10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
PharmacotherapeuticsvforvAdvancedvPracticevNursevPrescribersv5thvEditionvWoovRobinsonvTestvBank
Chapterv1.vThevRolevofvthevNursevPractitionerv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
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,10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
PharmacotherapeuticsvforvAdvancedvPracticevNursevPrescribersv5thvEditionvWoovRobinsonvTestvBank
Chapterv1.vThevRolevofvthevNursevPractitionerv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
1. Nursevpractitionervprescriptivevauthorityv isvregulatedv by:
1. ThevNationalvCouncilvofvStatevBoardsvofv Nursing
2. ThevU.S.vDrugv EnforcementvAdministration
3. ThevStatevBoardvofvNursingvforveachvstate
4. ThevStatevBoardvofvPharmacy
2. ThevbenefitsvtovthevpatientvofvhavingvanvAdvancedvPracticevRegisteredvNursev(APRN)vprescri
berv include:
1. NursesvknowvmorevaboutvPharmacologyvthanvothervprescribersvbecausevtheyvtake
vitv bothvinvtheirvbasic vnursingvprogramvandvinvtheirvAPRNvprogram.
2. Nursesvcarevforvthevpatientvfromvavholisticvapproachvandvincludevthevpatient
vinv decisionvmakingvregardingvtheirvcare.
3. APRNsvarevlessvlikelyvtovprescribevnarcoticsvandvothervcontrolledvsubstances.
4. APRNsvarevablevtovprescribevindependentlyvinvallvstates,vwhereasvavphysician’s
assistantvneedsvtov havevavphysicianvsupervisingvtheirvpractice.
3. Clinicalvjudgmentv invprescribingv includes:
1. Factoringvinvthevcostvtovthevpatientvofvthevmedicationvprescribed
2. Alwaysvprescribingvthev newestv medicationvavailablev forvthevdiseasevprocess
3. Handingvoutvdrugvsamplesvtovpoorvpatients
4. Prescribingvallv genericv medications vtovcutvcosts
4. Criteriavforvchoosingvanveffectivevdrugvforvavdisorderv include:
1. Askingvthevpatientvwhatvdrugvtheyvthinkvwouldvworkvbestvforvthem
2. Consultingv nationallyv recognizedv guidelinesv forv diseasev management
3. Prescribingv medicationsvthatvarevavailablevasvsamples vbeforevwritingvavprescription
4. Followingv U.S.vDrugvEnforcementv Administrationv guidelinesv forvprescribing
5. Nursevpractitionervpracticev mayvthrivev underv health-carevreformv becausev of:
1. Thevdemonstratedvabilityvofvnursevpractitionersvtovcontrolvcostsvandvimprovevpatie
ntv outcomes
2. Thevfactvthatvnursevpractitionersvwillvbevablevtovpracticevindependently
3. Thevfactvthatvnursevpractitioners vwillvhavevfullvreimbursementvundervhealth-
carev reform
4. ThevabilityvtovshiftvaccountabilityvforvMedicaidvtovthevstatevlevel
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,10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
Chapterv1.vThevRolevofvthevNursevPractitionerv Ans
wervSection
MULTIPLEvCHOICE
1.vANS: 3 PTS: 1
2.vANS: 2 PTS: 1
3.vANS: 1 PTS: 1
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, 10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
Chapterv1.vThevRolevofvthevNursevPractitionerv Ans
wervSection
MULTIPLEvCHOICE
1.vANS: 3 PTS: 1
2.vANS: 2 PTS: 1
3.vANS: 1 PTS: 1
4.vANS: 2 PTS: 1
5.vANS: 1 PTS: 1
Chapterv2.vReviewvofvBasicvPrinciplesvofvPharmacologyv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
1. Avpatient’sv nutritionalv intakevandv laboratoryv resultsvreflectv hypoalbuminemia.vThisv isvcriticalvto
prescribingv because:
