PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
, PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
Pharmacotherapeutics b
forbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBank
Chapterb1.bThebRolebofbthebNursebPractitionerb
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b bb 1.bNursebpractitionerbprescriptivebauthoritybisbregulatedb by:
1. ThebNationalbCouncilbofbStatebBoardsbofbNursing
2. ThebU.S.bDrugbEnforcementbAdministration
3. ThebStatebBoardbofbNursingbforbeachbstate
4. ThebStatebBoardbofbPharmacy
b
bb 2.bThebbenefitsbtobthebpatientbofbhavingbanbAdvancedbPracticebRegistered bNurseb(APRN)bpresc
riberbinclude:
1. NursesbknowbmorebaboutbPharmacologybthanbotherbprescribersbbecausebtheybtakebitbb
othbinbtheirbbasicbnursingbprogrambandbinbtheirbAPRNbprogram.
2. Nursesbcarebforbthebpatientbfrombabholisticbapproachbandbincludebthebpatientbin
decisionbmakingbregardingbtheirbcare.
3. APRNsbareblessblikelybtobprescribebnarcoticsbandbotherbcontrolledbsubstances.
4. APRNsbarebablebtobprescribebindependentlybinballbstates,bwhereasbabphysician’sba
ssistantbneedsbtobhavebabphysicianbsupervisingbtheirbpractice.
b bb 3.bClinicalbjudgmentbinbprescribingbincludes:
1. Factoringbinbthebcostbtobthebpatientbofbthebmedicationbprescribed
2. Alwaysbprescribingbthebnewestbmedicationbavailablebforbthebdiseasebprocess
3. Handingboutbdrugbsamplesbtobpoorbpatients
4. Prescribingballbgenericbmedicationsbtobcutbcosts
b bb 4.bCriteriabforbchoosingbanbeffectivebdrugbforbabdisorderbinclude:
1. Askingbthebpatientbwhatbdrugbtheybthinkbwouldbworkbbestbforbthem
2. Consultingbnationallybrecognizedbguidelinesbforbdiseasebmanagement
3. Prescribingbmedicationsbthatbarebavailablebasbsamplesbbeforebwritingbabprescription
4. FollowingbU.S.bDrugbEnforcementbAdministrationbguidelinesbforbprescribing
b bb 5.bNursebpractitionerbpracticebmaybthrivebunderbhealth-carebreformbbecausebof:
1. Thebdemonstratedbabilitybofbnursebpractitionersbtobcontrolbcostsbandbimprovebpatientbo
utcomes
2. Thebfactbthatbnursebpractitionersbwillbbebablebtobpracticebindependently
3. Thebfactbthatbnursebpractitionersbwillbhavebfullbreimbursementbunderbhealth-
carebreform
4. ThebabilitybtobshiftbaccountabilitybforbMedicaidbtobthebstateblevel
,PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
, PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
Chapterb1.bThebRolebofbthebNursebPractitionerb
AnswerbSection
MULTIPLEbCHOICE
1. ANS:bbb 3 PTS:b 1
2. ANS:bbb 2 PTS:b 1
3. ANS:bbb 1 PTS:b 1
4. ANS:bbb 2 PTS:b 1
5. ANS:bbb 1 PTS:b 1
Chapterb2.bReviewbofbBasicbPrinciplesbofbPharmacologyb
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b
bb 1.bAbpatient’sbnutritional bintakebandblaboratorybresultsbreflectbhypoalbuminemia.bThisbisbcriti
calbtobprescribingbbecause:
1. Distributionbofbdrugsbtobtargetbtissuebmaybbebaffected.
2. Thebsolubilitybofbthebdrugbwillbnotbmatchbthebsitebofbabsorption.
3. Therebwillbbeblessbfreebdrugbavailablebtobgeneratebanbeffect.
4. Drugsbboundbtobalbuminbarebreadilybexcretedbbybthebkidneys.
b bb 2.bDrugsbthatbhavebabsignificantbfirst-passb effect:
1. Mustbbebgivenbbybthebenteralb(oral)broutebonly
2. Bypassbthebhepaticbcirculation
3. Arebrapidlybmetabolizedbbybthebliverbandbmaybhaveblittlebifbanybdesiredbaction
4. Arebconvertedbbybthebliverbtobmorebactivebandbfat-solublebforms
b bb 3.bThebroutebofbexcretionbofbabvolatilebdrugbwillblikelybbeb the:
1. Kidneys
2. Lungs
3. Bilebandbfeces
4. Skin
b
4.bMedroxyprogesteroneb(DepobProvera)bisbprescribedbintramuscularlyb(IM)btobcreatebabst
bb
oragebreservoirbofbthebdrug.bStoragebreservoirs:
1. Assurebthatbthebdrugbwillbreachbitsbintendedbtargetbtissue
2. Arebthebreasonbforbgivingbloadingbdoses
3. Increasebtheblengthbofbtimebabdrugbisbavailablebandbactive
4. Arebmostbcommonbinbcollagenbtissues
b bb 5.bThebNPbchoosesbtobgivebcephalexinbeveryb8bhoursbbasedbonbknowledgebofbthebdrug’s:
1. Propensitybtobgobtobthebtargetbreceptor
2. Biologicalbhalf-life
3. Pharmacodynamics
4. Safetybandbsidebeffects
k
, PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
Pharmacotherapeutics b
forbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBank
Chapterb1.bThebRolebofbthebNursebPractitionerb
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b bb 1.bNursebpractitionerbprescriptivebauthoritybisbregulatedb by:
1. ThebNationalbCouncilbofbStatebBoardsbofbNursing
2. ThebU.S.bDrugbEnforcementbAdministration
3. ThebStatebBoardbofbNursingbforbeachbstate
4. ThebStatebBoardbofbPharmacy
b
bb 2.bThebbenefitsbtobthebpatientbofbhavingbanbAdvancedbPracticebRegistered bNurseb(APRN)bpresc
riberbinclude:
1. NursesbknowbmorebaboutbPharmacologybthanbotherbprescribersbbecausebtheybtakebitbb
othbinbtheirbbasicbnursingbprogrambandbinbtheirbAPRNbprogram.
