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, PharmacotherapeuticsgforgAdvancedgPracticegNursegPrescribersg5thgEditiongWoogRobinsongTestgBank
Chapterg1.gThegRolegofgthegNursegPractitionerg
MultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
1. Nursegpractitionergprescriptivegauthoritygisgregulatedgby:
1. ThegNationalgCouncilgofgStategBoardsgofgNursing
2. ThegU.S.gDruggEnforcementgAdministration
3. ThegStategBoardgofgNursinggforgeachgstate
4. ThegStategBoardgofgPharmacy
2. ThegbenefitsgtogthegpatientgofghavinggangAdvancedgPracticegRegisteredgNurseg(APRN)gprescribergi
nclude:
1. NursesgknowgmoregaboutgPharmacologygthangothergprescribersgbecausegtheygtakegitg
bothgingtheirgbasicgnursinggprogramgandgingtheirgAPRNgprogram.
2. Nursesgcaregforgthegpatientgfromgagholisticgapproachgandgincludegthegpatientgingd
ecisiongmakinggregardinggtheirgcare.
3. APRNsgareglessglikelygtogprescribegnarcoticsgandgothergcontrolledgsubstances.
4. APRNsgaregablegtogprescribegindependentlygingallgstates,gwhereasgagphysician’sga
ssistantgneedsgtoghavegagphysiciangsupervisinggtheirgpractice.
3. Clinicalgjudgmentgingprescribinggincludes:
1. Factoringgingthegcostgtogthegpatientgofgthegmedicationgprescribed
2. Alwaysgprescribinggthegnewestgmedicationgavailablegforgthegdiseasegprocess
3. Handinggoutgdruggsamplesgtogpoorgpatients
4. Prescribinggallggenericgmedicationsgtogcutgcosts
4. Criteriagforgchoosinggangeffectivegdruggforgagdisorderginclude:
1. Askinggthegpatientgwhatgdruggtheygthinkgwouldgworkgbestgforgthem
2. Consultinggnationallygrecognizedgguidelinesgforgdiseasegmanagement
3. Prescribinggmedicationsgthatgaregavailablegasgsamplesgbeforegwritinggagprescription
4. FollowinggU.S.gDruggEnforcementgAdministrationgguidelinesgforgprescribing
5. Nursegpractitionergpracticegmaygthrivegunderghealth-caregreformgbecausegof:
1. Thegdemonstratedgabilitygofgnursegpractitionersgtogcontrolgcostsgandgimprovegpatientg
outcomes
2. Thegfactgthatgnursegpractitionersgwillgbegablegtogpracticegindependently
3. Thegfactgthatgnursegpractitionersgwillghavegfullgreimbursementgunderghealth-
caregreform
4. ThegabilitygtogshiftgaccountabilitygforgMedicaidgtogthegstateglevel
,Chapterg1.gThegRolegofgthegNursegPractitionergA
nswergSection
MULTIPLEgCHOICE
1.gANS: 3 PTS:g 1
2.gANS: 2 PTS:g 1
3.gANS: 1 PTS:g 1
4.gANS: 2 PTS:g 1
5.gANS: 1 PTS:g 1
Chapterg2.gReviewgofgBasicgPrinciplesgofgPharmacologygMulti
plegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.
1.gAgpatient’sgnutritionalgintakegandglaboratorygresultsgreflectghypoalbuminemia.gThisgisgcriticalgtogp
rescribinggbecause:
1. Distributiongofgdrugsgtogtargetgtissuegmaygbegaffected.
2. Thegsolubilitygofgthegdruggwillgnotgmatchgthegsitegofgabsorption.
3. Theregwillgbeglessgfreegdruggavailablegtoggenerategangeffect.
4. Drugsgboundgtogalbumingaregreadilygexcretedgbygthegkidneys.
2.gDrugsgthatghavegagsignificantgfirst-passgeffect:
1. Mustgbeggivengbygthegenteralg(oral)groutegonly
2. Bypassgtheghepaticgcirculation
3. Aregrapidlygmetabolizedgbygtheglivergandgmayghaveglittlegifganygdesiredgaction
4. Aregconvertedgbygtheglivergtogmoregactivegandgfat-solublegforms
3.gThegroutegofgexcretiongofgagvolatilegdruggwillglikelygbegthe:
1. Kidneys
2. Lungs
3. Bilegandgfeces
4. Skin
4.gMedroxyprogesteroneg(DepogProvera)gisgprescribedgintramuscularlyg(IM)gtogcreat
egagstoragegreservoirgofgthegdrug.gStoragegreservoirs:
1. Assuregthatgthegdruggwillgreachgitsgintendedgtargetgtissue
2. Aregthegreasongforggivinggloadinggdoses
3. Increasegtheglengthgofgtimegagdruggisgavailablegandgactive
4. Aregmostgcommongingcollagengtissues
5.gThegNPgchoosesgtoggivegcephalexingeveryg8ghoursgbasedgongknowledgegofgthegdrug’s:
1. Propensitygtoggogtogthegtargetgreceptor
2. Biologicalghalf-life
, 3. Pharmacodynamics
4. Safetygandgsidegeffects