1. Distributionvofvdrugsvtovtargetvtissuevmayvbevaffected.
2. Thevsolubilityvofvthevdrugvwillvnotv matchvthevsitevofvabsorption.
3. Therevwillvbevless vfreevdrugvavailablevtovgeneratevanveffect.
4. Drugsvboundvtovalbuminvarevreadilyvexcretedvbyvthevkidneys.
2. Drugsvthatvhavevavsignificantv first-passv effect:
1. Mustvbevgivenvbyvtheventeralv(oral)vroutevonly
2. Bypassvthevhepaticvcirculation
3. Arevrapidlyv metabolizedvbyvthevlivervandvmayvhavevlittlevifvanyvdesiredvaction
4. Arevconvertedvbyvthevlivervtov morevactivevandvfat-solublevforms
3. Thevroutevofvexcretionvofvavvolatilevdrugvwillvlikelyvbev the:
1. Kidneys
2. Lungs
3. Bilevandvfeces
4. Skin
4. Medroxyprogesterone v(DepovProvera)visvprescribedvintramuscularlyv(IM)vtovcreatevavstora
gev reservoirvofvthevdrug.vStoragevreservoirs:
1. Assurevthatvthevdrugvwillvreachvitsvintendedvtargetvtissue
2. Arevthevreasonvforvgivingvloadingvdoses
3. Increasevthevlengthvofvtimevavdrugvisvavailablevandvactive
4. Arevmostvcommonvinvcollagenvtissues
5. ThevNPvchoosesvtovgivevcephalexinveveryv8vhoursvbasedvonvknowledgevofvthev drug’s:
1. Propensityvtovgovtovthevtargetvreceptor
2. Biologicalv half-life
3. Pharmacodynamics
4. Safetyvandvsideveffects
6. Azithromycinvdosingvrequiresvthatvthevfirstvday’svdosagevbevtwicevthosevofvthevotherv4vdaysvofvthe
prescription. vThisvisvconsideredvavloadingvdose.vAv loadingvdose:
1. Rapidlyvachieves vdrugv levelsvinvthevtherapeuticv range
2. Requiresvfour-vtovfive-half-livesvtovattain
3. Isvinfluencedvbyvrenalvfunction
4. Isvdirectlyvrelatedvtovthevdrugvcirculatingvtovthevtargetvtissues
7. Thevpointvinvtimevonvthevdrugvconcentrationvcurvevthatvindicatesvthevfirstvsignvofvavtherapeuticvef
fectv isvthe:
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PharmacotherapeuticsvforvAdvancedvPracticevNursevPrescribersv5thvEditionvWoovRobinsonvTestvBank
Chapterv1.vThevRolevofvthevNursevPractitionerv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
about:blank 1/248
,10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
PharmacotherapeuticsvforvAdvancedvPracticevNursevPrescribersv5thvEditionvWoovRobinsonvTestvBank
Chapterv1.vThevRolevofvthevNursevPractitionerv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
1. Nursevpractitionervprescriptivevauthorityv isvregulatedv by:
1. ThevNationalvCouncilvofvStatevBoardsvofv Nursing
2. ThevU.S.vDrugv EnforcementvAdministration
3. ThevStatevBoardvofvNursingvforveachvstate
4. ThevStatevBoardvofvPharmacy
2. ThevbenefitsvtovthevpatientvofvhavingvanvAdvancedvPracticevRegisteredvNursev(APRN)vprescri
berv include:
1. NursesvknowvmorevaboutvPharmacologyvthanvothervprescribersvbecausevtheyvtake
vitv bothvinvtheirvbasic vnursingvprogramvandvinvtheirvAPRNvprogram.
2. Nursesvcarevforvthevpatientvfromvavholisticvapproachvandvincludevthevpatient
vinv decisionvmakingvregardingvtheirvcare.
3. APRNsvarevlessvlikelyvtovprescribevnarcoticsvandvothervcontrolledvsubstances.
4. APRNsvarevablevtovprescribevindependentlyvinvallvstates,vwhereasvavphysician’s
assistantvneedsvtov havevavphysicianvsupervisingvtheirvpractice.
