WGU D116 Unit 2 OA Review
Which factor increases the need for APRNs to have full prescriptive authority? - (correct Answer) - More
patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of
medications the APRN is allowed to prescribe. State law does not require the APRN to practice under
physician supervision.
How would the APRN's prescriptive authority be described? - (correct Answer) - Independent
A patient taking three medications for hypertension is diagnosed with chronic obstructive pulmonary
disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? - (correct Answer) - Obtain
a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - (correct Answer) - Schedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe those medications
Schedule 1 illegal down to schedule 5
A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs
the patient to administer "two puffs every 4 hours as needed for coughing or wheezing." The patient
reports feeling jittery sometimes when taking the medication, and she does not feel that the medication
is always effective.
Which action is most appropriate? - (correct Answer) - Auscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine sulfate.
, The naloxone is effective because of which action? - (correct Answer) - Preventing activation of opioid
receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
The nurse is preparing to administer penicillin G intramuscularly to a child. The child's parents ask why
the drug cannot be given in an oral liquid form.
What is the nurse's reply? - (correct Answer) - "This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug atropine. It is used for
bronchodilation.
Why would a medicinal chemist want to alter this prototype? - (correct Answer) - To allow for higher
doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic absorption
Of the four drugs listed, which drug would you expect to have a unique side effect profile and unique
mechanism of action from the others? - (correct Answer) - Losartan
Which is an angiotensin receptor blocker and bradykinin cough is not present. Meds end in -sartan
Angiotension converting enzyme inhibitors (ACE Inhibitors) increase bradykinin which produces S/E of
cough. Meds end in -pril
Sildenafil is a prototype of phosphodiesterase type 5 inhibitors (PDE5 inhibitors) that Pfizer launched as
Viagra.
Which drug is also a PDE5 inhibitor? - (correct Answer) - Tadalafil
Ends in -afil
A family nurse practitioner practicing in Maine is hired at a practice across state lines in Virginia. Which
aspect of practice may change for the APRN? - (correct Answer) - The APRN will have less prescriptive
authority in the new position
A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red rash
on the chest and neck. Which action is most important? - (correct Answer) - Discontinue the med
Which factor increases the need for APRNs to have full prescriptive authority? - (correct Answer) - More
patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of
medications the APRN is allowed to prescribe. State law does not require the APRN to practice under
physician supervision.
How would the APRN's prescriptive authority be described? - (correct Answer) - Independent
A patient taking three medications for hypertension is diagnosed with chronic obstructive pulmonary
disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? - (correct Answer) - Obtain
a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - (correct Answer) - Schedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe those medications
Schedule 1 illegal down to schedule 5
A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs
the patient to administer "two puffs every 4 hours as needed for coughing or wheezing." The patient
reports feeling jittery sometimes when taking the medication, and she does not feel that the medication
is always effective.
Which action is most appropriate? - (correct Answer) - Auscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine sulfate.
, The naloxone is effective because of which action? - (correct Answer) - Preventing activation of opioid
receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
The nurse is preparing to administer penicillin G intramuscularly to a child. The child's parents ask why
the drug cannot be given in an oral liquid form.
What is the nurse's reply? - (correct Answer) - "This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug atropine. It is used for
bronchodilation.
Why would a medicinal chemist want to alter this prototype? - (correct Answer) - To allow for higher
doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic absorption
Of the four drugs listed, which drug would you expect to have a unique side effect profile and unique
mechanism of action from the others? - (correct Answer) - Losartan
Which is an angiotensin receptor blocker and bradykinin cough is not present. Meds end in -sartan
Angiotension converting enzyme inhibitors (ACE Inhibitors) increase bradykinin which produces S/E of
cough. Meds end in -pril
Sildenafil is a prototype of phosphodiesterase type 5 inhibitors (PDE5 inhibitors) that Pfizer launched as
Viagra.
Which drug is also a PDE5 inhibitor? - (correct Answer) - Tadalafil
Ends in -afil
A family nurse practitioner practicing in Maine is hired at a practice across state lines in Virginia. Which
aspect of practice may change for the APRN? - (correct Answer) - The APRN will have less prescriptive
authority in the new position
A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red rash
on the chest and neck. Which action is most important? - (correct Answer) - Discontinue the med
