NUR 600 MODULE 1 EXAM – QUESTIONS AND
ANSWERS | UPDATE | 100% CORRECT
1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration (DEA)
C. The State Board of Nursing for each state ✅
D. The State Board of Pharmacy
Rationale:
Prescriptive authority for NPs is state-specific, governed by each State Board of Nursing, which defines
scope and autonomy.
Why others are wrong:
A: NCSBN provides guidelines, not regulatory authority
B: DEA regulates controlled substances only
D: Pharmacy board regulates dispensing, not NP practice
2. Physician Assistant (PA) prescriptive authority is regulated by:
A. National Council of State Boards of Nursing
B. U.S. DEA
C. State Board of Nursing
D. State Board of Medical Examiners ✅
Rationale:
PAs practice under medical model oversight, regulated by medical boards, not nursing boards.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient ✅
B. Always prescribing the newest drug
C. Giving free samples preferentially
D. Prescribing only generics
Rationale:
Prescribing must consider patient adherence factors, especially cost.
, 4. Criteria for choosing an effective drug include:
A. Patient preference alone
B. Consulting evidence-based guidelines ✅
C. Prescribing available samples first
D. DEA prescribing rules
Rationale:
Evidence-based guidelines ensure efficacy and safety consistency.
5. NP practice thrives under healthcare reform due to:
A. Ability to reduce cost and improve outcomes ✅
B. Guaranteed independence nationwide
C. Full reimbursement always
D. Medicaid decentralization
6. Hypoalbuminemia affects prescribing because it:
A. Alters drug distribution and increases free drug ✅
B. Prevents absorption
C. Reduces free drug
D. Enhances renal excretion
Rationale:
Low albumin → ↓ binding → ↑ free drug → toxicity risk.
7. Drugs with significant first-pass effect:
A. Must be oral only
B. Bypass liver
C. Are extensively metabolized before reaching circulation ✅
D. Become more lipid soluble
8. Volatile drugs are primarily excreted via:
ANSWERS | UPDATE | 100% CORRECT
1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration (DEA)
C. The State Board of Nursing for each state ✅
D. The State Board of Pharmacy
Rationale:
Prescriptive authority for NPs is state-specific, governed by each State Board of Nursing, which defines
scope and autonomy.
Why others are wrong:
A: NCSBN provides guidelines, not regulatory authority
B: DEA regulates controlled substances only
D: Pharmacy board regulates dispensing, not NP practice
2. Physician Assistant (PA) prescriptive authority is regulated by:
A. National Council of State Boards of Nursing
B. U.S. DEA
C. State Board of Nursing
D. State Board of Medical Examiners ✅
Rationale:
PAs practice under medical model oversight, regulated by medical boards, not nursing boards.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient ✅
B. Always prescribing the newest drug
C. Giving free samples preferentially
D. Prescribing only generics
Rationale:
Prescribing must consider patient adherence factors, especially cost.
, 4. Criteria for choosing an effective drug include:
A. Patient preference alone
B. Consulting evidence-based guidelines ✅
C. Prescribing available samples first
D. DEA prescribing rules
Rationale:
Evidence-based guidelines ensure efficacy and safety consistency.
5. NP practice thrives under healthcare reform due to:
A. Ability to reduce cost and improve outcomes ✅
B. Guaranteed independence nationwide
C. Full reimbursement always
D. Medicaid decentralization
6. Hypoalbuminemia affects prescribing because it:
A. Alters drug distribution and increases free drug ✅
B. Prevents absorption
C. Reduces free drug
D. Enhances renal excretion
Rationale:
Low albumin → ↓ binding → ↑ free drug → toxicity risk.
7. Drugs with significant first-pass effect:
A. Must be oral only
B. Bypass liver
C. Are extensively metabolized before reaching circulation ✅
D. Become more lipid soluble
8. Volatile drugs are primarily excreted via:
