PharmacotherapeuticsforAdvancedPracticeNursePrescribers5thEditionWooRobinsonTestBank
Chapter1.TheRoleoftheNursePractitionerMultipleC
hoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
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,10/9/23,1:46AM TESTBANKPharmacotherapeuticsFORAdvancedPracticeNursePrescri…
PharmacotherapeuticsforAdvancedPracticeNursePrescribers5thEditionWooRobinsonTestBank
Chapter1.TheRoleoftheNursePractitionerMultipleC
hoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Nursepractitionerprescriptiveauthorityisregulatedby:
1. TheNationalCouncilofStateBoardsofNursing
2. TheU.S.DrugEnforcementAdministration
3. TheStateBoardofNursingforeachstate
4. TheStateBoardofPharmacy
2. ThegbenefitsgtogthegpatientgofghavinggangAdvancedgPracticegRegisteredgNurseg(APRN)gpre
scriberinclude:
1. NursesgknowgmoregaboutgPharmacologygthangothergprescribersgbecausegtheygt
akegitbothgingtheirgbasicgnursinggprogramgandgingtheirgAPRNgprogram.
2. Nursesgcaregforgthegpatientgfromgagholisticgapproachgandgincludegthegpat
ientgindecisiongmakinggregardinggtheirgcare.
3. APRNsarelesslikelytoprescribenarcoticsandothercontrolledsubstances.
4. APRNsareabletoprescribeindependentlyinallstates,whereasaphysician’s
assistantneedstohaveaphysiciansupervisingtheirpractice.
3. Clinicaljudgmentinprescribingincludes:
1. Factoringinthecosttothepatientofthemedicationprescribed
2. Alwaysprescribingthenewestmedicationavailableforthediseaseprocess
3. Handingoutdrugsamplestopoorpatients
4. Prescribingallgenericmedicationstocutcosts
4. Criteriaforchoosinganeffectivedrugforadisorderinclude:
1. Askingthepatientwhatdrugtheythinkwouldworkbestforthem
2. Consultingnationallyrecognizedguidelinesfordiseasemanagement
3. Prescribingmedicationsthatareavailableassamplesbeforewritingaprescription
4. FollowingU.S.DrugEnforcementAdministrationguidelinesforprescribing
5. Nursepractitionerpracticemaythriveunderhealth-carereformbecauseof:
1. Thegdemonstratedgabilitygofgnursegpractitionersgtogcontrolgcostsgandgimproveg
patientoutcomes
2. Thefactthatnursepractitionerswillbeabletopracticeindependently
3. Thegfactgthatgnursegpractitionersgwillghavegfullgreimbursementgunderghealt
h-carereform
4. TheabilitytoshiftaccountabilityforMedicaidtothestatelevel
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Chapter1.TheRoleoftheNursePractitionerAnswerSe
ction
MULTIPLECHOICE
1.ANS: 3 PTS: 1
2.ANS: 2 PTS: 1
3.ANS: 1 PTS: 1
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Chapter1.TheRoleoftheNursePractitionerAnswerSe
ction
MULTIPLECHOICE
1.ANS: 3 PTS: 1
2.ANS: 2 PTS: 1
3.ANS: 1 PTS: 1
4.ANS: 2 PTS: 1
5.ANS: 1 PTS: 1
Chapter2.ReviewofBasicPrinciplesofPharmacologyMultipleC
hoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Apatient’snutritionalintakeandlaboratoryresultsreflecthypoalbuminemia.Thisiscriticalto
prescribingbecause:
1. Distributionofdrugstotargettissuemaybeaffected.
2. Thesolubilityofthedrugwillnotmatchthesiteofabsorption.
3. Therewillbelessfreedrugavailabletogenerateaneffect.
4. Drugsboundtoalbuminarereadilyexcretedbythekidneys.
2. Drugsthathaveasignificantfirst-passeffect:
1. Mustbegivenbytheenteral(oral)routeonly
2. Bypassthehepaticcirculation
3. Arerapidlymetabolizedbytheliverandmayhavelittleifanydesiredaction
4. Areconvertedbythelivertomoreactiveandfat-solubleforms
3. Therouteofexcretionofavolatiledrugwilllikelybethe:
1. Kidneys
2. Lungs
3. Bileandfeces
4. Skin
4. Medroxyprogesteroneg(DepogProvera)gisgprescribedgintramuscularlyg(IM)gtogcreategagst
oragereservoirgofgthegdrug.gStoragegreservoirs:
1. Assurethatthedrugwillreachitsintendedtargettissue
2. Arethereasonforgivingloadingdoses
3. Increasethelengthoftimeadrugisavailableandactive
4. Aremostcommonincollagentissues
5. TheNPchoosestogivecephalexinevery8hoursbasedonknowledgeofthedrug’s:
1. Propensitytogotothetargetreceptor
2. Biologicalhalf-life
3. Pharmacodynamics
4. Safetyandsideeffects
6. Azithromycindosingrequiresthatthefirstday’sdosagebetwicethoseoftheother4daysofthe
prescription.Thisisconsideredaloadingdose.Aloadingdose:
1. Rapidlyachievesdruglevelsinthetherapeuticrange
2. Requiresfour-tofive-half-livestoattain
3. Isinfluencedbyrenalfunction
4. Isdirectlyrelatedtothedrugcirculatingtothetargettissues
7. Thegpointgingtimegongthegdruggconcentrationgcurvegthatgindicatesgthegfirstgsigngofgagtherapeu
ticgeffectisthe:
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