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NSG 6005 Exam Elaborations – Questions & Solutions
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NSG 6005 Exam Elaborations – Questions & Solutions1. Nurse practitioner prescriptive authority is regulated by: A. The National
Council of State Boards of Nursing B. The U.S. Drug Enforcement
Administration C. The State Board of Nursing for each state D. The State Board
of Pharmacy Right Ans - C
2. Physician Assistant (PA) prescriptive authority is regulated by: A. The
National Council of State Boards of Nursing B. The U.S. Drug Enforcement
Administration C. The State Board of Nursing D. The State Board of Medical
Examiners Right Ans - D
3. Clinical judgment in prescribing includes: A. Factoring in the cost to the
patient of the medication prescribed B. Always prescribing the newest
medication available for the disease process C. Handing out drug samples to
poor patients D. Prescribing all generic medications to cut costs Right Ans -
A
4. Criteria for choosing an effective drug for a disorder include: A. Asking the
patient what drug they think would work best for them B. Consulting
nationally recognized guidelines for disease management C. Prescribing
medications that are available as samples before writing a prescription D.
Following U.S. Drug Enforcement Administration (DEA) guidelines for
prescribing Right Ans - B
5. Nurse practitioner practice may thrive under health-care reform due to:
A. The demonstrated ability of nurse practitioners to control costs and
improve patient outcomes ds he toice those of the
B. The fact that nurse practitioners will be able to practice independently
C. The fact that nurse practitioners will have full reimbursement under health-
care reform D. The ability to shift accountability for Medicaid to the state level
Right Ans - A
1. A patient's nutritional intake and lab work reflects hypoalbuminemia. This
is critical to prescribing because: A. Distribution of drugs to target tissue may
be affected B. The solubility of the drug will not match the site of absorption C.
, There will be less free drug available to generate an effect D. Drugs bound to
albumin are readily excreted by the kidney Right Ans - A
2. Drugs that have a significant first-pass effect: A. Must be given by the
enteral (oral) route only B. Bypass the hepatic circulation C. Are rapidly
metabolized by the liver and may have little if any desired action D. Are
converted by the liver to more active and fat-soluble forms Right Ans - C
3. The route of excretion of a volatile drug will likely be: A. The kidneys B. The
lungs C. The bile and feces D. The skin Right Ans - B
4. Medroxyprogesterone (Depo Provera) is prescribed IM to create a storage
reservoir of the drug. Storage reservoirs: A. Assure that the drug will reach its
intended target tissue B. Are the reason for giving loading doses C. Increase
the length of time a drug is available and active D. Are most common in
collagen tissues Right Ans - C
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the
drug's: A. Propensity to go to the target receptor В. Biological half-life С.
Pharmacodynamics D. Safety and side effects Right Ans - B
6. Azithromycin dosing requires the first day's dose be twice those of the
other 4 days of the prescription. This is considered a loading dose. A loading
dose: A. Rapidly achieves drug levels in the therapeutic range B. Requires four
to five half-lives to attain C. Is influenced by renal function D. Is directly
related to the drug circulating to the target tissues Right Ans - A
7. The point in time on the drug concentration curve that indicates the first
sign of a therapeutic effect is the: A. Minimum adverse effect level B. Peak of
action C. Onset of action D. Therapeutic range Right Ans - C
8. Phenytoin requires a trough level be drawn. Peak and trough levels are
done: chilty A. When the drug has a wide therapeutic range B. When the drug
will be administered for a short time only C. When there is a high correlation
between the dose and saturation of receptor sites D. To determine if a drug is
in the therapeutic range Right Ans - D
A laboratory result indicates the peak level for a drug is above the minimum
toxic concentration. This means that the: A. Concentration will produce
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