Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank; Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson: Questions & Answers.

Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo Robinson Test Bank
Chapter 1. The Role of the Nurse Practitioner as Prescriber
Multiple Choice
Identify the choice that best completes the statement or answers the question.

1. Nurse practitioner prescriptive authority is regulated by:
2. The National Council of State Boards of Nursing
3. The U.S. Drug Enforcement Administration
4. The State Board of Nursing for each state
5. The State Board of Pharmacy
6. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
   include:
7. Nurses know more about Pharmacology than other prescribers because they take it
   both in their basic nursing program and in their APRN program.
8. Nurses care for the patient from a holistic approach and include the patient in
   decision making regarding their care.
9. APRNs are less likely to prescribe narcotics and other controlled substances.
10. APRNs are able to prescribe independently in all states, whereas a physician’s
    assistant needs to have a physician supervising their practice.
11. Clinical judgment in prescribing includes:
12. Factoring in the cost to the patient of the medication prescribed
13. Always prescribing the newest medication available for the disease process
14. Handing out drug samples to poor patients
15. Prescribing all generic medications to cut costs
16. Criteria for choosing an effective drug for a disorder include:
17. Asking the patient what drug they think would work best for them
18. Consulting nationally recognized guidelines for disease management
19. Prescribing medications that are available as samples before writing a prescription
20. Following U.S. Drug Enforcement Administration guidelines for prescribing
21. Nurse practitioner practice may thrive under health-care reform because of:
22. The demonstrated ability of nurse practitioners to control costs and improve patient
    outcomes
23. The fact that nurse practitioners will be able to practice independently
24. The fact that nurse practitioners will have full reimbursement under healthcare reform
25. The ability to shift accountability for Medicaid to the state level
    Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robin
    Chapter 1. The Role of the Nurse Practitioner as Prescriber
    Answer Section
    MULTIPLE CHOICE
26. ANS: 3 PTS: 1
27. ANS: 2 PTS: 1
28. ANS: 1 PTS: 1
29. ANS: 2 PTS: 1
30. ANS: 1 PTS: 1
    Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robin
    Chapter 2. Review of the Basic Principles of Pharmacology
    Multiple Choice
    Identify the choice that best completes the statement or answers the question.
31. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
    prescribing because:
32. Distribution of drugs to target tissue may be affected.
33. The solubility of the drug will not match the site of absorption.
34. There will be less free drug available to generate an effect.
35. Drugs bound to albumin are readily excreted by the kidneys.
36. Drugs that have a significant first-pass effect:
37. Must be given by the enteral (oral) route only
38. Bypass the hepatic circulation
39. Are rapidly metabolized by the liver and may have little if any desired action
40. Are converted by the liver to more active and fat-soluble forms
41. The route of excretion of a volatile drug will likely be the:
42. Kidneys
43. Lungs
44. Bile and feces
45. Skin
46. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
    reservoir of the drug. Storage reservoirs:
47. Assure that the drug will reach its intended target tissue
48. Are the reason for giving loading doses
49. Increase the length of time a drug is available and active
50. Are most common in collagen tissues
51. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
52. Propensity to go to the target receptor
53. Biological half-life
54. Pharmacodynamics
55. Safety and side effects
56. 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:
57. Rapidly achieves drug levels in the therapeutic range
58. Requires four- to five-half-lives to attain
59. Is influenced by renal function
60. Is directly related to the drug circulating to the target tissues
61. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect
    is the:
62. Minimum adverse effect level
63. Peak of action
    Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robin
64. Onset of action
65. Therapeutic range
66. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
67. When the drug has a wide therapeutic range
68. When the drug will be administered for a short time only
69. When there is a high correlation between the dose and saturation of receptor sites
70. To determine if a drug is in the therapeutic range
71. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration.
    This means that the:
72. Concentration will produce therapeutic effects
73. Concentration will produce an adverse response
74. Time between doses must be shortened
75. Duration of action of the drug is too long
76. Drugs that are receptor agonists may demonstrate what property?
77. Irreversible binding to the drug receptor site
78. Upregulation with chronic use
79. Desensitization or downregulation with continuous use
80. Inverse relationship between drug concentration and drug action
81. Drugs that are receptor antagonists, such as beta blockers, may cause:
82. Downregulation of the drug receptor
83. An exaggerated response if abruptly discontinued
84. Partial blockade of the effects of agonist drugs
85. An exaggerated response to competitive drug agonists
86. Factors that affect gastric drug absorption include:
87. Liver enzyme activity
88. Protein-binding properties of the drug molecule
89. Lipid solubility of the drug
90. Ability to chew and swallow
91. Drugs administered via IV:
92. Need to be lipid soluble in order to be easily absorbed
93. Begin distribution into the body immediately
94. Are easily absorbed if they are nonionized
95. May use pinocytosis to be absorbed
96. When a medication is added to a regimen for a synergistic effect, the combined effect of the drugs is:
97. The sum of the effects of each drug individually
98. Greater than the sum of the effects of each drug individually
99. Less than the effect of each drug individually
100. Not predictable, as it varies with each individual
101. Which of the following statements about bioavailability is true?
102. Bioavailability issues are especially important for drugs with narrow therapeutic
     ranges or sustained-release mechanisms.
103. All brands of a drug have the same bioavailability.
104. Drugs that are administered more than once a day have greater bioavailability than
     Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robin