NSG 6005
Midterm Pharmacology
Exam
Actual Qs & Ans to Pass the Exam
THIS EXAM CONSIST OF
➢ Questions covering NSG 6005 Midterm Exam
➢ multiple-choice format (A, B, C, D) with Correct Answers
➢ Some questions feature brief "scenario" elements and rationales
➢ 100+ Questions with 100% Correct Answers
,1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
• Correct Answer: C. The State Board of Nursing for each state
• Expert Rationale: Prescriptive authority is determined at the state level. Each State
Board of Nursing regulates what nurse practitioners can prescribe, including controlled
substances, based on local legislation.
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
prescriber include:
A. Nurses know more about pharmacology than other prescribers because they take it both in
their basic nursing program and in their APRN program.
B. Nurses care for the patient from a holistic approach and include the patient in decision-
making regarding their care.
C. APRNs are less likely to prescribe narcotics and other controlled substances.
D. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs
to have a physician supervising their practice.
• Correct Answer: B. Nurses care for the patient from a holistic approach and include the
patient in decision-making regarding their care
• Expert Rationale: APRNs are trained to integrate holistic, patient-centered care with
evidence-based prescribing. This collaborative approach enhances adherence and
outcomes.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process
,C. Handing out drug samples to poor patients
D. Prescribing all generic medications to cut costs
• Correct Answer: A. Factoring in the cost to the patient of the medication prescribed
• Expert Rationale: Prescribers must balance clinical effectiveness, safety, and cost. High
costs can impair adherence, so cost consideration is essential in decision-making.
4. Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a prescription
D. Following U.S. Drug Enforcement Administration guidelines for prescribing
• Correct Answer: B. Consulting nationally recognized guidelines for disease
management
• Expert Rationale: Evidence-based practice requires using standardized guidelines (such
as JNC, ADA, GOLD) to ensure safe, effective, and consistent care.
5. Nurse practitioner practice may thrive under health-care reform because of:
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under health-care reform
D. The ability to shift accountability for Medicaid to the state level
• Correct Answer: A. The demonstrated ability of nurse practitioners to control costs and
improve patient outcomes
• Expert Rationale: Research shows that NP care is cost-effective, safe, and associated
with equal or better patient outcomes compared to physician-only models.
6. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
to prescribing because:
A. Distribution of drugs to target tissue may be affected.
B. The solubility of the drug will not match the site of absorption.
, C. There will be less free drug available to generate an effect.
D. Drugs bound to albumin are readily excreted by the kidneys.
• Correct Answer: A. Distribution of drugs to target tissue may be affected
• Expert Rationale: Albumin is a major drug-binding protein. Low albumin increases free
drug levels, altering distribution, effectiveness, and risk for toxicity.
7. Drugs that have a significant first-pass effect:
A. Must be given by the enteral (oral) route only
B. Bypass the hepatic circulation
C. Are rapidly metabolized by the liver and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
• Correct Answer: C. Are rapidly metabolized by the liver and may have little if any
desired action
• Expert Rationale: First-pass metabolism in the liver reduces bioavailability of certain oral
drugs (e.g., propranolol, nitroglycerin), sometimes requiring alternate routes.
8. The route of excretion of a volatile drug will likely be the:
A. Kidneys
B. Lungs
C. Bile and feces
D. Skin
• Correct Answer: B. Lungs
• Expert Rationale: Volatile drugs (such as inhaled anesthetics) are primarily exhaled
through the lungs, bypassing renal clearance.
9. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
• Correct Answer: C. Increase the length of time a drug is available and active
Midterm Pharmacology
Exam
Actual Qs & Ans to Pass the Exam
THIS EXAM CONSIST OF
➢ Questions covering NSG 6005 Midterm Exam
➢ multiple-choice format (A, B, C, D) with Correct Answers
➢ Some questions feature brief "scenario" elements and rationales
➢ 100+ Questions with 100% Correct Answers
,1. Nurse practitioner prescriptive authority is regulated by:
A. The National Council of State Boards of Nursing
B. The U.S. Drug Enforcement Administration
C. The State Board of Nursing for each state
D. The State Board of Pharmacy
• Correct Answer: C. The State Board of Nursing for each state
• Expert Rationale: Prescriptive authority is determined at the state level. Each State
Board of Nursing regulates what nurse practitioners can prescribe, including controlled
substances, based on local legislation.
