Robinson Test Bank
,Chapter 1. The Role of the Nurse Practitioner
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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k r 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy kr kr kr kr
k r 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
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prescriber include:
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1. Nurses know more about Pharmacology than other prescribers because they take it
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both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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k r 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed kr kr kr kr kr kr kr kr kr kr
2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients kr kr kr kr kr kr
4. Prescribing all generic medications to cut costs kr kr kr kr kr kr
k r 4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management kr kr kr kr kr kr
3. Prescribing medications that are available as samples before writing a prescription kr kr kr kr kr kr kr kr kr kr
4. Following U.S. Drug Enforcement Administration guidelines for prescribing kr kr kr kr kr kr kr
k r 5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient
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outcomes kr
2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care
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reform kr
4. The ability to shift accountability for Medicaid to the state leve
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,Chapter 1. The Role of the Nurse Practitioner
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Answer Section
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MULTIPLE CHOICE kr
1. ANS: k r k r 3 PTS: k r 1
2. ANS: k r k r 2 PTS: k r 1
3. ANS: k r k r 1 PTS: k r 1
4. ANS: k r k r 2 PTS: k r 1
5. ANS: k r k r 1 PTS: k r 1
Chapter 2. Review of Basic Principles of Pharmacology
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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k r 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
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to prescribing because:
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1. Distribution of drugs to target tissue may be affected. kr kr kr kr kr kr kr kr
2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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k r 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation kr kr kr
3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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k r k r 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces kr kr
4. Skin
k r 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
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storage reservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue kr kr kr kr kr kr kr kr kr
2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active kr kr kr kr kr kr kr kr kr kr
4. Are most common in collagen tissues kr kr kr kr kr
k r k r 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor kr kr kr kr kr kr
2. Biological half-life kr
3. Pharmacodynamics
4. Safety and side effects kr kr kr
, k r 6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of
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the prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain
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3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues
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k r 7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
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effect is the:
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1. Minimum adverse effect level kr kr kr
2. Peak of action kr kr