Nur 600 - Exam 1
Question 1.
Nurse practitioner prescriptive authority is regulated by: A. The National Council of State Boards of Nursing B. The U.S. Drug
Enforcement Administration C. The State Board of Nursing for each state D. The State Board of Pharmacy
ANSWER
C. The State Board of Nursing for each state
Question 2.
Physician Assistant (PA) prescriptive authority is regulated 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
ANSWER
D. The State Board of Medical Examiners
Question 3.
Clinical judgment in prescribing includes: A. Factoring in the cost to the patient of the medication prescribed 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
ANSWER
A. Factoring in the cost to the patient of the medication prescribed
Question 4.
Criteria for choosing an effective drug for a disorder include: A. Asking the patient what drug they think would work best for them B.
Consulting nationally 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 prescribing
ANSWER
B. Consulting nationally recognized guidelines for disease management
Question 5.
Nurse practitioner practice may thrive under health-care reform due to: A. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes B. The fact that nurse practitioners will be able to practice independently C. The fact that nurse
practitioners will have full reimbursement under health-care reform D. The ability to shift accountability for Medicaid to the state level
ANSWER
A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
Question 6.
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing because: 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 available
to generate an effect D. Drugs bound to albumin are readily excreted by the kidney
ANSWER
A. Distribution of drugs to target tissue may be affected
, Question 7.
Drugs that have a significant first-pass effect: A. 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
ANSWER
C. Are rapidly metabolized by the liver and may have little if any desired action
Question 8.
The route of excretion of a volatile drug will likely be: A. The kidneys B. The lungs C. The bile and feces D. The skin
ANSWER
B. The lungs
Question 9.
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug. Storage reservoirs: A. Assure that
the drug will reach its intended 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
ANSWER
C. Increase the length of time a drug is available and active
Question 10.
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's: A. Propensity to go to the target receptor B.
Biological half-life C. Pharmacodynamics D. Safety and side effects
ANSWER
B. Biological half-life
Question 11.
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription. This is considered a loading
dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic range B. Requires four to five half-lives to attain C. Is
influenced by renal function D. Is directly related to the drug circulating to the target tissues
ANSWER
A. Rapidly achieves drug levels in the therapeutic range
Question 12.
The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: A. Minimum adverse effect
level B. Peak of action C. Onset of action D. Therapeutic range
ANSWER
C. Onset of action
, Question 13.
Phenytoin requires a trough level be drawn. Peak and trough levels are done: A. When the drug has a wide therapeutic range B.
When the drug will be administered for a short time only C. When there is a high correlation between the dose and saturation of
receptor sites D. To determine if a drug is in the therapeutic range
ANSWER
D. To determine if a drug is in the therapeutic range
Question 14.
A laboratory result indicates the peak level for a drug is above the minimum toxic concentration. This means that the: A.
Concentration will produce therapeutic effects B. Concentration will produce an adverse response C. Time between doses must be
shortened D. Duration of action of the drug is too long
ANSWER
B. Concentration will pro-duce an adverse response
Question 15.
Drugs that are receptor agonists may demonstrate what property? A. Irreversible binding to the drug receptor site B. Up-regulation
with chronic use C. Desensitization or down-regulation with continuous use D. Inverse relationship between drug concentration and
drug action
ANSWER
C. Desensitization or down-regulation with continuous use
Question 16.
Drugs that are receptor antagonists, such as beta blockers, may cause: A. Down-regulation of the drug receptor B. An exaggerated
response if abruptly discontinued C. Partial blockade of the effects of agonist drugs D. An exaggerated response to competitive drug
agonists
ANSWER
B. An exaggerated re-sponse if abruptly discontinued
Question 17.
Factors that affect gastric drug absorption include: A. Liver enzyme activity B. Protein-binding properties of the drug molecule C. Lipid
solubility of the drug D. Ability to chew and swallow
ANSWER
C. Lipid solubility of the drug
Question 18.
Drugs administered via intravenous (IV) route: A. Need to be lipid soluble in order to be easily absorbed B. Begin distribution into the
body immediately C. Are easily absorbed if they are nonionized D. May use pinocytosis to be absorbed
ANSWER
B. Begin distribution into the body immediately
Question 1.
