m m m m m m m
ition Woo Robinson Test Bank 100% correct answers
m m m m m m m
PharmacotherapeuticsmformAdvancedmPracticemNursemPrescribersm5thmEditionmWoomRobinsonmTest mBank
Chapterm1.mThemRolemof mthemNursemPractition
ermMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m 1.mNursempractitionermprescriptivemauthoritymismregulated m by:
1. ThemNationalmCouncilmof mStatemBoardsmof mNursing
2. ThemU.S.mDrugmEnforcement mAdministration
3. ThemStatemBoard mof mNursingmformeachmstate
4. ThemStatemBoard mof mPharmacy
m
2.mThembenefitsmtomthempatient mof mhavingmanmAdvanced mPracticemRegistered mNursem(APRN)mpr
escriberminclude:
1. Nursesmknowmmoremabout mPharmacologymthanmothermprescribersmbecausemtheymtake
mit m
bothminmtheirmbasicmnursingmprogrammand minmtheirmAPRN mprogram.
2. Nursesmcaremformthempatient mfrommamholisticmapproachmand mincludemthempatient
minm decisionmmakingmregardingmtheirmcare.
3. APRNsmaremlessmlikelymtomprescribemnarcoticsmand mothermcontrolled msubstances.
4. APRNsmaremablemtomprescribemindependentlyminmallmstates,mwhereasmamphysician’s
assistant mneedsmtomhavemamphysicianmsupervisingmtheirmpractice.
m 3.mClinicalmjudgment minmprescribingm includes:
1. Factoringminmthemcost mtomthempatient mof mthemmedicationmprescribed
2. Alwaysmprescribingmthemnewest mmedicationmavailablemformthemdiseasemprocess
3. Handingmout mdrugmsamplesmtompoormpatients
4. Prescribingmallmgenericmmedicationsmtomcut mcosts
m 4.mCriteriamformchoosingmanmeffectivemdrugmformamdisorderm include:
1. Askingmthempatient mwhat mdrugmtheymthinkmwould mworkmbest mformthem
2. Consultingmnationallymrecognized mguidelinesmformdiseasemmanagement
3. Prescribingmmedicationsmthat maremavailablemasmsamplesmbeforemwritingmamprescription
4. FollowingmU.S.mDrugmEnforcement mAdministrationmguidelinesmformprescribing
m 5.mNursempractitionermpracticemmaymthrivemundermhealth-caremreformmbecausem of:
1. Themdemonstrated mabilitymof mnursempractitionersmtomcontrolmcostsmand mimprovempatie
nt moutcomes
2. Themfact mthat mnursempractitionersmwillmbemablemtompracticemindependently
3. Themfact mthat mnursempractitionersmwillmhavemfullmreimbursement mundermhealth-
caremreform
4. Themabilitymtomshift maccountabilitymformMedicaid mtomthemstatemlevel
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Ed
m m m m m m m
ition Woo Robinson Test Bank 100% correct answers
m m m m m m m
,Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Ed
m m m m m m m
ition Woo Robinson Test Bank 100% correct answers
m m m m m m m
Chapterm1.mThemRolemof mthemNursemPractition
ermAnswermSection
MULTIPLEmCHOICE
1. ANS:mmm 3 PTS:m 1
2. ANS:mmm 2 PTS:m 1
3. ANS:mmm 1 PTS:m 1
4. ANS:mmm 2 PTS:m 1
5. ANS:mmm 1 PTS:m 1
Chapterm2.mReview mof mBasicmPrinciplesmof mPharmacolo
gymMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersm themquestion.
m 1.mA mpatient’smnutritionalmintakemand mlaboratorymresultsmreflect mhypoalbuminemia.m Thism ismcriticalmto
prescribingmbecause:
1. Distributionmof mdrugsmtomtarget mtissuemmaymbemaffected.
2. Themsolubilitymof mthemdrugmwillmnot mmatchmthemsitemof mabsorption.
3. Theremwillmbemlessmfreemdrugmavailablemtomgeneratemanmeffect.
4. Drugsmbound mtomalbuminmaremreadilymexcreted mbymthemkidneys.
m 2.mDrugsmthat mhavemamsignificant mfirst-passm effect:
1. Must mbemgivenmbymthementeralm(oral)mroutemonly
2. Bypassmthemhepaticmcirculation
3. Aremrapidlymmetabolized mbymthemlivermand mmaymhavemlittlemif manymdesired maction
4. Aremconverted mbymthemlivermtommoremactivemand mfat-solublemforms
m 3.mThemroutemof mexcretionmof mamvolatilemdrugmwillmlikelymbem the:
1. Kidneys
2. Lungs
3. Bilemand mfeces
4. Skin
m
4.mMedroxyprogesteronem(DepomProvera)mismprescribed mintramuscularlym(IM)mtomcreatemam
storagemreservoirmof mthemdrug.mStoragemreservoirs:
1. Assuremthat mthemdrugmwillmreachmitsmintended mtarget mtissue
2. Aremthemreasonmformgivingmloadingmdoses
3. Increasemthemlengthmof mtimemamdrugmismavailablemand mactive
4. Aremmost mcommonminmcollagenmtissues
m 5.mThemNPmchoosesmtomgivemcephalexinmeverym8mhoursmbased monmknowledgemof mthemdrug’s:
1. Propensitymtomgomtomthemtarget mreceptor
2. Biologicalmhalf-life
3. Pharmacodynamics
4. Safetymand msidemeffects
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Ed
m m m m m m m
ition Woo Robinson Test Bank 100% correct answers
m m m m m m m
m 6.mAzithromycinmdosingmrequiresmthat mthemfirst mday’smdosagembemtwicemthosemof mthemotherm4mdaysmof mthe
prescription.mThismismconsidered mamloadingmdose.mAmloadingmdose:
1. Rapidlymachievesmdrugmlevelsminmthemtherapeuticmrange
2. Requiresmfour-mtomfive-half-livesmtomattain
3. Isminfluenced mbymrenalmfunction
4. Ismdirectlymrelated mtomthemdrugmcirculatingmtomthemtarget mtissues
m
7.mThempoint minmtimemonmthemdrugmconcentrationmcurvemthat mindicatesmthemfirst msignmof mamtherapeut
icmeffect mismthe:
1. Minimummadversemeffect mlevel
2. Peakmof maction