PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
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vv NURSE PRESCRIBERS 6TH EDITION WOO ROBINSON TEST
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BANK
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, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER vv vv vv vv
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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CH 1. The Role of the Caregiver
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PractitionerMultiple selection
vv v vv
Identify the option that best completes the statement or answers the question.
vv vv vv vv vv vv vv vv vv vv vv
vv 1. Nurse practitioner prescriptive authority is regulated by:
vv vv vv vv vv vv vv
1. The National Council of State Boards of Nursing
vv vv vv vv vv vv vv
2. The U.S. Medical drug Enforcement Administration
vv vv vv vv vv
3. The State Board of Nursing for each state
vv vv vv vv vv vv vv
4. The State Board of Pharmacy vv vv vv vv
vv 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
vv vv vv vv vv vv vv vv vv vv vv vv vv
(APRN) prescriberinclude:
vv vv v
1. Caregivers know more about Pharmacology than other prescribers because
vv vv vv vv vv vv vv vv
they take itboth in their basic nursing program and in their APRN program.
vv vv vv v vv vv vv vv vv vv vv vv vv vv
2. Caregivers care for the hospital client from a holistic approach and
vv vv vv vv vv vv vv vv vv vv
include the hospital client indecision making regarding their care.
vv vv vv vv vv v vv vv vv vv
3. APRNs are less likely to prescribe narcotics and other controlled substances.
vv vv vv vv vv vv vv vv vv vv
4. APRNs are able to prescribe independently in all states, whereas a
vv vv vv vv vv vv vv vv vv vv
physician’sassistant needs to have a physician supervising their practice.
vv v vv vv vv vv vv vv vv vv
vv 3. Clinical judgment in prescribing includes:
vv vv vv vv vv
1. Factoring in the cost to the hospital client of the medication prescribed
vv vv vv vv vv vv vv vv vv vv vv
2. Always prescribing the newest medication available for the disease process
vv vv vv vv vv vv vv vv vv
3. Handing out medical drug samples to poor hospital clients
vv vv vv vv vv vv vv vv
4. Prescribing all generic medications to cut costs vv vv vv vv vv vv
vv 4. Criteria for choosing an effective medical drug for a disorder include:
vv vv vv vv vv vv vv vv vv vv vv
1. Asking the hospital client what medical drug they think would work best for them
vv vv vv vv vv vv vv vv vv vv vv vv vv
2. Consulting nationally recognized guidelines for disease management
vv vv vv vv vv vv
3. Prescribing medications that are available as samples before writing a prescription
vv vv vv vv vv vv vv vv vv vv
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
vv vv vv vv vv vv vv
vv 5. Caregiver practitioner practice may thrive under health-care reform because of:
vv vv vv vv vv vv vv vv vv vv
1. The demonstrated ability of caregiver practitioners to control costs and improve
vv vv vv vv vv vv vv vv vv vv
hospital client outcomes
vv vv vv
2. The fact that caregiver practitioners will be able to practice independently
vv vv vv vv vv vv vv vv vv vv
3. The fact that caregiver practitioners will have full reimbursement under
vv vv vv vv vv vv vv vv vv
health-carereform
vv v
4. The ability to shift accountability for Medicaid to the state level
vv vv vv vv vv vv vv vv vv vv
,CH 1. The Role of the Caregiver
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PractitionerAnswer Section
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MULTIPLE SELECTION vv
1. 3 PTS: 1
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2. 2 PTS: 1
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3. 1 PTS: 1
ACCU
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4. 2 PTS: 1
ACCU
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5. 1 PTS: 1
ACCU
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CH 2. Review of Basic Principles of Pharmacology
vv vv vv vv vv vv vv vv
Multiple selectionvv
Identify the option that best completes the statement or answers the question.
