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Chapter.1.Issues.for.the.Practitioner.in.Drug.Therapy
MULTIPLE.CHOICE
1. 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
ANS:.C PTS:. 1
2. 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
ANS:.D PTS:. 1
3. 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
ANS:.A PTS:. 1
4. 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
ANS:.B PTS:. 1
5. 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
ANS:.A PTS:. 1
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Chapter.2.Pharmacokinetic.Basis.of.Therapeutics.and.Pharmacodynamic
MULTIPLE.CHOICE
1. 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
ANS:.A PTS:. 1
2. 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
ANS:.C PTS:. 1
3. 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
ANS:.B PTS:. 1
4. 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
ANS:.C PTS:. 1
5. 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
ANS:.B PTS:. 1
6. 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
B. Requires.four.to.five.half-lives.to.attain
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C. Is.influenced.by.renal.function
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Chapter.1.Issues.for.the.Practitioner.in.Drug.Therapy
MULTIPLE.CHOICE
1. 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
ANS:.C PTS:. 1
2. 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
ANS:.D PTS:. 1
3. 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
ANS:.A PTS:. 1
4. 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
ANS:.B PTS:. 1
5. 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
ANS:.A PTS:. 1
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Chapter.2.Pharmacokinetic.Basis.of.Therapeutics.and.Pharmacodynamic
MULTIPLE.CHOICE
1. 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
ANS:.A PTS:. 1
2. 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
ANS:.C PTS:. 1
3. 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
ANS:.B PTS:. 1
4. 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
ANS:.C PTS:. 1
5. 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
ANS:.B PTS:. 1
6. 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
B. Requires.four.to.five.half-lives.to.attain
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C. Is.influenced.by.renal.function
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