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Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank - All Chapters (1-55) | A+ ULTIMATE GUIDE 2025$17.99
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3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing
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nm nm nm nm 5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve
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patientoutcomes
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2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under
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health-carereform
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4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse
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Practitioner Answer Section
nm n
m nm
MULTIPLE CHOICE nm
1. ANS: nm nm n m 3 PTS: n m 1
2. ANS: nm nm n m 2 PTS: n m 1
3. ANS: nm nm n m 1 PTS: n m 1
4. ANS: nm nm n m 2 PTS: n m 1
5. ANS: nm nm n m 1 PTS: n m 1
Chapter 2. Review of Basic Principles of
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nm Pharmacology Multiple Choice n
m nm
Identify the choice that best completes the statement or answers the question.
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nm nm nm nm 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
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critical toprescribing because:
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1. Distribution of drugs to target tissue may be affected.nm nm nm nm nm nm nm nm
2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
nm nm nm nm nm nm nm nm nm
nm nm nm nm 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation nm nm nm
3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
nm nm nm nm nm nm nm nm nm nm
nm nm nm nm 3. The route of excretion of a volatile drug will likely be the:
nm nm nm nm nm nm nm nm nm nm nm nm
a storagereservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active
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4. Are most common in collagen tissues
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nm nm nm nm 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm
1. Propensity to go to the target receptor nm nm nm nm nm nm
2. Biological half-life nm
3. Pharmacodynamics
4. Safety and side effects nm nm nm
, nm nm nm nm 6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4
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nmdays of theprescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain
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3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues
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nm nm nm nm 7. The point in time on the drug concentration curve that indicates the first sign of a
nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm
nmtherapeutic effectis the: nm nm nm
1. Minimum adverse effect level nm nm nm
2. Peak of action nm nm
3. Onset of action nm nm
4. Therapeutic range nm
nm nm nm nm 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the drug has a wide therapeutic range
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2. When the drug will be administered for a short time only
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3. When there is a high correlation between the dose and saturation of receptor sites
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4. To determine if a drug is in the therapeutic range
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nm 9. A laboratory result indicates that the peak level for a drug is above the minimum toxic
nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm
concentration.
nm
This means that the: nm nm nm
1. Concentration will produce therapeutic effects nm nm nm nm
2. Concentration will produce an adverse response nm nm nm nm nm
3. Time between doses must be shortened
nm nm nm nm nm
4. Duration of action of the drug is too long nm nm nm nm nm nm nm nm
nm nm 10. Drugs that are receptor agonists may demonstrate what property?
nm nm nm nm nm nm nm nm nm
1. Irreversible binding to the drug receptor site nm nm nm nm nm nm
2. Upregulation with chronic use nm nm nm
3. Desensitization or downregulation with continuous use nm nm nm nm nm
4. Inverse relationship between drug concentration and drug action
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nm nm 11. Drugs that are receptor antagonists, such as beta blockers, may cause:
nm nm nm nm nm nm nm nm nm nm nm
1. Downregulation of the drug receptor nm nm nm nm
2. An exaggerated response if abruptly discontinued
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3. Partial blockade of the effects of agonist drugs
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4. An exaggerated response to competitive drug agonists
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nm nm 12. Factors that affect gastric drug absorption include:
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1. Liver enzyme activity nm nm
2. Protein-binding properties of the drug molecule nm nm nm nm nm
3. Lipid solubility of the drugnm nm nm nm
4. Ability to chew and swallow nm nm nm nm
nm nm 13. Drugs administered via IV:
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1. Need to be lipid soluble in order to be easily absorbed
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2. Begin distribution into the body immediately
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3. Are easily absorbed if they are nonionized
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4. May use pinocytosis to be absorbed
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nm nm 14. When a medication is added to a regimen for a synergistic effect, the combined effect of the
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nm drugs is:
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