NURS 618 Module 1 Test Bank Questions
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1. Nurse practitioner prescriptive authority is regulated 3. The State Board of
by: Nursing for each state
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
2. The benefits to the patient of having an Advanced 2. Nurses care for the pa-
Practice Registered Nurse (APRN) prescriber include: tient from a holistic ap-
proach and include the
1. Nurses know more about Pharmacology than other patient in decision making
prescribers because they take it both in their basic regarding their care.
nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach
and include the patient in decision making regarding
their care.
3. APRNs are less likely to prescribe narcotics 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 practice.
3. Clinical judgment in prescribing includes: 1. Factoring in the cost to
the patient of the medica-
1. Factoring in the cost to the patient of the medica- tion prescribed
tion prescribed
2. Always prescribing the newest medication available
for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
4.
, NURS 618 Module 1 Test Bank Questions
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Criteria for choosing an effective drug for a disorder 2. Consulting nationally
include: recognized guidelines for
disease management
1. Asking the patient what drug they think would work
best for them
2. Consulting nationally recognized guidelines for dis-
ease management
3. Prescribing medications that are available as sam-
ples before writing a prescription
4. Following U.S. Drug Enforcement Administration
guidelines for prescribing
5. Nurse practitioner practice may thrive under 1. The demonstrated abili-
health-care reform because of: ty of nurse practitioners to
control costs and improve
1. The demonstrated ability of nurse practitioners to patient outcomes
control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to
practice independently
3. The fact that nurse practitioners will have full reim-
bursement under healthcare reform
4. The ability to shift accountability for Medicaid to the
state level
6. A patient's nutritional intake and laboratory results 1. Distribution of drugs to
reflect hypoalbuminemia. This is critical to prescribing target tissue may be af-
because: fected.
1. Distribution of drugs to target tissue may be affect-
ed.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an
, NURS 618 Module 1 Test Bank Questions
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effect.
4. Drugs bound to albumin are readily excreted by the
kidneys.
7. Drugs that have a significant first-pass effect: 3. Are rapidly metabolized
by the liver and may have
1. Must be given by the enteral (oral) route only little if any desired action
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have
little if any desired action
4. Are converted by the liver to more active and fat-sol-
uble forms
8. The route of excretion of a volatile drug will likely be 2. Lungs
the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
9. Medroxyprogesterone (Depo Provera) is prescribed 3. Increase the length of
intramuscularly (IM) to create a storage reservoir of time a drug is available
the drug. Storage reservoirs: and active
1. Assure that the drug will reach its intended target
tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and
active
4. Are most common in collagen tissues
10. 2. Biological half-life
, NURS 618 Module 1 Test Bank Questions
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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
11. Azithromycin dosing requires that the first day's 1. Rapidly achieves drug
dosage be twice those of the other 4 days of the pre- levels in the therapeutic
scription. This is considered a loading dose. A loading range
dose:
1. Rapidly achieves drug levels in the therapeutic
range
2. Requires four- to five-half-lives to attain
3. Is influenced by renal function
4. Is directly related to the drug circulating to the
target tissues
12. The point in time on the drug concentration curve that 3. Onset of action
indicates the first sign of a therapeutic effect is the:
1. Minimum adverse effect level
2. Peak of action
3. Onset of action
4. Therapeutic range
13. Phenytoin requires that a trough level be drawn. Peak 4. To determine if a drug is
and trough levels are done: in the therapeutic range
1. When the drug has a wide therapeutic range
2. When the drug will be administered for a short time
Study online at https://quizlet.com/_fg8gn5
1. Nurse practitioner prescriptive authority is regulated 3. The State Board of
by: Nursing for each state
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
2. The benefits to the patient of having an Advanced 2. Nurses care for the pa-
Practice Registered Nurse (APRN) prescriber include: tient from a holistic ap-
proach and include the
1. Nurses know more about Pharmacology than other patient in decision making
prescribers because they take it both in their basic regarding their care.
nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach
and include the patient in decision making regarding
their care.
3. APRNs are less likely to prescribe narcotics 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 practice.
3. Clinical judgment in prescribing includes: 1. Factoring in the cost to
the patient of the medica-
1. Factoring in the cost to the patient of the medica- tion prescribed
tion prescribed
2. Always prescribing the newest medication available
for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
4.
, NURS 618 Module 1 Test Bank Questions
Study online at https://quizlet.com/_fg8gn5
Criteria for choosing an effective drug for a disorder 2. Consulting nationally
include: recognized guidelines for
disease management
1. Asking the patient what drug they think would work
best for them
2. Consulting nationally recognized guidelines for dis-
ease management
3. Prescribing medications that are available as sam-
ples before writing a prescription
4. Following U.S. Drug Enforcement Administration
guidelines for prescribing
5. Nurse practitioner practice may thrive under 1. The demonstrated abili-
health-care reform because of: ty of nurse practitioners to
control costs and improve
1. The demonstrated ability of nurse practitioners to patient outcomes
control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to
practice independently
3. The fact that nurse practitioners will have full reim-
bursement under healthcare reform
4. The ability to shift accountability for Medicaid to the
state level
6. A patient's nutritional intake and laboratory results 1. Distribution of drugs to
reflect hypoalbuminemia. This is critical to prescribing target tissue may be af-
because: fected.
1. Distribution of drugs to target tissue may be affect-
ed.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an
, NURS 618 Module 1 Test Bank Questions
Study online at https://quizlet.com/_fg8gn5
effect.
4. Drugs bound to albumin are readily excreted by the
kidneys.
7. Drugs that have a significant first-pass effect: 3. Are rapidly metabolized
by the liver and may have
1. Must be given by the enteral (oral) route only little if any desired action
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have
little if any desired action
4. Are converted by the liver to more active and fat-sol-
uble forms
8. The route of excretion of a volatile drug will likely be 2. Lungs
the:
1. Kidneys
2. Lungs
3. Bile and feces
4. Skin
9. Medroxyprogesterone (Depo Provera) is prescribed 3. Increase the length of
intramuscularly (IM) to create a storage reservoir of time a drug is available
the drug. Storage reservoirs: and active
1. Assure that the drug will reach its intended target
tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and
active
4. Are most common in collagen tissues
10. 2. Biological half-life
, NURS 618 Module 1 Test Bank Questions
Study online at https://quizlet.com/_fg8gn5
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
11. Azithromycin dosing requires that the first day's 1. Rapidly achieves drug
dosage be twice those of the other 4 days of the pre- levels in the therapeutic
scription. This is considered a loading dose. A loading range
dose:
1. Rapidly achieves drug levels in the therapeutic
range
2. Requires four- to five-half-lives to attain
3. Is influenced by renal function
4. Is directly related to the drug circulating to the
target tissues
12. The point in time on the drug concentration curve that 3. Onset of action
indicates the first sign of a therapeutic effect is the:
1. Minimum adverse effect level
2. Peak of action
3. Onset of action
4. Therapeutic range
13. Phenytoin requires that a trough level be drawn. Peak 4. To determine if a drug is
and trough levels are done: in the therapeutic range
1. When the drug has a wide therapeutic range
2. When the drug will be administered for a short time