vv vv vv vv vv vv vv vv vv vv vv
vv 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This
vv vv vv vv vv vv vv vv vv vv vv
is critical toprescribing because:
vv vv vv v vv
1. Distribution of medical drugs to target tissue may be affected. vv vv vv vv vv vv vv vv vv
2. The solubility of the medical drug will not match the site of absorption.
vv vv vv vv vv vv vv vv vv vv vv vv
3. There will be less free medical drug available to generate an effect.
vv vv vv vv vv vv vv vv vv vv vv
4. Medical drugs bound to albumin are readily excreted by the kidneys.
vv vv vv vv vv vv vv vv vv vv
vv 2. Medical drugs that have a significant first-pass effect:
vv vv vv vv vv vv vv vv
1. Must be given by the enteral (oral) route only
vv vv vv vv vv vv vv vv
2. Bypass the hepatic circulation vv vv vv
3. Are rapidly metabolized by the liver and may have little if any desired action
vv vv vv vv vv vv vv vv vv vv vv vv vv
4. Are converted by the liver to more active and fat-soluble forms
vv vv vv vv vv vv vv vv vv vv
vv 3. The route of excretion of a volatile medical drug will likely be the:
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Kidneys
2. Lungs
, 3. Bile and feces vv vv
4. Skin
vv 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
vv vv vv vv vv vv vv vv vv vv
storagereservoir of the medical drug. Storage reservoirs:
vv v vv vv vv vv vv vv
1. Assure that the medical drug will reach its intended target tissue
vv vv vv vv vv vv vv vv vv vv
2. Are the reason for giving loading doses
vv vv vv vv vv vv
3. Increase the length of time a medical drug is available and active
vv vv vv vv vv vv vv vv vv vv vv
4. Are most common in collagen tissues
vv vv vv vv vv
vv 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Propensity to go to the target receptor vv vv vv vv vv vv
2. Biological half-life vv
3. Pharmacodynamics
4. Safety and side effects vv vv vv
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
of theprescription. This is considered a loading dose. A loading dose:
vv vv v vv vv vv vv vv vv vv vv vv
1. Rapidly achieves medical drug levels in the therapeutic range
vv vv vv vv vv vv vv vv
2. Requires four- to five-half-lives to attain vv vv vv vv vv
3. Is influenced by renal function
vv vv vv vv
4. Is directly related to the medical drug circulating to the target tissues
vv vv vv vv vv vv vv vv vv vv vv
vv 7. The point in time on the medical drug concentration curve that indicates the first sign of a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
therapeutic effectis the:
vv vv v vv
1. Minimum adverse effect level vv vv vv
2. Peak of action vv vv
3. Onset of action vv vv
4. Therapeutic range vv
vv 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. When the medical drug has a wide therapeutic range
vv vv vv vv vv vv vv vv
2. When the medical drug will be administered for a short time only
vv vv vv vv vv vv vv vv vv vv vv
3. When there is a high correlation between the dose and saturation of receptor sites
vv vv vv vv vv vv vv vv vv vv vv vv vv
4. To determine if a medical drug is in the therapeutic range
vv vv vv vv vv vv vv vv vv vv
vv 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
concentration.
vv
This means that the: vv vv vv
1. Concentration will produce therapeutic effects vv vv vv vv
2. Concentration will produce an adverse response vv vv vv vv vv
3. Time between doses must be shortened vv vv vv vv vv
4. Duration of action of the medical drug is too long vv vv vv vv vv vv vv vv vv
vv vv vv 10. Medical drugs that are receptor agonists may demonstrate what property?
vv vv vv vv vv vv vv vv vv vv
1. Irreversible binding to the medical drug receptor site vv vv vv vv vv vv vv
2. Upregulation with chronic use vv vv vv
3. Desensitization or downregulation with continuous use vv vv vv vv vv
4. Inverse relationship between medical drug concentration and medical drug action
vv vv vv vv vv vv vv vv vv
vv vv vv 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
vv vv vv vv vv vv vv vv vv vv vv vv
1. Downregulation of the medical drug receptor vv vv vv vv vv
2. An exaggerated response if abruptly discontinued
vv vv vv vv vv
vv vv vv
vv NURSE PRESCRIBERS 6TH EDITION WOO ROBINSON TEST
vv vv vv vv vv vv
BANK
vv
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER vv vv vv vv
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
vv vv vv vv vv vv vv
CH 1. The Role of the Caregiver
vv vv vv vv vv vv vv
PractitionerMultiple selection
vv v vv
Identify the option that best completes the statement or answers the question.
