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THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+ 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 regulat$10.99
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THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+ 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 regulat
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THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
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THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
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 Stat...
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 State Board of Nursing for each state
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 care for the patient from a holistic approach
and include the patient in decision 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 patient of the medication
prescribed
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
, THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
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. The demonstrated ability of nurse practitioners to
control costs and improve patient outcomes
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. Distribution of drugs to target tissue may be
affected.
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
, THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
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 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 the length of time a drug 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
drug’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 drug levels in the therapeutic
range
2. Requires four- to five-half-lives to attain
, THE ROLE OF THE NURSE PRACTITIONER EXAM GRADED A+
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
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 drug has a wide therapeutic range
2. When the drug 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 drug is in the therapeutic range
____ 9. A laboratory result indicates that the peak level for a drug 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 drug is too long
____ 10. Drugs that are receptor agonists may demonstrate what property?
1. Irreversible binding to the drug receptor site
2. Upregulation with chronic use
3. Desensitization or downregulation with continuous
use
4. Inverse relationship between drug concentration and
drug action
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