NURS 618 Module 1 Exam Questions With
Correct Answers
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
| | | | |
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.
| | | | | | | |
2. Nurses care for the patient from a holistic approach and include the patient in
| | | | | | | | | | | | | | |
decision making regarding their care.
| | | |
Clinical judgment in prescribing includes:
| | | |
1. Factoring in the cost to the patient of the medication prescribed
| | | | | | | | | | |
2. Always prescribing the newest medication available for the disease process
| | | | | | | | | |
3. Handing out drug samples to poor patients
| | | | | | |
4. Prescribing all generic medications to cut costs
| | | | | | |
,1. Factoring in the cost to the patient of the medication prescribed
| | | | | | | | | | |
Criteria for choosing an effective drug for a disorder include:
| | | | | | | | |
1. Asking the patient what drug they think would work best for them
| | | | | | | | | | | |
2. Consulting nationally recognized guidelines for disease management
| | | | | | |
3. Prescribing medications that are available as samples before writing a
| | | | | | | | | | |
prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
| | | | | | | |
2. Consulting nationally recognized guidelines for disease management
| | | | | | |
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 healthcare
| | | | | | | | | | |
reform
|
4. The ability to shift accountability for Medicaid to the state level
| | | | | | | | | | |
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:
| | | | |
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.
| | | | | | | | | |
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
| | | | | | | | | | |
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
|
2. Lungs
|
3. Bile and feces
| | |
4. Skin
|
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
| | | | | |
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
|
4. Safety and side effects
| | | |
2. Biological half-life
| |
Azithromycin dosing requires that the first day's dosage be twice those of the
| | | | | | | | | | | | |
other 4 days of the prescription. This is considered a loading dose. A loading
| | | | | | | | | | | | | |
, dose:
1. Rapidly achieves drug levels in the therapeutic range
| | | | | | | |
2. Requires four- to five-half-lives to attain
| | | | | |
3. Is influenced by renal function
| | | | |
4. Is directly related to the drug circulating to the target tissues
| | | | | | | | | | |
1. Rapidly achieves drug levels in the therapeutic range
| | | | | | | |
The point in time on the drug concentration curve that indicates the first sign of a
| | | | | | | | | | | | | | |
therapeutic effect is the:
| | | |
1. Minimum adverse effect level
| | | |
2. Peak of action
| | |
3. Onset of action
| | |
4. Therapeutic range
| |
3. Onset of action
| | |
Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
| | | | | | | | | | | | |
1. When the drug has a wide therapeutic range
| | | | | | | |
2. When the drug will be administered for a short time only
| | | | | | | | | | |
3. When there is a high correlation between the dose and saturation of receptor
| | | | | | | | | | | | | |
sites
4. To determine if a drug is in the therapeutic range
| | | | | | | | | |
4. To determine if a drug is in the therapeutic range
| | | | | | | | | |
A laboratory result indicates that the peak level for a drug is above the minimum
| | | | | | | | | | | | | | |
toxic concentration. This means that the:
| | | | |
1. Concentration will produce therapeutic effects
| | | | |
2. Concentration will produce an adverse response
| | | | | |
3. Time between doses must be shortened
| | | | | |
4. Duration of action of the drug is too long
| | | | | | | | |
Correct Answers
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
| | | | |
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.
| | | | | | | |
2. Nurses care for the patient from a holistic approach and include the patient in
| | | | | | | | | | | | | | |
decision making regarding their care.
| | | |
Clinical judgment in prescribing includes:
| | | |
1. Factoring in the cost to the patient of the medication prescribed
| | | | | | | | | | |
2. Always prescribing the newest medication available for the disease process
| | | | | | | | | |
3. Handing out drug samples to poor patients
| | | | | | |
4. Prescribing all generic medications to cut costs
| | | | | | |
,1. Factoring in the cost to the patient of the medication prescribed
| | | | | | | | | | |
Criteria for choosing an effective drug for a disorder include:
| | | | | | | | |
1. Asking the patient what drug they think would work best for them
| | | | | | | | | | | |
2. Consulting nationally recognized guidelines for disease management
| | | | | | |
3. Prescribing medications that are available as samples before writing a
| | | | | | | | | | |
prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
| | | | | | | |
2. Consulting nationally recognized guidelines for disease management
| | | | | | |
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 healthcare
| | | | | | | | | | |
reform
|
4. The ability to shift accountability for Medicaid to the state level
| | | | | | | | | | |
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:
| | | | |
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.
| | | | | | | | | |
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
| | | | | | | | | | |
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
|
2. Lungs
|
3. Bile and feces
| | |
4. Skin
|
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
| | | | | |
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
|
4. Safety and side effects
| | | |
2. Biological half-life
| |
Azithromycin dosing requires that the first day's dosage be twice those of the
| | | | | | | | | | | | |
other 4 days of the prescription. This is considered a loading dose. A loading
| | | | | | | | | | | | | |
, dose:
1. Rapidly achieves drug levels in the therapeutic range
| | | | | | | |
2. Requires four- to five-half-lives to attain
| | | | | |
3. Is influenced by renal function
| | | | |
4. Is directly related to the drug circulating to the target tissues
| | | | | | | | | | |
1. Rapidly achieves drug levels in the therapeutic range
| | | | | | | |
The point in time on the drug concentration curve that indicates the first sign of a
| | | | | | | | | | | | | | |
therapeutic effect is the:
| | | |
1. Minimum adverse effect level
| | | |
2. Peak of action
| | |
3. Onset of action
| | |
4. Therapeutic range
| |
3. Onset of action
| | |
Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
| | | | | | | | | | | | |
1. When the drug has a wide therapeutic range
| | | | | | | |
2. When the drug will be administered for a short time only
| | | | | | | | | | |
3. When there is a high correlation between the dose and saturation of receptor
| | | | | | | | | | | | | |
sites
4. To determine if a drug is in the therapeutic range
| | | | | | | | | |
4. To determine if a drug is in the therapeutic range
| | | | | | | | | |
A laboratory result indicates that the peak level for a drug is above the minimum
| | | | | | | | | | | | | | |
toxic concentration. This means that the:
| | | | |
1. Concentration will produce therapeutic effects
| | | | |
2. Concentration will produce an adverse response
| | | | | |
3. Time between doses must be shortened
| | | | | |
4. Duration of action of the drug is too long
| | | | | | | | |