vv vv vv vv vv vv vv vv vv vv vv
vv 1. Nurse practitioner prescriptive authority is regulated by:
vv vv vv vv vv vv vv
1. The National Council of State Boards of Nursing
vv vv vv vv vv vv vv
2. The U.S. Medical drug Enforcement Administration
vv vv vv vv vv
3. The State Board of Nursing for each state
vv vv vv vv vv vv vv
4. The State Board of Pharmacy vv vv vv vv
vv 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver
vv vv vv vv vv vv vv vv vv vv vv vv vv
(APRN) prescriberinclude:
vv vv v
1. Caregivers know more about Pharmacology than other prescribers because
vv vv vv vv vv vv vv vv
they take itboth in their basic nursing program and in their APRN program.
vv vv vv v vv vv vv vv vv vv vv vv vv vv
2. Caregivers care for the hospital client from a holistic approach and
vv vv vv vv vv vv vv vv vv vv
include the hospital client indecision making regarding their care.
vv vv vv vv vv v vv vv vv vv
3. APRNs are less likely to prescribe narcotics and other controlled substances.
vv vv vv vv vv vv vv vv vv vv
4. APRNs are able to prescribe independently in all states, whereas a
vv vv vv vv vv vv vv vv vv vv
physician’sassistant needs to have a physician supervising their practice.
vv v vv vv vv vv vv vv vv vv
vv 3. Clinical judgment in prescribing includes:
vv vv vv vv vv
1. Factoring in the cost to the hospital client of the medication prescribed
vv vv vv vv vv vv vv vv vv vv vv
2. Always prescribing the newest medication available for the disease process
vv vv vv vv vv vv vv vv vv
3. Handing out medical drug samples to poor hospital clients
vv vv vv vv vv vv vv vv
4. Prescribing all generic medications to cut costs vv vv vv vv vv vv
vv 4. Criteria for choosing an effective medical drug for a disorder include:
vv vv vv vv vv vv vv vv vv vv vv
1. Asking the hospital client what medical drug they think would work best for them
vv vv vv vv vv vv vv vv vv vv vv vv vv
2. Consulting nationally recognized guidelines for disease management
vv vv vv vv vv vv
3. Prescribing medications that are available as samples before writing a prescription
vv vv vv vv vv vv vv vv vv vv
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
vv vv vv vv vv vv vv
vv 5. Caregiver practitioner practice may thrive under health-care reform because of:
vv vv vv vv vv vv vv vv vv vv
1. The demonstrated ability of caregiver practitioners to control costs and improve
vv vv vv vv vv vv vv vv vv vv
hospital client outcomes
vv vv vv
2. The fact that caregiver practitioners will be able to practice independently
vv vv vv vv vv vv vv vv vv vv
3. The fact that caregiver practitioners will have full reimbursement under
vv vv vv vv vv vv vv vv vv
health-carereform
vv v
4. The ability to shift accountability for Medicaid to the state level
vv vv vv vv vv vv vv vv vv vv
,CH 1. The Role of the Caregiver
vv vv vv vv vv vv vv
PractitionerAnswer Section
vv v vv
MULTIPLE SELECTION vv
1. 3 PTS: 1
ACCU
vv
RATE
ANSW
vv
ER:
2. 2 PTS: 1
ACCU
vv
RATE
ANSW
vv
ER:
3. 1 PTS: 1
ACCU
vv
RATE
ANSW
vv
ER:
4. 2 PTS: 1
ACCU
vv
RATE
ANSW
vv
ER:
5. 1 PTS: 1
ACCU
vv
RATE
ANSW
vv
ER:
CH 2. Review of Basic Principles of Pharmacology
vv vv vv vv vv vv vv vv
Multiple selectionvv
Identify the option that best completes the statement or answers the question.
