Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.
h 1.hNursehpractitionerhprescriptivehauthorityhishregulatedh by:
1. ThehNationalhCouncilhofhStatehBoardshofhNursing
2. ThehU.S.hDrughEnforcementhAdministration
3. ThehStatehBoardhofhNursinghforheachhstate
4. ThehStatehBoardhofhPharmacy
h 2.hThehbenefitshtohthehpatienthofhhavinghanhAdvancedhPracticehRegisteredhNurseh(APRN)hprescriberhi
nclude:
1. NurseshknowhmorehabouthPharmacologyhthanhotherhprescribershbecausehtheyhtakehith
bothhinhtheirhbasichnursinghprogramhandhinhtheirhAPRNhprogram.
2. Nurseshcarehforhthehpatienthfromhahholistichapproachhandhincludehthehpatienthinhd
ecisionhmakinghregardinghtheirhcare.
3. APRNsharehlesshlikelyhtohprescribehnarcoticshandhotherhcontrolledhsubstances.
4. APRNsharehablehtohprescribehindependentlyhinhallhstates,hwhereashahphysician’sh
assistanthneedshtohhavehahphysicianhsupervisinghtheirhpractice.
h 3.hClinicalhjudgmenthinhprescribingh includes:
1. Factoringhinhthehcosthtohthehpatienthofhthehmedicationhprescribed
2. Alwayshprescribinghthehnewesthmedicationhavailablehforhthehdiseasehprocess
3. Handinghouthdrughsampleshtohpoorhpatients
4. Prescribinghallhgenerichmedicationshtohcuthcosts
h 4.hCriteriahforhchoosinghanheffectivehdrughforhahdisorderh include:
1. Askinghthehpatienthwhathdrughtheyhthinkhwouldhworkhbesthforhthem
2. Consultinghnationallyhrecognizedhguidelineshforhdiseasehmanagement
3. Prescribinghmedicationshthatharehavailablehashsampleshbeforehwritinghahprescription
4. FollowinghU.S.hDrughEnforcementhAdministrationhguidelineshforhprescribing
h 5.hNursehpractitionerhpracticehmayhthrivehunderhhealth-carehreformhbecauseh of:
1. Thehdemonstratedhabilityhofhnursehpractitionershtohcontrolhcostshandhimprovehpatienth
outcomes
2. Thehfacththathnursehpractitionershwillhbehablehtohpracticehindependently
3. Thehfacththathnursehpractitionershwillhhavehfullhreimbursementhunderhhealth-
hcarehreform
4. ThehabilityhtohshifthaccountabilityhforhMedicaidhtohthehstatehlevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
Chapterh1.hThehRolehofhthehNursehPractitionerhashPrescriberh
AnswerhSection
MULTIPLEhCHOICE
1. ANS:h h 3 PTS:h 1
2. ANS:h h 2 PTS:h 1
3. ANS:h h 1 PTS:h 1
4. ANS:h h 2 PTS:h 1
5. ANS:h h 1 PTS:h 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
Chapterh2.hReviewhofhthehBasichPrincipleshofhPharmacologyh
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.
h 1.hAhpatient’shnutritionalhintakehandhlaboratoryhresultshreflecthhypoalbuminemia.hThishishcriticalhtohp
rescribinghbecause:
