1. Faxing the prescription for a Schedule II drug directly to the pharmacy
2. Using tamper-proof paper for all prescriptions written for controlled
... [Show More] drugs
3. Keeping any pre-signed prescription pads in a locked drawer in the clinic
4. Using only numbers to indicate the amount of drug to be prescribed
9. Strategies prescribers can use to prevent misuse of controlled prescription drugs include:
1. Use of chemical dependency screening tools
2. Firm limit-setting regarding prescribing controlled substances
3. Practicing ―just say no‖ to deal with patients who are pushing the provider to
prescribe controlled substances
4. All of the above
10. Behaviors predictive of addiction to controlled substances include:
1. Stealing or borrowing another patient’s drugs
2. Requiring increasing doses of opiates for pain associated with malignancy
3. Receiving refills of a Schedule II prescription on a regular basis
4. Requesting that only their own primary care provider prescribe for them
11. 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
12. A prescription needs to be written for:
1. Legend drugs
2. Most controlled drugs
3. Medical devices
4. All of the above
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
Chapter 4. Legal and Professional Issues in Prescribing
Answer Section
MULTIPLE CHOICE
Chapter 5. Adverse Drug Reactions
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which of the following patients would be at higher risk of experiencing adverse drug reactions
(ADRs):
1. A 32-year-old male
2. A 22-year-old female
3. A 3-month-old female
4. A 48-year-old male
2. Infants and young children are at higher risk of ADRs due to:
1. Immature renal function in school-age children
2. Lack of safety and efficacy studies in the pediatric population
3. Children’s skin being thicker than adults, requiring higher dosages of topical
medication
4. Infant boys having a higher proportion of muscle mass, leading to a higher volume
of distribution
3. The elderly are at high risk of ADRs due to:
1. Having greater muscle mass than younger adults, leading to higher volume of
distribution
2. The extensive studies that have been conducted on drug safety in this age group
3. The blood-brain barrier being less permeable, requiring higher doses to achieve
therapeutic effect
4. Age-related decrease in renal function
4. The type of adverse drug reaction that is idiosyncratic when a drug given in the usual therapeutic
doses is type:
1. ANS: 2 PTS: 1
2. ANS: 1 PTS: 1
3. ANS: 4 PTS: 1
4. ANS: 2 PTS: 1
5. ANS: 3 PTS: 1
6. ANS: 1 PTS: 1
7. ANS: 2 PTS: 1
8. ANS: 2 PTS: 1
9. ANS: 4 PTS: 1
10. ANS: 1 PTS: 1
11. ANS: 1 PTS: 1
12. ANS: 4 PTS: 1
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
1. A
2. B
3. C
4. D
5. Digoxin may cause a type A adverse drug reaction due to:
1. Idiosyncratic effects
2. Its narrow therapeutic index
3. Being a teratogen
4. Being a carcinogen
6. Sarah developed a rash after using a topical medication. This is a type allergic drug reaction.
1. I
2. II
3. III
4. IV
7. A patient may develop neutropenia from using topical Silvadene for burns. Neutropenia is a(n):
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
1. Cytotoxic hypersensitivity reaction
2. Immune complex hypersensitivity
3. Immediate hypersensitivity reaction
4. Delayed hypersensitivity reaction
8. Anaphylactic shock is a:
1. Type I reaction, called immediate hypersensitivity reaction
2. Type II reaction, called cytotoxic hypersensitivity reaction
3. Type III allergic reaction, called immune complex hypersensitivity
4. Type IV allergic reaction, called delayed hypersensitivity reaction
9. James has hypothalamic-pituitary-adrenal axis suppression from chronic prednisone (a
corticosteroid) use. He is at risk for what type of adverse drug reaction?
1. Type B
2. Type C
3. Type E
4. Type F
10. Immunomodulators such as azathioprine may cause a delayed adverse drug reaction known as a type
D reaction because they are known:
1. Teratogens
2. Carcinogens
3. To cause hypersensitivity reactions
4. Hypothalamus-pituitary-adrenal axis suppressants
11. A 24-year-old male received multiple fractures in a motor vehicle accident that required significant
amounts of opioid medication to treat his pain. He is at risk for a adverse drug reaction when he
no longer requires the opioids.
1. Rapid
2. First-dose
3. Late
4. Delayed
12. An example of a first-dose reaction that may occur includes:
1. Orthostatic hypotension that does not occur with repeated doses
2. Purple glove syndrome with phenytoin use
3. Hemolytic anemia from ceftriaxone use
4. Contact dermatitis from neomycin use
13. Drugs that are prone to cause adverse drug effects include:
1. Diuretics
2. Inhaled anticholinergics
3. Insulins
4. Stimulants
14. The U.S. Food and Drug Administration MedWatch system is activated when:
1. There is an adverse event to a vaccine.
2. The patient has a severe reaction that is noted in the ―Severe Reaction‖ section in
the medication label.
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
3. A lactating woman takes a medication that is potentially toxic to the breastfeeding
infant.
4. An adverse event or serious problem occurs with a medication that is not already
identified on the label.
15. The Vaccine Adverse Events Reporting System is:
1. A mandatory reporting system for all health-care providers when they encounter an
adverse vaccine event
2. A voluntary reporting system that health-care providers or consumers may use to
report vaccine adverse events
3. Utilized to send out safety alerts regarding emerging vaccine safety issues
4. Activated when a vaccine has been proven to cause significant adverse effects
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
Chapter 5. Adverse Drug Reactions
Answer Section
MULTIPLE CHOICE
1. ANS: 3 PTS: 1
2. ANS: 2 PTS: 1
3. ANS: 4 PTS: 1
4. ANS: 2 PTS: 1
5. ANS: 2 PTS: 1
6. ANS: 4 PTS: 1
7. ANS: 1 PTS: 1
8. ANS: 1 PTS: 1
9. ANS: 2 PTS: 1
10. ANS: 2 PTS: 1
11. ANS: 3 PTS: 1
12. ANS: 1 PTS: 1
13. ANS: 3 PTS: 1
14. ANS: 4 PTS: 1
15. ANS: 2 PTS: 1
Chapter 6. Pharmacoeconomics
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Pharmacoeconomics is:
1. The study of the part of the U.S. economy devoted to drug use
2. The study of the impact of prescription drug costs on the overall economy
3. The analysis of the costs and consequences of any health-care-related treatment or
service
4. The analysis of the clinical efficacy of the drug
2. The direct costs of drug therapy include:
1. The actual cost of acquiring the medication
2. The loss of income due to illness
3. Pain and suffering due to inadequate drug therapy
4. The cost of a funeral associated with premature death
3. Indirect costs associated with drug therapy include:
1. The cost of diagnostic tests to monitor therapeutic levels
2. Health-care provider time to prescribe and educate the patient
3. Child-care expenses incurred while receiving therapy
4. Loss of wages while undergoing drug therapy
4. The intangible costs of drug therapy include:
NN
Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
1. Loss of wages while undergoing therapy
2. Inconvenience, pain, and suffering incurred with therapy
3. Cost of medical equipment in the laboratory used to monitor thera [Show Less]