Chapter 1. The Role of the Nurse Practitioner
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gu Multiple Choice gu
Identify the choice that best completes the statement or answers the question.
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1. Nurse practitioner prescriptive authority is 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 gu gu gu gu
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
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prescriber include:
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1. Nurses know more about Pharmacology than other prescribers because they take
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it 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
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in decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a
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physician’s 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 gu gu gu gu gu gu gu gu gu gu
2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients gu gu gu gu gu gu
4. Prescribing all generic medications to cut costs gu gu gu gu gu gu
4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management gu gu gu gu gu gu
3. Prescribing medications that are available as samples before writing a prescription gu gu gu gu gu gu gu gu gu gu
4. Following U.S. Drug Enforcement Administration guidelines for prescribing gu gu gu gu gu gu gu
5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve
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patient outcomes gu gu
2. The fact 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 gu
4. The ability to shift accountability for Medicaid to the state level
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,
, Chapter 1. The Role of the Nurse Practitioner
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Answer Section
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MULTIPLE CHOICE gu
1. ANS: g u g u 3 PTS: g u 1
2. ANS: g u g u 2 PTS: g u 1
3. ANS: g u g u 1 PTS: g u 1
4. ANS: g u g u 2 PTS: g u 1
5. ANS: g u g u 1 PTS: g u 1
Chapter 2. Review of Basic Principles of Pharmacology
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gu Multiple Choice gu
Identify the choice that best completes the statement or answers the question.
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g u 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
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to prescribing because:
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1. Distribution of drugs to target tissue may be affected. gu gu gu gu gu gu gu gu
2. The solubility of 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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g u 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation gu gu gu
3. Are rapidly metabolized 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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g u g u 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces gu gu
4. Skin
g u 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
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storage reservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active gu gu gu gu gu gu gu gu gu gu
4. Are most common in collagen tissues
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g u g u 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor gu gu gu gu gu gu
2. Biological half-life gu
3. Pharmacodynamics
4. Safety and side effects gu gu gu