8/23/23,j5:07jPM Nursj617jPharmjTestj-jWoojandjRobinjTestjbank
Pharmacotherapeuticsj forj Advancedj Practicej Nursej Prescribersj 5thj EditionjWoojRobinsonj Testj Bank
Chapterj1.jThejRolejofjthejNursejPractitionerj
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorj answersjthejquestion.
1. Nursejpractitionerjprescriptivejauthorityj isj regulatedj by:
1. ThejNationaljCounciljofjStatejBoardsjofjNursing
2. ThejU.S.jDrugjEnforcementjAdministration
3. ThejStatejBoardjofjNursingjforjeachjstate
4. ThejStatejBoardjofjPharmacy
2. ThejbenefitsjtojthejpatientjofjhavingjanjAdvancedjPracticejRegisteredjNursej(APRN)jprescriberj in
clude:
1. NursesjknowjmorejaboutjPharmacologyjthanjotherjprescribers jbecausejtheyjtakejitj b
othjinjtheirjbasicjnursingjprogramjandjinjtheirjAPRNjprogram.
2. Nursesjcarejforjthejpatientjfromjajholisticjapproachjandjincludejthejpatientjinj d
ecisionjmakingjregardingjtheirjcare.
3. APRNsjarejless jlikelyjtojprescribejnarcoticsjandjotherjcontrolledjsubstances.
4. APRNsjarejablejtojprescribejindependentlyjinjalljstates,jwhereasjajphysician’s
assistantjneedsjtoj havejajphysicianjsupervisingjtheirjpractice.
3. Clinicaljjudgmentj injprescribingj includes:
1. Factoringjinjthejcostjtojthejpatientjofjthej medicationjprescribed
2. Alwaysjprescribingjthej newestj medicationj availablej forjthejdiseasejprocess
3. Handingjoutjdrugjsamplesjtojpoorjpatients
4. Prescribingjallj genericjmedicationsjtojcutjcosts
4. Criteriajforjchoosingjanjeffectivejdrugjforjajdisorderj include:
1. Askingjthejpatientjwhatjdrugjtheyjthinkjwouldjworkjbestjforjthem
2. Consultingj nationallyj recognizedj guidelinesj forjdiseasej management
3. Prescribingj medicationsjthatjarejavailablejasjsamplesjbeforejwritingjajprescription
4. FollowingjU.S. jDrugj Enforcementj Administrationj guidelinesj forjprescribing
5. Nursejpractitionerjpracticej mayjthrivej underj health-carejreformjbecausej of:
1. Thejdemonstratedjabilityjofjnursejpractitionersjtojcontroljcostsjandjimprovejpatientj o
utcomes
2. Thejfactjthatjnursejpractitionersjwilljbejablejtojpracticejindependently
3. Thejfactjthatjnursejpractitionersjwilljhavejfulljreimbursementjunderjhealth-
carej reform
4. ThejabilityjtojshiftjaccountabilityjforjMedicaidjtojthejstatejlevel
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,8/23/23,j5:07jPM Nursj617jPharmjTestj-jWoojandjRobinjTestjbank
Chapterj1.jThejRolejofjthejNursejPractitionerj
AnswerjSection
MULTIPLEj CHOICE
1.jANS: 3 PTS: 1
2.jANS: 2 PTS: 1
3.jANS: 1 PTS: 1
4.jANS: 2 PTS: 1
5.jANS: 1 PTS: 1
Chapterj2.jReviewjofjBasicjPrinciplesjofjPharmacologyj Mult
iplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorj answersjthejquestion.
1. Ajpatient’sjnutritionalj intakejandj laboratoryjresultsjreflectj hypoalbuminemia.j Thisj isjcriticaljto
prescribingj because:
