Unit_1_Quiz
Chapter 1. The Role of the Nurse Practitioner
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
.
2. 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.
3. 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
,Unit_1_Quiz
.
4. 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
5. 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 health-care reform
4 The ability to shift accountability for Medicaid to
. the state level
Chapter 2. Review of Basic Principles of Pharmacology
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
,Unit_1_Quiz
. kidneys.
2. 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. The route of excretion of a volatile drug will likely be the:
1 Kidneys
.
2 Lungs
.
3 Bile and feces
.
4 Skin
.
4. 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
.
, Unit_1_Quiz
5. 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
.
6. 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
7. 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
.
8. Phenytoin requires that a trough level be drawn. Peak and trough levels are
done:
Chapter 1. The Role of the Nurse Practitioner
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
.
2. 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.
3. 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
,Unit_1_Quiz
.
4. 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
5. 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 health-care reform
4 The ability to shift accountability for Medicaid to
. the state level
Chapter 2. Review of Basic Principles of Pharmacology
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
,Unit_1_Quiz
. kidneys.
2. 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. The route of excretion of a volatile drug will likely be the:
1 Kidneys
.
2 Lungs
.
3 Bile and feces
.
4 Skin
.
4. 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
.
, Unit_1_Quiz
5. 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
.
6. 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
7. 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
.
8. Phenytoin requires that a trough level be drawn. Peak and trough levels are
done:
