NUR 509 FINAL EXAM STUDY GUIDE
PRACTICE QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
⩥ 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.
Answer: D. The State Board of Medical Examiners
⩥ 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.
Answer: A. Factoring in the cost to the patient of the medication
prescribed
⩥ 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.
Answer: B. Consulting nationally recognized guidelines for disease
management
⩥ 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.
Answer: A. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
⩥ 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.
,Answer: A. Distribution of drugs to target tissue may be affected
⩥ 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.
Answer: C. 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:
A. The kidneys
B. The lungs
C. The bile and feces
D. The skin.
Answer: B. The lungs
⩥ 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.
Answer: C. 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:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects.
Answer: B. Biological half-life
⩥ 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
C. Is influenced by renal function
D. Is directly related to the drug circulating to the target tissues.
Answer: A. 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:
A. Minimum adverse effect level
B. Peak of action
PRACTICE QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
⩥ 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.
Answer: D. The State Board of Medical Examiners
⩥ 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.
Answer: A. Factoring in the cost to the patient of the medication
prescribed
⩥ 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.
Answer: B. Consulting nationally recognized guidelines for disease
management
⩥ 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.
Answer: A. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
⩥ 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.
,Answer: A. Distribution of drugs to target tissue may be affected
⩥ 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.
Answer: C. 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:
A. The kidneys
B. The lungs
C. The bile and feces
D. The skin.
Answer: B. The lungs
⩥ 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.
Answer: C. 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:
A. Propensity to go to the target receptor
B. Biological half-life
C. Pharmacodynamics
D. Safety and side effects.
Answer: B. Biological half-life
⩥ 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
C. Is influenced by renal function
D. Is directly related to the drug circulating to the target tissues.
Answer: A. 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:
A. Minimum adverse effect level
B. Peak of action