1. Distributionjofjdrugsjtojtargetjtissuej mayjbejaffected.
2. Thejsolubilityjofjthejdrugjwilljnotjmatchjthejsitejofjabsorption.
3. Therejwilljbejlessjfreejdrugjavailablejtojgeneratejanjeffect.
4. Drugsjboundjtojalbuminjarejreadilyjexcretedjbyjthejkidneys.
2. Drugsjthatjhavejajsignificantj first-passj effect:
1. Mustjbejgivenjbyjthejenteralj(oral)jroutejonly
2. Bypassjthejhepaticjcirculation
3. Arejrapidlyjmetabolizedjbyjthejliverjandjmayjhavejlittlejifjanyjdesiredjaction
4. Arejconvertedjbyjthejliverjtojmorejactivejandjfat-solublejforms
3. Thejroutejofjexcretionjofjajvolatilejdrugjwilljlikelyjbej the:
1. Kidneys
2. Lungs
3. Bilejandjfeces
4. Skin
4. Medroxyprogesterone j(DepojProvera)jisjprescribedjintramuscularlyj(IM)jtojcreatejajstoragej r
eservoirjofjthejdrug. jStoragejreservoirs:
1. Assurejthatjthejdrugjwilljreachjitsjintendedjtargetjtissue
2. Arejthejreasonjforjgivingjloadingjdoses
3. Increasejthejlengthjofjtimejajdrugjisjavailablejandjactive
4. Arej mostjcommonjinjcollagenjtissues
5. ThejNPjchoosesjtojgivejcephalexinjeveryj8jhoursjbasedjonjknowledgejofjthej drug’s:
1. Propensityjtojgojtojthejtargetjreceptor
2. Biologicalj half-life
3. Pharmacodynamics
4. Safetyjandjsidejeffects
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, 8/23/23,j5:07jPM Nursj617jPharmjTestj-jWoojandjRobinjTestjbank
6. Azithromycinjdosingjrequiresjthatjthejfirstjday’sjdosagejbejtwicejthosejofjthejotherj4jdaysjofjthe
prescription. jThisjisjconsideredjajloadingjdose.jAj loadingjdose:
1. Rapidlyjachievesjdrugj levelsjinjthejtherapeuticjrange
2. Requiresjfour-jtojfive-half-livesjtojattain
3. Isjinfluencedjbyjrenaljfunction
4. Isjdirectlyjrelatedjtojthejdrugjcirculatingjtojthejtargetjtissues
7. Thejpointjinjtimejonjthejdrugjconcentrationjcurvejthatjindicatesjthejfirstjsignjofjajtherapeutic jeffectj isj
the:
1. Minimumj adversejeffectj level
2. Peakjofjaction
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Pharmacotherapeuticsj forj Advancedj Practicej Nursej Prescribersj 5thj EditionjWoojRobinsonj Testj Bank
Chapterj1.jThejRolejofjthejNursejPractitionerj
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorj answersjthejquestion.
1. Nursejpractitionerjprescriptivejauthorityj isj regulatedj by:
1. ThejNationaljCounciljofjStatejBoardsjofjNursing
2. ThejU.S.jDrugjEnforcementjAdministration
3. ThejStatejBoardjofjNursingjforjeachjstate
4. ThejStatejBoardjofjPharmacy
2. ThejbenefitsjtojthejpatientjofjhavingjanjAdvancedjPracticejRegisteredjNursej(APRN)jprescriberj in
clude:
1. NursesjknowjmorejaboutjPharmacologyjthanjotherjprescribers jbecausejtheyjtakejitj b
othjinjtheirjbasicjnursingjprogramjandjinjtheirjAPRNjprogram.
2. Nursesjcarejforjthejpatientjfromjajholisticjapproachjandjincludejthejpatientjinj d
ecisionjmakingjregardingjtheirjcare.
3. APRNsjarejless jlikelyjtojprescribejnarcoticsjandjotherjcontrolledjsubstances.
4. APRNsjarejablejtojprescribejindependentlyjinjalljstates,jwhereasjajphysician’s
assistantjneedsjtoj havejajphysicianjsupervisingjtheirjpractice.
