Question 1

When determining drug treatment the NP prescriber should:

Accepted Answer

A)  Always use evidence-based guidelines 
B)  Individualize the drug choice for the specific patient 
C)  Rely on his or her experience when prescribing for complex patients 
D)  Use the newest drug on the market for the condition being treated 
A)  Always use evidence-based guidelines 
B)  Individualize the drug choice for the specific patient 
C)  Rely on his or her experience when prescribing for complex patients 
D)  Use the newest drug on the market for the condition being treated B

Question 2

Treatment goals in prescribing should:

Accepted Answer

A)  Always be curative 
B)  Be patient-centered 
C)  Be convenient for the provider 
D)  Focus on the cost of therapy 
A)  Always be curative 
B)  Be patient-centered 
C)  Be convenient for the provider 
D)  Focus on the cost of therapy B

Question 3

The first step in the prescribing process according to the World Health Organization is:

Accepted Answer

A)  Choosing the treatment 
B)  Educating the patient about the medication 
C)  Diagnosing the patient's problem 
D)  Starting the treatment 
A)  Choosing the treatment 
B)  Educating the patient about the medication 
C)  Diagnosing the patient's problem 
D)  Starting the treatment C

Question 4

Pharmaceutical promotion may affect prescribing. To address the impact of pharmaceutical promotion, the following recommendations have been made by the Institute of Medicine:

Accepted Answer

A)  Conflicts of interest and financial relationships should be disclosed by those providing education. 
B)  Providers should ban all pharmaceutical representatives from their office setting. 
C)  Drug samples should be used for patients who have the insurance to pay for them, to ensure the patient can afford the medication. 
D)  Providers should only accept low-value gifts, such as pens and pads of paper, from the pharmaceutical representative. 
A)  Conflicts of interest and financial relationships should be disclosed by those providing education. 
B)  Providers should ban all pharmaceutical representatives from their office setting. 
C)  Drug samples should be used for patients who have the insurance to pay for them, to ensure the patient can afford the medication. 
D)  Providers should only accept low-value gifts, such as pens and pads of paper, from the pharmaceutical representative.

Question 5

A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?

Accepted Answer

A)  Body temperature varies between men and women. 
B)  Muscle mass is greater in women. 
C)  Percentage of fat differs between genders. 
D)  Proven subjective factors exist between the genders. 
A)  Body temperature varies between men and women. 
B)  Muscle mass is greater in women. 
C)  Percentage of fat differs between genders. 
D)  Proven subjective factors exist between the genders.

Question 6

In deciding which of multiple drugs used to use to treat a condition, the NP chooses Drug A because it:

Accepted Answer

A)  Has serious side effects and it is not being used for a life-threatening condition 
B)  Will be taken twice daily and will be taken at home 
C)  Is expensive, but covered by health insurance 
D)  None of these are important in choosing a drug 
A)  Has serious side effects and it is not being used for a life-threatening condition 
B)  Will be taken twice daily and will be taken at home 
C)  Is expensive, but covered by health insurance 
D)  None of these are important in choosing a drug

Question 7

Passive monitoring of drug effectiveness includes:

Accepted Answer

A)  Therapeutic drug levels 
B)  Adding or subtracting medications from the treatment regimen 
C)  Ongoing provider visits 
D)  Instructing the patient to report if the drug is not effective 
A)  Therapeutic drug levels 
B)  Adding or subtracting medications from the treatment regimen 
C)  Ongoing provider visits 
D)  Instructing the patient to report if the drug is not effective

Question 8

Patient education regarding prescribed medication includes:

Accepted Answer

A)  Instructions written at the high school reading level 
B)  Discussion of expected adverse drug reactions 
C)  How to store leftover medication such as antibiotics 
D)  Verbal instructions always in English 
A)  Instructions written at the high school reading level 
B)  Discussion of expected adverse drug reactions 
C)  How to store leftover medication such as antibiotics 
D)  Verbal instructions always in English

Question 9

Under new U.S. Food and Drug Administration labeling, Pregnancy Categories will be:

Accepted Answer

A)  Strengthened with a new coding such as C+ or C- to discern when a drug is more or less toxic to the fetus 
B)  Changed to incorporate a pregnancy risk summary and clinical considerations on the drug label 
C)  Eliminated, and replaced with a link to the National Library of Medicine TOXNET Web site for in-depth information regarding pregnancy concerns 
D)  Clarified to include information such as safe dosages in each trimester of pregnancy 
A)  Strengthened with a new coding such as C+ or C- to discern when a drug is more or less toxic to the fetus 
B)  Changed to incorporate a pregnancy risk summary and clinical considerations on the drug label 
C)  Eliminated, and replaced with a link to the National Library of Medicine TOXNET Web site for in-depth information regarding pregnancy concerns 
D)  Clarified to include information such as safe dosages in each trimester of pregnancy

Question 10

An NP would prescribe the liquid form of ibuprofen for a 6-year-old child because:

Accepted Answer

A)  Drugs given in liquid form are less irritating to the stomach. 
B)  A 6-year-old child may have problems swallowing a pill. 
C)  Liquid forms of medication eliminate the concern for first-pass effect. 
D)  Liquid ibuprofen does not have to be dosed as often as the tablet form. 
A)  Drugs given in liquid form are less irritating to the stomach. 
B)  A 6-year-old child may have problems swallowing a pill. 
C)  Liquid forms of medication eliminate the concern for first-pass effect. 
D)  Liquid ibuprofen does not have to be dosed as often as the tablet form.

Question 11

The therapeutic goals when prescribing include(s):

Accepted Answer

A)  Curative 
B)  Palliative 
C)  Preventive 
D)  All of the above 
A)  Curative 
B)  Palliative 
C)  Preventive 
D)  All of the above

Question 12

Pharmacokinetic factors that affect prescribing include:

Accepted Answer

A)  Therapeutic index 
B)  Minimum effective concentration 
C)  Bioavailability 
D)  Ease of titration 
A)  Therapeutic index 
B)  Minimum effective concentration 
C)  Bioavailability 
D)  Ease of titration

Exam 3: Rational Drug Selection

When determining drug treatment the NP prescriber should:

Treatment goals in prescribing should:

The first step in the prescribing process according to the World Health Organization is:

Pharmaceutical promotion may affect prescribing. To address the impact of pharmaceutical promotion, the following recommendations have been made by the Institute of Medicine:

A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?

In deciding which of multiple drugs used to use to treat a condition, the NP chooses Drug A because it:

Passive monitoring of drug effectiveness includes:

Patient education regarding prescribed medication includes:

Under new U.S. Food and Drug Administration labeling, Pregnancy Categories will be:

An NP would prescribe the liquid form of ibuprofen for a 6-year-old child because:

The therapeutic goals when prescribing include(s):

Pharmacokinetic factors that affect prescribing include:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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