Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
, Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
Pharmacotherapeutics !!
for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson !!Test !!Bank
Chapter !!1. !!The !!Role !!of !!the !!Nurse
Practitioner!Multiple !!Choice
!!
Identify !!the !!choice !!that !!best !!completes !!the !!statement !!or !!answers !!the !!question.
!! !! !! 1. !!Nurse !!practitioner !!prescriptive !!authority !!is !!regulated !! by:
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 !!Practice !!Registered !!Nurse !!(APRN)
!!prescriber!include:
1. Nurses !!know !!more !!about !!Pharmacology !!than !!other !!prescribers !!because !!they
!!take !!it!both !!in !!their !!basic !!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 !!medication !!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. !!Criteria !!for !!choosing !!an !!effective !!drug !!for !!a !!disorder !!include:
1. Asking !!the !!patient !!what !!drug !!they !!think !!would !!work !!best !!for !!them
2. Consulting !!nationally !!recognized !!guidelines !!for !!disease !!management
3. Prescribing !!medications !!that !!are !!available !!as !!samples !!before !!writing !!a !!prescription
4. Following !!U.S. !!Drug !!Enforcement !!Administration !!guidelines !!for !!prescribing
!! !! !! 5. !!Nurse !!practitioner !!practice !!may !!thrive !!under !!health-care !!reform !!because !!of:
1. The !!demonstrated !!ability !!of !!nurse !!practitioners !!to !!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 !!reimbursement !!under
!!health-care!reform
4. The !!ability !!to !!shift !!accountability !!for !!Medicaid !!to !!the !!state !!level
,Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
, Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
Chapter !!1. !!The !!Role !!of !!the !!Nurse
!!Practitioner!Answer !!Section
MULTIPLE !!CHOICE
1. ANS: !! !! !! 3 PTS: ! ! 1
2. ANS: !! !! !! 2 PTS: ! ! 1
3. ANS: !! !! !! 1 PTS: ! ! 1
4. ANS: !! !! !! 2 PTS: ! ! 1
5. ANS: !! !! !! 1 PTS: ! ! 1
Chapter !!2. !!Review !!of !!Basic !!Principles !!of
Pharmacology!Multiple !!Choice
!!
Identify !!the !!choice !!that !!best !!completes !!the !!statement !!or !!answers !!the !!question.
!! !! !! 1. !!A !!patient’s !!nutritional !!intake !!and !!laboratory !!results !!reflect !!hypoalbuminemia. !!This !!is
!!critical !!to!prescribing !!because:
1. Distribution !!of !!drugs !!to !!target !!tissue !!may !!be !!affected.
2. The !!solubility !!of !!the !!drug !!will !!not !!match !!the !!site !!of !!absorption.
3. There !!will !!be !!less !!free !!drug !!available !!to !!generate !!an !!effect.
4. Drugs !!bound !!to !!albumin !!are !!readily !!excreted !!by !!the !!kidneys.
!! !! !! 2. !!Drugs !!that !!have !!a !!significant !!first-pass ! ! effect:
1. Must !!be !!given !!by !!the !!enteral !!(oral) !!route !!only
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-soluble !!forms
!! !! !! 3. !!The !!route !!of !!excretion !!of !!a !!volatile !!drug !!will !!likely !!be ! ! the:
1. Kidneys
2. Lungs
3. Bile !!and !!feces
4. Skin
!! !! !! 4. !!Medroxyprogesterone !!(Depo !!Provera) !!is !!prescribed !!intramuscularly !!(IM) !!to !!create !!a
!!storage!reservoir !!of !!the !!drug. !!Storage !!reservoirs:
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
!! !! !! 5. !!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
!!Test !!Bank
, Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
Pharmacotherapeutics !!
for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson !!Test !!Bank
Chapter !!1. !!The !!Role !!of !!the !!Nurse
Practitioner!Multiple !!Choice
!!
Identify !!the !!choice !!that !!best !!completes !!the !!statement !!or !!answers !!the !!question.
!! !! !! 1. !!Nurse !!practitioner !!prescriptive !!authority !!is !!regulated !! by:
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 !!Practice !!Registered !!Nurse !!(APRN)
!!prescriber!include:
1. Nurses !!know !!more !!about !!Pharmacology !!than !!other !!prescribers !!because !!they
!!take !!it!both !!in !!their !!basic !!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 !!medication !!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. !!Criteria !!for !!choosing !!an !!effective !!drug !!for !!a !!disorder !!include:
1. Asking !!the !!patient !!what !!drug !!they !!think !!would !!work !!best !!for !!them
2. Consulting !!nationally !!recognized !!guidelines !!for !!disease !!management
3. Prescribing !!medications !!that !!are !!available !!as !!samples !!before !!writing !!a !!prescription
4. Following !!U.S. !!Drug !!Enforcement !!Administration !!guidelines !!for !!prescribing
!! !! !! 5. !!Nurse !!practitioner !!practice !!may !!thrive !!under !!health-care !!reform !!because !!of:
1. The !!demonstrated !!ability !!of !!nurse !!practitioners !!to !!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 !!reimbursement !!under
!!health-care!reform
4. The !!ability !!to !!shift !!accountability !!for !!Medicaid !!to !!the !!state !!level
,Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
, Pharmacotherapeutics !!for !!Advanced !!Practice !!Nurse !!Prescribers !!5th !!Edition !!Woo !!Robinson
!!Test !!Bank
Chapter !!1. !!The !!Role !!of !!the !!Nurse
!!Practitioner!Answer !!Section
MULTIPLE !!CHOICE
1. ANS: !! !! !! 3 PTS: ! ! 1
2. ANS: !! !! !! 2 PTS: ! ! 1
3. ANS: !! !! !! 1 PTS: ! ! 1
4. ANS: !! !! !! 2 PTS: ! ! 1
5. ANS: !! !! !! 1 PTS: ! ! 1
Chapter !!2. !!Review !!of !!Basic !!Principles !!of
Pharmacology!Multiple !!Choice
!!
Identify !!the !!choice !!that !!best !!completes !!the !!statement !!or !!answers !!the !!question.
!! !! !! 1. !!A !!patient’s !!nutritional !!intake !!and !!laboratory !!results !!reflect !!hypoalbuminemia. !!This !!is
!!critical !!to!prescribing !!because:
1. Distribution !!of !!drugs !!to !!target !!tissue !!may !!be !!affected.
2. The !!solubility !!of !!the !!drug !!will !!not !!match !!the !!site !!of !!absorption.
3. There !!will !!be !!less !!free !!drug !!available !!to !!generate !!an !!effect.
4. Drugs !!bound !!to !!albumin !!are !!readily !!excreted !!by !!the !!kidneys.
!! !! !! 2. !!Drugs !!that !!have !!a !!significant !!first-pass ! ! effect:
1. Must !!be !!given !!by !!the !!enteral !!(oral) !!route !!only
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-soluble !!forms
!! !! !! 3. !!The !!route !!of !!excretion !!of !!a !!volatile !!drug !!will !!likely !!be ! ! the:
1. Kidneys
2. Lungs
3. Bile !!and !!feces
4. Skin
!! !! !! 4. !!Medroxyprogesterone !!(Depo !!Provera) !!is !!prescribed !!intramuscularly !!(IM) !!to !!create !!a
!!storage!reservoir !!of !!the !!drug. !!Storage !!reservoirs:
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
!! !! !! 5. !!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
