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NURSE WISEMAN 2026/2027 MEDICINE
,NURS 615 PHARM EXAM 1
MARYVILLE Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
What factors are associated with clinical judgment when
prescribing medications? - answer Prescribing a
drug is based on a thorough assessment of the patient
and the patient's environment. The determination of
potential medical and nursing diagnoses, a review of the
potential alternative therapies, specific knowledge about
the drug chosen, and the disease process it is going to
treat, known as patient centered care. The best therapy is
usually the least invasive, least expensive, and the least
likely to cause adverse reactions
What are the criteria for choosing an effective drug? -
answer Multiple drugs may be able to treat a
specific condition. You must consult nationally recognized
guidelines for disease management to determine the
most effective drug.
How does hypoalbuminemia affect the process of
prescribing? - answer Many drugs that carry an
, electric charge are bound to albumin in the blood. The
distribution of the drug to target tissues may be affected
if hypoalbuminemia is present.
What is the drug's half-life? - answer In clinical
practice it takes about four to five times the half-life for a
drugs concentration to read steady state after a drug is
started, stopped or changed. Hal life is the amount of
time for a drug to be half cleared.
What is meant by the onset of action, peak of action,
duration of action of medications? - answer The
onset of action is the time between the drug
administration and the time that you see the drugs
minimum effect. Onset is the first sign of a drugs
therapeutic effect. Peak of action is the time of the
maximum concentration of the drug in the blood.
Duration of action is the onset of action and the
metabolism of the drug below the dose needed for an
effect.
Explain first pass metabolism. - answer This occurs
when the concentration of the drug is greatly reduced
before it reaches the systemic circulation. It is the portion
of the drug lost during absorption. Generally, occurs in
the liver or gut wall. After a drug is swallowed it is