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Exam (elaborations)

NSG 6005 Week 1 Quiz

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NSG 6005 Week 1 Quiz Question 1. Question: The factor that has the greatest effect on males developing male sexual characteristics is: Cultural beliefs Effective male role models Adequate intake of testosterone in the diet Androgen production Question 2. Question : The U.S. Drug Enforcement Administration (DEA): Registers the manufacturers of, and those who are prescribers of controlled substances. Regulates NP prescribing at the state level Sanctions providers who prescribe drugs off-label Provides prescribers with a number they can use for insurance billing Question 3. Question : Off-Label prescribing is: IN Regulated by the FDA Illegal by NPs in all states (provinces) Legal if there is scientific evidence for the use Regulated by the DEA Question 4. Question : Drugs that are designated Schedule II by the DEA: Are the known teratogens during pregnancy May not be refilled; a new prescription must be written Have a low abuse potential May be dispensed without a prescription unless regulated by the state Question 5. Question : Incorporating IT into a patient encounter takes skill and tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by: Turning the screen around so the patient can see material being recorded Not placing the computer screen between the provider and the patient Both A and B Neither A nor B Question 6. Question : Asians from Eastern Asia are known to be fast acetylators. Fast acetylators: Require acetylizationin order to metabolize drugs Are unable to tolerate higher doses of some drugs that require acetylization May have a toxic reaction to drugs that require acetylization Require higher doses of drugs metabolized by acetylization to achieve efficacy Question 7. Question : Pharmacokinetics among Asians are universal to all the Asian ethnic groups. True False Question 8. Question : Liza is breastfeeding her two-month-old son, and she has an infection that requires an antibiotic. What drug factors influence the effect of the drug on the infant? Maternal drug levels Half-life Lipid solubility All of the above Question 9. Question : Precautions that should be taken when prescribing controlled substances include: Faxing the prescription for a Schedule II drug directly to the pharmacy Using tamper-proof papers for all prescriptions written for controlled drugs Keeping any presigned prescription pads in a locked drawer in the clinic Using only numbers to indicate the amount of drug to be prescribed Question 10. Question : The developmental variation in Phase I enzymes has what impact on pediatric prescribing? None; Phase I enzymes are stable throughout childhood Children should always be prescribed lower than adult doses per weight due to low enzyme activity until puberty Children should always be prescribed higher than adult doses per weight due to high enzyme activity Prescribing dosages will vary based on the developmental activity of each enzyme, at times requiring lower than adult doses and at other times requiring higher than adult doses based on the age of the child NSG6005 Week 1 Quiz: South University Question 1 What impact does developmental variation in renal . function has on prescribing for infants and children? : Lower doses of renally excreted drugs may be prescribed to infants younger than six months Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion Renal excretion rates have no impact on prescribing Parents need to be instructed on whether drugs are renally excreted or not Question 2 Nurse practitioner prescriptive authority is regulated by: . : The National Council of State Boards of Nursing The U.S. Drug Enforcement Administration The State Board of Nursing for each state The State Board of Pharmacy Question 3 Dysmenorrhea is one of the most common . gynecological complaints in young women. The first line of drug treatment for this disorder is: : Oral contraceptive pills Caffeine Nonsteroidalantiinflammatory drugs (NSAIDs) Aspirin Question 4 Gender differences between men and women in . pharmacokinetics include: : More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations Slower organ blood flow rates so that drugs tend to take longer to be excreted Question 5 Incorporating IT into a patient encounter takes skill and . tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by: : Turning the screen around so the patient can see material being recorded Not placing the computer screen between the provider and the patient Both A and B Neither A nor B Question 6 Alterations in drug metabolism among Asians may lead . to: : Slower metabolism of antidepressants, requiring lower doses Faster metabolism of neuroleptics, requiring higher doses Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses Question 7 Precautions that should be taken when prescribing . controlled substances include: : Faxing the prescription for a Schedule II drug directly to the pharmacy Using tamper-proof papers for all prescriptions written for controlled drugs Keeping any presigned prescription pads in a locked drawer in the clinic Using only numbers to indicate the amount of drug to be prescribed Question 8 Drugs that are designated Schedule II by the DEA: . : Are the known teratogens during pregnancy May not be refilled; a new prescription must be written Have a low abuse potential May be dispensed without a prescription unless regulated by the state

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