Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
MultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f ff 1.fNursefpractitionerfprescriptivefauthorityfisfregulatedf by:
1. ThefNationalfCouncilfoffStatefBoardsfoffNursing
2. ThefU.S.fDrugfEnforcementfAdministration
3. ThefStatefBoardfoffNursingfforfeachfstate
4. ThefStatefBoardfoffPharmacy
f
2.fThefbenefitsftofthefpatientfoffhavingfanfAdvancedfPracticefRegisteredfNursef(APRN)fpresc
ff
riberfinclude:
1. NursesfknowfmorefaboutfPharmacologyfthanfotherfprescribersfbecauseftheyftakefitfbot
hfinftheirfbasicfnursingfprogramfandfinftheirfAPRNfprogram.
2. Nursesfcarefforfthefpatientffromfafholisticfapproachfandfincludefthefpatientfinfdec
isionfmakingfregardingftheirfcare.
3. APRNsfareflessflikelyftofprescribefnarcoticsfandfotherfcontrolledfsubstances.
4. APRNsfarefableftofprescribefindependentlyfinfallfstates,fwhereasfafphysician’sfass
istantfneedsftofhavefafphysicianfsupervisingftheirfpractice.
f ff 3.fClinicalfjudgmentfinfprescribingfincludes:
1. Factoringfinfthefcostftofthefpatientfoffthefmedicationfprescribed
2. Alwaysfprescribingfthefnewestfmedicationfavailablefforfthefdiseasefprocess
3. Handingfoutfdrugfsamplesftofpoorfpatients
4. Prescribingfallfgenericfmedicationsftofcutfcosts
f ff 4.fCriteriafforfchoosingfanfeffectivefdrugfforfafdisorderfinclude:
1. Askingfthefpatientfwhatfdrugftheyfthinkfwouldfworkfbestfforfthem
2. Consultingfnationallyfrecognizedfguidelinesfforfdiseasefmanagement
3. Prescribingfmedicationsfthatfarefavailablefasfsamplesfbeforefwritingfafprescription
4. FollowingfU.S.fDrugfEnforcementfAdministrationfguidelinesfforfprescribing
f ff 5.fNursefpractitionerfpracticefmayfthrivefunderfhealth-carefreformfbecausefof:
1. Thefdemonstratedfabilityfoffnursefpractitionersftofcontrolfcostsfandfimprovefpatientfout
comes
2. Theffactfthatfnursefpractitionersfwillfbefableftofpracticefindependently
3. Theffactfthatfnursefpractitionersfwillfhaveffullfreimbursementfunderfhealth-
fcarefreform
4. ThefabilityftofshiftfaccountabilityfforfMedicaidftofthefstateflevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
Chapterf1.fThefRolefoffthefNursefPractitionerfasfPrescriberfA
nswerfSection
MULTIPLEfCHOICE
1. ANS:fff3 PTS:f 1
2. ANS:fff2 PTS:f 1
3. ANS:fff1 PTS:f 1
4. ANS:fff2 PTS:f 1
5. ANS:fff1 PTS:f 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
Chapterf2.fReviewfoffthefBasicfPrinciplesfoffPharmacologyfM
ultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f
1.fAfpatient’sfnutritionalfintakefandflaboratoryfresultsfreflectfhypoalbuminemia.fThisfisfcriti
ff
calftofprescribingfbecause:
1. Distributionfoffdrugsftoftargetftissuefmayfbefaffected.
2. Thefsolubilityfoffthefdrugfwillfnotfmatchfthefsitefoffabsorption.
3. Therefwillfbeflessffreefdrugfavailableftofgeneratefanfeffect.
4. Drugsfboundftofalbuminfarefreadilyfexcretedfbyfthefkidneys.
f ff 2.fDrugsfthatfhavefafsignificantffirst-passf effect:
1. Mustfbefgivenfbyfthefenteralf(oral)froutefonly
2. Bypassfthefhepaticfcirculation
3. Arefrapidlyfmetabolizedfbyfthefliverfandfmayfhaveflittlefiffanyfdesiredfaction
4. Arefconvertedfbyfthefliverftofmorefactivefandffat-solublefforms
f ff 3.fThefroutefoffexcretionfoffafvolatilefdrugfwillflikelyfbefthe:
1. Kidneys
2. Lungs
3. Bilefandffeces
4. Skin
f
ff 4.fMedroxyprogesteronef(DepofProvera)fisfprescribedfintramuscularlyf(IM)ftofcreatefafst
oragefreservoirfoffthefdrug.fStoragefreservoirs:
1. Assurefthatfthefdrugfwillfreachfitsfintendedftargetftissue
2. Arefthefreasonfforfgivingfloadingfdoses
3. Increaseftheflengthfofftimefafdrugfisfavailablefandfactive
4. Arefmostfcommonfinfcollagenftissues
f ff 5.fThefNPfchoosesftofgivefcephalexinfeveryf8fhoursfbasedfonfknowledgefoffthefdrug’s:
1. Propensityftofgoftoftheftargetfreceptor
2. Biologicalfhalf-life
3. Pharmacodynamics
4. Safetyfandfsidefeffects
f
ff 6.fAzithromycin fdosingfrequiresfthatftheffirstfday’sfdosagefbeftwicefthosefoffthefotherf4fdaysfof
thefprescription.fThisfisfconsideredfafloadingfdose.fAfloadingfdose:
f
1. Rapidlyfachievesfdrugflevelsfinftheftherapeuticfrange
2. Requiresffour-ftoffive-half-livesftofattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
3. Isfinfluencedfbyfrenalffunction
4. Isfdirectlyfrelatedftofthefdrugfcirculatingftoftheftargetftissues
f ff 7.fThefpointfinftimefonfthefdrugfconcentrationfcurvefthatfindicatesftheffirstfsignfoffaftherapeuticfeffectfisfthe:
1. Minimumfadversefeffectflevel
2. Peakfoffaction
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
MultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f ff 1.fNursefpractitionerfprescriptivefauthorityfisfregulatedf by:
1. ThefNationalfCouncilfoffStatefBoardsfoffNursing
2. ThefU.S.fDrugfEnforcementfAdministration
3. ThefStatefBoardfoffNursingfforfeachfstate
4. ThefStatefBoardfoffPharmacy
f
2.fThefbenefitsftofthefpatientfoffhavingfanfAdvancedfPracticefRegisteredfNursef(APRN)fpresc
ff
riberfinclude:
1. NursesfknowfmorefaboutfPharmacologyfthanfotherfprescribersfbecauseftheyftakefitfbot
hfinftheirfbasicfnursingfprogramfandfinftheirfAPRNfprogram.
2. Nursesfcarefforfthefpatientffromfafholisticfapproachfandfincludefthefpatientfinfdec
isionfmakingfregardingftheirfcare.
3. APRNsfareflessflikelyftofprescribefnarcoticsfandfotherfcontrolledfsubstances.
4. APRNsfarefableftofprescribefindependentlyfinfallfstates,fwhereasfafphysician’sfass
istantfneedsftofhavefafphysicianfsupervisingftheirfpractice.
