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Pharm Exam 1

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 17 pages. Originally published on StudyMerit.

Pages
17
Academic year
2025/2026
Language
English

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Pharm Exam 1 – Page 1 1. Nurse practitioner prescriptive authority is regulated by: The State Board of Nursing for each state 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. 3. Clinical judgment in prescribing includes: Factoring in the cost to the patient of the medication prescribed 4. Criteria for choosing an effective drug for a disorder include: Consulting nationally recognized guidelines for disease management 5. Nurse practitioner practice may thrive under health-care reform because of: The demonstrated ability of nurse practitioners to control costs and improve patient outcomes 6. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing because: Distribution of drugs to target tissue may be affected . 7. Drugs that have a significant first-pass effect: Are rapidly metabolized by the liver and may have little if any desired action 8. The route of excretion of a volatile drug will likely be the: Lungs 9. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of the drug. Storage reservoirs: Increase the length of time a drug is available and active 10. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s: Biological half-life 11. 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: Rapidly achieves drug levels in the therapeutic range 12. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the: Onset of action 13. Phenytoin requires that a trough level be drawn. Peak and trough levels are done: To determine if a drug is in the therapeutic range 14. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This

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Pharm Exam 1 – Page 2 means that the: Concentration will produce an adverse response

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Pharm Exam 1 – Page 3 15. Drugs that are receptor agonists may demonstrate what property? Desensitization or downregulation with continuous use 16. Drugs that are receptor antagonists, such as beta blockers, may cause: An exaggerated response if abruptly discontinued 17. Factors that affect gastric drug absorption include: Lipid solubility of the drug 18. Drugs administered via IV: Begin distribution into the body immediately 19. When a medication is added to a regimen for a synergistic effect, the combined effect of the drugs is: Greater than the sum of the effects of each drug individually 20. Which of the following statements about bioavailability is true? Bioavailability issues are especially important for drugs with narrow therapeutic ranges or sustained-release mechanisms. 21. Which of the following statements about the major distribution barriers (blood-brain or fetal-placental) is true? The blood-brain barrier slows the entry of many drugs into and from brain cells. 22. Drugs are metabolized mainly by the liver via phase I or phase II reactions. The purpose of both of these types of reactions is to: Change drug molecules to a form that an excretory organ can excrete 23. Once they have been metabolized by the liver, the metabolites may be: More active than the parent drug, Less active than the parent drug, Totally “deactivated” so they are excreted without any effect 24. All drugs continue to act in the body until they are changed or excreted. The ability of the body to excrete drugs via the renal system would be increased by: Unbinding a nonvolatile drug from plasma proteins 25. Steady state is: When the amount of drug in the body remains constant 26. Two different pain medications are given together for pain relief. The drug—drug interaction is: Additive 27. Actions taken to reduce drug—drug interaction problems include all of the following EXCEPT: Prescribing a third drug to counteract the adverse reaction of the combination

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