2. Nursesbcarebforbthebpatientbfrombabholisticbapproachbandbincludebthebpatientbin
decisionbmakingbregardingbtheirbcare.
3. APRNsbareblessblikelybtobprescribebnarcoticsbandbotherbcontrolledbsubstances.
4. APRNsbarebablebtobprescribebindependentlybinballbstates,bwhereasbabphysician’sba
ssistantbneedsbtobhavebabphysicianbsupervisingbtheirbpractice.
b bb 3.bClinicalbjudgmentbinbprescribingbincludes:
1. Factoringbinbthebcostbtobthebpatientbofbthebmedicationbprescribed
2. Alwaysbprescribingbthebnewestbmedicationbavailablebforbthebdiseasebprocess
3. Handingboutbdrugbsamplesbtobpoorbpatients
4. Prescribingballbgenericbmedicationsbtobcutbcosts
b bb 4.bCriteriabforbchoosingbanbeffectivebdrugbforbabdisorderbinclude:
1. Askingbthebpatientbwhatbdrugbtheybthinkbwouldbworkbbestbforbthem
2. Consultingbnationallybrecognizedbguidelinesbforbdiseasebmanagement
3. Prescribingbmedicationsbthatbarebavailablebasbsamplesbbeforebwritingbabprescription
4. FollowingbU.S.bDrugbEnforcementbAdministrationbguidelinesbforbprescribing
b bb 5.bNursebpractitionerbpracticebmaybthrivebunderbhealth-carebreformbbecausebof:
1. Thebdemonstratedbabilitybofbnursebpractitionersbtobcontrolbcostsbandbimprovebpatientbo
utcomes
2. Thebfactbthatbnursebpractitionersbwillbbebablebtobpracticebindependently
3. Thebfactbthatbnursebpractitionersbwillbhavebfullbreimbursementbunderbhealth-
carebreform
4. ThebabilitybtobshiftbaccountabilitybforbMedicaidbtobthebstateblevel
,PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
, PharmacotherapeuticsbforbAdvancedbPracticebNursebPrescribersb5thbEditionbWoobRobinsonbTestbBan
k
Chapterb1.bThebRolebofbthebNursebPractitionerb
AnswerbSection
MULTIPLEbCHOICE
1. ANS:bbb 3 PTS:b 1
2. ANS:bbb 2 PTS:b 1
3. ANS:bbb 1 PTS:b 1
4. ANS:bbb 2 PTS:b 1
5. ANS:bbb 1 PTS:b 1
Chapterb2.bReviewbofbBasicbPrinciplesbofbPharmacologyb
MultiplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b
bb 1.bAbpatient’sbnutritional bintakebandblaboratorybresultsbreflectbhypoalbuminemia.bThisbisbcriti
calbtobprescribingbbecause:
1. Distributionbofbdrugsbtobtargetbtissuebmaybbebaffected.
2. Thebsolubilitybofbthebdrugbwillbnotbmatchbthebsitebofbabsorption.
3. Therebwillbbeblessbfreebdrugbavailablebtobgeneratebanbeffect.
4. Drugsbboundbtobalbuminbarebreadilybexcretedbbybthebkidneys.
b bb 2.bDrugsbthatbhavebabsignificantbfirst-passb effect:
1. Mustbbebgivenbbybthebenteralb(oral)broutebonly
2. Bypassbthebhepaticbcirculation
3. Arebrapidlybmetabolizedbbybthebliverbandbmaybhaveblittlebifbanybdesiredbaction
4. Arebconvertedbbybthebliverbtobmorebactivebandbfat-solublebforms
b bb 3.bThebroutebofbexcretionbofbabvolatilebdrugbwillblikelybbeb the:
1. Kidneys
2. Lungs
3. Bilebandbfeces
4. Skin
b
4.bMedroxyprogesteroneb(DepobProvera)bisbprescribedbintramuscularlyb(IM)btobcreatebabst
bb
oragebreservoirbofbthebdrug.bStoragebreservoirs:
1. Assurebthatbthebdrugbwillbreachbitsbintendedbtargetbtissue
2. Arebthebreasonbforbgivingbloadingbdoses
3. Increasebtheblengthbofbtimebabdrugbisbavailablebandbactive
4. Arebmostbcommonbinbcollagenbtissues
b bb 5.bThebNPbchoosesbtobgivebcephalexinbeveryb8bhoursbbasedbonbknowledgebofbthebdrug’s:
1. Propensitybtobgobtobthebtargetbreceptor
2. Biologicalbhalf-life
3. Pharmacodynamics
4. Safetybandbsidebeffects