f ff 3.fClinicalfjudgmentfinfprescribingfincludes:
1. Factoringfinfthefcostftofthefpatientfoffthefmedicationfprescribed
2. Alwaysfprescribingfthefnewestfmedicationfavailablefforfthefdiseasefprocess
3. Handingfoutfdrugfsamplesftofpoorfpatients
4. Prescribingfallfgenericfmedicationsftofcutfcosts
f ff 4.fCriteriafforfchoosingfanfeffectivefdrugfforfafdisorderfinclude:
1. Askingfthefpatientfwhatfdrugftheyfthinkfwouldfworkfbestfforfthem
2. Consultingfnationallyfrecognizedfguidelinesfforfdiseasefmanagement
3. Prescribingfmedicationsfthatfarefavailablefasfsamplesfbeforefwritingfafprescription
4. FollowingfU.S.fDrugfEnforcementfAdministrationfguidelinesfforfprescribing
f ff 5.fNursefpractitionerfpracticefmayfthrivefunderfhealth-carefreformfbecausefof:
1. Thefdemonstratedfabilityfoffnursefpractitionersftofcontrolfcostsfandfimprovefpatientfout
comes
2. Theffactfthatfnursefpractitionersfwillfbefableftofpracticefindependently
3. Theffactfthatfnursefpractitionersfwillfhaveffullfreimbursementfunderfhealth-
fcarefreform
4. ThefabilityftofshiftfaccountabilityfforfMedicaidftofthefstateflevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
Chapterf1.fThefRolefoffthefNursefPractitionerfasfPrescriberfA
nswerfSection
MULTIPLEfCHOICE
1. ANS:fff3 PTS:f 1
2. ANS:fff2 PTS:f 1
3. ANS:fff1 PTS:f 1
4. ANS:fff2 PTS:f 1
5. ANS:fff1 PTS:f 1
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank
f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
Chapterf2.fReviewfoffthefBasicfPrinciplesfoffPharmacologyfM
ultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f
1.fAfpatient’sfnutritionalfintakefandflaboratoryfresultsfreflectfhypoalbuminemia.fThisfisfcriti
ff
calftofprescribingfbecause:
1. Distributionfoffdrugsftoftargetftissuefmayfbefaffected.
2. Thefsolubilityfoffthefdrugfwillfnotfmatchfthefsitefoffabsorption.
3. Therefwillfbeflessffreefdrugfavailableftofgeneratefanfeffect.
4. Drugsfboundftofalbuminfarefreadilyfexcretedfbyfthefkidneys.
f ff 2.fDrugsfthatfhavefafsignificantffirst-passf effect:
1. Mustfbefgivenfbyfthefenteralf(oral)froutefonly
2. Bypassfthefhepaticfcirculation
3. Arefrapidlyfmetabolizedfbyfthefliverfandfmayfhaveflittlefiffanyfdesiredfaction
4. Arefconvertedfbyfthefliverftofmorefactivefandffat-solublefforms
f ff 3.fThefroutefoffexcretionfoffafvolatilefdrugfwillflikelyfbefthe:
1. Kidneys
2. Lungs
3. Bilefandffeces
4. Skin
f
ff 4.fMedroxyprogesteronef(DepofProvera)fisfprescribedfintramuscularlyf(IM)ftofcreatefafst
oragefreservoirfoffthefdrug.fStoragefreservoirs:
1. Assurefthatfthefdrugfwillfreachfitsfintendedftargetftissue
2. Arefthefreasonfforfgivingfloadingfdoses
3. Increaseftheflengthfofftimefafdrugfisfavailablefandfactive
4. Arefmostfcommonfinfcollagenftissues
f ff 5.fThefNPfchoosesftofgivefcephalexinfeveryf8fhoursfbasedfonfknowledgefoffthefdrug’s:
1. Propensityftofgoftoftheftargetfreceptor
2. Biologicalfhalf-life
3. Pharmacodynamics
4. Safetyfandfsidefeffects
f
ff 6.fAzithromycin fdosingfrequiresfthatftheffirstfday’sfdosagefbeftwicefthosefoffthefotherf4fdaysfof
thefprescription.fThisfisfconsideredfafloadingfdose.fAfloadingfdose:
f
1. Rapidlyfachievesfdrugflevelsfinftheftherapeuticfrange
2. Requiresffour-ftoffive-half-livesftofattain
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition WooRo
f f f f f f f f f
binson Test Bank f f
Chapter 1. The Role of the Nurse Practitioner as Prescribed.
f f f f f f f f f
3. Isfinfluencedfbyfrenalffunction
4. Isfdirectlyfrelatedftofthefdrugfcirculatingftoftheftargetftissues
f ff 7.fThefpointfinftimefonfthefdrugfconcentrationfcurvefthatfindicatesftheffirstfsignfoffaftherapeuticfeffectfisfthe:
1. Minimumfadversefeffectflevel
2. Peakfoffaction
