Nurs 615 Pharm Exam 1 - Maryville Exam Actual
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Nurse practitioner practice may thrive under health-care
reform because of:
1. The demonstrated ability of nurse practitioners to
control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to practice
independently
3. The fact that nurse practitioners will have full
reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the
state level - Answer-1. The demonstrated ability of nurse
practitioners to control costs and improve patient
outcomes
A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This
is critical to prescribing because:
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1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of
absorption.
3. There will be less free drug available to generate an
effect.
4. Drugs bound to albumin are readily excreted by the
kidneys. - Answer-1. Distribution of drugs to target tissue
may be affected.
Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little
if any desired action
4. Are converted by the liver to more active and fat-soluble
forms - Answer-3. 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 the:
1. Kidneys
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2. Lungs
3. Bile and feces
4. Skin - Answer-2. Lungs
Medroxyprogesterone (Depo Provera) is prescribed
intramuscularly (IM) to create a storage reservoir of the
drug. Storage reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and
active
4. Are most common in collagen tissues - Answer-3.
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:
1. Propensity to go to the target receptor
2. Biological half-life
3. Pharmacodynamics
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4. Safety and side effects - Answer-2. Biological half-life
Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy - Answer-3. The State
Board of Nursing for each state
The benefits to the patient of having an Advanced Practice
Registered Nurse (APRN) prescriber include:
1. Nurses know more about Pharmacology than other
prescribers because they take it both in their basic nursing
program and in their APRN program.
2. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
3. APRNs are less likely to prescribe narcotics and other
controlled substances.
4. APRNs are able to prescribe independently in all states,
whereas a physician's assistant needs to have a physician
supervising their practice. - Answer-2. Nurses care for the