NSG 6005 EXAM WITH CORRECT
ANSWERS
1. Nurse practitioner prescriptive authority is regulated by: A. The National Council of State Boards of Nursing
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B. The U.S. Drug Enforcement Administration C. The State Board of Nursing for each state D. The State Board of
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Pharmacy - correct answers C f f f f
2. Physician Assistant (PA) prescriptive authority is regulated by: A. The National Council of State Boards of
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Nursing B. The U.S. Drug Enforcement Administration C. The State Board of Nursing D. The State Board of
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Medical Examiners - correct answers D f f f f f
3. Clinical judgment in prescribing includes: A. Factoring in the cost to the patient of the medication prescribed
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B. Always prescribing the newest medication available for the disease process C. Handing out drug samples to
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poor patients D. Prescribing all generic medications to cut costs - correct answers A
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4. Criteria for choosing an effective drug for a disorder include: A. Asking the patient what drug they think
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would work best for them B. Consulting nationally recognized guidelines for disease management C.
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Prescribing medications that are available as samples before writing a prescription D. Following U.S. Drug
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Enforcement Administration (DEA) guidelines for prescribing - correct answers B f f f f f f f f f
5. Nurse practitioner practice may thrive under health-care reform due to:
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A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes ds he toice
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those of the f f f
B. The fact that nurse practitioners will be able to practice independently
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, C. The fact that nurse practitioners will have full reimbursement under health-care reform D. The ability to shift
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accountability for Medicaid to the state level - correct answers A f f f f f f f f f f
1. A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing because:
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A. Distribution of drugs to target tissue may be affected B. The solubility of the drug will not match the site of
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absorption C. There will be less free drug available to generate an effect D. Drugs bound to albumin are readily
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excreted by the kidney - correct answers A f f f f f f f
2. Drugs that have a significant first-pass effect: A. Must be given by the enteral (oral) route only B. Bypass the
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hepatic circulation C. Are rapidly metabolized by the liver and may have little if any desired action D. Are
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converted by the liver to more active and fat-soluble forms - correct answers C
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3. The route of excretion of a volatile drug will likely be: A. The kidneys B. The lungs C. The bile and feces D. The
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skin - correct answers B
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4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug. Storage
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reservoirs: A. Assure that the drug will reach its intended target tissue B. Are the reason for giving loading doses
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C. Increase the length of time a drug is available and active D. Are most common in collagen tissues - correct
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answers C f
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's: A. Propensity to go to the
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target receptor В. Biological half-life С. Pharmacodynamics D. Safety and side effects - correct answers B
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6. Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription. This is
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considered a loading dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic range B. Requires
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four to five half-lives to attain C. Is influenced by renal function D. Is directly related to the drug circulating to the
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target tissues - correct answers Af f f f f
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: A.
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Minimum adverse effect level B. Peak of action C. Onset of action D. Therapeutic range - correct answers C
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8. Phenytoin requires a trough level be drawn. Peak and trough levels are done: chilty A. When the drug has a
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wide therapeutic range B. When the drug will be administered for a short time only C. When there is a high
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correlation between the dose and saturation of receptor sites D. To determine if a drug is in the therapeutic
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range - correct answers D f f f f
ANSWERS
1. Nurse practitioner prescriptive authority is regulated by: A. The National Council of State Boards of Nursing
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B. The U.S. Drug Enforcement Administration C. The State Board of Nursing for each state D. The State Board of
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Pharmacy - correct answers C f f f f
2. Physician Assistant (PA) prescriptive authority is regulated by: A. The National Council of State Boards of
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Nursing B. The U.S. Drug Enforcement Administration C. The State Board of Nursing D. The State Board of
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Medical Examiners - correct answers D f f f f f
3. Clinical judgment in prescribing includes: A. Factoring in the cost to the patient of the medication prescribed
f f f f f f f f f f f f f f f f f f
B. Always prescribing the newest medication available for the disease process C. Handing out drug samples to
f f f f f f f f f f f f f f f f f
poor patients D. Prescribing all generic medications to cut costs - correct answers A
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4. Criteria for choosing an effective drug for a disorder include: A. Asking the patient what drug they think
f f f f f f f f f f f f f f f f f f f
would work best for them B. Consulting nationally recognized guidelines for disease management C.
f f f f f f f f f f f f f f
Prescribing medications that are available as samples before writing a prescription D. Following U.S. Drug
f f f f f f f f f f f f f f f
Enforcement Administration (DEA) guidelines for prescribing - correct answers B f f f f f f f f f
5. Nurse practitioner practice may thrive under health-care reform due to:
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A. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes ds he toice
f f f f f f f f f f f f f f f f f
those of the f f f
B. The fact that nurse practitioners will be able to practice independently
f f f f f f f f f f f f
, C. The fact that nurse practitioners will have full reimbursement under health-care reform D. The ability to shift
f f f f f f f f f f f f f f f f f f
accountability for Medicaid to the state level - correct answers A f f f f f f f f f f
1. A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical to prescribing because:
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A. Distribution of drugs to target tissue may be affected B. The solubility of the drug will not match the site of
f f f f f f f f f f f f f f f f f f f f f f
absorption C. There will be less free drug available to generate an effect D. Drugs bound to albumin are readily
f f f f f f f f f f f f f f f f f f f f
excreted by the kidney - correct answers A f f f f f f f
2. Drugs that have a significant first-pass effect: A. Must be given by the enteral (oral) route only B. Bypass the
f f f f f f f f f f f f f f f f f f f f f
hepatic circulation C. Are rapidly metabolized by the liver and may have little if any desired action D. Are
f f f f f f f f f f f f f f f f f f f
converted by the liver to more active and fat-soluble forms - correct answers C
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3. The route of excretion of a volatile drug will likely be: A. The kidneys B. The lungs C. The bile and feces D. The
f f f f f f f f f f f f f f f f f f f f f f f f f
skin - correct answers B
f f f f
4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug. Storage
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reservoirs: A. Assure that the drug will reach its intended target tissue B. Are the reason for giving loading doses
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C. Increase the length of time a drug is available and active D. Are most common in collagen tissues - correct
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answers C f
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's: A. Propensity to go to the
f f f f f f f f f f f f f f f f f f f f f f
target receptor В. Biological half-life С. Pharmacodynamics D. Safety and side effects - correct answers B
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6. Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the prescription. This is
f f f f f f f f f f f f f f f f f f f f f
considered a loading dose. A loading dose: A. Rapidly achieves drug levels in the therapeutic range B. Requires
f f f f f f f f f f f f f f f f f f
four to five half-lives to attain C. Is influenced by renal function D. Is directly related to the drug circulating to the
f f f f f f f f f f f f f f f f f f f f f f
target tissues - correct answers Af f f f f
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: A.
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Minimum adverse effect level B. Peak of action C. Onset of action D. Therapeutic range - correct answers C
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8. Phenytoin requires a trough level be drawn. Peak and trough levels are done: chilty A. When the drug has a
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wide therapeutic range B. When the drug will be administered for a short time only C. When there is a high
f f f f f f f f f f f f f f f f f f f f f
correlation between the dose and saturation of receptor sites D. To determine if a drug is in the therapeutic
f f f f f f f f f f f f f f f f f f f
range - correct answers D f f f f
