MN553 Advanced Pharmacology & Pharmacotherapeutics Unit 1 Quiz Chapter 1. The Role of the Nurse Practitioner Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Nurse practitioner prescriptive authority is regulated by: 1. The National Council of S...
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Nurse practitioner prescriptive authority is regulated by:
1 The National Council of State Boards of Nursing
.
2 The U.S. Drug Enforcement Administration
.
3 The iState iBoardiofiNursingifor ieachistate
.
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 and in their APRN program.
2 Nurses icare ifor itheipatient ifromiaiholistic iapproach
. iandiincludeitheipatient iin decisionimakingiregardingitheir
icare.
3 APRNs are less likely to prescribe narcotics and 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.
1 Factoringiinitheicost itoitheipatient
. iofitheimedicationiprescribed
2 Always prescribing the newest medication available for the
. disease process
3 Handing 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 Consultinginationallyirecognizediguidelines ifor idisease
. imanagement
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 idemonstrated iabilityiof inurseipractitioners itoicontrol
icosts iandiimprove patient ioutcomes
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
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
critical to prescribing because:
1 Distributioniofidrugs itoitarget itissue imayibeiaffected.
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
.
3 Are irapidlyimetabolizedibyitheiliver iandimayihave ilittle
. iifianyidesirediaction
4 Are converted by the liver to more active and fat-soluble
. forms
3. The route of excretion of a volatile drug will likely be the:
1 Kidneys
.
2 Lungs
.
3 Bile and 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 itheilengthiofitime iaidrugiis iavailable iandiactive
.
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 ihalf-life
.
3 Pharmacodynamics
.
4 Safety and side effects
.
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
of the prescription. This
isconsidered a loading dose. A loading dose:
1 Rapidlyiachieves idrugilevels iinitheitherapeuticirange
.
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
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