NR565 / NR 565 Advanced Pharmacology Fundamentals
Midterm Exam Test Bank
100% Guarantee Pass
Consist of 500+ Questions and Answers
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
Answer: b. Independent
2. Which factors increase the need for APRNs to have full prescriptive author-
ity?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
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c. Physician's assistants are being utilized less often.
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,d. APRN education is more complex than education for physicians.
Answer: a. more patients will have access to health care
3. Which factors could be attributed to limited prescriptive authority for
APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
Answer: a. inaccessibility of patient care
b. higher health care costs
4. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability
Answer: a. c.
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d.
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,5. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
b. Federal regulations support the provision of full authority for APRNs.
Jo
sh
ua
,c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards.
Answer: a. c.
d.
6. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN's authority will depend on federal regulations.
Answer: a.
7. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.-
Ans
wer:
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b. c.
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ua
,d.
8. A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is most
appropriate?
a. Obtain a telephone order.
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse.
d. Wait for a written Ativan order.
Answer: a.
9. A patient with chronic pain calls the provider's office to request a refill on
theiroxycontin. Which action is most appropriate?
a. Fax an order to the pharmacy.
b. Schedule an appointment with the patient.
c. Verify the patient's adherence to drug regimen.
d. Determine the patient's current medication dosage.
Answer: b.
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important?
a. Provide a different prescription.
b. Discontinue the medication.
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sh
ua
,c. Prescribe an antihistamine cream.
d. Assess for respiratory compromise.
Answer: b.
11. A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to treat
COPD?
a. Obtain baseline laboratory values.
b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage.
Answer: b.
12. A patient with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?
a. Provide a 7-day sample pack.
b. Decrease the daily dose by half.
c. Contact a different pharmacy.
d. Prescribe a different medication.
Answer: c.
13. A patient recently prescribed hydrocodone calls to report they are unable
to fill the prescription. Which factors could contribute to the inability to fill the
prescription?Select all that apply.
Jo
a. DEA number missing from prescription
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ua
,b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
d. Prescriber license number not included
e. Patient name and date of birth were handwritten
Answer: a. b.
d.
14. A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
b. Assess the patient's headache pain on a scale from 1 to 10.
c. Report the patient's complaint to the prescriber.
d. Suggest biofeedback as an adjunct to drug therapy.
Answer: a.
15. A patient is prescribed metronidazole for bacterial vaginosis. Which pa-
tient history finding would be most concerning?
a. Recent yeast infection
b. Family history of cervical cancer
c. Drinks two glasses of wine every night
d. Patient is currently unemployed
Answer: c.
Jo
sh
ua
,16. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every
4 hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that the
medication is always effective. Which action is most appropriate?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient's exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vitalsigns
d. Suggesting that the patient use one puff to reduce side effects
Answer: c.
17. A patient newly diagnosed with diabetes is to be discharged from the
hospital. Which action should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
b. Discussing methods of storing insulin and discarding syringes
c. Giving information about how diet and exercise affect insulin requirements
d. Teaching the patient about the long-term consequences of poor diabetes
control
Answer: a.
18. The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Jo
b. Ensure that the drug is given in the correct dose at the correct time to
sh
ua
,minimize the risk of
adverse effects.
c. Discontinue the order; the drug is contraindicated for this patient.
d. Give the medication intravenously so that the drug does not pass through
the liver.
Answer: a.
19. A patient recently diagnosed with HIV is prescribed several medications to
treat the condition. Which factors could impact the patient's adherence to the
treatment regimen?Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
d. Patient has an eighth-grade reading comprehension level
e. Medication regimen requires medication be taken at regular 4-hour inter-
vals.
Answer: a.
b.
c.
e.
20. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which
action is most important to determine if the therapeutic level is maintained?
a. Obtain pre administration blood work.
Jo
sh
ua
, b. Administer medication at regular intervals.
c. Ensure periodic laboratory testing is completed.
d. Assess the patient for adverse effects.
Answer: c.
21. The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone is
effective because of which action?
a. Countering the effects of morphine sulfate by agonist actions
b. Increasing the excretion of morphine sulfate by altering serum pH
c. Preventing activation of opioid receptors through antagonist actions
d. Regulating the sensitivity of opioid receptors by neurochemical alterations-
Answer: c.
22. A patient is taking drug X and receives a new prescription for drug Y, which
is listed as an inducing agent. The nurse caring for this patient understands
that this patient may require doses of drug .
a. lower; X
b. lower; Y
c. higher; X
d. higher; Y
Answer: c.
