NUR 600 Advanced Pharmacology & Prescriptive Authority Review: Nurse
Practitioner & Physician Assistant Drug Dosing, Pharmacokinetics,
Pharmacodynamics, Bioavailability, Drug Absorption, Distribution, Metabolism,
Excretion, Therapeutic Drug Monitoring, Peak-Trough Levels, Loading Dose
Strategies, Receptor Agonist-Antagonist Mechanisms, First-Pass Effect, Hepatic-
Renal Drug Clearance, Pediatric Pharmacokinetics, Neonatal Drug Safety,
Developmental Enzyme Variation, Pediatric ADR Risk, Geriatric Drug
Distribution, Plasma Protein Binding, Age-Related Renal Function, Pregnancy
Teratogens, Folic Acid Deficiency, Lactation Drug Safety, Hypoalbuminemia
Effects, IV-IM-Enteral Drug Routes, Drug-Drug Interactions, Synergistic vs
Antagonistic Effects, Type A-F Adverse Drug Reactions, Corticosteroid HPA Axis
Suppression, Magnesium Sulfate Seizure Prevention, Beta Blocker Withdrawal,
Clinical Decision-Making, Evidence-Based Prescribing Guidelines, Pediatric
Research Equity Act, Best Pharmaceuticals for Children Act, High-Risk Population
Pharmacology, NCLEX & Advanced Practice Pharmacology Preparation Exam
Questions Verified and Provided with Complete A+ Graded Rationales Latest
Updated 2026
Nurse practitioner prescriptive authority is regulated by:
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
C. The State Board of Nursing for each state
,Physician Assistant (PA) prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing
D. The State Board of Medical Examiners
D. The State Board of Medical Examiners
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 the disease process C. Handing out
drug samples to poor patients
D. Prescribing all generic medications to cut costs
A. Factoring in the cost to the patient of the medication prescribed
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 (DEA) guidelines for prescribing
B. Consulting nationally recognized guidelines for disease management
,Nurse practitioner practice may thrive under health-care reform due to:
A. The demonstrated ability of nurse practitioners to control costs and 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
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
A patient's nutritional intake and lab work reflects 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 kidney
A. Distribution of drugs to target tissue may be affected
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 and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
C. Are rapidly metabolized by the liver and may have little if any desired action
The route of excretion of a volatile drug will likely be:
, A. The kidneys
B. The lungs
C. The bile and feces
D. The skin
B. The lungs
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug.
Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
C. Increase the length of time a drug is available and active
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects
B. Biological half-life
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the
prescription. This is considered a loading dose. A loading dose: A. Rapidly achieves drug levels in
the therapeutic range
Practitioner & Physician Assistant Drug Dosing, Pharmacokinetics,
Pharmacodynamics, Bioavailability, Drug Absorption, Distribution, Metabolism,
Excretion, Therapeutic Drug Monitoring, Peak-Trough Levels, Loading Dose
Strategies, Receptor Agonist-Antagonist Mechanisms, First-Pass Effect, Hepatic-
Renal Drug Clearance, Pediatric Pharmacokinetics, Neonatal Drug Safety,
Developmental Enzyme Variation, Pediatric ADR Risk, Geriatric Drug
Distribution, Plasma Protein Binding, Age-Related Renal Function, Pregnancy
Teratogens, Folic Acid Deficiency, Lactation Drug Safety, Hypoalbuminemia
Effects, IV-IM-Enteral Drug Routes, Drug-Drug Interactions, Synergistic vs
Antagonistic Effects, Type A-F Adverse Drug Reactions, Corticosteroid HPA Axis
Suppression, Magnesium Sulfate Seizure Prevention, Beta Blocker Withdrawal,
Clinical Decision-Making, Evidence-Based Prescribing Guidelines, Pediatric
Research Equity Act, Best Pharmaceuticals for Children Act, High-Risk Population
Pharmacology, NCLEX & Advanced Practice Pharmacology Preparation Exam
Questions Verified and Provided with Complete A+ Graded Rationales Latest
Updated 2026
Nurse practitioner prescriptive authority is regulated by:
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
C. The State Board of Nursing for each state
,Physician Assistant (PA) prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing
D. The State Board of Medical Examiners
D. The State Board of Medical Examiners
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 the disease process C. Handing out
drug samples to poor patients
D. Prescribing all generic medications to cut costs
A. Factoring in the cost to the patient of the medication prescribed
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 (DEA) guidelines for prescribing
B. Consulting nationally recognized guidelines for disease management
,Nurse practitioner practice may thrive under health-care reform due to:
A. The demonstrated ability of nurse practitioners to control costs and 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
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
A patient's nutritional intake and lab work reflects 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 kidney
A. Distribution of drugs to target tissue may be affected
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 and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
C. Are rapidly metabolized by the liver and may have little if any desired action
The route of excretion of a volatile drug will likely be:
, A. The kidneys
B. The lungs
C. The bile and feces
D. The skin
B. The lungs
Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage reservoir of the drug.
Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
C. Increase the length of time a drug is available and active
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects
B. Biological half-life
Azithromycin dosing requires the first day's dose be twice those of the other 4 days of the
prescription. This is considered a loading dose. A loading dose: A. Rapidly achieves drug levels in
the therapeutic range
