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PharmacotherapeuticsmformAdvancedmPracticemNursemPrescribersm5thmEditionmWoomRobinsonmTest mBank
Chapterm1.mThemRolemof mthemNursemPractition
ermMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m mmm 1.mNursempractitionermprescriptivemauthoritymismregulated m by:
1. ThemNationalmCouncilmof mStatemBoardsmof mNursing
2. ThemU.S.mDrugmEnforcement mAdministration
3. ThemStatemBoard mof mNursingmformeachmstate
4. ThemStatemBoard mof mPharmacy
m
mmm2.mThembenefitsmtomthempatient mof mhavingmanmAdvanced mPracticemRegistered mNursem(APRN)m
prescriberminclude:
1. Nursesmknow mmoremabout mPharmacologymthanmothermprescribersmbecausemtheymtake
mit m
bothminmtheirmbasicmnursingmprogrammand minmtheirmAPRN mprogram.
2. Nursesmcaremformthempatient mfrommamholisticmapproachmand mincludemthempatient
minm decisionmmakingmregardingmtheirmcare.
3. APRNsmaremlessmlikelymtomprescribemnarcoticsmand mothermcontrolled msubstances.
4. APRNsmaremablemtomprescribemindependentlyminmallmstates,mwhereasmamphysicia
n’smassistant mneedsmtomhavemamphysicianmsupervisingmtheirmpractice.
m mmm 3.mClinicalmjudgment minmprescribingm includes:
1. Factoringminmthemcost mtomthempatient mof mthemmedicationmprescribed
2. Alwaysmprescribingmthemnewest mmedicationmavailablemformthemdiseasemprocess
3. Handingmout mdrugmsamplesmtompoormpatients
4. Prescribingmallmgenericmmedicationsmtomcut mcosts
m mmm 4.mCriteriamformchoosingmanmeffectivemdrugmformamdisorderm include:
1. Askingmthempatient mwhat mdrugmtheymthinkmwould mworkmbest mformthem
2. Consultingmnationallymrecognized mguidelinesmformdiseasemmanagement
3. Prescribingmmedicationsmthat maremavailablemasmsamplesmbeforemwritingmamprescription
4. FollowingmU.S.mDrugmEnforcement mAdministrationmguidelinesmformprescribing
m mmm 5.mNursempractitionermpracticemmaymthrivemundermhealth-caremreform mbecause mof:
1. Themdemonstrated mabilitymof mnursempractitionersmtomcontrolmcostsmand mimprovempatie
nt moutcomes
2. Themfact mthat mnursempractitionersmwillmbemablemtompracticemindependently
3. Themfact mthat mnursempractitionersmwillmhavemfullmreimbursement mundermhealth-
caremreform
4. Themabilitymtomshift maccountabilitymformMedicaid mtomthemstatemlevel
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Chapterm1.mThemRolemof mthemNursemPractition
ermAnswermSection
MULTIPLEmCHOICE
1. ANS:mmm 3 PTS:m 1
2. ANS:mmm 2 PTS:m 1
3. ANS:mmm 1 PTS:m 1
4. ANS:mmm 2 PTS:m 1
5. ANS:mmm 1 PTS:m 1
Chapterm2.mReview mof mBasicmPrinciplesmof mPharmacolo
gymMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m
mmm1.mA mpatient’smnutritionalmintakemand mlaboratorymresultsmreflect mhypoalbuminemia.m Thism ism
criticalmtomprescribingmbecause:
1. Distributionmof mdrugsmtomtarget mtissuemmaymbemaffected.
2. Themsolubilitymof mthemdrugmwillmnot mmatchmthemsitemof mabsorption.
3. Theremwillmbemlessmfreemdrugmavailablemtomgeneratemanmeffect.
4. Drugsmbound mtomalbuminmaremreadilymexcreted mbymthemkidneys.
m mmm 2.mDrugsmthat mhavemamsignificant mfirst-passm effect:
1. Must mbemgivenmbymthementeralm(oral)mroutemonly
2. Bypassmthemhepaticmcirculation
3. Aremrapidlymmetabolized mbymthemlivermand mmaymhavemlittlemif manymdesired maction
4. Aremconverted mbymthemlivermtommoremactivemand mfat-solublemforms
m mmm 3.mThemroutemof mexcretionmof mamvolatilemdrugmwillmlikelymbe mthe:
1. Kidneys
2. Lungs
3. Bilemand mfeces
4. Skin
m
mmm4.mMedroxyprogesteronem(DepomProvera)mismprescribed mintramuscularlym(IM)mtomcreatem
amstoragemreservoirmof mthemdrug.mStoragemreservoirs:
1. Assuremthat mthemdrugmwillmreachmitsmintended mtarget mtissue
2. Aremthemreasonmformgivingmloadingmdoses
3. Increasemthemlengthmof mtimemamdrugmismavailablemand mactive
4. Aremmost mcommonminmcollagenmtissues
m mmm 5.mThemNPmchoosesmtomgivemcephalexinmeverym8mhoursmbased monmknowledgemof mthemdrug’s:
1. Propensitymtomgomtomthemtarget mreceptor
2. Biologicalmhalf-life
3. Pharmacodynamics
4. Safetymand msidemeffects
m m m m m
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Pharmacotherapeutics for Advanced P m m m
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PharmacotherapeuticsmformAdvancedmPracticemNursemPrescribersm5thmEditionmWoomRobinsonmTest mBank
Chapterm1.mThemRolemof mthemNursemPractition
ermMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m mmm 1.mNursempractitionermprescriptivemauthoritymismregulated m by:
1. ThemNationalmCouncilmof mStatemBoardsmof mNursing
2. ThemU.S.mDrugmEnforcement mAdministration
3. ThemStatemBoard mof mNursingmformeachmstate
4. ThemStatemBoard mof mPharmacy
m
mmm2.mThembenefitsmtomthempatient mof mhavingmanmAdvanced mPracticemRegistered mNursem(APRN)m
prescriberminclude:
1. Nursesmknow mmoremabout mPharmacologymthanmothermprescribersmbecausemtheymtake
mit m
bothminmtheirmbasicmnursingmprogrammand minmtheirmAPRN mprogram.
