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Test Bank For Pharmacotherapeutics for Advanced Practice-
if if if if if if
A PracticalApproach 5th Edition Arcangelo
if if if if if if
Chapter 1 Issues for the Practitioner in Drug Therapy
if if if if if if if if
MULTIPLE CHOICE if
1. Nurse practitioner prescriptive authority is regulated by:
if if if if if if
A. The National Council of State Boards of Nursing
if if if if if if if
B. The U.S. Drug Enforcement Administration
if if if if
C. The State Board of Nursing for each state
if if if if if if if
D. The State Board of Pharmacy if if if if
ANS: i f C PTS: i f 1
2. Physician Assistant (PA) prescriptive authority is regulated by:
if if if if if if if
A. The National Council of State Boards of Nursing
if if if if if if if
B. The U.S. Drug Enforcement Administration
if if if if
C. The State Board of Nursing if if if if
D. The State Board of Medical Examiners if if if if if
ANS: i f D PTS: i f 1
3. Clinical judgment in prescribing includes:if if if if
A. Factoring in the cost to the patient of the medication prescribed if if if if if if if if if if
B. Always prescribing the newest medication available for the disease process
if if if if if if if if if
C. Handing out drug samples to poor patients if if if if if if
D. Prescribing all generic medications to cut costs if if if if if if
ANS: i f A PTS: i f 1
4. Criteria for choosing an effective drug for a disorder include:
if if if if if if if if if
A. Asking the patient what drug they think would work best for them
if if if if if if if if if if if
B. Consulting nationally recognized guidelines for disease management if if if if if if
C. Prescribing medications that are available as samples before writing a prescription if if if if if if if if if if
D. Following U.S. Drug Enforcement Administration (DEA) guidelines if if if if if if
if forprescribing if
ANS: i f B PTS: i f 1
5. Nurse practitioner practice may thrive under health-care reform due to:
if if if if if if if if if
A. The demonstrated ability of nurse practitioners to control costs and improve
if if if if if if if if if if
patientoutcomes
if if
B. The fact that nurse practitioners will be able to practice independently
if if if if if if if if if if
C. The fact that nurse practitioners will have full reimbursement under health-
if if if if if if if if if if
carereform if
D. The ability to shift accountability for Medicaid to the state level
if if if if if if if if if if
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ANS: i f A PTS: i f 1
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Chapter 2.Pharmacokinetic Basis of Therapeutics and Pharmacodynamic
if if if if if if
MULTIPLE CHOICE if
1. A patient's nutritional intake and lab work reflects hypoalbuminemia. This is critical
if if if if if if if if if if if
toprescribing because:
if if if
A. Distribution of drugs to target tissue may be affected if if if if if if if if
B. The solubility of the drug will not match the site of absorption
if if if if if if if if if if if
C. There will be less free drug available to generate an effect
if if if if if if if if if if
D. Drugs bound to albumin are readily excreted by the kidney
if if if if if if if if if
ANS: i f A PTS: i f 1
2. Drugs that have a significant first-pass effect:
if if if if if if
A. Must be given by the enteral (oral) route only
if if if if if if if if
B. Bypass the hepatic circulation if if if
C. Are rapidly metabolized by the liver and may have little if any desired action
if if if if if if if if if if if if if
D. Are converted by the liver to more active and fat-soluble forms
if if if if if if if if if if
ANS: i f C PTS: i f 1
3. The route of excretion of a volatile drug will likely be:
if if if if if if if if if if
A. The kidneys if
B. The lungs if
C. The bile and feces if if if
D. The skin if
ANS: i f B PTS: i f 1
4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of if if if if if if if if if if if
thedrug. Storage reservoirs:
if if if if
A. Assure that the drug will reach its intended target tissue
if if if if if if if if if
B. Are the reason for giving loading doses
if if if if if if
C. Increase the length of time a drug is available and active if if if if if if if if if if
D. Are most common in collagen tissues
if if if if if
ANS: i f C PTS: i f 1
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
if if if if if if if if if if if if if if
A. Propensity to go to the target receptor if if if if if if
B. Biological half-life if
C. Pharmacodynamics
D. Safety and side effects if if if
ANS: i f B PTS: i f 1
6. Azithromycin dosing requires the first day's dose be twice those of the other 4 days of
if if if if if if if if if if if if if if if
theprescription. This is considered a loading dose. A loading dose:
if if if if if if if if if if if
A. Rapidly achieves drug levels in the therapeutic range if if if if if if if
B. Requires four to five half-lives to attain if if if if if if
C. Is influenced by renal function
if if if if