3. Clinicalvjudgmentv invprescribingv includes:
1. Factoringvinvthevcostvtovthevpatientvofvthevmedicationvprescribed
2. Alwaysvprescribingvthev newestv medicationvavailablev forvthevdiseasevprocess
3. Handingvoutvdrugvsamplesvtovpoorvpatients
4. Prescribingvallv genericv medications vtovcutvcosts
4. Criteriavforvchoosingvanveffectivevdrugvforvavdisorderv include:
1. Askingvthevpatientvwhatvdrugvtheyvthinkvwouldvworkvbestvforvthem
2. Consultingv nationallyv recognizedv guidelinesv forv diseasev management
3. Prescribingv medicationsvthatvarevavailablevasvsamples vbeforevwritingvavprescription
4. Followingv U.S.vDrugvEnforcementv Administrationv guidelinesv forvprescribing
5. Nursevpractitionervpracticev mayvthrivev underv health-carevreformv becausev of:
1. Thevdemonstratedvabilityvofvnursevpractitionersvtovcontrolvcostsvandvimprovevpatie
ntv outcomes
2. Thevfactvthatvnursevpractitionersvwillvbevablevtovpracticevindependently
3. Thevfactvthatvnursevpractitioners vwillvhavevfullvreimbursementvundervhealth-
carev reform
4. ThevabilityvtovshiftvaccountabilityvforvMedicaidvtovthevstatevlevel
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,10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
Chapterv1.vThevRolevofvthevNursevPractitionerv Ans
wervSection
MULTIPLEvCHOICE
1.vANS: 3 PTS: 1
2.vANS: 2 PTS: 1
3.vANS: 1 PTS: 1
about:blank 3/248
, 10/5/23,v9:56vAM TESTvBANKvPharmacotherapeuticsvFORvAdvancedvPracticevNursevPrescri…
Chapterv1.vThevRolevofvthevNursevPractitionerv Ans
wervSection
MULTIPLEvCHOICE
1.vANS: 3 PTS: 1
2.vANS: 2 PTS: 1
3.vANS: 1 PTS: 1
4.vANS: 2 PTS: 1
5.vANS: 1 PTS: 1
Chapterv2.vReviewvofvBasicvPrinciplesvofvPharmacologyv Mu
ltiplevChoice
Identifyvthevchoicevthatvbestvcompletesvthevstatementvorv answersvthevquestion.
1. Avpatient’sv nutritionalv intakevandv laboratoryv resultsvreflectv hypoalbuminemia.vThisv isvcriticalvto
prescribingv because:
1. Distributionvofvdrugsvtovtargetvtissuevmayvbevaffected.
2. Thevsolubilityvofvthevdrugvwillvnotv matchvthevsitevofvabsorption.
3. Therevwillvbevless vfreevdrugvavailablevtovgeneratevanveffect.
4. Drugsvboundvtovalbuminvarevreadilyvexcretedvbyvthevkidneys.
2. Drugsvthatvhavevavsignificantv first-passv effect:
1. Mustvbevgivenvbyvtheventeralv(oral)vroutevonly
2. Bypassvthevhepaticvcirculation
3. Arevrapidlyv metabolizedvbyvthevlivervandvmayvhavevlittlevifvanyvdesiredvaction
4. Arevconvertedvbyvthevlivervtov morevactivevandvfat-solublevforms
3. Thevroutevofvexcretionvofvavvolatilevdrugvwillvlikelyvbev the:
1. Kidneys
2. Lungs
3. Bilevandvfeces
4. Skin
4. Medroxyprogesterone v(DepovProvera)visvprescribedvintramuscularlyv(IM)vtovcreatevavstora
gev reservoirvofvthevdrug.vStoragevreservoirs:
1. Assurevthatvthevdrugvwillvreachvitsvintendedvtargetvtissue
2. Arevthevreasonvforvgivingvloadingvdoses
3. Increasevthevlengthvofvtimevavdrugvisvavailablevandvactive
4. Arevmostvcommonvinvcollagenvtissues
5. ThevNPvchoosesvtovgivevcephalexinveveryv8vhoursvbasedvonvknowledgevofvthev drug’s:
1. Propensityvtovgovtovthevtargetvreceptor
2. Biologicalv half-life
3. Pharmacodynamics
4. Safetyvandvsideveffects
6. Azithromycinvdosingvrequiresvthatvthevfirstvday’svdosagevbevtwicevthosevofvthevotherv4vdaysvofvthe
prescription. vThisvisvconsideredvavloadingvdose.vAv loadingvdose:
1. Rapidlyvachieves vdrugv levelsvinvthevtherapeuticv range
2. Requiresvfour-vtovfive-half-livesvtovattain
3. Isvinfluencedvbyvrenalvfunction
4. Isvdirectlyvrelatedvtovthevdrugvcirculatingvtovthevtargetvtissues
7. Thevpointvinvtimevonvthevdrugvconcentrationvcurvevthatvindicatesvthevfirstvsignvofvavtherapeuticvef
fectv isvthe:
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