Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Questions And Answers A+graded

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, Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
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Chapter 1. The Role of the Nurse Practitioner
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy +t +t +t +t




2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) pres
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criber include: +t


1. Nurses know more about Pharmacology than other prescribers because they take it
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both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient i
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n decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed
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2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients +t +t +t +t +t +t


4. Prescribing all generic medications to cut costs +t +t +t +t +t +t




4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management +t +t +t +t +t +t


3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing
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5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient
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outcomes +t


2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-
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care reform +t


4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse Practitioner
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Answer Section
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MULTIPLE CHOICE +t




1. ANS: +t 3 PTS: 1
2. ANS: +t 2 PTS: 1
3. ANS: +t 1 PTS: 1
4. ANS: +t 2 PTS: 1
5. ANS: +t 1 PTS: 1

Chapter 2. Review of Basic Principles of Pharmacology Mult
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iple Choice
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Identify the choice that best completes the statement or answers the question.
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1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
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prescribing because: +t


1. Distribution of drugs to target tissue may be affected. +t +t +t +t +t +t +t +t


2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation +t +t +t


3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces +t +t


4. Skin


4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a st
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orage reservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active
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4. Are most common in collagen tissues
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5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor +t +t +t +t +t +t


2. Biological half-life +t


3. Pharmacodynamics
4. Safety and side effects +t +t +t

, 6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain
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3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues
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7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
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effect is the:
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1. Minimum adverse effect level +t +t +t


2. Peak of action +t +t