Pharmacotherapeutics for Advanced
Practice Nurse Prescribers 5th Edition Woo
Robinson Test Bank
chapter 1:The role of the nurse practitioner
multiple choice:
Identify the choice that best completes the statement or answers the question.
• The benefits to the patient of having an Advanced Practice
Registered Nurse(APRN) prescriber include:
• Nurses know more about Pharmacology than
other prescribers because they take it both in
their basic nursing program and in their APRN
program.
• Nurses care for the patient from a
holistic approach and include the patient
in decision making regarding their care.
• APRNs are less likely to prescribe narcotics and other controlled substances.
• APRNs are able to prescribe independently in all states,
whereas a physician’sassistant needs to have a physician
supervising their practice.
• Clinical judgment in prescribing includes:
• Factoring in the cost to the patient of the medication prescribed
• Always prescribing the newest medication available for the disease process
• Handing out drug samples to poor patients
• Prescribing all generic medications to cut costs
• Criteria for choosing an effective drug for a disorder include:
• Asking the patient what drug they think would work best for them
• Consulting nationally recognized guidelines for disease management
• Prescribing medications that are available as samples
before writing aprescription
• Following U.S. Drug Enforcement Administration guidelines for prescribing
• Nurse practitioner practice may thrive under health-care reform because of:
, • The demonstrated ability of nurse practitioners
to control costsand improve patient outcomes
• The fact that nurse practitioners will be able to practice independently
• The fact that nurse
practitioners will have full
reimbursement under health-
care reform
• The ability to shift accountability for Medicaid to the state level
MULTIPLE CHOICE
• ANS: 3 PTS: 1
• ANS: 2 PTS: 1
• ANS: 1 PTS: 1
• ANS: 2 PTS: 1
• ANS: 1 PTS: 1
Chapter 2. Review of
Basic Principles of
Pharmacology Multiple
Choice
Identify the choice that best completes the statement or answers the question.
• A patient’s nutritional intake and laboratory results reflect
hypoalbuminemia. This iscritical to
prescribing because:
• Distribution of drugs to target tissue may be affected.
• The solubility of the drug will not match the site of absorption.
• There will be less free drug available to generate an effect.
• Drugs bound to albumin are readily excreted by the kidneys.
• Drugs that have a significant first-pass effect:
• Must be given by the enteral (oral) route only
• Bypass the hepatic circulation
• Are rapidly metabolized by the liver and may have little if any desired action
• Are converted by the liver to more active and fat-soluble forms
, • The route of excretion of a volatile drug will likely be the:
• Kidneys
• Lungs
• Bile and feces
• Skin
• Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of
the drug. Storage reservoirs:
• Assure that the drug will reach its intended target tissue
• Are the reason for giving loading doses
• Increase the length of time a drug is available and active
• Are most common in collagen tissues
• The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
• Propensity to go to the target receptor
• Biological half-life
• Pharmacodynamics
• Safety and side effects
• Azithromycin dosing requires that the first day’s dosage be twice
those of the other 4days of the
prescription. This is considered a loading dose. A loading dose:
• Rapidly achieves drug levels in the therapeutic range
• Requires four- to five-half-lives to attain
• Is influenced by renal function
• Is directly related to the drug circulating to the target tissues
• The point in time on the drug concentration curve that indicates
the first sign of atherapeutic effect is the:
• Minimum adverse effect level
• Peak of action
• Onset of action
• Therapeutic range
• Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
• When the drug has a wide therapeutic range
• When the drug will be administered for a short time only
• When there is a high correlation between the dose and
saturation of receptor sites
Practice Nurse Prescribers 5th Edition Woo
Robinson Test Bank
chapter 1:The role of the nurse practitioner
multiple choice:
Identify the choice that best completes the statement or answers the question.
• The benefits to the patient of having an Advanced Practice
Registered Nurse(APRN) prescriber include:
• Nurses know more about Pharmacology than
other prescribers because they take it both in
their basic nursing program and in their APRN
program.
• Nurses care for the patient from a
holistic approach and include the patient
in decision making regarding their care.
• APRNs are less likely to prescribe narcotics and other controlled substances.
• APRNs are able to prescribe independently in all states,
whereas a physician’sassistant needs to have a physician
supervising their practice.
• Clinical judgment in prescribing includes:
• Factoring in the cost to the patient of the medication prescribed
• Always prescribing the newest medication available for the disease process
• Handing out drug samples to poor patients
• Prescribing all generic medications to cut costs
• Criteria for choosing an effective drug for a disorder include:
• Asking the patient what drug they think would work best for them
• Consulting nationally recognized guidelines for disease management
• Prescribing medications that are available as samples
before writing aprescription
• Following U.S. Drug Enforcement Administration guidelines for prescribing
• Nurse practitioner practice may thrive under health-care reform because of:
, • The demonstrated ability of nurse practitioners
to control costsand improve patient outcomes
• The fact that nurse practitioners will be able to practice independently
• The fact that nurse
practitioners will have full
reimbursement under health-
care reform
• The ability to shift accountability for Medicaid to the state level
MULTIPLE CHOICE
• ANS: 3 PTS: 1
• ANS: 2 PTS: 1
• ANS: 1 PTS: 1
• ANS: 2 PTS: 1
• ANS: 1 PTS: 1
Chapter 2. Review of
Basic Principles of
Pharmacology Multiple
Choice
Identify the choice that best completes the statement or answers the question.
• A patient’s nutritional intake and laboratory results reflect
hypoalbuminemia. This iscritical to
prescribing because:
• Distribution of drugs to target tissue may be affected.
• The solubility of the drug will not match the site of absorption.
• There will be less free drug available to generate an effect.
• Drugs bound to albumin are readily excreted by the kidneys.
• Drugs that have a significant first-pass effect:
• Must be given by the enteral (oral) route only
• Bypass the hepatic circulation
• Are rapidly metabolized by the liver and may have little if any desired action
• Are converted by the liver to more active and fat-soluble forms
, • The route of excretion of a volatile drug will likely be the:
• Kidneys
• Lungs
• Bile and feces
• Skin
• Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of
the drug. Storage reservoirs:
• Assure that the drug will reach its intended target tissue
• Are the reason for giving loading doses
• Increase the length of time a drug is available and active
• Are most common in collagen tissues
• The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
• Propensity to go to the target receptor
• Biological half-life
• Pharmacodynamics
• Safety and side effects
• Azithromycin dosing requires that the first day’s dosage be twice
those of the other 4days of the
prescription. This is considered a loading dose. A loading dose:
• Rapidly achieves drug levels in the therapeutic range
• Requires four- to five-half-lives to attain
• Is influenced by renal function
• Is directly related to the drug circulating to the target tissues
• The point in time on the drug concentration curve that indicates
the first sign of atherapeutic effect is the:
• Minimum adverse effect level
• Peak of action
• Onset of action
• Therapeutic range
• Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
• When the drug has a wide therapeutic range
• When the drug will be administered for a short time only
• When there is a high correlation between the dose and
saturation of receptor sites