Jo
sh
ua
10 /
67
Midterm Exam Test Bank
100% Guarantee Pass
Consist of 500+ Questions and Answers
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
Answer: b. Independent
2. Which factors increase the need for APRNs to have full prescriptive author-
ity?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
Jo
sh
c. Physician's assistants are being utilized less often.
ua
,d. APRN education is more complex than education for physicians.
Answer: a. more patients will have access to health care
3. Which factors could be attributed to limited prescriptive authority for
APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
Answer: a. inaccessibility of patient care
b. higher health care costs
4. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability
Answer: a. c.
Jo
d.
sh
ua
,5. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
b. Federal regulations support the provision of full authority for APRNs.
Jo
sh
ua
,c. National examinations provide validation of the APRN's ability to provide
safecare.
d. Licensure ensures compliance with health care and safety standards.
Answer: a. c.
d.
6. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN's authority will depend on federal regulations.
Answer: a.
7. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.-
Ans
wer:
Jo
b. c.
sh
ua
,d.
8. A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is most
appropriate?
a. Obtain a telephone order.
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse.
d. Wait for a written Ativan order.
Answer: a.
9. A patient with chronic pain calls the provider's office to request a refill on
theiroxycontin. Which action is most appropriate?
a. Fax an order to the pharmacy.
b. Schedule an appointment with the patient.
c. Verify the patient's adherence to drug regimen.
d. Determine the patient's current medication dosage.
Answer: b.
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important?
a. Provide a different prescription.
b. Discontinue the medication.
Jo
sh
ua
,c. Prescribe an antihistamine cream.
d. Assess for respiratory compromise.
Answer: b.
11. A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to treat
COPD?
a. Obtain baseline laboratory values.
b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage.
Answer: b.
12. A patient with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?
a. Provide a 7-day sample pack.
b. Decrease the daily dose by half.
c. Contact a different pharmacy.
d. Prescribe a different medication.
Answer: c.
13. A patient recently prescribed hydrocodone calls to report they are unable
to fill the prescription. Which factors could contribute to the inability to fill the
prescription?Select all that apply.
Jo
a. DEA number missing from prescription
sh
ua
,b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
d. Prescriber license number not included
e. Patient name and date of birth were handwritten
Answer: a. b.
d.
14. A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
b. Assess the patient's headache pain on a scale from 1 to 10.
c. Report the patient's complaint to the prescriber.
d. Suggest biofeedback as an adjunct to drug therapy.
Answer: a.
15. A patient is prescribed metronidazole for bacterial vaginosis. Which pa-
tient history finding would be most concerning?
a. Recent yeast infection
b. Family history of cervical cancer
c. Drinks two glasses of wine every night
d. Patient is currently unemployed
Answer: c.
Jo
sh
ua
,16. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every
4 hours as needed for coughing or wheezing." The patient reports feeling
jittery sometimes when taking the medication, and she doesn't feel that the
medication is always effective. Which action is most appropriate?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient's exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vitalsigns
d. Suggesting that the patient use one puff to reduce side effects
Answer: c.
17. A patient newly diagnosed with diabetes is to be discharged from the
hospital. Which action should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
b. Discussing methods of storing insulin and discarding syringes
c. Giving information about how diet and exercise affect insulin requirements
d. Teaching the patient about the long-term consequences of poor diabetes
control
Answer: a.
18. The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Jo
b. Ensure that the drug is given in the correct dose at the correct time to
sh
ua
,minimize the risk of
adverse effects.
c. Discontinue the order; the drug is contraindicated for this patient.
d. Give the medication intravenously so that the drug does not pass through
the liver.
Answer: a.
19. A patient recently diagnosed with HIV is prescribed several medications to
treat the condition. Which factors could impact the patient's adherence to the
treatment regimen?Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
d. Patient has an eighth-grade reading comprehension level
e. Medication regimen requires medication be taken at regular 4-hour inter-
vals.
Answer: a.
b.
c.
e.
20. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which
action is most important to determine if the therapeutic level is maintained?
a. Obtain pre administration blood work.
Jo
sh
ua
, b. Administer medication at regular intervals.
c. Ensure periodic laboratory testing is completed.
d. Assess the patient for adverse effects.
Answer: c.
21. The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone is
effective because of which action?
a. Countering the effects of morphine sulfate by agonist actions
b. Increasing the excretion of morphine sulfate by altering serum pH
c. Preventing activation of opioid receptors through antagonist actions
d. Regulating the sensitivity of opioid receptors by neurochemical alterations-
Answer: c.
22. A patient is taking drug X and receives a new prescription for drug Y, which
is listed as an inducing agent. The nurse caring for this patient understands
that this patient may require doses of drug .
a. lower; X
b. lower; Y
c. higher; X
d. higher; Y
Answer: c.
Jo
sh
ua
10 /
67
