Practice: A Practical Approach 5th Edition Arcangelo,
Peterson, Wilbur, and Kang
, Chapter 1 Issues for the Practitioner in Drug Therapy
MULTIPLE CHOICE
1. The prescribing authority of nurse practitioners is governed by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. Each state’s Board of Nursing
D. The State Board of Pharmacy
Answer: C
2. The prescribing authority of Physician Assistants (PAs) is governed by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The Board of Nursing
D. The State Board of Medical Examiners
Answer: D
3. Using clinical judgment when prescribing involves:
A. Considering how much the medication will cost the patient
B. Always choosing the most recently approved medication
C. Giving free samples to low-income patients
D. Only prescribing generics to save money
Answer: A
,4. When selecting an appropriate medication for a condition, one should:
A. Ask the patient which medication they prefer
B. Refer to nationally accepted disease management guidelines
C. Use sample medications prior to writing a prescription
D. Adhere to DEA prescribing guidelines
Answer: B
5. Nurse practitioner practice could expand under health-care reform because of:
A. Evidence that nurse practitioners help reduce expenses while improving health outcomes
B. The possibility for nurse practitioners to practice without oversight
C. Full reimbursement being guaranteed by health-care reform
D. Moving Medicaid accountability to individual states
Answer: A
, Chapter 2.Pharmacokinetic Basis of Therapeutics and
Pharmacodynamic
MULTIPLE CHOICE
1. A patient’s diet and lab tests show low albumin levels. Why is this important when prescribing?
A. It can change how the drug is delivered to its target tissues
B. The drug’s solubility will mismatch the absorption site
C. Less free medication will be available to work
D. Drugs attached to albumin are easily filtered by the kidneys
Answer: A
2. Medications with a strong first-pass effect:
A. Must only be taken orally
B. Avoid liver circulation
C. Are quickly broken down by the liver, reducing their intended effects
D. Are turned into more potent, fat-soluble substances by the liver
Answer: C
3. A drug that is volatile will most likely be eliminated by:
A. The kidneys
B. The lungs
C. Feces and bile
D. The skin
Answer: B