vv vv vv vv vv vv vv vv vv vv vv
vv 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This
vv vv vv vv vv vv vv vv vv vv vv
is critical toprescribing because:
vv vv vv v vv
1. Distribution of medical drugs to target tissue may be affected. vv vv vv vv vv vv vv vv vv
2. The solubility of the medical drug will not match the site of absorption.
vv vv vv vv vv vv vv vv vv vv vv vv
3. There will be less free medical drug available to generate an effect.
vv vv vv vv vv vv vv vv vv vv vv
4. Medical drugs bound to albumin are readily excreted by the kidneys.
vv vv vv vv vv vv vv vv vv vv
vv 2. Medical drugs that have a significant first-pass effect:
vv vv vv vv vv vv vv vv
1. Must be given by the enteral (oral) route only
vv vv vv vv vv vv vv vv
2. Bypass the hepatic circulation vv vv vv
3. Are rapidly metabolized by the liver and may have little if any desired action
vv vv vv vv vv vv vv vv vv vv vv vv vv
4. Are converted by the liver to more active and fat-soluble forms
vv vv vv vv vv vv vv vv vv vv
vv 3. The route of excretion of a volatile medical drug will likely be the:
vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Kidneys
2. Lungs
, 3. Bile and feces vv vv
4. Skin
vv 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
vv vv vv vv vv vv vv vv vv vv
storagereservoir of the medical drug. Storage reservoirs:
vv v vv vv vv vv vv vv
1. Assure that the medical drug will reach its intended target tissue
vv vv vv vv vv vv vv vv vv vv
2. Are the reason for giving loading doses
vv vv vv vv vv vv
3. Increase the length of time a medical drug is available and active
vv vv vv vv vv vv vv vv vv vv vv
4. Are most common in collagen tissues
vv vv vv vv vv
vv 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. Propensity to go to the target receptor vv vv vv vv vv vv
2. Biological half-life vv
3. Pharmacodynamics
4. Safety and side effects vv vv vv
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
of theprescription. This is considered a loading dose. A loading dose:
vv vv v vv vv vv vv vv vv vv vv vv
1. Rapidly achieves medical drug levels in the therapeutic range
vv vv vv vv vv vv vv vv
2. Requires four- to five-half-lives to attain vv vv vv vv vv
3. Is influenced by renal function
vv vv vv vv
4. Is directly related to the medical drug circulating to the target tissues
vv vv vv vv vv vv vv vv vv vv vv
vv 7. The point in time on the medical drug concentration curve that indicates the first sign of a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
therapeutic effectis the:
vv vv v vv
1. Minimum adverse effect level vv vv vv
2. Peak of action vv vv
3. Onset of action vv vv
4. Therapeutic range vv
vv 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
1. When the medical drug has a wide therapeutic range
vv vv vv vv vv vv vv vv
2. When the medical drug will be administered for a short time only
vv vv vv vv vv vv vv vv vv vv vv
3. When there is a high correlation between the dose and saturation of receptor sites
vv vv vv vv vv vv vv vv vv vv vv vv vv
4. To determine if a medical drug is in the therapeutic range
vv vv vv vv vv vv vv vv vv vv
vv 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
concentration.
vv
This means that the: vv vv vv
1. Concentration will produce therapeutic effects vv vv vv vv
2. Concentration will produce an adverse response vv vv vv vv vv
3. Time between doses must be shortened vv vv vv vv vv
4. Duration of action of the medical drug is too long vv vv vv vv vv vv vv vv vv
vv vv vv 10. Medical drugs that are receptor agonists may demonstrate what property?
vv vv vv vv vv vv vv vv vv vv
1. Irreversible binding to the medical drug receptor site vv vv vv vv vv vv vv
2. Upregulation with chronic use vv vv vv
3. Desensitization or downregulation with continuous use vv vv vv vv vv
4. Inverse relationship between medical drug concentration and medical drug action
vv vv vv vv vv vv vv vv vv
vv vv vv 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
vv vv vv vv vv vv vv vv vv vv vv vv
1. Downregulation of the medical drug receptor vv vv vv vv vv
2. An exaggerated response if abruptly discontinued
vv vv vv vv vv
