TEST BANK FOR NSG 6005 ADV PHARM FINAL
EXAM
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 [Show Less]