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
prescriber include:
A. Nurses know more about pharmacology than other prescribers because they take it both in
their basic nursing program and in their APRN program.
B. Nurses care for the patient from a holistic approach and include the patient in decision-
making regarding their care.
C. APRNs are less likely to prescribe narcotics and other controlled substances.
D. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs
to have a physician supervising their practice.
• Correct Answer: B. Nurses care for the patient from a holistic approach and include the
patient in decision-making regarding their care
• Expert Rationale: APRNs are trained to integrate holistic, patient-centered care with
evidence-based prescribing. This collaborative approach enhances adherence and
outcomes.
3. Clinical judgment in prescribing includes:
A. Factoring in the cost to the patient of the medication prescribed
B. Always prescribing the newest medication available for the disease process
,C. Handing out drug samples to poor patients
D. Prescribing all generic medications to cut costs
• Correct Answer: A. Factoring in the cost to the patient of the medication prescribed
• Expert Rationale: Prescribers must balance clinical effectiveness, safety, and cost. High
costs can impair adherence, so cost consideration is essential in decision-making.
4. Criteria for choosing an effective drug for a disorder include:
A. Asking the patient what drug they think would work best for them
B. Consulting nationally recognized guidelines for disease management
C. Prescribing medications that are available as samples before writing a prescription
D. Following U.S. Drug Enforcement Administration guidelines for prescribing
• Correct Answer: B. Consulting nationally recognized guidelines for disease
management
• Expert Rationale: Evidence-based practice requires using standardized guidelines (such
as JNC, ADA, GOLD) to ensure safe, effective, and consistent care.
5. Nurse practitioner practice may thrive under health-care reform because of:
A. The demonstrated ability of nurse practitioners to control costs and improve patient
outcomes
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under health-care reform
D. The ability to shift accountability for Medicaid to the state level
• Correct Answer: A. The demonstrated ability of nurse practitioners to control costs and
improve patient outcomes
• Expert Rationale: Research shows that NP care is cost-effective, safe, and associated
with equal or better patient outcomes compared to physician-only models.
6. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
to prescribing because:
A. Distribution of drugs to target tissue may be affected.
B. The solubility of the drug will not match the site of absorption.
, C. There will be less free drug available to generate an effect.
D. Drugs bound to albumin are readily excreted by the kidneys.
• Correct Answer: A. Distribution of drugs to target tissue may be affected
• Expert Rationale: Albumin is a major drug-binding protein. Low albumin increases free
drug levels, altering distribution, effectiveness, and risk for toxicity.
7. Drugs that have a significant first-pass effect:
A. Must be given by the enteral (oral) route only
B. Bypass the hepatic circulation
C. Are rapidly metabolized by the liver and may have little if any desired action
D. Are converted by the liver to more active and fat-soluble forms
• Correct Answer: C. Are rapidly metabolized by the liver and may have little if any
desired action
• Expert Rationale: First-pass metabolism in the liver reduces bioavailability of certain oral
drugs (e.g., propranolol, nitroglycerin), sometimes requiring alternate routes.
8. The route of excretion of a volatile drug will likely be the:
A. Kidneys
B. Lungs
C. Bile and feces
D. Skin
• Correct Answer: B. Lungs
• Expert Rationale: Volatile drugs (such as inhaled anesthetics) are primarily exhaled
through the lungs, bypassing renal clearance.
9. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
reservoir of the drug. Storage reservoirs:
A. Assure that the drug will reach its intended target tissue
B. Are the reason for giving loading doses
C. Increase the length of time a drug is available and active
D. Are most common in collagen tissues
• Correct Answer: C. Increase the length of time a drug is available and active
