NURS 508:adv pharmacology EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2025
1. Nurse .practitioner .prescriptive .authority .is .regulated .by:
1. The .National .Council .of .State .Boards .of .Nursing
2. The .U.S. .Drug .Enforcement .Administration
3. The .State .Board .of .Nursing .for .each .state
4. The .State .Board .of .Pharmacy
2. The .benefits .to .the .patient .of .having .an .Advanced .Practice .Registered
.Nurse .(APRN) .prescriber .include:
1. Nurses .know .more .about .Pharmacology .than .other .prescribers .because .they .take .it
.both .in .their .basic .nursing .program .and .in .their .APRN .program.
2. Nurses .care .for .the .patient .from .a .holistic .approach .and .include .the .patient .in
.decision .making .regarding .their .care.
3. APRNs .are .less .likely .to .prescribe .narcotics .and .other .controlled .substances.
4. APRNs .are .able .to .prescribe .independently .in .all .states, .whereas .a .physician’s .assistant
.needs .to .have .a .physician .supervising .their .practice.
3. Clinical .judgment .in .prescribing .includes:
1. Factoring .in .the .cost .to .the .patient .of .the .medication .prescribed
2. Always .prescribing .the .newest .medication .available .for .the .disease .process
3. Handing .out .drug .samples .to .poor .patients
4. Prescribing .all .generic .medications .to .cut .costs
4. Criteria .for .choosing .an .effective .drug .for .a .disorder .include:
1. Asking .the .patient .what .drug .they .think .would .work .best .for .them
2. Consulting .nationally .recognized .guidelines .for .disease .management
3. Prescribing .medications .that .are .available .as .samples .before .writing .a .prescription
4. Following .U.S. .Drug .Enforcement .Administration .guidelines .for .prescribing
5. Nurse .practitioner .practice .may .thrive .under .health-care .reform .because .of:
1. The .demonstrated .ability .of .nurse .practitioners .to .control .costs .and .improve .patient .outcomes
2. The .fact .that .nurse .practitioners .will .be .able .to .practice .independently
3. The .fact .that .nurse .practitioners .will .have .full .reimbursement .under .health-care .reform
4. The .ability .to .shift .accountability .for .Medicaid .to .the .state .level
Chapter .2. .Review .of .Basic .Principles .of .Pharmacology
Multiple .Choice
,Identify .the .choice .that .best .completes .the .statement .or .answers .the .question.
, 1. A .patient’s .nutritional .intake .and .laboratory .results .reflect .hypoalbuminemia.
.This .is .critical .to .prescribing .because:
1. Distribution .of .drugs .to .target .tissue .may .be .affected.
2. The .solubility .of .the .drug .will .not .match .the .site .of .absorption.
3. There .will .be .less .free .drug .available .to .generate .an .effect.
4. Drugs .bound .to .albumin .are .readily .excreted .by .the .kidneys.
2. Drugs .that .have .a .significant .first-pass .effect:
1. Must .be .given .by .the .enteral .(oral) .route .only
2. Bypass .the .hepatic .circulation
3. Are .rapidly .metabolized .by .the .liver .and .may .have .little .if .any .desired .action
4. Are .converted .by .the .liver .to .more .active .and .fat-soluble .forms
3. The .route .of .excretion .of .a .volatile .drug .will .likely .be .the:
1. Kidneys
2. Lungs
3. Bile .and .feces
4. Skin
4. Medroxyprogesterone .(Depo .Provera) .is .prescribed .intramuscularly .(IM) .to
.create .a .storage .reservoir .of .the .drug. .Storage .reservoirs:
1. Assure .that .the .drug .will .reach .its .intended .target .tissue
2. Are .the .reason .for .giving .loading .doses
3. Increase .the .length .of .time .a .drug .is .available .and .active
4. Are .most .common .in .collagen .tissues
5. The .NP .chooses .to .give .cephalexin .every .8 .hours .based .on .knowledge .of .the .drug’s:
1. Propensity .to .go .to .the .target .receptor
2. Biological .half-life
3. Pharmacodynamics
4. Safety .and .side .effects
6. Azithromycin .dosing .requires .that .the .first .day’s .dosage .be .twice .those .of .the
.other .4 .days .of .the .prescription. .This .is .considered .a .loading .dose. .A .loading .dose:
1. Rapidly .achieves .drug .levels .in .the .therapeutic .range
2. Requires .four- .to .five-half-lives .to .attain
3. Is .influenced .by .renal .function
4. Is .directly .related .to .the .drug .circulating .to .the .target .tissues
7. The .point .in .time .on .the .drug .concentration .curve .that .indicates .the .first .sign .of
, a .therapeutic .effect .is .the:
WITH ANSWERS GRADED A+ 2025
1. Nurse .practitioner .prescriptive .authority .is .regulated .by:
1. The .National .Council .of .State .Boards .of .Nursing
2. The .U.S. .Drug .Enforcement .Administration
3. The .State .Board .of .Nursing .for .each .state
4. The .State .Board .of .Pharmacy
2. The .benefits .to .the .patient .of .having .an .Advanced .Practice .Registered
.Nurse .(APRN) .prescriber .include:
1. Nurses .know .more .about .Pharmacology .than .other .prescribers .because .they .take .it
.both .in .their .basic .nursing .program .and .in .their .APRN .program.
