NR 508 Final Review Questions with correct
|\ |\ |\ |\ |\ |\ |\
answers
Nurse practitioner prescriptive authority is regulated by:
|\|\ |\ |\ |\ |\ |\
1. The National Council of State Boards of Nursing
|\ |\ |\ |\ |\ |\ |\ |\
2. The U.S. Drug Enforcement Administration
|\ |\ |\ |\ |\
|\
3. The State Board of Nursing for each state
|\ |\ |\ |\ |\ |\ |\ |\
4. The State Board of Pharmacy - CORRECT ANSWERS ✔✔The State Board
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of Nursing for each state
|\ |\ |\ |\
The benefits to the patient of having an Advanced Practice Registered Nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(APRN) prescriber include: |\ |\
1. Nurses know more about Pharmacology than other prescribers because
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they take it both in their basic nursing program and in their APRN program.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Nurses care for the patient from a holistic approach and include the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient in decision making regarding their care.
|\ |\ |\ |\ |\ |\
3. APRNs are less likely to prescribe narcotics and other controlled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
substances.
4. APRNs are able to prescribe independently in all states, whereas a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physician's assistant needs to have a physician supervising their practice. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Nurses care for the patient from a holistic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
approach and include the patient in decision making regarding their care.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Clinical judgment in prescribing includes:
|\ |\ |\ |\
1. Factoring in the cost to the patient of the medication prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Always prescribing the newest medication available for the disease process
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Handing out drug samples to poor patients
|\ |\ |\ |\ |\ |\ |\
4. Prescribing all generic medications to cut costs - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Factoring in the cost to the patient of the medication prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Criteria for choosing an effective drug for a disorder include:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Asking the patient what drug they think would work best for them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Consulting nationally recognized guidelines for disease management
|\ |\ |\ |\ |\ |\ |\
3. Prescribing medications that are available as samples before writing a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription
4. Following U.S. Drug Enforcement Administration guidelines for
|\ |\ |\ |\ |\ |\ |\ |\
prescribing - CORRECT ANSWERS ✔✔Consulting nationally recognized
|\ |\ |\ |\ |\ |\ |\
guidelines for disease management
|\ |\ |\
Nurse practitioner practice may thrive under health-care reform because of:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. The demonstrated ability of nurse practitioners to control costs and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
improve patient outcomes
|\ |\
2. The fact that nurse practitioners will be able to practice independently
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. The fact that nurse practitioners will have full reimbursement under
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
health-care reform |\
,4. The ability to shift accountability for Medicaid to the state level -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔The demonstrated ability of nurse practitioners to
|\ |\ |\ |\ |\ |\ |\ |\ |\
control costs and improve patient outcomes
|\ |\ |\ |\ |\
A patient's nutritional intake and laboratory results reflect hypoalbuminemia.
|\ |\ |\ |\ |\ |\ |\ |\
This is critical to prescribing because:
|\ |\ |\ |\ |\ |\
1. Distribution of drugs to target tissue may be affected.
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. The solubility of the drug will not match the site of absorption.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. There will be less free drug available to generate an effect.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Drugs bound to albumin are readily excreted by the kidneys. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Distribution of drugs to target tissue may be affected.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Drugs that have a significant first-pass effect:
|\ |\ |\ |\ |\ |\
1. Must be given by the enteral (oral) route only
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Bypass the hepatic circulation
|\ |\ |\ |\
3. Are rapidly metabolized by the liver and may have little if any desired
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action
4. Are converted by the liver to more active and fat-soluble forms -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Are rapidly metabolized by the liver and may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have little if any desired action
|\ |\ |\ |\ |\
The route of excretion of a volatile drug will likely be the:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Kidneys
|\
2. Lungs
|\
3. Bile and feces
|\ |\ |\
, 4. Skin - CORRECT ANSWERS ✔✔Bile and feces
|\ |\ |\ |\ |\ |\ |\
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to |\ |\ |\ |\ |\ |\ |\ |\
create a storage reservoir of the drug. Storage reservoirs:
|\ |\ |\ |\ |\ |\ |\ |\
1. Assure that the drug will reach its intended target tissue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Are the reason for giving loading doses
|\ |\ |\ |\ |\ |\ |\
3. Increase the length of time a drug is available and active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Are most common in collagen tissues - CORRECT ANSWERS ✔✔Increase
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the length of time a drug is available and active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The NP chooses to give cephalexin every 8 hours based on knowledge of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug's:
1. Propensity to go to the target receptor
|\ |\ |\ |\ |\ |\ |\
2. Biological half-life
|\ |\
3. Pharmacodynamics
|\
4. Safety and side effects - CORRECT ANSWERS ✔✔Biological half-life
|\ |\ |\ |\ |\ |\ |\ |\ |\
Azithromycin dosing requires that the first day's dosage be twice those of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
other 4 days of the prescription. This is considered a loading dose. A loading
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dose:
|\
1. Rapidly achieves drug levels in the therapeutic range
|\ |\ |\ |\ |\ |\ |\ |\
2. Requires four- to five-half-lives to attain
|\ |\ |\ |\ |\ |\
3. Is influenced by renal function
|\ |\ |\ |\ |\
4. Is directly related to the drug circulating to the target tissues - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Rapidly achieves drug levels in the therapeutic range
|\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
answers
Nurse practitioner prescriptive authority is regulated by:
|\|\ |\ |\ |\ |\ |\
1. The National Council of State Boards of Nursing
|\ |\ |\ |\ |\ |\ |\ |\
2. The U.S. Drug Enforcement Administration
|\ |\ |\ |\ |\
|\
3. The State Board of Nursing for each state
|\ |\ |\ |\ |\ |\ |\ |\
4. The State Board of Pharmacy - CORRECT ANSWERS ✔✔The State Board
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of Nursing for each state
|\ |\ |\ |\
The benefits to the patient of having an Advanced Practice Registered Nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(APRN) prescriber include: |\ |\
1. Nurses know more about Pharmacology than other prescribers because
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they take it both in their basic nursing program and in their APRN program.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Nurses care for the patient from a holistic approach and include the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient in decision making regarding their care.
