ADVANCED
PRACTICE NURSE PRESCRIBERS’ REAL
PHARMACOTHERAPEUTICS EXAM Q&A
TESTED AND APPROVED
Factors in chronic conditions that contribute to nonadherence include:
1. The complexity of the treatment regimen
2. The length of time over which it must be taken
3. Breaks in the usual daily routine, such as vacations and weekends
4. All of the above --CORRECT ANSWER--4
While patient education about their drugs is important, information alone does not necessarily
lead to adherence to a drug regimen. Patients report greater adherence when:
1. The provider spent a lot of time discussing the drugs with them
2. Their concerns and specific area of knowledge deficit were addressed
3. They were given written material, such as pamphlets, about the drugs
4. The provider used appropriate medical and pharmacological terms --CORRECT
ANSWER--2
Patients with psychiatric illnesses have adherence rates to their drug regimen between 35%
and 60%. To improve adherence in this population, prescribe drugs:
Page 1 of 229
,1. With a longer half-life so that missed doses produce a longer taper on the drug curve
2. In oral formulations that are more easily taken
3. That do not require frequent monitoring
4. Combined with patient education about the need to adhere even when symptoms are
absent
--CORRECT ANSWER--1
Many disorders require multiple drugs to treat them. The more complex the drug regimen, the
less likely the patient will adhere to it. Which of the following interventions will NOT
improve adherence?
1. Have the patient purchase a pill container with compartments for daily or multiple
timesper-day dosing.
2. Match the clinic appointment to the next time the drug is to be refilled.
3. Write prescriptions for new drugs with shorter times between refills.
4. Give the patient a clear drug schedule that the provider devises to fit the characteristic
of
the drug. --CORRECT ANSWER--4
Pharmacologic interventions are costly. Patients for whom the cost/benefit variable is
especially important include:
Page 2 of 229
,1. Older adults and those on fixed incomes
2. Patients with chronic illnesses
3. Patients with copayments for drugs on their insurance
4. Patients on public assistance --CORRECT ANSWER--1
Providers have a responsibility for determining the best plan of care, but patients also have
responsibilities. Patients the provider can be assured will carry through on these
responsibilities include those who:
1. Are well-educated and affluent
2. Have chronic conditions
3. Self-monitor drug effects on their symptoms
4. None of the above guarantee adherence --CORRECT ANSWER--4
A comprehensive assessment of a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from
this type of assessment?
1. Financial status
2. Mobility
Page 3 of 229
, 3. Social support
4. Sexual practices --CORRECT ANSWER--4
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
prescribed?
1. Use correct medical terminology because Spanish has a Latin base.
2. Use a family member who speaks more English to act as an interpreter.
3. Use a professional interpreter or a reliable staff member who can act as an interpreter.
4. Use careful, detailed explanations. --CORRECT ANSWER--3
Drugs that use CYP 3A4 isoenzymes for metabolism may:
1. Induce the metabolism of another drug
2. Inhibit the metabolism of another drug
3. Both 1 and 2
4. Neither 1 nor 2 --CORRECT ANSWER--3
Medication agreements or "Pain Medication Contracts" are recommended to be used:
1. Universally for all prescribing for chronic pain
2. For patients who have repeated requests for pain medication
3. When you suspect a patient is exhibiting drug-seeking behavior
4. For patients with pain associated with malignancy --CORRECT ANSWER--1
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
Page 4 of 229
PRACTICE NURSE PRESCRIBERS’ REAL
PHARMACOTHERAPEUTICS EXAM Q&A
TESTED AND APPROVED
Factors in chronic conditions that contribute to nonadherence include:
1. The complexity of the treatment regimen
2. The length of time over which it must be taken
3. Breaks in the usual daily routine, such as vacations and weekends
4. All of the above --CORRECT ANSWER--4
While patient education about their drugs is important, information alone does not necessarily
lead to adherence to a drug regimen. Patients report greater adherence when:
1. The provider spent a lot of time discussing the drugs with them
2. Their concerns and specific area of knowledge deficit were addressed
3. They were given written material, such as pamphlets, about the drugs
4. The provider used appropriate medical and pharmacological terms --CORRECT
ANSWER--2
Patients with psychiatric illnesses have adherence rates to their drug regimen between 35%
and 60%. To improve adherence in this population, prescribe drugs:
Page 1 of 229
,1. With a longer half-life so that missed doses produce a longer taper on the drug curve
2. In oral formulations that are more easily taken
3. That do not require frequent monitoring
4. Combined with patient education about the need to adhere even when symptoms are
absent
--CORRECT ANSWER--1
Many disorders require multiple drugs to treat them. The more complex the drug regimen, the
less likely the patient will adhere to it. Which of the following interventions will NOT
improve adherence?
1. Have the patient purchase a pill container with compartments for daily or multiple
timesper-day dosing.
2. Match the clinic appointment to the next time the drug is to be refilled.
3. Write prescriptions for new drugs with shorter times between refills.
4. Give the patient a clear drug schedule that the provider devises to fit the characteristic
of
the drug. --CORRECT ANSWER--4
Pharmacologic interventions are costly. Patients for whom the cost/benefit variable is
especially important include:
Page 2 of 229
,1. Older adults and those on fixed incomes
2. Patients with chronic illnesses
3. Patients with copayments for drugs on their insurance
4. Patients on public assistance --CORRECT ANSWER--1
Providers have a responsibility for determining the best plan of care, but patients also have
responsibilities. Patients the provider can be assured will carry through on these
responsibilities include those who:
1. Are well-educated and affluent
2. Have chronic conditions
3. Self-monitor drug effects on their symptoms
4. None of the above guarantee adherence --CORRECT ANSWER--4
A comprehensive assessment of a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit from
this type of assessment?
1. Financial status
2. Mobility
Page 3 of 229
, 3. Social support
4. Sexual practices --CORRECT ANSWER--4
Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which
technique would be appropriate to use in teaching her about a new drug you have just
prescribed?
1. Use correct medical terminology because Spanish has a Latin base.
2. Use a family member who speaks more English to act as an interpreter.
3. Use a professional interpreter or a reliable staff member who can act as an interpreter.
4. Use careful, detailed explanations. --CORRECT ANSWER--3
Drugs that use CYP 3A4 isoenzymes for metabolism may:
1. Induce the metabolism of another drug
2. Inhibit the metabolism of another drug
3. Both 1 and 2
4. Neither 1 nor 2 --CORRECT ANSWER--3
Medication agreements or "Pain Medication Contracts" are recommended to be used:
1. Universally for all prescribing for chronic pain
2. For patients who have repeated requests for pain medication
3. When you suspect a patient is exhibiting drug-seeking behavior
4. For patients with pain associated with malignancy --CORRECT ANSWER--1
Drugs that are prone to cause adverse drug effects include:
1. Diuretics
Page 4 of 229
