Management of Pharmacotherapeutics in Advanced Practice questions and answers|latest 2025/2026|graded A+|100% correct

Management of Pharmacotherapeutics in Advanced
Practice questions and answers|latest 2025/2026|graded
A+|100% correct
Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy - ANSWER-3. The State Board of Nursing for each state
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The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber includ
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e:



1. Nurses know more about Pharmacology than other prescribers because they take it both in their ba
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sic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in decision making rega
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rding their care.B B




3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to hav
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e a physician supervising their practice. - ANSWER-
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2. Nurses care for the patient from a holistic approach and include the patient in decision making rega
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rding their care.B B




Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed
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,2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients
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4. Prescribing all generic medications to cut costs - ANSWER-
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1. Factoring in the cost to the patient of the medication prescribed
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Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management
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3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing - ANSWER-
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2. Consulting nationally recognized guidelines for disease management
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Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
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2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care reform
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4. The ability to shift accountability for Medicaid to the state level - ANSWER-
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1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
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A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This
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is critical to prescribing because:
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,1. Distribution of drugs to target tissue may be affected.
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2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys. - ANSWER-
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1. Distribution of drugs to target tissue may be affected.
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Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation
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3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms - ANSWER-
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3. Are rapidly metabolized by the liver and may have little if any desired action
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The route of excretion of a volatile drug will likely be the:
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1. Kidneys
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2. Lungs
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3. Bile and feces
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4. Skin - ANSWER-2. Lungs
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Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir
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of the drug. Storage reservoirs:
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, 1. Assure that the drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active
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4. Are most common in collagen tissues - ANSWER-
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3. Increase the length of time a drug is available and active
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The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
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1. Propensity to go to the target receptor
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2. Biological half-life
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3. Pharmacodynamics
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4. Safety and side effects - ANSWER-2. Biological half-life
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Azithromycin dosing requires that the first day's dosage be twice those of the other
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4 days of the prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain
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3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues - ANSWER-
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1. Rapidly achieves drug levels in the therapeutic range
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