1. Distributionhofhdrugshtohtargethtissuehmayhbehaffected.
2. Thehsolubilityhofhthehdrughwillhnothmatchhthehsitehofhabsorption.
3. Therehwillhbehlesshfreehdrughavailablehtohgeneratehanheffect.
4. Drugshboundhtohalbuminharehreadilyhexcretedhbyhthehkidneys.
h 2.hDrugshthathhavehahsignificanthfirst-passh effect:
1. Musthbehgivenhbyhthehenteralh(oral)hroutehonly
2. Bypasshthehhepatichcirculation
3. Arehrapidlyhmetabolizedhbyhthehliverhandhmayhhavehlittlehifhanyhdesiredhaction
4. Arehconvertedhbyhthehliverhtohmorehactivehandhfat-solublehforms
h 3.hThehroutehofh excretionhofhahvolatilehdrughwillhlikelyhbeh the:
1. Kidneys
2. Lungs
3. Bilehandhfeces
4. Skin
h 4.hMedroxyprogesteroneh(DepohProvera)hishprescribedhintramuscularlyh(IM)htohcreatehahstoragehr
eservoirhofhthehdrug.hStoragehreservoirs:
1. Assurehthaththehdrughwillhreachhitshintendedhtargethtissue
2. Arehthehreasonhforhgivinghloadinghdoses
3. Increasehthehlengthhofhtimehahdrughishavailablehandhactive
4. Arehmosthcommonhinhcollagenhtissues
h 5.hThehNPhchooseshtohgivehcephalexinheveryh8hhoursh basedhonhknowledgehofhtheh drug’s:
1. Propensityhtohgohtohthehtargethreceptor
2. Biologicalhhalf-life
3. Pharmacodynamics
4. Safetyhandhsideheffects
h 6.hAzithromycinhdosinghrequireshthaththehfirsthday’shdosagehbehtwicehthosehofhthehotherh4hdayshofhthehpr
escription.hThishishconsideredhahloadinghdose.hAhloadinghdose:
1. Rapidlyhachieveshdrughlevelshinhthehtherapeutichrange
2. Requireshfour-htohfive-half-liveshtohattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
3. Ishinfluencedhbyhrenalhfunction
4. Ishdirectlyhrelatedhtohthehdrughcirculatinghtohthehtargeth tissues
h 7.hThehpointhinhtimehonhthehdrughconcentrationhcurvehthathindicateshthehfirsthsignhofhahtherapeuticheffecthish
the:
1. Minimumhadverseheffecthlevel
2. Peakhofhaction
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.
h 1.hNursehpractitionerhprescriptivehauthorityhishregulatedh by:
1. ThehNationalhCouncilhofhStatehBoardshofhNursing
2. ThehU.S.hDrughEnforcementhAdministration
3. ThehStatehBoardhofhNursinghforheachhstate
4. ThehStatehBoardhofhPharmacy
h 2.hThehbenefitshtohthehpatienthofhhavinghanhAdvancedhPracticehRegisteredhNurseh(APRN)hprescriberhi
nclude:
1. NurseshknowhmorehabouthPharmacologyhthanhotherhprescribershbecausehtheyhtakehith
bothhinhtheirhbasichnursinghprogramhandhinhtheirhAPRNhprogram.
2. Nurseshcarehforhthehpatienthfromhahholistichapproachhandhincludehthehpatienthinhd
ecisionhmakinghregardinghtheirhcare.
3. APRNsharehlesshlikelyhtohprescribehnarcoticshandhotherhcontrolledhsubstances.
4. APRNsharehablehtohprescribehindependentlyhinhallhstates,hwhereashahphysician’sh
assistanthneedshtohhavehahphysicianhsupervisinghtheirhpractice.