2. Nurses .care .for .the .patient .from .a .holistic .approach .and .include .the .patient .in
.decision .making .regarding .their .care.
3. APRNs .are .less .likely .to .prescribe .narcotics .and .other .controlled .substances.
4. APRNs .are .able .to .prescribe .independently .in .all .states, .whereas .a .physician’s .assistant
.needs .to .have .a .physician .supervising .their .practice.
3. Clinical .judgment .in .prescribing .includes:
1. Factoring .in .the .cost .to .the .patient .of .the .medication .prescribed
2. Always .prescribing .the .newest .medication .available .for .the .disease .process
3. Handing .out .drug .samples .to .poor .patients
4. Prescribing .all .generic .medications .to .cut .costs
4. Criteria .for .choosing .an .effective .drug .for .a .disorder .include:
1. Asking .the .patient .what .drug .they .think .would .work .best .for .them
2. Consulting .nationally .recognized .guidelines .for .disease .management
3. Prescribing .medications .that .are .available .as .samples .before .writing .a .prescription
4. Following .U.S. .Drug .Enforcement .Administration .guidelines .for .prescribing
5. Nurse .practitioner .practice .may .thrive .under .health-care .reform .because .of:
1. The .demonstrated .ability .of .nurse .practitioners .to .control .costs .and .improve .patient .outcomes
2. The .fact .that .nurse .practitioners .will .be .able .to .practice .independently
3. The .fact .that .nurse .practitioners .will .have .full .reimbursement .under .health-care .reform
4. The .ability .to .shift .accountability .for .Medicaid .to .the .state .level
Chapter .2. .Review .of .Basic .Principles .of .Pharmacology
Multiple .Choice
,Identify .the .choice .that .best .completes .the .statement .or .answers .the .question.
, 1. A .patient’s .nutritional .intake .and .laboratory .results .reflect .hypoalbuminemia.
.This .is .critical .to .prescribing .because:
1. Distribution .of .drugs .to .target .tissue .may .be .affected.
2. The .solubility .of .the .drug .will .not .match .the .site .of .absorption.
3. There .will .be .less .free .drug .available .to .generate .an .effect.
4. Drugs .bound .to .albumin .are .readily .excreted .by .the .kidneys.
2. Drugs .that .have .a .significant .first-pass .effect:
1. Must .be .given .by .the .enteral .(oral) .route .only
2. Bypass .the .hepatic .circulation
3. Are .rapidly .metabolized .by .the .liver .and .may .have .little .if .any .desired .action
4. Are .converted .by .the .liver .to .more .active .and .fat-soluble .forms
3. The .route .of .excretion .of .a .volatile .drug .will .likely .be .the:
1. Kidneys
2. Lungs
3. Bile .and .feces
4. Skin
4. Medroxyprogesterone .(Depo .Provera) .is .prescribed .intramuscularly .(IM) .to
.create .a .storage .reservoir .of .the .drug. .Storage .reservoirs:
1. Assure .that .the .drug .will .reach .its .intended .target .tissue
2. Are .the .reason .for .giving .loading .doses
3. Increase .the .length .of .time .a .drug .is .available .and .active
4. Are .most .common .in .collagen .tissues
5. The .NP .chooses .to .give .cephalexin .every .8 .hours .based .on .knowledge .of .the .drug’s:
1. Propensity .to .go .to .the .target .receptor
2. Biological .half-life
3. Pharmacodynamics
4. Safety .and .side .effects
6. Azithromycin .dosing .requires .that .the .first .day’s .dosage .be .twice .those .of .the
.other .4 .days .of .the .prescription. .This .is .considered .a .loading .dose. .A .loading .dose:
1. Rapidly .achieves .drug .levels .in .the .therapeutic .range
2. Requires .four- .to .five-half-lives .to .attain
3. Is .influenced .by .renal .function
4. Is .directly .related .to .the .drug .circulating .to .the .target .tissues
7. The .point .in .time .on .the .drug .concentration .curve .that .indicates .the .first .sign .of
, a .therapeutic .effect .is .the:
