NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
▪ PharmacotherapeuticsgforgAdvancedgPracticegNursegPrescribersg5thgEditiongWoo
gRobinsongTestgBank
Chapterg1.gThegRolegofgthegNursegPractiti
onerMultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g 1.gNursegpractitionergprescriptivegauthoritygisgregulatedgby:
1. ThegNationalgCouncilgofgStategBoardsgofgNursing
2. ThegU.S.gDruggEnforcementgAdministration
3. ThegStategBoardgofgNursinggforgeachgstate
4. ThegStategBoardgofgPharmacy
g 2.gThegbenefitsgtogthegpatientgofghavinggangAdvancedgPracticegRegisteredgNurse
g(APRN)gprescriberinclude:
1. NursesgknowgmoregaboutgPharmacologygthangothergprescribersgbec
ausegtheygtakegitbothgingtheirgbasicgnursinggprogramgandgingtheirgAP
RNgprogram.
2. Nursesgcaregforgthegpatientgfromgagholisticgapproachgandginclude
gthegpatientgindecisiongmakinggregardinggtheirgcare.
3. APRNsgareglessglikelygtogprescribegnarcoticsgandgothergcontrolledgsubstances.
4. APRNsgaregablegtogprescribegindependentlygingallgstates,gwhereasgagphysician’s
gassistantgneedsgtoghavegagphysiciangsupervisinggtheirgpractice.
g 3.gClinicalgjudgmentgingprescribinggincludes:
1. Factoringgingthegcostgtogthegpatientgofgthegmedicationgprescribed
2. Alwaysgprescribinggthegnewestgmedicationgavailablegforgthegdiseasegprocess
3. Handinggoutgdruggsamplesgtogpoorgpatients
4. Prescribinggallggenericgmedicationsgtogcutgcosts
g 4.gCriteriagforgchoosinggangeffectivegdruggforgagdisorderg include:
1. Askinggthegpatientgwhatgdruggtheygthinkgwouldgworkgbestgforgthem
2. Consultinggnationallygrecognizedgguidelinesgforgdiseasegmanagement
3. Prescribinggmedicationsgthatgaregavailablegasgsamplesgbeforegwritinggagprescription
4. FollowinggU.S.gDruggEnforcementgAdministrationgguidelinesgforgprescribing
g 5.gNursegpractitionergpracticegmaygthrivegunderghealth-caregreformgbecausegof:
1. Thegdemonstratedgabilitygofgnursegpractitionersgtogcontrolgcostsgand
gimprovegpatientoutcomes
2. Thegfactgthatgnursegpractitionersgwillgbegablegtogpracticegindependently
3. Thegfactgthatgnursegpractitionersgwillghavegfullgreimbursementgunder
ghealth-carereform
4. ThegabilitygtogshiftgaccountabilitygforgMedicaidgtogthegstateglevel
,NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
, NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
Chapterg1.gThegRolegofgthegNursegPractiti
onerAnswergSection
MULTIPLEgCHOICE
1. ANS: 3 PTS:g 1
2. ANS: 2 PTS:g 1
3. ANS: 1 PTS:g 1
4. ANS: 2 PTS:g 1
5. ANS: 1 PTS:g 1
Chapterg2.gReviewgofgBasicgPrinciplesgofgP
harmacologyMultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g 1.gAgpatient’sgnutritionalgintakegandglaboratorygresultsgreflectghypoalbuminemia.gThisgis
gcriticalgto
prescribinggbecause:
1. Distributiongofgdrugsgtogtargetgtissuegmaygbegaffected.
2. Thegsolubilitygofgthegdruggwillgnotgmatchgthegsitegofgabsorption.
3. Theregwillgbeglessgfreegdruggavailablegtoggenerategangeffect.
4. Drugsgboundgtogalbumingaregreadilygexcretedgbygthegkidneys.
g 2.gDrugsgthatghavegagsignificantgfirst-passg effect:
1. Mustgbeggivengbygthegenteralg(oral)groutegonly
2. Bypassgtheghepaticgcirculation
3. Aregrapidlygmetabolizedgbygtheglivergandgmayghaveglittlegifganygdesiredgaction
4. Aregconvertedgbygtheglivergtogmoregactivegandgfat-solublegforms
g 3.gThegroutegofgexcretiongofgagvolatilegdruggwillglikelygbeg the:
1. Kidneys
2. Lungs
3. Bilegandgfeces
4. Skin
g 4.gMedroxyprogesteroneg(DepogProvera)gisgprescribedgintramuscularlyg(IM)gto
gcreategagstoragereservoirgofgthegdrug.gStoragegreservoirs:
1. Assuregthatgthegdruggwillgreachgitsgintendedgtargetgtissue
2. Aregthegreasongforggivinggloadinggdoses
3. Increasegtheglengthgofgtimegagdruggisgavailablegandgactive
4. Aregmostgcommongingcollagengtissues
g 5.gThegNPgchoosesgtoggivegcephalexingeveryg8ghoursgbasedgongknowledgegofgthegdrug’s:
1. Propensitygtoggogtogthegtargetgreceptor
2. Biologicalghalf-life
3. Pharmacodynamics
4. Safetygandgsidegeffects
, NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
g6.gAzithromycingdosinggrequiresgthatgthegfirstgday’sgdosagegbegtwicegthosegofgthegotherg4
gdaysgofgthe
prescription.gThisgisgconsideredgagloadinggdose.gAgloadinggdose:
1. Rapidlygachievesgdrugglevelsgingthegtherapeuticgrange
2. Requiresgfour-gtogfive-half-livesgtogattain
3. Isginfluencedgbygrenalgfunction
4. Isgdirectlygrelatedgtogthegdruggcirculatinggtogthegtargetgtissues
g 7.gThegpointgingtimegongthegdruggconcentrationgcurvegthatgindicatesgthegfirstgsigngofga
gtherapeuticgeffectisgthe:
1. Minimumgadversegeffectglevel
2. Peakgofgaction
▪ PharmacotherapeuticsgforgAdvancedgPracticegNursegPrescribersg5thgEditiongWoo
gRobinsongTestgBank
Chapterg1.gThegRolegofgthegNursegPractiti
onerMultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g 1.gNursegpractitionergprescriptivegauthoritygisgregulatedgby:
1. ThegNationalgCouncilgofgStategBoardsgofgNursing
2. ThegU.S.gDruggEnforcementgAdministration
3. ThegStategBoardgofgNursinggforgeachgstate
4. ThegStategBoardgofgPharmacy
g 2.gThegbenefitsgtogthegpatientgofghavinggangAdvancedgPracticegRegisteredgNurse
g(APRN)gprescriberinclude:
1. NursesgknowgmoregaboutgPharmacologygthangothergprescribersgbec
ausegtheygtakegitbothgingtheirgbasicgnursinggprogramgandgingtheirgAP
RNgprogram.
2. Nursesgcaregforgthegpatientgfromgagholisticgapproachgandginclude
gthegpatientgindecisiongmakinggregardinggtheirgcare.
3. APRNsgareglessglikelygtogprescribegnarcoticsgandgothergcontrolledgsubstances.
4. APRNsgaregablegtogprescribegindependentlygingallgstates,gwhereasgagphysician’s
gassistantgneedsgtoghavegagphysiciangsupervisinggtheirgpractice.