|\ |\ |\ |\ |\ |\
3. APRNs are less likely to prescribe narcotics and other controlled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
substances.
4. APRNs are able to prescribe independently in all states, whereas a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physician's assistant needs to have a physician supervising their practice. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Nurses care for the patient from a holistic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
approach and include the patient in decision making regarding their care.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Clinical judgment in prescribing includes:
|\ |\ |\ |\
1. Factoring in the cost to the patient of the medication prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Always prescribing the newest medication available for the disease process
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Handing out drug samples to poor patients
|\ |\ |\ |\ |\ |\ |\
4. Prescribing all generic medications to cut costs - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Factoring in the cost to the patient of the medication prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Criteria for choosing an effective drug for a disorder include:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Asking the patient what drug they think would work best for them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Consulting nationally recognized guidelines for disease management
|\ |\ |\ |\ |\ |\ |\
3. Prescribing medications that are available as samples before writing a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription
4. Following U.S. Drug Enforcement Administration guidelines for
|\ |\ |\ |\ |\ |\ |\ |\
prescribing - CORRECT ANSWERS ✔✔Consulting nationally recognized
|\ |\ |\ |\ |\ |\ |\
guidelines for disease management
|\ |\ |\
Nurse practitioner practice may thrive under health-care reform because of:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. The demonstrated ability of nurse practitioners to control costs and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
improve patient outcomes
|\ |\
2. The fact that nurse practitioners will be able to practice independently
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. The fact that nurse practitioners will have full reimbursement under
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
health-care reform |\
,4. The ability to shift accountability for Medicaid to the state level -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔The demonstrated ability of nurse practitioners to
|\ |\ |\ |\ |\ |\ |\ |\ |\
control costs and improve patient outcomes
|\ |\ |\ |\ |\
A patient's nutritional intake and laboratory results reflect hypoalbuminemia.
|\ |\ |\ |\ |\ |\ |\ |\
This is critical to prescribing because:
|\ |\ |\ |\ |\ |\
1. Distribution of drugs to target tissue may be affected.
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. The solubility of the drug will not match the site of absorption.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. There will be less free drug available to generate an effect.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Drugs bound to albumin are readily excreted by the kidneys. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Distribution of drugs to target tissue may be affected.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Drugs that have a significant first-pass effect:
|\ |\ |\ |\ |\ |\
1. Must be given by the enteral (oral) route only
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Bypass the hepatic circulation
|\ |\ |\ |\
3. Are rapidly metabolized by the liver and may have little if any desired
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action
4. Are converted by the liver to more active and fat-soluble forms -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Are rapidly metabolized by the liver and may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have little if any desired action
|\ |\ |\ |\ |\
The route of excretion of a volatile drug will likely be the:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Kidneys
|\
2. Lungs
|\
3. Bile and feces
|\ |\ |\
, 4. Skin - CORRECT ANSWERS ✔✔Bile and feces
|\ |\ |\ |\ |\ |\ |\
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to |\ |\ |\ |\ |\ |\ |\ |\
create a storage reservoir of the drug. Storage reservoirs:
|\ |\ |\ |\ |\ |\ |\ |\
1. Assure that the drug will reach its intended target tissue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Are the reason for giving loading doses
|\ |\ |\ |\ |\ |\ |\
3. Increase the length of time a drug is available and active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Are most common in collagen tissues - CORRECT ANSWERS ✔✔Increase
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the length of time a drug is available and active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The NP chooses to give cephalexin every 8 hours based on knowledge of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug's:
1. Propensity to go to the target receptor
|\ |\ |\ |\ |\ |\ |\
2. Biological half-life
|\ |\
3. Pharmacodynamics
|\
4. Safety and side effects - CORRECT ANSWERS ✔✔Biological half-life
|\ |\ |\ |\ |\ |\ |\ |\ |\
Azithromycin dosing requires that the first day's dosage be twice those of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
other 4 days of the prescription. This is considered a loading dose. A loading
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dose:
|\
1. Rapidly achieves drug levels in the therapeutic range
|\ |\ |\ |\ |\ |\ |\ |\
2. Requires four- to five-half-lives to attain
|\ |\ |\ |\ |\ |\
3. Is influenced by renal function
|\ |\ |\ |\ |\
4. Is directly related to the drug circulating to the target tissues - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Rapidly achieves drug levels in the therapeutic range
|\ |\ |\ |\ |\ |\ |\ |\
