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Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson
Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson
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Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank
Chapter 1. The Role of the Nurse Practitioner
gi gi gi gi gi gi gi i
g
Multiple Choice gi
Identify the choice that best completes the statement or answers the question.
gi gi gi gi gi gi gi gi gi gi gi
gi gig i 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy gi gi gi gi
gi
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) pre
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scriberinclude: i
g
1. Nurses know more about Pharmacology than other prescribers because they take it
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g
both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision making regarding their care. gi gi gi gi
3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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g
assistant needs to have a physician supervising their practice.
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gi gig i 3. Clinical judgment in prescribing includes:
gi gi gi gi gi
1. Factoring in the cost to the patient of the medication prescribed
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2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients gi gi gi gi gi gi
4. Prescribing all generic medications to cut costs gi gi gi gi gi gi
gi gig i 4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management gi gi gi gi gi gi
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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gi gig i 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 patient
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g
outcomes
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 health-
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carereform gi
4. The ability to shift accountability for Medicaid to the state level
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nk
, PharmacotherapeuticsgiforgiAdvancedgiPracticegiNursegiPrescribersgi5thgiEditiongiWoogiRobinsongiTestgiBa
nk
Chapter 1. The Role of the Nurse Practitioner
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Answer Sectiongi
MULTIPLE CHOICE gi
1. ANS: gigig i 3 PTS: g i 1
2. ANS: gigig i 2 PTS: g i 1
3. ANS: gigig i 1 PTS: g i 1
4. ANS: gigig i 2 PTS: g i 1
5. ANS: gigig i 1 PTS: g i 1
Chapter 2. Review of Basic Principles of Pharmacology
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g
Multiple Choice gi
Identify the choice that best completes the statement or answers the question.
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gi
1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is crit
gig i gi gi gi gi gi gi gi gi gi gi gi gi
ical toprescribing because:
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g gi
1. Distribution of drugs to target tissue may be affected. gi gi gi gi gi gi gi gi
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.
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gi gig i 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only gi gi gi gi gi gi gi gi
2. Bypass the hepatic circulation gi gi gi
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
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gi gig i 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces gi gi
4. Skin
gi
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a s
gig i gi gi gi gi gi gi gi gi gi gi gi
toragereservoir of the drug. Storage reservoirs:
i
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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 gi gi gi gi gi gi gi gi gi gi
4. Are most common in collagen tissues gi gi gi gi gi
gi gig i 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
1. Propensity to go to the target receptor gi gi gi gi gi gi
2. Biological half-life gi
3. Pharmacodynamics
4. Safety and side effects gi gi gi
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gi
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
gig i gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
of theprescription. This is considered a loading dose. A loading dose:
gi gi i
g gi gi gi gi gi gi gi gi gi
1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain gi gi gi gi gi
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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gi
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
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effectis the:
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g gi
1. Minimum adverse effect level gi gi gi
2. Peak of action gi gi
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