TESTBANK
n
, Pharmacotherapeutics forAdvancedPracticeNurse Prescribers, 4th n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
n n n n n n n n n n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. Nurse practitioner prescriptive authorityis regulated by:
n n n n n n n
1. The National Council of State Boards of Nursing
n n n n n n n
2. The U.S. Drug Enforcement Administration
n n n n
3. The State Board of Nursing for each state
n n n n n n n
4. The State Board of Pharmacy n n n n
2. Thebenefits to the patient of having an Advanced Practice Registered Nurse (APRN)prescriber
n n n n n n n n n n n n n n
include:
n
1. Nurses know more about Pharmacologythan other prescribers because theytakeit
n n n n n n n n n n n
both in their basic nursing program and in their APRN program.
n n n n n n n n n n n
2. Nurses care for the patient from a holistic approach and include the patient in
n n n n n n n n n n n n n
decision making regarding their care.
n n n n n
3. APRNs are less likelyto prescribe narcotics and other controlled substances.
n n n n n n n n n n
4. APRNs areable to prescribe independently in all states, whereas a physician’s
n n n n n n n n n n n
assistant needs to have a physician supervising their practice.
n n n n n n n n n
3. Clinical judgment in prescribing includes:
n n n n n
1. Factoring in the cost to the patient of the medication prescribed n n n n n n n n n n
2. Always prescribing the newest medication available for the disease process
n n n n n n n n n
3. Handing out drug samples to poor patients n n n n n n
4. Prescribingall generic medications to cut costs n n n n n n
4. Criteria for choosing an effective drug for a disorder include:
n n n n n n n n n n
1. Asking the patient what drug theythink would work best for them
n n n n n n n n n n n
2. Consultingnationallyrecognized guidelines for disease management n n n n n n
3. Prescribingmedications that are available as samples before writing a prescription n n n n n n n n n n
4. Following U.S. Drug Enforcement Administration guidelines for prescribing n n n n n n n
5. Nurse practitioner practice may thriveunder health-care reform because of:
n n n n n n n n n n
1. The demonstrated ability of nursepractitioners to control costs and improvepatient
n n n n n n n n n n n
outcomes n
2. Thefact that nurse practitioners will be able to practice independently
n n n n n n n n n n
3. The fact that nurse practitioners will have full reimbursement under health-
n n n n n n n n n n
care reform n n
4. The ability to shift accountability for Medicaid to the state level
n n n n n n n n n n
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter 1. The Role of the Nurse Practitioner as Prescriber
n n n n n n n n n
Answer Section
n n
MULTIPLE CHOICE n
1. ANS: n n 3 PTS: n 1
2. ANS: n n 2 PTS: n 1
3. ANS: n n 1 PTS: n 1
4. ANS: n n 2 PTS: n 1
5. ANS: n n 1 PTS: n 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter2. Review of the Basic Principles of Pharmacology
n n n n n n n n
Multiple Choice
n n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. A patient’s nutritional intake and laboratoryresults reflect hypoalbuminemia. This is critical to
n n n n n n n n n n n n n
prescribing because:
n n
1. Distribution of drugs to target tissue maybe affected. n n n n n n n n
2. The solubilityof the drug will not match the site of absorption.
n n n n n n n n n n n
3. There will be less free drug available to generate an effect.
n n n n n n n n n n
4. Drugs bound to albumin are readily excreted by the kidneys.
n n n n n n n n n
2. Drugs that have a significant first-pass effect:
n n n n n n n
1. Must be given by the enteral (oral) route only n n n n n n n n
2. Bypass the hepatic circulation n n n
3. Are rapidlymetabolized by the liver and may have little if any desired action
n n n n n n n n n n n n n
4. Are converted by the liver to more active and fat-soluble forms
n n n n n n n n n n
3. The route of excretion of a volatile drug will likely be the:
n n n n n n n n n n n n n
1. Kidneys
2. Lungs
3. Bileand feces n n
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly(IM) to create astorage
n n n n n n n n n n n
reservoir of the drug. Storage reservoirs:
n n n n n n
1. Assurethat the drug will reach its intended target tissue n n n n n n n n n
2. Are the reason for giving loading doses
n n n n n n
3. Increase the length of time a drug is available and active n n n n n n n n n n
4. Are most common in collagen tissues
n n n n n
5. The NP chooses to give cephalexin every8 hours based on knowledge of the drug’s:
n n n n n n n n n n n n n n n
1. Propensityto go to the target receptor n n n n n n
2. Biological half-life n
3. Pharmacodynamics
4. Safety and side effects n n n
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
n n n n n n n n n n n n n n n n n n
prescription. This is considered a loading dose. A loading dose:
n n n n n n n n n n
1. Rapidlyachieves drug levels in the therapeutic range n n n n n n n
2. Requires four- to five-half-lives to attain n n n n n
3. Is influenced byrenal function
n n n n
4. Is directly related to the drug circulating to the target tissues
n n n n n n n n n n
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
n n n n n n n n n n n n n n n n n n n n
1. Minimum adverse effect level n n n
2. Peak of action n n
n
, Pharmacotherapeutics forAdvancedPracticeNurse Prescribers, 4th n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
n n n n n n n n n n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. Nurse practitioner prescriptive authorityis regulated by:
n n n n n n n
1. The National Council of State Boards of Nursing
n n n n n n n
2. The U.S. Drug Enforcement Administration
n n n n
3. The State Board of Nursing for each state
n n n n n n n
4. The State Board of Pharmacy n n n n
2. Thebenefits to the patient of having an Advanced Practice Registered Nurse (APRN)prescriber
n n n n n n n n n n n n n n
include:
n
1. Nurses know more about Pharmacologythan other prescribers because theytakeit
n n n n n n n n n n n
both in their basic nursing program and in their APRN program.
