NURSING MSN 553 Advance Pharmacology And Pharmacotherapeutics
NURSING MSN 553 Advance Pharmacology and Pharmacotherapeutics
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Advance Pharmacology and Pharmacotherapeutics-Test bank ace your revision with the best study guide
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NURSING MSN 553 Advance Pharmacology and Pharmacotherapeutics
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NURSING MSN 553 Advance Pharmacology And Pharmacotherapeutics
NURSING MSN 553 Advance Pharmacology and Pharmacotherapeutics-TEST BANK 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 Cou...
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NURSING MSN
553 ADVANCE
PHARMACOLOG
Y AND
PHARMACOTHE
RAPEUTICS-
TEST BANK
,ADVANCED PHARMACOLOGY FINAL EXAM TEST BANK QUESTIONS AND ANSWERS 100% VERIFIED EXAM
SOLUTION
Chapter 1. If the Role of if the Nurse Practitioner
1. Nurse practitioner prescriptive authority is regulated by:
1 If the National Council of State Boards of Nursing
.
2 If the U.S. Drug Enforcement Administration
.
3 If the State Board of Nursing for each state
4 If the State Board of Pharmacy
.
2. If the benefits to if the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
1 Nurses know more about Pharmacology than oif ther prescribers because if they take it both in if their basic
. nursingprogram & in if their APRN program.
2 Nurses care for if the patient from a holistic approach & include if the patient in decision making regarding if their
care.
3 APRNs are less likely to prescribe narcotics & oif ther controlled substances.
.
4 APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to have a
. physician supervising if their practice.
3. Clinical judgment in prescribing includes:
1 Factoring in if the cost to if the patient of if the medication prescribed
2 Always prescribing if the newest medication available for if 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 if the patient what drug if they think would work best for if 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 If the demonstrated ability of nurse practitioners to control costs & improve patient outcomes
2 If the fact that nurse practitioners will be able to practice independently
.
3 If the fact that nurse practitioners will have full reimbursement under health-care reform
.
4 If the ability to shift accountability for Medicaid to if 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 If the solubility of if the drug will not match if the site of absorption.
.
3 If there will be less free drug available to generate an effect.
.
4 Drugs bound to albumin are readily excreted by if the kidneys.
.
2. Drugs that have a significant first-pass effect:
1 Must be given by if the enteral (oral) route only
.
2 Bypass if the hepatic circulation
.
, 2 ADV Pharm | TextBook | StudyGuide
3 Are rapidly metabolized by if the liver & may have little if any desired action
4 Are converted by if the liver to more active & fat-soluble forms
.
3. If the route of excretion of a volatile drug will likely be if the:
1 Kidneys
.
2 Lungs
3 Bile & feces
.
4 Skin
.
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of if the drug. Storage reservoirs:
1 Assure that if the drug will reach its intended target tissue
.
2 Are if the reason for giving loading doses
.
3 Increase if the length of time a drug is available & active
4 Are most common in collagen tissues
.
5. If the NP chooses to give cephalexin every 8 hours based on knowledge of if the drug’s:
1 Propensity to go to if the target receptor
.
2 Biological half-life
3 Pharmacodynamics
.
4 Safety & side effects
.
6. Azithromycin dosing requires that if the first day’s dosage be twice those of if the oif ther 4 days of if the prescription. This is considered a
loading dose. A loading dose:
1 Rapidly achieves drug levels in if the if therapeutic range
2 Requires four- to five-half-lives to attain
.
3 Is influenced by renal function
.
4 Is directly related to if the drug circulating to if the target tissues
.
7. If the point in time on if the drug concentration curve that indicates if the first sign of a if therapeutic effect is if the:
1 Minimum adverse effect level
.
2 Peak of action
.
3 Onset of action
4 If therapeutic range
.
8. Phenytoin requires that a trough level be drawn. Peak & trough levels are done:
1 When if the drug has a wide if therapeutic range
.
2 When if the drug will be administered for a short time only
.
3 When if there is a high correlation between if the dose & saturation of receptor sites
.
4 To determine if a drug is in if the if therapeutic range
9. A laboratory result indicates that if the peak level for a drug is above if the minimum toxic concentration. This means that if the:
1 Concentration will produce if therapeutic effects
.
2 Concentration will produce an adverse response
, 3 ADV Pharm | TextBook | StudyGuide
3 Time between doses must be shortened
.
4 Duration of action of if the drug is too long
.
10. Drugs that are receptor agonists may demonstrate what property?
1 Irreversible binding to if the drug receptor site
.
2 Upregulation with chronic use
.
3 Desensitization or downregulation with continuous use
4 Inverse relationship between drug concentration & drug action
.
11. Drugs that are receptor antagonists, such as beta blockers, may cause:
1 Downregulation of if the drug receptor
.
2 An exaggerated response if abruptly discontinued
3 Partial blockade of if the effects of agonist drugs
.
4 An exaggerated response to competitive drug agonists
.
12. Factors that affect gastric drug absorption include:
1 Liver enzyme activity
.
2 Protein-binding properties of if the drug molecule
.
3 Lipid solubility of if the drug
4 Ability to chew & swallow
.
13. Drugs administered via IV:
1 Need to be lipid soluble in order to be easily absorbed
.
2 Begin distribution into if the body immediately
3 Are easily absorbed if if they are nonionized
.
4 May use pinocytosis to be absorbed
.
14. When a medication is added to a regimen for a synergistic effect, if the combined effect of if the drugs is:
1 If the sum of if the effects of each drug individually
.
2 Greater than if the sum of if the effects of each drug individually
3 Less than if the effect of each drug individually
.
4 Not predictable, as it varies with each individual
.
15. Which of if the following statements about bioavailability is true?
1 Bioavailability issues are especially important for drugs with narrow if therapeutic ranges or sustained-release
mechanisms.
2 All brands of a drug have if the same bioavailability.
.
3 Drugs that are administered more than once a day have greater bioavailability than drugs given once daily.
.
4 Combining an active drug with an inert substance does not affect bioavailability.
.
16. Which of if the following statements about if the major distribution barriers (blood-brain or fetal-placental) is true?
1 Water soluble & ionized drugs cross if these barriers rapidly.
.
2 If the blood-brain barrier slows if the entry of many drugs into & from brain cells.
3 If the fetal-placental barrier protects if the fetus from drugs taken by if the moif ther.
.
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