Answers
1. 1. Nurse practitioner prescriptive authority is regulat- C
ed by: A. The National Council of State Boards of Nurs-
ing B. The U.S. Drug Enforcement Administration C.
The State Board of Nursing for each state D. The State
Board of Pharmacy
2. 2. Physician Assistant (PA) prescriptive authority is reg- D
ulated by: A. The National Council of State Boards of
Nursing B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing D. The State Board of
Medical Examiners
3. 3. Clinical judgment in prescribing includes: A. Factor- A
ing in the cost to the patient of the medication pre-
scribed B. Always prescribing the newest medication
available for the disease process C. Handing out drug
samples to poor patients D. Prescribing all generic
medications to cut costs
4. 4. Criteria for choosing an effective drug for a dis- B
order include: A. Asking the patient what drug they
think would work best for them B. Consulting nation-
ally recognized guidelines for disease management C.
Prescribing medications that are available as samples
before writing a prescription D. Following U.S. Drug
Enforcement Administration (DEA) guidelines for pre-
scribing
5. 5. Nurse practitioner practice may thrive under A
health-care reform due to:
A. The demonstrated ability of nurse practitioners to
control costs and improve patient outcomes ds he to-
, ice those of the
B. The fact that nurse practitioners will be able to prac-
tice independently
C. The fact that nurse practitioners will have full reim-
bursement under health-care reform D. The ability to
shift accountability for Medicaid to the state level
6. 1. A patient's nutritional intake and lab work reflects A
hypoalbuminemia. This is critical to prescribing be-
cause: A. Distribution of drugs to target tissue may be
affected B. The solubility of the drug will not match the
site of absorption C. There will be less free drug avail-
able to generate an effect D. Drugs bound to albumin
are readily excreted by the kidney
7. 2. Drugs that have a significant first-pass effect: A. C
Must be given by the enteral (oral) route only B. Bypass
the hepatic circulation C. Are rapidly metabolized by
the liver and may have little if any desired action D. Are
converted by the liver to more active and fat-soluble
forms
8. 3. The route of excretion of a volatile drug will likely be: B
A. The kidneys B. The lungs C. The bile and feces D. The
skin
9. 4. Medroxyprogesterone (Depo Provera) is prescribed C
IM to create a storage reservoir of the drug. Storage
reservoirs: A. Assure that the drug will reach its intend-
ed target tissue B. Are the reason for giving loading
doses C. Increase the length of time a drug is available
and active D. Are most common in collagen tissues