n n n n n n n n n n n
2. Nurses care for the patient from a holistic approach and include the patient in
n n n n n n n n n n n n n
decision making regarding their care.
n n n n n
3. APRNs are less likelyto prescribe narcotics and other controlled substances.
n n n n n n n n n n
4. APRNs areable to prescribe independently in all states, whereas a physician’s
n n n n n n n n n n n
assistant needs to have a physician supervising their practice.
n n n n n n n n n
3. Clinical judgment in prescribing includes:
n n n n n
1. Factoring in the cost to the patient of the medication prescribed n n n n n n n n n n
2. Always prescribing the newest medication available for the disease process
n n n n n n n n n
3. Handing out drug samples to poor patients n n n n n n
4. Prescribingall generic medications to cut costs n n n n n n
4. Criteria for choosing an effective drug for a disorder include:
n n n n n n n n n n
1. Asking the patient what drug theythink would work best for them
n n n n n n n n n n n
2. Consultingnationallyrecognized guidelines for disease management n n n n n n
3. Prescribingmedications that are available as samples before writing a prescription n n n n n n n n n n
4. Following U.S. Drug Enforcement Administration guidelines for prescribing n n n n n n n
5. Nurse practitioner practice may thriveunder health-care reform because of:
n n n n n n n n n n
1. The demonstrated ability of nursepractitioners to control costs and improvepatient
n n n n n n n n n n n
outcomes n
2. Thefact that nurse practitioners will be able to practice independently
n n n n n n n n n n
3. The fact that nurse practitioners will have full reimbursement under health-
n n n n n n n n n n
care reform n n
4. The ability to shift accountability for Medicaid to the state level
n n n n n n n n n n
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter 1. The Role of the Nurse Practitioner as Prescriber
n n n n n n n n n
Answer Section
n n
MULTIPLE CHOICE n
1. ANS: n n 3 PTS: n 1
2. ANS: n n 2 PTS: n 1
3. ANS: n n 1 PTS: n 1
4. ANS: n n 2 PTS: n 1
5. ANS: n n 1 PTS: n 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th n n n n n n
edition Woo Robinson Test Bank n n n n n
Chapter2. Review of the Basic Principles of Pharmacology
n n n n n n n n
Multiple Choice
n n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
1. A patient’s nutritional intake and laboratoryresults reflect hypoalbuminemia. This is critical to
n n n n n n n n n n n n n
prescribing because:
n n
1. Distribution of drugs to target tissue maybe affected. n n n n n n n n
2. The solubilityof the drug will not match the site of absorption.
n n n n n n n n n n n
3. There will be less free drug available to generate an effect.
n n n n n n n n n n
4. Drugs bound to albumin are readily excreted by the kidneys.
n n n n n n n n n
2. Drugs that have a significant first-pass effect:
n n n n n n n
1. Must be given by the enteral (oral) route only n n n n n n n n
2. Bypass the hepatic circulation n n n
3. Are rapidlymetabolized by the liver and may have little if any desired action
n n n n n n n n n n n n n
4. Are converted by the liver to more active and fat-soluble forms
n n n n n n n n n n
3. The route of excretion of a volatile drug will likely be the:
n n n n n n n n n n n n n
1. Kidneys
2. Lungs
3. Bileand feces n n
4. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly(IM) to create astorage
n n n n n n n n n n n
reservoir of the drug. Storage reservoirs:
n n n n n n
1. Assurethat the drug will reach its intended target tissue n n n n n n n n n
2. Are the reason for giving loading doses
n n n n n n
3. Increase the length of time a drug is available and active n n n n n n n n n n
4. Are most common in collagen tissues
n n n n n
5. The NP chooses to give cephalexin every8 hours based on knowledge of the drug’s:
n n n n n n n n n n n n n n n
1. Propensityto go to the target receptor n n n n n n
2. Biological half-life n
3. Pharmacodynamics
4. Safety and side effects n n n
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
n n n n n n n n n n n n n n n n n n
prescription. This is considered a loading dose. A loading dose:
n n n n n n n n n n
1. Rapidlyachieves drug levels in the therapeutic range n n n n n n n
2. Requires four- to five-half-lives to attain n n n n n
3. Is influenced byrenal function
n n n n
4. Is directly related to the drug circulating to the target tissues
n n n n n n n n n n
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
n n n n n n n n n n n n n n n n n n n n
1. Minimum adverse effect level n n n
2. Peak of action n n
