrugrcirculatingrtorthertargetr tissues
r rr 7.rTherpointrinrtimeronrtherdrugrconcentrationrcurverthatrindicatesrtherfirstrsignrofrartherapeuticreffectrisrthe:
1. Minimumradversereffectrlevel
2. Peakrofraction
