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, PharmacotherapeuticsoforoAdvancedoPracticeoNurseoPrescriberso5thoEditionoWoooRobinsonoTestoBank
Chaptero1.oTheoRoleoofotheoNurseoPractitionero
MultipleoChoice
Identifyotheochoiceothatobestocompletesotheostatementooroanswersotheoquestion.
1. Nurseopractitioneroprescriptiveoauthorityoisoregulatedoby:
1. TheoNationaloCounciloofoStateoBoardsoofoNursing
2. TheoU.S.oDrugoEnforcementoAdministration
3. TheoStateoBoardoofoNursingoforoeachostate
4. TheoStateoBoardoofoPharmacy
2. TheobenefitsotootheopatientoofohavingoanoAdvancedoPracticeoRegisteredoNurseo(APRN)oprescriberoi
nclude:
1. NursesoknowomoreoaboutoPharmacologyothanootheroprescribersobecauseotheyotakeoito
bothoinotheirobasiconursingoprogramoandoinotheiroAPRNoprogram.
2. Nursesocareoforotheopatientofromoaoholisticoapproachoandoincludeotheopatientoinod
ecisionomakingoregardingotheirocare.
3. APRNsoareolessolikelyotooprescribeonarcoticsoandootherocontrolledosubstances.
4. APRNsoareoableotooprescribeoindependentlyoinoallostates,owhereasoaophysician’soa
ssistantoneedsotoohaveoaophysicianosupervisingotheiropractice.
3. Clinicalojudgmentoinoprescribingoincludes:
1. Factoringoinotheocostotootheopatientoofotheomedicationoprescribed
2. Alwaysoprescribingotheonewestomedicationoavailableoforotheodiseaseoprocess
3. Handingooutodrugosamplesotoopooropatients
4. Prescribingoallogenericomedicationsotoocutocosts
4. Criteriaoforochoosingoanoeffectiveodrugoforoaodisorderoinclude:
1. Askingotheopatientowhatodrugotheyothinkowouldoworkobestoforothem
2. Consultingonationallyorecognizedoguidelinesoforodiseaseomanagement
3. Prescribingomedicationsothatoareoavailableoasosamplesobeforeowritingoaoprescription
4. FollowingoU.S.oDrugoEnforcementoAdministrationoguidelinesoforoprescribing
5. Nurseopractitioneropracticeomayothriveounderohealth-careoreformobecauseoof:
1. Theodemonstratedoabilityoofonurseopractitionersotoocontrolocostsoandoimproveopatiento
outcomes
2. Theofactothatonurseopractitionersowillobeoableotoopracticeoindependently
3. Theofactothatonurseopractitionersowillohaveofulloreimbursementounderohealth-
careoreform
4. TheoabilityotooshiftoaccountabilityoforoMedicaidotootheostateolevel
,Chaptero1.oTheoRoleoofotheoNurseoPractitioneroA
nsweroSection
MULTIPLEoCHOICE
1.oANS: 3 PTS:o 1
2.oANS: 2 PTS:o 1
3.oANS: 1 PTS:o 1
4.oANS: 2 PTS:o 1
5.oANS: 1 PTS:o 1
Chaptero2.oReviewoofoBasicoPrinciplesoofoPharmacologyoMulti
pleoChoice
Identifyotheochoiceothatobestocompletesotheostatementooroanswersotheoquestion.
1.oAopatient’sonutritionalointakeoandolaboratoryoresultsoreflectohypoalbuminemia.oThisoisocriticalotoop
rescribingobecause:
1. Distributionoofodrugsotootargetotissueomayobeoaffected.
2. Theosolubilityoofotheodrugowillonotomatchotheositeoofoabsorption.
3. Thereowillobeolessofreeodrugoavailableotoogenerateoanoeffect.
4. Drugsoboundotooalbuminoareoreadilyoexcretedobyotheokidneys.
2.oDrugsothatohaveoaosignificantofirst-passoeffect:
1. Mustobeogivenobyotheoenteralo(oral)orouteoonly
2. Bypassotheohepaticocirculation
3. Areorapidlyometabolizedobyotheoliveroandomayohaveolittleoifoanyodesiredoaction
4. Areoconvertedobyotheoliverotoomoreoactiveoandofat-solubleoforms
3.oTheorouteoofoexcretionoofoaovolatileodrugowillolikelyobeothe:
1. Kidneys
2. Lungs
3. Bileoandofeces
4. Skin
4.oMedroxyprogesteroneo(DepooProvera)oisoprescribedointramuscularlyo(IM)otoocreat
eoaostorageoreservoiroofotheodrug.oStorageoreservoirs:
1. Assureothatotheodrugowilloreachoitsointendedotargetotissue
2. Areotheoreasonoforogivingoloadingodoses
3. Increaseotheolengthoofotimeoaodrugoisoavailableoandoactive
4. Areomostocommonoinocollagenotissues
5.oTheoNPochoosesotoogiveocephalexinoeveryo8ohoursobasedoonoknowledgeoofotheodrug’s:
1. Propensityotoogootootheotargetoreceptor
2. Biologicalohalf-life
, 3. Pharmacodynamics
4. Safetyoandosideoeffects