3. Clinicaljjudgmentj injprescribingj includes:
1. Factoringjinjthejcostjtojthejpatientjofjthej medicationjprescribed
2. Alwaysjprescribingjthej newestj medicationj availablej forjthejdiseasejprocess
3. Handingjoutjdrugjsamplesjtojpoorjpatients
4. Prescribingjallj genericjmedicationsjtojcutjcosts
4. Criteriajforjchoosingjanjeffectivejdrugjforjajdisorderj include:
1. Askingjthejpatientjwhatjdrugjtheyjthinkjwouldjworkjbestjforjthem
2. Consultingj nationallyj recognizedj guidelinesj forjdiseasej management
3. Prescribingj medicationsjthatjarejavailablejasjsamplesjbeforejwritingjajprescription
4. FollowingjU.S. jDrugj Enforcementj Administrationj guidelinesj forjprescribing
5. Nursejpractitionerjpracticej mayjthrivej underj health-carejreformjbecausej of:
1. Thejdemonstratedjabilityjofjnursejpractitionersjtojcontroljcostsjandjimprovejpatientj o
utcomes
2. Thejfactjthatjnursejpractitionersjwilljbejablejtojpracticejindependently
3. Thejfactjthatjnursejpractitionersjwilljhavejfulljreimbursementjunderjhealth-
carej reform
4. ThejabilityjtojshiftjaccountabilityjforjMedicaidjtojthejstatejlevel
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about:blank 2/247
,8/23/23,j5:07jPM Nursj617jPharmjTestj-jWoojandjRobinjTestjbank
Chapterj1.jThejRolejofjthejNursejPractitionerj
AnswerjSection
MULTIPLEj CHOICE
1.jANS: 3 PTS: 1
2.jANS: 2 PTS: 1
3.jANS: 1 PTS: 1
4.jANS: 2 PTS: 1
5.jANS: 1 PTS: 1
Chapterj2.jReviewjofjBasicjPrinciplesjofjPharmacologyj Mult
iplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorj answersjthejquestion.
1. Ajpatient’sjnutritionalj intakejandj laboratoryjresultsjreflectj hypoalbuminemia.j Thisj isjcriticaljto
prescribingj because:
1. Distributionjofjdrugsjtojtargetjtissuej mayjbejaffected.
2. Thejsolubilityjofjthejdrugjwilljnotjmatchjthejsitejofjabsorption.
3. Therejwilljbejlessjfreejdrugjavailablejtojgeneratejanjeffect.
4. Drugsjboundjtojalbuminjarejreadilyjexcretedjbyjthejkidneys.
2. Drugsjthatjhavejajsignificantj first-passj effect:
1. Mustjbejgivenjbyjthejenteralj(oral)jroutejonly
2. Bypassjthejhepaticjcirculation
3. Arejrapidlyjmetabolizedjbyjthejliverjandjmayjhavejlittlejifjanyjdesiredjaction
4. Arejconvertedjbyjthejliverjtojmorejactivejandjfat-solublejforms
3. Thejroutejofjexcretionjofjajvolatilejdrugjwilljlikelyjbej the:
1. Kidneys
2. Lungs
3. Bilejandjfeces
4. Skin
4. Medroxyprogesterone j(DepojProvera)jisjprescribedjintramuscularlyj(IM)jtojcreatejajstoragej r
eservoirjofjthejdrug. jStoragejreservoirs:
1. Assurejthatjthejdrugjwilljreachjitsjintendedjtargetjtissue
2. Arejthejreasonjforjgivingjloadingjdoses
3. Increasejthejlengthjofjtimejajdrugjisjavailablejandjactive
4. Arej mostjcommonjinjcollagenjtissues
5. ThejNPjchoosesjtojgivejcephalexinjeveryj8jhoursjbasedjonjknowledgejofjthej drug’s:
1. Propensityjtojgojtojthejtargetjreceptor
2. Biologicalj half-life
3. Pharmacodynamics
4. Safetyjandjsidejeffects
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6. Azithromycinjdosingjrequiresjthatjthejfirstjday’sjdosagejbejtwicejthosejofjthejotherj4jdaysjofjthe
prescription. jThisjisjconsideredjajloadingjdose.jAj loadingjdose:
1. Rapidlyjachievesjdrugj levelsjinjthejtherapeuticjrange
2. Requiresjfour-jtojfive-half-livesjtojattain
3. Isjinfluencedjbyjrenaljfunction
4. Isjdirectlyjrelatedjtojthejdrugjcirculatingjtojthejtargetjtissues
7. Thejpointjinjtimejonjthejdrugjconcentrationjcurvejthatjindicatesjthejfirstjsignjofjajtherapeutic jeffectj isj
the:
1. Minimumj adversejeffectj level
2. Peakjofjaction
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