g 3.gClinicalgjudgmentgingprescribinggincludes:
1. Factoringgingthegcostgtogthegpatientgofgthegmedicationgprescribed
2. Alwaysgprescribinggthegnewestgmedicationgavailablegforgthegdiseasegprocess
3. Handinggoutgdruggsamplesgtogpoorgpatients
4. Prescribinggallggenericgmedicationsgtogcutgcosts
g 4.gCriteriagforgchoosinggangeffectivegdruggforgagdisorderg include:
1. Askinggthegpatientgwhatgdruggtheygthinkgwouldgworkgbestgforgthem
2. Consultinggnationallygrecognizedgguidelinesgforgdiseasegmanagement
3. Prescribinggmedicationsgthatgaregavailablegasgsamplesgbeforegwritinggagprescription
4. FollowinggU.S.gDruggEnforcementgAdministrationgguidelinesgforgprescribing
g 5.gNursegpractitionergpracticegmaygthrivegunderghealth-caregreformgbecausegof:
1. Thegdemonstratedgabilitygofgnursegpractitionersgtogcontrolgcostsgand
gimprovegpatientoutcomes
2. Thegfactgthatgnursegpractitionersgwillgbegablegtogpracticegindependently
3. Thegfactgthatgnursegpractitionersgwillghavegfullgreimbursementgunder
ghealth-carereform
4. ThegabilitygtogshiftgaccountabilitygforgMedicaidgtogthegstateglevel
,NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
, NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
Chapterg1.gThegRolegofgthegNursegPractiti
onerAnswergSection
MULTIPLEgCHOICE
1. ANS: 3 PTS:g 1
2. ANS: 2 PTS:g 1
3. ANS: 1 PTS:g 1
4. ANS: 2 PTS:g 1
5. ANS: 1 PTS:g 1
Chapterg2.gReviewgofgBasicgPrinciplesgofgP
harmacologyMultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
g 1.gAgpatient’sgnutritionalgintakegandglaboratorygresultsgreflectghypoalbuminemia.gThisgis
gcriticalgto
prescribinggbecause:
1. Distributiongofgdrugsgtogtargetgtissuegmaygbegaffected.
2. Thegsolubilitygofgthegdruggwillgnotgmatchgthegsitegofgabsorption.
3. Theregwillgbeglessgfreegdruggavailablegtoggenerategangeffect.
4. Drugsgboundgtogalbumingaregreadilygexcretedgbygthegkidneys.
g 2.gDrugsgthatghavegagsignificantgfirst-passg effect:
1. Mustgbeggivengbygthegenteralg(oral)groutegonly
2. Bypassgtheghepaticgcirculation
3. Aregrapidlygmetabolizedgbygtheglivergandgmayghaveglittlegifganygdesiredgaction
4. Aregconvertedgbygtheglivergtogmoregactivegandgfat-solublegforms
g 3.gThegroutegofgexcretiongofgagvolatilegdruggwillglikelygbeg the:
1. Kidneys
2. Lungs
3. Bilegandgfeces
4. Skin
g 4.gMedroxyprogesteroneg(DepogProvera)gisgprescribedgintramuscularlyg(IM)gto
gcreategagstoragereservoirgofgthegdrug.gStoragegreservoirs:
1. Assuregthatgthegdruggwillgreachgitsgintendedgtargetgtissue
2. Aregthegreasongforggivinggloadinggdoses
3. Increasegtheglengthgofgtimegagdruggisgavailablegandgactive
4. Aregmostgcommongingcollagengtissues
g 5.gThegNPgchoosesgtoggivegcephalexingeveryg8ghoursgbasedgongknowledgegofgthegdrug’s:
1. Propensitygtoggogtogthegtargetgreceptor
2. Biologicalghalf-life
3. Pharmacodynamics
4. Safetygandgsidegeffects
, NURSINGg30gPharmgTestgBankg5thgEdgCorrectgQuestionsgandgAnswers
g6.gAzithromycingdosinggrequiresgthatgthegfirstgday’sgdosagegbegtwicegthosegofgthegotherg4
gdaysgofgthe
prescription.gThisgisgconsideredgagloadinggdose.gAgloadinggdose:
1. Rapidlygachievesgdrugglevelsgingthegtherapeuticgrange
2. Requiresgfour-gtogfive-half-livesgtogattain
3. Isginfluencedgbygrenalgfunction
4. Isgdirectlygrelatedgtogthegdruggcirculatinggtogthegtargetgtissues
g 7.gThegpointgingtimegongthegdruggconcentrationgcurvegthatgindicatesgthegfirstgsigngofga
gtherapeuticgeffectisgthe:
1. Minimumgadversegeffectglevel
2. Peakgofgaction
