PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSE PRESCRIBERS NEW
MODIFIED EXAM GRADED A+
The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
2. The patient has a severe reaction that is noted in the "Severe Reaction" section in the
medication label.
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
4. An adverse event or serious problem occurs with a medication that is not already identified
on the label. --ANSWER--4
The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an
adverse vaccine event
2. A voluntary reporting system that health-care providers or consumers may use to report
vaccine adverse events
3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects --
ANSWER--2
Page 1 of 183
,A comprehensive assessment of a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from
this type of assessment?
1. Financial status
2. Mobility
3. Social support
4. Sexual practices --ANSWER--4
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
prescribed?
1. Use correct medical terminology because Spanish has a Latin base.
2. Use a family member who speaks more English to act as an interpreter.
3. Use a professional interpreter or a reliable staff member who can act as an interpreter.
4. Use careful, detailed explanations. --ANSWER--3
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in
assuring that he understands teaching about his drug?
1. Stand facing him and speak slowly and clearly.
Page 2 of 183
,2. Speak in low tones or find a provider who has a lower voice.
3. Write down the instructions as well as speaking them.
4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds. --
ANSWER—4
Which of the following factors may adversely affect a patient's adherence to a therapeutic
drug regimen?
1. Complexity of the drug regimen
2. Patient perception of the potential adverse effects of the drugs
3. Both 1 and 2
4. Neither 1 nor 2 --ANSWER--3
Drugs that use CYP 3A4 isoenzymes for metabolism may:
1. Induce the metabolism of another drug
2. Inhibit the metabolism of another drug
3. Both 1 and 2
4. Neither 1 nor 2 --ANSWER--3
Page 3 of 183
, Medication agreements or "Pain Medication Contracts" are recommended to be used:
1. Universally for all prescribing for chronic pain
2. For patients who have repeated requests for pain medication
3. When you suspect a patient is exhibiting drug-seeking behavior
4. For patients with pain associated with malignancy --ANSWER--1
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants --ANSWER--3
The health-care delivery system itself can create barriers to adherence to a treatment regimen.
Which of the following system variables creates such a barrier?
1. Increasing copayments for care
2. Unrestricted formularies for drugs, including brand names
3. Increasing the number of people who have access to care
Page 4 of 183
PRACTICE NURSE PRESCRIBERS NEW
MODIFIED EXAM GRADED A+
The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
2. The patient has a severe reaction that is noted in the "Severe Reaction" section in the
medication label.
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding infant.
4. An adverse event or serious problem occurs with a medication that is not already identified
on the label. --ANSWER--4
The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an
adverse vaccine event
2. A voluntary reporting system that health-care providers or consumers may use to report
vaccine adverse events
3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects --
ANSWER--2
Page 1 of 183
,A comprehensive assessment of a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from
this type of assessment?
1. Financial status
2. Mobility
3. Social support
4. Sexual practices --ANSWER--4
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
prescribed?
1. Use correct medical terminology because Spanish has a Latin base.
2. Use a family member who speaks more English to act as an interpreter.
3. Use a professional interpreter or a reliable staff member who can act as an interpreter.
4. Use careful, detailed explanations. --ANSWER--3
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in
assuring that he understands teaching about his drug?
1. Stand facing him and speak slowly and clearly.
Page 2 of 183
,2. Speak in low tones or find a provider who has a lower voice.
3. Write down the instructions as well as speaking them.
4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds. --
ANSWER—4
Which of the following factors may adversely affect a patient's adherence to a therapeutic
drug regimen?
1. Complexity of the drug regimen
2. Patient perception of the potential adverse effects of the drugs
3. Both 1 and 2
4. Neither 1 nor 2 --ANSWER--3
Drugs that use CYP 3A4 isoenzymes for metabolism may:
1. Induce the metabolism of another drug
2. Inhibit the metabolism of another drug
3. Both 1 and 2
4. Neither 1 nor 2 --ANSWER--3
Page 3 of 183
, Medication agreements or "Pain Medication Contracts" are recommended to be used:
1. Universally for all prescribing for chronic pain
2. For patients who have repeated requests for pain medication
3. When you suspect a patient is exhibiting drug-seeking behavior
4. For patients with pain associated with malignancy --ANSWER--1
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants --ANSWER--3
The health-care delivery system itself can create barriers to adherence to a treatment regimen.
Which of the following system variables creates such a barrier?
1. Increasing copayments for care
2. Unrestricted formularies for drugs, including brand names
3. Increasing the number of people who have access to care
Page 4 of 183
