NSG 6005 ADV PHARM FINAL EXAM TEST BANK
QUESTIONS AND ANSWERS
Chapter 1. The Role of the Nurse Practitioner
1. Nurse practitioner prescriptive
... [Show More] 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 & in their APRN program.
2
.
Nurses care for the patient from a holistic approach & include the patient in decision making regarding their
care.
3
.
APRNs are less likely to prescribe narcotics & 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
.
H&ing 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 & 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
1. A patient’s nutritional intake & 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
CLAUSE
2 ADV Pharm | TextBook | StudyGuide
3
.
Are rapidly metabolized by the liver & may have little if any desired action
4
.
Are converted by the liver to more active & fat-soluble forms
3. The route of excretion of a volatile drug will likely be the:
1
.
Kidneys
2
.
Lungs
3
.
Bile & 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 & 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 & 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:
1
.
Minimum adverse effect level
2
.
Peak of action
3
.
Onset of action
4
.
Therapeutic range
8. Phenytoin requires that a trough level be drawn. Peak & trough levels are done:
1
.
When the drug has a wide therapeutic range
2
.
When the drug will be administered for a short time only
3
.
When there is a high correlation between the dose & saturation of receptor sites
4
.
To determine if a drug is in the therapeutic range
9. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the:
1
.
Concentration will produce therapeutic effects
2
.
Concentration will produce an adverse respo [Show Less]