Nurse practitioner prescriptive authority is regulated by: A. The National Council of State Boards of Nursing B. The U.S. Drug
Enforcement Administration C. The State Board of Nursing for each state D. The State Board of Pharmacy
ANSWER
C. The State Board of Nursing for each state
Question 2.
Physician Assistant (PA) prescriptive authority is regulated 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
ANSWER
D. The State Board of Medical Examiners
Question 3.
Clinical judgment in prescribing includes: A. Factoring in the cost to the patient of the medication prescribed 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
ANSWER
A. Factoring in the cost to the patient of the medication prescribed
Question 4.
Criteria for choosing an effective drug for a disorder include: A. Asking the patient what drug they think would work best for them B.
Consulting nationally 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 prescribing
ANSWER
B. Consulting nationally recognized guidelines for disease management
Question 5.
Nurse practitioner practice may thrive under health-care reform due to: A. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes B. The fact that nurse practitioners will be able to practice independently C. The fact that nurse
practitioners will have full reimbursement under health-care reform D. The ability to shift accountability for Medicaid to the state level
ANSWER
A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
Question 6.
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing because: 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 available
to generate an effect D. Drugs bound to albumin are readily excreted by the kidney
ANSWER
A. Distribution of drugs to target tissue may be affected
, Question 7.
Drugs that have a significant first-pass effect: A. 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
ANSWER
C. Are rapidly metabolized by the liver and may have little if any desired action
Question 8.
The route of excretion of a volatile drug will likely be: A. The kidneys B. The lungs C. The bile and feces D. The skin
ANSWER
B. The lungs
Question 9.
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug. Storage reservoirs: A. Assure that
the drug will reach its intended 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
ANSWER
C. Increase the length of time a drug is available and active
Question 10.
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's: A. Propensity to go to the target receptor B.
Biological half-life C. Pharmacodynamics D. Safety and side effects
ANSWER
B. Biological half-life
Question 11.
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription. This is considered a loading
dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic range B. Requires four to five half-lives to attain C. Is
influenced by renal function D. Is directly related to the drug circulating to the target tissues
ANSWER
A. Rapidly achieves drug levels in the therapeutic range
Question 12.
The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: A. Minimum adverse effect
level B. Peak of action C. Onset of action D. Therapeutic range
ANSWER
C. Onset of action
, Question 13.
Phenytoin requires a trough level be drawn. Peak and trough levels are done: A. When the drug has a wide therapeutic range B.
When the drug will be administered for a short time only C. When there is a high correlation between the dose and saturation of
receptor sites D. To determine if a drug is in the therapeutic range
ANSWER
D. To determine if a drug is in the therapeutic range
Question 14.
A laboratory result indicates the peak level for a drug is above the minimum toxic concentration. This means that the: A.
Concentration will produce therapeutic effects B. Concentration will produce an adverse response C. Time between doses must be
shortened D. Duration of action of the drug is too long
ANSWER
B. Concentration will pro-duce an adverse response
Question 15.
Drugs that are receptor agonists may demonstrate what property? A. Irreversible binding to the drug receptor site B. Up-regulation
with chronic use C. Desensitization or down-regulation with continuous use D. Inverse relationship between drug concentration and
drug action
ANSWER
C. Desensitization or down-regulation with continuous use
Question 16.
Drugs that are receptor antagonists, such as beta blockers, may cause: A. Down-regulation of the drug receptor B. An exaggerated
response if abruptly discontinued C. Partial blockade of the effects of agonist drugs D. An exaggerated response to competitive drug
agonists
ANSWER
B. An exaggerated re-sponse if abruptly discontinued
Question 17.
Factors that affect gastric drug absorption include: A. Liver enzyme activity B. Protein-binding properties of the drug molecule C. Lipid
solubility of the drug D. Ability to chew and swallow
ANSWER
C. Lipid solubility of the drug
Question 18.
Drugs administered via intravenous (IV) route: A. Need to be lipid soluble in order to be easily absorbed B. Begin distribution into the
body immediately C. Are easily absorbed if they are nonionized D. May use pinocytosis to be absorbed
ANSWER
B. Begin distribution into the body immediately
