NR 508 Final Review Ques ons and answers newest
100% verified correct NEW!!2025/2026
Nurse prac oner prescrip ve authority is regulated by:
1. The Na onal Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administra on
3. The State Board of Nursing for each state
4. The State Board of Pharmacy - Correct Answers The State Board of Nursing for each state
The benefits to the pa ent of having an Advanced Prac ce Registered Nurse (APRN) prescriber
include:
1. Nurses know more about Pharmacology than other prescribers because they take it both in
their basic nursing program and in their APRN program.
2. Nurses care for the pa ent from a holis c approach and include the pa ent in decision
making regarding their care.
3. APRNs are less likely to prescribe narco cs and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs
to have a physician supervising their prac ce. - Correct Answers Nurses care for the pa ent
from a holis c approach and include the pa ent in decision making regarding their care.
Clinical judgment in prescribing includes:
1. Factoring in the cost to the pa ent of the medica on prescribed
2. Always prescribing the newest medica on available for the disease process
3. Handing out drug samples to poor pa ents
,4. Prescribing all generic medica ons to cut costs - Correct Answers Factoring in the cost to
the pa ent of the medica on prescribed
Criteria for choosing an effec ve drug for a disorder include:
1. Asking the pa ent what drug they think would work best for them
2. Consul ng na onally recognized guidelines for disease management
3. Prescribing medica ons that are available as samples before wri ng a prescrip on
4. Following U.S. Drug Enforcement Administra on guidelines for prescribing - Correct Answers
Consul ng na onally recognized guidelines for disease management
Nurse prac oner prac ce may thrive under health-care reform because of:
1. The demonstrated ability of nurse prac oners to control costs and improve pa ent
outcomes
2. The fact that nurse prac oners will be able to prac ce independently
3. The fact that nurse prac oners will have full reimbursement under health-care reform
4. The ability to shi5 accountability for Medicaid to the state level - Correct Answers The
demonstrated ability of nurse prac oners to control costs and improve pa ent outcomes
A pa ent's nutri onal intake and laboratory results reflect hypoalbuminemia. This is cri cal to
prescribing because:
1. Distribu on of drugs to target ssue may be affected.
2. The solubility of the drug will not match the site of absorp on.
3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys. - Correct Answers Distribu on
of drugs to target ssue may be affected.
Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
,2. Bypass the hepa c circula on
3. Are rapidly metabolized by the liver and may have li9le if any desired ac on
4. Are converted by the liver to more ac ve and fat-soluble forms - Correct Answers Are
rapidly metabolized by the liver and may have li9le if any desired ac on
The route of excre on of a vola le drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin - Correct Answers Bile and feces
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:
1. Assure that the drug will reach its intended target ssue
2. Are the reason for giving loading doses
3. Increase the length of me a drug is available and ac ve
4. Are most common in collagen ssues - Correct Answers Increase the length of me a drug is
available and ac ve
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
4. Safety and side effects - Correct Answers Biological half-life
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of
the prescrip on. This is considered a loading dose. A loading dose:
, 1. Rapidly achieves drug levels in the therapeu c range
2. Requires four- to five-half-lives to a9ain
3. Is influenced by renal func on
4. Is directly related to the drug circula ng to the target ssues - Correct Answers Rapidly
achieves drug levels in the therapeu c range
The point in me on the drug concentra on curve that indicates the first sign of a therapeu c
effect is the:
1. Minimum adverse effect level
2. Peak of ac on
3. Onset of ac on
4. Therapeu c range - Correct Answers Onset of ac on
. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
1. When the drug has a wide therapeu c range
2. When the drug will be administered for a short me only
3. When there is a high correla on between the dose and satura on of receptor sites
4. To determine if a drug is in the therapeu c range - Correct Answers To determine if a drug is
in the therapeu c range
A laboratory result indicates that the peak level for a drug is above the minimum toxic
concentra on. This means that the:
1. Concentra on will produce therapeu c effects
2. Concentra on will produce an adverse response
3. Time between doses must be shortened
4. Dura on of ac on of the drug is too long - Correct Answers Concentra on will produce an
adverse response
100% verified correct NEW!!2025/2026
Nurse prac oner prescrip ve authority is regulated by:
1. The Na onal Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administra on
3. The State Board of Nursing for each state
4. The State Board of Pharmacy - Correct Answers The State Board of Nursing for each state
The benefits to the pa ent of having an Advanced Prac ce Registered Nurse (APRN) prescriber
include:
1. Nurses know more about Pharmacology than other prescribers because they take it both in
their basic nursing program and in their APRN program.