2. Nursesmcaremformthempatient mfrommamholisticmapproachmand mincludemthempatient
minm decisionmmakingmregardingmtheirmcare.
3. APRNsmaremlessmlikelymtomprescribemnarcoticsmand mothermcontrolled msubstances.
4. APRNsmaremablemtomprescribemindependentlyminmallmstates,mwhereasmamphysicia
n’smassistant mneedsmtomhavemamphysicianmsupervisingmtheirmpractice.
m mmm 3.mClinicalmjudgment minmprescribingm includes:
1. Factoringminmthemcost mtomthempatient mof mthemmedicationmprescribed
2. Alwaysmprescribingmthemnewest mmedicationmavailablemformthemdiseasemprocess
3. Handingmout mdrugmsamplesmtompoormpatients
4. Prescribingmallmgenericmmedicationsmtomcut mcosts
m mmm 4.mCriteriamformchoosingmanmeffectivemdrugmformamdisorderm include:
1. Askingmthempatient mwhat mdrugmtheymthinkmwould mworkmbest mformthem
2. Consultingmnationallymrecognized mguidelinesmformdiseasemmanagement
3. Prescribingmmedicationsmthat maremavailablemasmsamplesmbeforemwritingmamprescription
4. FollowingmU.S.mDrugmEnforcement mAdministrationmguidelinesmformprescribing
m mmm 5.mNursempractitionermpracticemmaymthrivemundermhealth-caremreform mbecause mof:
1. Themdemonstrated mabilitymof mnursempractitionersmtomcontrolmcostsmand mimprovempatie
nt moutcomes
2. Themfact mthat mnursempractitionersmwillmbemablemtompracticemindependently
3. Themfact mthat mnursempractitionersmwillmhavemfullmreimbursement mundermhealth-
caremreform
4. Themabilitymtomshift maccountabilitymformMedicaid mtomthemstatemlevel
,Test Bank: Pharmacotherapeutics for Advanced Practic
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Chapterm1.mThemRolemof mthemNursemPractition
ermAnswermSection
MULTIPLEmCHOICE
1. ANS:mmm 3 PTS:m 1
2. ANS:mmm 2 PTS:m 1
3. ANS:mmm 1 PTS:m 1
4. ANS:mmm 2 PTS:m 1
5. ANS:mmm 1 PTS:m 1
Chapterm2.mReview mof mBasicmPrinciplesmof mPharmacolo
gymMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m
mmm1.mA mpatient’smnutritionalmintakemand mlaboratorymresultsmreflect mhypoalbuminemia.m Thism ism
criticalmtomprescribingmbecause:
1. Distributionmof mdrugsmtomtarget mtissuemmaymbemaffected.
2. Themsolubilitymof mthemdrugmwillmnot mmatchmthemsitemof mabsorption.
3. Theremwillmbemlessmfreemdrugmavailablemtomgeneratemanmeffect.
4. Drugsmbound mtomalbuminmaremreadilymexcreted mbymthemkidneys.
m mmm 2.mDrugsmthat mhavemamsignificant mfirst-passm effect:
1. Must mbemgivenmbymthementeralm(oral)mroutemonly
2. Bypassmthemhepaticmcirculation
3. Aremrapidlymmetabolized mbymthemlivermand mmaymhavemlittlemif manymdesired maction
4. Aremconverted mbymthemlivermtommoremactivemand mfat-solublemforms
m mmm 3.mThemroutemof mexcretionmof mamvolatilemdrugmwillmlikelymbe mthe:
1. Kidneys
2. Lungs
3. Bilemand mfeces
4. Skin
m
mmm4.mMedroxyprogesteronem(DepomProvera)mismprescribed mintramuscularlym(IM)mtomcreatem
amstoragemreservoirmof mthemdrug.mStoragemreservoirs:
1. Assuremthat mthemdrugmwillmreachmitsmintended mtarget mtissue
2. Aremthemreasonmformgivingmloadingmdoses
3. Increasemthemlengthmof mtimemamdrugmismavailablemand mactive
4. Aremmost mcommonminmcollagenmtissues
m mmm 5.mThemNPmchoosesmtomgivemcephalexinmeverym8mhoursmbased monmknowledgemof mthemdrug’s:
1. Propensitymtomgomtomthemtarget mreceptor
2. Biologicalmhalf-life
3. Pharmacodynamics
4. Safetymand msidemeffects
