Pharmacotherapeutics for Advanced Practice Nurse
Prescribers 6th Edition Woo Robinson/Wendy Wright
Test Bank/ Latest Certified Edition / All Chapters 1-
57/Solved Questions and Answers / GRADE A+
, 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:
AA. The National Council of State Boards of Nursing
BB. The U.S. Drug Enforcement Administration
CC. The State Board of Nursing for each state ✓
DD. The State Board of Pharmacy
ANS:CC
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
prescriber include:
AA. Nurses know more about Pharmacology than other prescribers because they take
it both in their basic nursing program and in their APRN program.
BB. Nurses care for the patient from a holistic approach and include the patient
in decision making regarding their care. ✓
CC. APRNs are less likely to prescribe narcotics and other controlled substances.
DD. APRNs are able to prescribe independently in all states, whereas a
physician’s assistant needs to have a physician supervising their practice.
ANS:BB
3. Clinical judgment in prescribing includes:
AA .Factoring in the cost to the patient of the medication prescribed✓
BB. Always prescribing the newest medication available for the disease process
CC. Handing out drug samples to poor patients
DD.Prescribing all generic medications to cut costs
ANS;AA
4. Criteria for choosing an effective drug for a disorder include:
AA. Asking the patient what drug they think would work best for them
, BB. Consulting nationally recognized guidelines for disease management✓
CC. Prescribing medications that are available as samples before writing a prescription
EE. Following U.S. Drug Enforcement Administration guidelines for prescribing
ANS:BB
5. Nurse practitioner practice may thrive under health-care reform because of:
AA. The demonstrated ability of nurse practitioners to control costs and improve
patient outcomes✓
BB. The fact that nurse practitioners will be able to practice independently
CC. The fact that nurse practitioners will have full reimbursement under health-
care reform
DD. The ability to shift accountability for Medicaid to the state level
ANS: AA
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:
AA. Distribution of drugs to target tissue may be affected. ✓
BB.The solubility of the drug will not match the site of absorption.
CC, There will be less free drug available to generate an effect.
DD.Drugs bound to albumin are readily excreted by the kidneys.
ANS:AA
2. Drugs that have a significant first-pass effect:
AA. Must be given by the enteral (oral) route only
BB. Bypass the hepatic circulation
CC. Are rapidly metabolized by the liver and may have little if any desired action✓
DD. Are converted by the liver to more active and fat-soluble forms
ANS.CC
, 3. The route of excretion of a volatile drug will likely be the:
AA. Kidneys
BB. Lungs✓
EE. Bile and feces
EE. Skin
ANS:BB
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
storage reservoir of the drug. Storage reservoirs:
AA. Assure that the drug will reach its intended target tissue
BB. Are the reason for giving loading doses
CC.Increase the length of time a drug is available and active✓
CC. Are most common in collagen tissues
ANS:CC
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
AA. Propensity to go to the target receptor
DD. Biological half-life
EE. Pharmacodynamics✓
FF. Safety and side effects
ANS:EE
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:
AA. Rapidly achieves drug levels in the therapeutic range✓
BB. Requires four- to five-half-lives to attain
CC. Is influenced by renal function
DD.Is directly related to the drug circulating to the target tissues
ANS:AA
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
effect is the:
AA. Minimum adverse effect level
BB. Peak of action
CC. Onset of action✓
DD.Therapeutic range
ANS:CC
8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
AA. When the drug has a wide therapeutic range
BB. When the drug will be administered for a short time only
CC. When there is a high correlation between the dose and saturation of receptor sites
DD. To determine if a drug is in the therapeutic range✓
ANS :DD
Prescribers 6th Edition Woo Robinson/Wendy Wright
Test Bank/ Latest Certified Edition / All Chapters 1-
57/Solved Questions and Answers / GRADE A+
, 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:
AA. The National Council of State Boards of Nursing
BB. The U.S. Drug Enforcement Administration
CC. The State Board of Nursing for each state ✓
DD. The State Board of Pharmacy
ANS:CC
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
prescriber include:
AA. Nurses know more about Pharmacology than other prescribers because they take
it both in their basic nursing program and in their APRN program.
BB. Nurses care for the patient from a holistic approach and include the patient
in decision making regarding their care. ✓
CC. APRNs are less likely to prescribe narcotics and other controlled substances.
DD. APRNs are able to prescribe independently in all states, whereas a
physician’s assistant needs to have a physician supervising their practice.
ANS:BB
3. Clinical judgment in prescribing includes:
AA .Factoring in the cost to the patient of the medication prescribed✓
BB. Always prescribing the newest medication available for the disease process
CC. Handing out drug samples to poor patients
DD.Prescribing all generic medications to cut costs
ANS;AA
4. Criteria for choosing an effective drug for a disorder include:
AA. Asking the patient what drug they think would work best for them
, BB. Consulting nationally recognized guidelines for disease management✓
CC. Prescribing medications that are available as samples before writing a prescription
EE. Following U.S. Drug Enforcement Administration guidelines for prescribing
ANS:BB
5. Nurse practitioner practice may thrive under health-care reform because of:
AA. The demonstrated ability of nurse practitioners to control costs and improve
patient outcomes✓
BB. The fact that nurse practitioners will be able to practice independently
CC. The fact that nurse practitioners will have full reimbursement under health-
care reform
DD. The ability to shift accountability for Medicaid to the state level
ANS: AA
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:
AA. Distribution of drugs to target tissue may be affected. ✓
BB.The solubility of the drug will not match the site of absorption.
CC, There will be less free drug available to generate an effect.
DD.Drugs bound to albumin are readily excreted by the kidneys.
ANS:AA
2. Drugs that have a significant first-pass effect:
AA. Must be given by the enteral (oral) route only
BB. Bypass the hepatic circulation
CC. Are rapidly metabolized by the liver and may have little if any desired action✓
DD. Are converted by the liver to more active and fat-soluble forms
ANS.CC
, 3. The route of excretion of a volatile drug will likely be the:
AA. Kidneys
BB. Lungs✓
EE. Bile and feces
EE. Skin
ANS:BB
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
storage reservoir of the drug. Storage reservoirs:
AA. Assure that the drug will reach its intended target tissue
BB. Are the reason for giving loading doses
CC.Increase the length of time a drug is available and active✓
CC. Are most common in collagen tissues
ANS:CC
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
AA. Propensity to go to the target receptor
DD. Biological half-life
EE. Pharmacodynamics✓
FF. Safety and side effects
ANS:EE
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:
AA. Rapidly achieves drug levels in the therapeutic range✓
BB. Requires four- to five-half-lives to attain
CC. Is influenced by renal function
DD.Is directly related to the drug circulating to the target tissues
ANS:AA
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
effect is the:
AA. Minimum adverse effect level
BB. Peak of action
CC. Onset of action✓
DD.Therapeutic range
ANS:CC
8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
AA. When the drug has a wide therapeutic range
BB. When the drug will be administered for a short time only
CC. When there is a high correlation between the dose and saturation of receptor sites
DD. To determine if a drug is in the therapeutic range✓
ANS :DD
