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PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSING ATTENDANT PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSING ATTENDANT PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICENURSING ATTENDANT PRESCRIBERS 6TH EDITION WOO
ROBINSON TEST BANK
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSING
ATTENDANT PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
Chapter 1. The Role of the Nursing attendant
PractitionerMultiple selection
Identify the option that best completes the statement or answers the question.
1. Nursing attendant practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Medicine Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
2. The benefits to the hospital client of having an Advanced Practice Registered Nursing attendant
(APRN) prescriber include:
1. Nursing attendants know more about Pharmacology than other prescribers
because they take it both in their basic nursing program and in their APRN
program.
2. Nursing attendants care for the hospital client from a holistic approach and
include the hospital client indecision making regarding their care.
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.
3. Clinical judgment in prescribing includes:
1. Factoring in the cost to the hospital client of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out medicine samples to poor hospital clients
4. Prescribing all generic medications to cut costs
4. Criteria for choosing an effective medicine for a disorder include:
1. Asking the hospital client what medicine 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. Nursing attendant practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of nursing attendant practitioners to control costs and
improve hospital client outcomes
2. The fact that nursing attendant practitioners will be able to practice independently
3. The fact that nursing attendant practitioners will have full reimbursement
under health-carereform
4. The ability to shift accountability for Medicaid to the state level
,Chapter 1. The Role of the Nursing attendant
PractitionerAnswer Section
MULTIPLE SELECTION
1. ANS: 3 POINTS: 1
2. ANS: 2 POINTS: 1
3. ANS: 1 POINTS: 1
4. ANS: 2 POINTS: 1
5. ANS: 1 POINTS: 1
Chapter 2. Review of Basic Principles of Pharmacology
Multiple selection
Identify the option that best completes the statement or answers the question.
1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
critical toprescribing because:
1. Distribution of medicines to target tissue may be affected.
2. The solubility of the medicine will not match the site of absorption.
3. There will be less free medicine available to generate an effect.
4. Medicines bound to albumin are readily excreted by the kidneys.
2. Medicines that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little if any desired action
4. Are converted by the liver to more active and fat-soluble forms
3. The route of excretion of a volatile medicine 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 medicine. Storage reservoirs:
1. Assure that the medicine will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a medicine is available and active
4. Are most common in collagen tissues
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medicine’s:
1. Propensity to go to the target receptor
2. Biological half-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 is considered a loading dose. A loading dose:
1. Rapidly achieves medicine 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 medicine circulating to the target tissues
7. The point in time on the medicine 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 and trough levels are done:
1. When the medicine has a wide therapeutic range
2. When the medicine will be administered for a short time only
3. When there is a high correlation between the dose and saturation of receptor sites
4. To determine if a medicine is in the therapeutic range
9. A laboratory result indicates that the peak level for a medicine is above the minimum toxic
concentration.
This means that the:
1. Concentration will produce therapeutic effects
2. Concentration will produce an adverse response
3. Time between doses must be shortened
4. Duration of action of the medicine is too long
10. Medicines that are receptor agonists may demonstrate what property?
1. Irreversible binding to the medicine receptor site
2. Upregulation with chronic use
3. Desensitization or downregulation with continuous use
4. Inverse relationship between medicine concentration and medicine action
11. Medicines that are receptor antagonists, such as beta blockers, may cause:
1. Downregulation of the medicine receptor
2. An exaggerated response if abruptly discontinued
3. Partial blockade of the effects of agonist medicines
4. An exaggerated response to competitive medicine agonists
12. Factors that affect gastric medicine absorption include:
1. Liver enzyme activity
2. Protein-binding properties of the medicine molecule
3. Lipid solubility of the medicine
4. Ability to chew and swallow
13. Medicines administered via IV:
1. Need to be lipid soluble in order to be easily absorbed
2. Begin distribution into the body immediately
3. Are easily absorbed if they are nonionized
4. May use pinocytosis to be absorbed
14. When a medication is added to a regimen for a synergistic effect, the combined effect of the medicines
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