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, Pharmacotherapeutics forAdvancedPracticeNursePrescribers,4th v v v v v v
edition Woo Robinson Test Bank v v v v v
Chapter1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
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Identifythe choice that best completes thestatement or answers the question.
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1. Nurse practitioner prescriptive authorityis regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy v v v v
2. Thebenefits to the patient of having an Advanced Practice Registered Nurse (APRN)prescriber
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include:
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1. Nurses know more about Pharmacologythan other prescribers because theytakeit
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both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision making regarding their care.
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3. APRNs are less likelyto prescribe narcotics and other controlled substances.
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4. APRNs areable to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed v v v v v v v v v v
2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients v v v v v v
4. Prescribingall generic medications to cut costs v v v v v v
4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug theythink would work best for them
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2. Consultingnationallyrecognized guidelines for disease management v v v v v v
3. Prescribingmedications that are available as samples before writing a prescription v v v v v v v v v v
4. Following U.S. Drug Enforcement Administration guidelines for prescribing v v v v v v v
5. Nurse practitioner practice may thriveunder health-care reform because of:
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1. The demonstrated ability of nursepractitioners to control costs and improvepatient
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outcomes v
2. Thefact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-
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care reform v v
4. The ability to shift accountability for Medicaid to the state level
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, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
v v v v v v
edition Woo Robinson Test Bank v v v v v
Chapter 1.The Role of the Nurse Practitioner as Prescriber
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Answer Section
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MULTIPLE CHOICE v
1. ANS: v v 3 PTS: v 1
2. ANS: v v 2 PTS: v 1
3. ANS: v v 1 PTS: v 1
4. ANS: v v 2 PTS: v 1
5. ANS: v v 1 PTS: v 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th v v v v v v
edition Woo Robinson Test Bank v v v v v
Chapter2. Review of theBasic Principles of Pharmacology
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v Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. A patient’s nutritional intake and laboratoryresults reflect hypoalbuminemia. This is critical to
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prescribing because:
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1. Distribution of drugs to target tissue maybe affected. v v v v v v v v
2. The solubilityof the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only v v v v v v v v
2. Bypass the hepatic circulation v v v
3. Are rapidlymetabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bileand feces v v
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly(IM) to create astorage
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reservoir of the drug. Storage reservoirs:
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1. Assurethat the drug will reach its intended target tissue v v v v v v v v v
2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active v v v v v v v v v v
4. Are most common in collagen tissues
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5. The NP chooses to give cephalexin every8 hours based on knowledge of the drug’s:
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1. Propensityto go to the target receptor v v v v v v
2. Biological half-life v
3. Pharmacodynamics
4. Safety and side effects v v v
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidlyachieves drug levels in the therapeutic range v v v v v v v
2. Requires four- to five-half-lives to attain v v v v v
3. Is influenced byrenal function
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4. Is directly related to the drug circulating to the target tissues
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7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
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1. Minimum adverse effect level v v v
2. Peak of action v v