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Chapter 1. The Role of the Nurse Practitioner
Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples
before writing a prescription
D. Following U.S. Drug Enforcement Administration guidelines for
prescribing
Nurse practitioner practice may thrive under health-care reform because
of:
A. The demonstrated ability of nurse practitioners to control costs
& improve patient outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement
under health- care reform
D. The ability to shift accountability for Medicaid to the state level
Nurse practitioner prescriptive authority is regulated by:
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A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement
Administration C. The State Board of
Nursing for each state
D. The State Board of Pharmacy
The benefits to the patient of having an Advanced Practice
Registered Nurse (APRN) prescriber include:
A. Nurses know more about Pharmacology than other
prescribers because they take it both in their basic nursing
program & in their APRN program.
B. Nurses care for the patient from a holistic approach & include
the patient in decision making regarding their care.
C. APRNs are less likely to prescribe narcotics & other
controlled substances.
D. APRNs are able to prescribe independently in all states,
whereas a physician’s assistant needs to have a physician
supervising their practice.
Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for
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the disease process
C. Hiring out drug samples to poor patients
D. Prescribing all generic medications to cut costs
Chapter 2. Review of Basic Principles of Pharmacology
1. A patient’s nutritional intake & laboratory results reflect
hypoalbuminemia. This is critical to prescribing because:
A. Distribution of drugs to target tissue may be affected.
B. The solubility of the drug will not match the site of absorption.
C. There will be less free drug available to generate an effect.
D. Drugs bound to albumin are readily excreted by the kidneys.
2. Drugs that have a significant first-pass effect:
A. Must be given by the enteral (oral) route only
B. Bypass the hepatic circulation
C. Are rapidly metabolized by the liver & may have little if any desired
action
D. Are converted by the liver to more active & fat-soluble forms
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3. The route of excretion of a volatile drug will likely be the:
A. Kidney
s B.
Lungs
C. Bile & feces
D. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of the drug.
Storage reservoirs:
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