2. Nurses care for the pa ent from a holis c approach and include the pa ent in decision
making regarding their care.
3. APRNs are less likely to prescribe narco cs and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs
to have a physician supervising their prac ce. - Correct Answers Nurses care for the pa ent
from a holis c approach and include the pa ent in decision making regarding their care.
Clinical judgment in prescribing includes:
1. Factoring in the cost to the pa ent of the medica on prescribed
2. Always prescribing the newest medica on available for the disease process
3. Handing out drug samples to poor pa ents
,4. Prescribing all generic medica ons to cut costs - Correct Answers Factoring in the cost to
the pa ent of the medica on prescribed
Criteria for choosing an effec ve drug for a disorder include:
1. Asking the pa ent what drug they think would work best for them
2. Consul ng na onally recognized guidelines for disease management
3. Prescribing medica ons that are available as samples before wri ng a prescrip on
4. Following U.S. Drug Enforcement Administra on guidelines for prescribing - Correct Answers
Consul ng na onally recognized guidelines for disease management
Nurse prac oner prac ce may thrive under health-care reform because of:
1. The demonstrated ability of nurse prac oners to control costs and improve pa ent
outcomes
2. The fact that nurse prac oners will be able to prac ce independently
3. The fact that nurse prac oners will have full reimbursement under health-care reform
4. The ability to shi5 accountability for Medicaid to the state level - Correct Answers The
demonstrated ability of nurse prac oners to control costs and improve pa ent outcomes
A pa ent's nutri onal intake and laboratory results reflect hypoalbuminemia. This is cri cal to
prescribing because:
1. Distribu on of drugs to target ssue may be affected.
2. The solubility of the drug will not match the site of absorp on.
3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys. - Correct Answers Distribu on
of drugs to target ssue may be affected.
Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
,2. Bypass the hepa c circula on
3. Are rapidly metabolized by the liver and may have li9le if any desired ac on
4. Are converted by the liver to more ac ve and fat-soluble forms - Correct Answers Are
rapidly metabolized by the liver and may have li9le if any desired ac on
The route of excre on of a vola le drug will likely be the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin - Correct Answers Bile and feces
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:
1. Assure that the drug will reach its intended target ssue
2. Are the reason for giving loading doses
3. Increase the length of me a drug is available and ac ve
4. Are most common in collagen ssues - Correct Answers Increase the length of me a drug is
available and ac ve
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
4. Safety and side effects - Correct Answers Biological half-life
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of
the prescrip on. This is considered a loading dose. A loading dose:
, 1. Rapidly achieves drug levels in the therapeu c range
2. Requires four- to five-half-lives to a9ain
3. Is influenced by renal func on
4. Is directly related to the drug circula ng to the target ssues - Correct Answers Rapidly
achieves drug levels in the therapeu c range
The point in me on the drug concentra on curve that indicates the first sign of a therapeu c
effect is the:
1. Minimum adverse effect level
2. Peak of ac on
3. Onset of ac on
4. Therapeu c range - Correct Answers Onset of ac on
. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
1. When the drug has a wide therapeu c range
2. When the drug will be administered for a short me only
3. When there is a high correla on between the dose and satura on of receptor sites
4. To determine if a drug is in the therapeu c range - Correct Answers To determine if a drug is
in the therapeu c range
A laboratory result indicates that the peak level for a drug is above the minimum toxic
concentra on. This means that the:
1. Concentra on will produce therapeu c effects
2. Concentra on will produce an adverse response
3. Time between doses must be shortened
4. Dura on of ac on of the drug is too long - Correct Answers Concentra on will produce an
adverse response