h 3.hClinicalhjudgmenthinhprescribingh includes:
1. Factoringhinhthehcosthtohthehpatienthofhthehmedicationhprescribed
2. Alwayshprescribinghthehnewesthmedicationhavailablehforhthehdiseasehprocess
3. Handinghouthdrughsampleshtohpoorhpatients
4. Prescribinghallhgenerichmedicationshtohcuthcosts
h 4.hCriteriahforhchoosinghanheffectivehdrughforhahdisorderh include:
1. Askinghthehpatienthwhathdrughtheyhthinkhwouldhworkhbesthforhthem
2. Consultinghnationallyhrecognizedhguidelineshforhdiseasehmanagement
3. Prescribinghmedicationshthatharehavailablehashsampleshbeforehwritinghahprescription
4. FollowinghU.S.hDrughEnforcementhAdministrationhguidelineshforhprescribing
h 5.hNursehpractitionerhpracticehmayhthrivehunderhhealth-carehreformhbecauseh of:
1. Thehdemonstratedhabilityhofhnursehpractitionershtohcontrolhcostshandhimprovehpatienth
outcomes
2. Thehfacththathnursehpractitionershwillhbehablehtohpracticehindependently
3. Thehfacththathnursehpractitionershwillhhavehfullhreimbursementhunderhhealth-
hcarehreform
4. ThehabilityhtohshifthaccountabilityhforhMedicaidhtohthehstatehlevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
Chapterh1.hThehRolehofhthehNursehPractitionerhashPrescriberh
AnswerhSection
MULTIPLEhCHOICE
1. ANS:h h 3 PTS:h 1
2. ANS:h h 2 PTS:h 1
3. ANS:h h 1 PTS:h 1
4. ANS:h h 2 PTS:h 1
5. ANS:h h 1 PTS:h 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank
h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
Chapterh2.hReviewhofhthehBasichPrincipleshofhPharmacologyh
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhorhanswershthehquestion.
h 1.hAhpatient’shnutritionalhintakehandhlaboratoryhresultshreflecthhypoalbuminemia.hThishishcriticalhtohp
rescribinghbecause:
1. Distributionhofhdrugshtohtargethtissuehmayhbehaffected.
2. Thehsolubilityhofhthehdrughwillhnothmatchhthehsitehofhabsorption.
3. Therehwillhbehlesshfreehdrughavailablehtohgeneratehanheffect.
4. Drugshboundhtohalbuminharehreadilyhexcretedhbyhthehkidneys.
h 2.hDrugshthathhavehahsignificanthfirst-passh effect:
1. Musthbehgivenhbyhthehenteralh(oral)hroutehonly
2. Bypasshthehhepatichcirculation
3. Arehrapidlyhmetabolizedhbyhthehliverhandhmayhhavehlittlehifhanyhdesiredhaction
4. Arehconvertedhbyhthehliverhtohmorehactivehandhfat-solublehforms
h 3.hThehroutehofh excretionhofhahvolatilehdrughwillhlikelyhbeh the:
1. Kidneys
2. Lungs
3. Bilehandhfeces
4. Skin
h 4.hMedroxyprogesteroneh(DepohProvera)hishprescribedhintramuscularlyh(IM)htohcreatehahstoragehr
eservoirhofhthehdrug.hStoragehreservoirs:
1. Assurehthaththehdrughwillhreachhitshintendedhtargethtissue
2. Arehthehreasonhforhgivinghloadinghdoses
3. Increasehthehlengthhofhtimehahdrughishavailablehandhactive
4. Arehmosthcommonhinhcollagenhtissues
h 5.hThehNPhchooseshtohgivehcephalexinheveryh8hhoursh basedhonhknowledgehofhtheh drug’s:
1. Propensityhtohgohtohthehtargethreceptor
2. Biologicalhhalf-life
3. Pharmacodynamics
4. Safetyhandhsideheffects
h 6.hAzithromycinhdosinghrequireshthaththehfirsthday’shdosagehbehtwicehthosehofhthehotherh4hdayshofhthehpr
escription.hThishishconsideredhahloadinghdose.hAhloadinghdose:
1. Rapidlyhachieveshdrughlevelshinhthehtherapeutichrange
2. Requireshfour-htohfive-half-liveshtohattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo
h h h h h h h h hh
Robinson Test Bank h h
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
h h h h h h h h h
3. Ishinfluencedhbyhrenalhfunction
4. Ishdirectlyhrelatedhtohthehdrughcirculatinghtohthehtargeth tissues
h 7.hThehpointhinhtimehonhthehdrughconcentrationhcurvehthathindicateshthehfirsthsignhofhahtherapeuticheffecthish
the:
1. Minimumhadverseheffecthlevel
2. Peakhofhaction
